PD1 - Patient Additional Demographic Segment

The patient additional demographic segment contains demographic information that is likely to change about the patient.

HL7 Attribute Table - PD1 - Patient Additional Demographic Segment

Seq#	Data Element Name	DataType	Usage	Vocabulary	Cardinality	Item #	Length	C.LEN	Flags
PD1
1	Living Dependency	CWE	O	0223 Living Dependency	[0..*]	00755
2	Living Arrangement	CWE	O	0220 Living Arrangement	[0..1]	00742
3	Patient Primary Facility	XON	O	0204 Organizational Name Type	[0..*]	00756
4	Patient Primary Care Provider Name & ID No.		W		[0..1]	00757
5	Student Indicator	CWE	O	0231(S) Student Status(Suggested)	[0..1]	00745
6	Handicap	CWE	O	0295 Handicap	[0..1]	00753
7	Living Will Code	CWE	O	0315(S) Living Will Code(Suggested)	[0..1]	00759
8	Organ Donor Code	CWE	O	0316(S) Organ Donor Code(Suggested)	[0..1]	00760
9	Separate Bill	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00761	[1..1]
10	Duplicate Patient	CX	O		[0..*]	00762
11	Publicity Code	CWE	O	0215 Publicity Code	[0..1]	00743
12	Protection Indicator	ID	B	0136(R) Yes/no Indicator(Required)	[0..1]	00744	[1..1]
13	Protection Indicator Effective Date	DT	B		[0..1]	01566
14	Place of Worship	XON	O		[0..*]	01567
15	Advance Directive Code	CWE	C	0435 Advance Directive Code	[0..*]	01548
16	Immunization Registry Status	CWE	O	0441(S) Immunization Registry Status(Suggested)	[0..1]	01569
17	Immunization Registry Status Effective Date	DT	O		[0..1]	01570
18	Publicity Code Effective Date	DT	O		[0..1]	01571
19	Military Branch	CWE	O	0140 Military Service	[0..1]	01572
20	Military Rank/Grade	CWE	O	0141 Military Rank/Grade	[0..1]	00486
21	Military Status	CWE	O	0142 Military Status	[0..1]	01573
22	Advance Directive Last Verified Date	DT	O		[0..1]	02141
23	Retirement Date	DT	O		[0..1]	03511

PD1-1: Living Dependency (CWE) 00755

Definition: This field identifies specific living conditions (e.g., spouse dependent on patient, walk-up) that are relevant to an evaluation of the patient's healthcare needs. This information can be used for discharge planning. This field repeats because, for example, "spouse dependent" and "medical supervision required" can apply at the same time. Refer to User-defined Table 0223 - Living Dependency in Chapter 2C, Code Tables, for suggested values.

PD1-2: Living Arrangement (CWE) 00742

Definition: This field identifies the situation in which the patient lives at his residential address. Examples might include Alone, Family, Relatives, Institution, etc. Refer to User-defined Table 0220 - Living Arrangement in Chapter 2C, Code Tables, for suggested values.

PD1-3: Patient Primary Facility (XON) 00756

Definition: This field contains the name and identifier that specifies the "primary care" healthcare facility selected by the patient at the time of enrolment in an HMO Insurance Plan. Multiple names and identifiers are allowed for the same facility. The legal name of the healthcare facility must be sent in the first sequence. If the legal name of the facility is not sent, then the repeat delimiter must be sent in the first sequence. Refer to User-defined Table 0204 - Organizational Name Type in Chapter 2C, Code Tables, for suggested values.

PD1-4: Patient Primary Care Provider Name & ID No. () 00757

Definition: The PD1-4 field was retained for backward compatibility only as of v 2.4 and withdrawn as of v 2.7. The reader is advised that the PRT segment is now used to convey more complete information about the primary care provider.

PD1-5: Student Indicator (CWE) 00745

Definition: This field indicates if the patient is currently a student or not, and whether the patient is a full-time or a part-time student. This field does not indicate the student's degree level (high school, college, elementary) or the student's field of study (accounting, engineering, etc.). Refer to User-defined Table 0231 - Student Status in chapter 2C, for suggested values.

PD1-6: Handicap (CWE) 00753

Definition: This field indicates the nature of the patient's permanent handicapped condition (e.g., deaf, blind). A handicapped condition is defined as a physical or mental disability that is permanent. Transient handicapped conditions should be sent in the ambulatory status. Refer to User-defined Table 0295 - Handicap in Chapter 2C, Code Tables, for suggested values.

