Seq# | Description | Data Type | Usage | Vocabulary | Length | C.LEN | Flags |
---|---|---|---|---|---|---|---|
PLN | |||||||
1 | ID Number | ST | R | 20 | |||
2 | Type of ID Number | CWE | R | ||||
3 | State/other Qualifying Information | ST | O | 62 | |||
4 | Expiration Date | DT | O | 8 |
Components: <ID Number (ST)> & <Type of ID Number (CWE)> & <State/other Qualifying Information (ST)> & <Expiration Date (DT)>
Subcomponents for Type of ID Number (CWE): <Identifier (ST)> ^ <Text (ST)> ^ <Name of Coding System (ID)> ^ <Alternate Identifier (ST)> ^ <Alternate Text (ST)> ^ <Name of Alternate Coding System (ID)> ^ <Coding System Version ID (ST)> ^ <Alternate Coding System Version ID (ST)> ^ <Original Text (ST)> ^ <Second Alternate Identifier (ST)> ^ <Second Alternate Text (ST)> ^ <Name of Second Alternate Coding System (ID)> ^ <Second Alternate Coding System Version ID (ST)> ^ <Coding System OID (ST)> ^ <Value Set OID (ST)> ^ <Value Set Version ID (DTM)> ^ <Alternate Coding System OID (ST)> ^ <Alternate Value Set OID (ST)> ^ <Alternate Value Set Version ID (DTM)> ^ <Second Alternate Coding System OID (ST)> ^ <Second Alternate Value Set OID (ST)> ^ <Second Alternate Value Set Version ID (DTM)>
Definition: Specifies the license number or other ID number such as UPIN, Medicare and Medicaid number.
Definition: Specifies the type of number.
Refer to User-defined Table 0338 – Practitioner ID Number Type for suggested values.
Definition: Specifies the state or province in which the license or ID is valid, if relevant, or other qualifying information. It is recommended that state qualifications use the abbreviations from the postal service of the country.
Definition: Specifies the date when the license or ID is no longer valid.