ACC - Accident Segment

The ACC segment contains patient information relative to an accident in which the patient has been involved.

HL7 Attribute Table - ACC - Accident Segment

Seq#	Data Element Name	DataType	Usage	Vocabulary	Cardinality	Item #	Length	C.LEN	Flags
ACC
1	Accident Date/Time	DTM	O		[0..1]	00527
2	Accident Code	CWE	O	0050 Accident Code	[0..1]	00528
3	Accident Location	ST	O		[0..1]	00529		25	#
4	Auto Accident State	CWE	B	0347 State/Province	[0..1]	00812
5	Accident Job Related Indicator	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00813	[1..1]
6	Accident Death Indicator	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00814	[1..1]
7	Entered By	XCN	O		[0..1]	00224
8	Accident Description	ST	O		[0..1]	01503		1000	#
9	Brought In By	ST	O		[0..1]	01504		80	#
10	Police Notified Indicator	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	01505	[1..1]
11	Accident Address	XAD	O		[0..1]	01853
12	Degree of patient liability	NM	O		[0..1]	02374		3	#
13	Accident Identifier	EI	O		[0..*]	03338

ACC-1: Accident Date/Time (DTM) 00527

Definition: This field contains the date/time of the accident.

ACC-2: Accident Code (CWE) 00528

Definition: This field contains the type of accident. Refer to User-defined Table 0050 - Accident Codein Chapter 2C, Code Tables,for suggested values. ICD accident codes are recommended.

ACC-3: Accident Location (ST) 00529

Definition: This field contains the location of the accident.

ACC-4: Auto Accident State (CWE) 00812

Definition: As of Version 2.5, this field has been retained for backward compatibility only. Use ACC-11 - Accident Address instead of this field, as the state in which the accident occurred is part of the address. This field specifies the state in which the auto accident occurred. (CMS 1500 requirement in the US.) Refer to User-defined Table 0347 - State/Province in Chapter 2C, Code Tables, for suggested values.

ACC-5: Accident Job Related Indicator (ID) 00813

Definition: This field indicates if the accident was related to a job. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the accident was job related

• N    the accident was not job related

ACC-6: Accident Death Indicator (ID) 00814

Definition: This field indicates whether or not a patient has died as a result of an accident. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the patient has died as a result of an accident

• N    the patient has not died as a result of an accident

ACC-7: Entered By (XCN) 00224

Definition: This field identifies the person entering the accident information.

ACC-8: Accident Description (ST) 01503

Definition: Description of the accident.

ACC-9: Brought In By (ST) 01504

Definition: This field identifies the person or organization that brought in the patient.

ACC-10: Police Notified Indicator (ID) 01505

Definition: This field indicates if the police were notified. Refer to HL7 Table 0136 - Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the police were notified

• N    the police were not notified.

ACC-11: Accident Address (XAD) 01853

Definition: This field contains the address where the accident occurred.

ACC-12: Degree of patient liability (NM) 02374

Definition: This field conveys the amount to which the patient is found to be liable for an accident. The numeric value is given as a percentage value.

If the accident is totally caused by others this value is set to "0". If it is caused by the patient, it is set to "100". Any other value in between allows for a leverage of the fault between the patient and third parties.

ACC-13: Accident Identifier (EI) 03338

Definition: This field contains the identifier of the accident report assigned by a jurisdiction that is required in the insurance accident claim.