PD1-7: Living Will Code (CWE) 00759

Definition: This field indicates whether or not the patient has a living will and, if so, whether a copy of the living will is on file at the healthcare facility. If the patient does not have a living will, the value of this field indicates whether the patient was provided information on living wills. Refer to User-defined Table 0315 - Living Will Code in Chapter 2C, Code Tables, for suggested values. See also PV2-43 - Living Will Code.

PD1-8: Organ Donor Code (CWE) 00760

Definition: This field indicates whether the patient wants to donate his/her organs and whether an organ donor card or similar documentation is on file with the healthcare organization. Refer to User-defined Table 0316 - Organ Donor Code in Chapter 2C, Code Tables, for suggested values. See also PV2-44 - Organ donor Code.

PD1-9: Separate Bill (ID) 00761

Definition: This field specifies that charges for this patient are to be billed separately from other patient bills with the same guarantor. (This bill is now a patient bill rather than a guarantor bill.) Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    Bill separately

• N    normal processing

PD1-10: Duplicate Patient (CX) 00762

Definition: This field indicates that a patient is the same as, or a duplicate of, another patient found on the sending system. The intent is to be informational only and no action is required by the receiver. Include the patient identifier if the sender knows an identifier for the patient. The assigning authority and identifier type code are strongly recommended for all CX data types.

PD1-11: Publicity Code (CWE) 00743

Definition: This field contains a user-defined code indicating what level of publicity is allowed (e.g., No Publicity, Family Only) for the patient. Refer to User-defined Table 0215 - Publicity Code in Chapter 2C, Code Tables, for suggested values. Refer to PV2-21 - Visit Publicity Code for visit level code.

PD1-12: Protection Indicator (ID) 00744

Definition: From V2.6 onward, this field has been retained for backward compatibility only. Use the ARV segment instead. This field identifies the patient's protection that determines, in turn, whether access to information about this person should be kept from users who do not have adequate authority for the patient. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    protect access to information

• N    normal access

Refer to PV2-22 - Visit Protection Indicator for visit level code.

PD1-13: Protection Indicator Effective Date (DT) 01566

Definition: From v 2.6 onward, this field has been retained for backward compatibility only. Use the ARV segment instead. This field indicates the effective date for PD1-12 - Protection Indicator.

PD1-14: Place of Worship (XON) 01567

Definition: The patient's place of worship. For example, the patient attends the First Baptist Church of Atlanta.

PD1-15: Advance Directive Code (CWE) 01548

Definition: This field indicates the patient's instructions to the healthcare facility. Refer to User-defined Table 0435 - Advance Directive Code in Chapter 2C, Code Tables, for suggested values. See also PV2-45 - Advance Directive Code. When PD1-22 - Advanced Directive Last Verified Date is valued, this field is required.

PD1-16: Immunization Registry Status (CWE) 01569

Definition: This field identifies the immunization registry status of the patient. Refer to User-defined Table 0441 - Immunization Registry Status in Chapter 2C, Code Tables, for suggested values.

PD1-17: Immunization Registry Status Effective Date (DT) 01570

Definition: This field indicates the effective date for the immunization registry status reported in PD1-16 - Immunization Registry Status.

PD1-18: Publicity Code Effective Date (DT) 01571

Definition: This is the effective date for PD1-11 - Publicity Code.

PD1-19: Military Branch (CWE) 01572

Definition: This field is defined by CMS or other regulatory agencies. Refer to User-defined Table 0140 - Military Service in Chapter 2C, Code Tables, for suggested values.

PD1-20: Military Rank/Grade (CWE) 00486

Definition: This user-defined field identifies the military rank/grade of the patient. Refer to User-defined Table 0141 - Military Rank/Grade in Chapter 2C, Code Tables, for suggested values.

PD1-21: Military Status (CWE) 01573

Definition: This field is defined by CMS or other regulatory agencies. Refer to User-defined Table 0142 - Military Status in Chapter 2C, Code Tables, for suggested values.

PD1-22: Advance Directive Last Verified Date (DT) 02141

Definition: This field indicates the date that all the advance directives held in PD1-15 - Advance Directive Code were last validated. When this field is valued, the field PD1-15 - Advance Directive Code is required.

PD1-23: Retirement Date (DT) 03511

Definition: This field asserts a self-identified date that an individual considers themselves to have ‘retired’.