PV2 - Patient Visit - Additional Information Segment

The PV2 segment is a continuation of information contained on the PV1 segment.

HL7 Attribute Table - PV2 - Patient Visit - Additional Information Segment

Seq#	Data Element Name	DataType	Usage	Vocabulary	Cardinality	Item #	Length	C.LEN	Flags
PV2
1	Prior Pending Location	PL	C		[0..1]	00181
2	Accommodation Code	CWE	O	0129 Accommodation Code	[0..1]	00182
3	Admit Reason	CWE	O		[0..1]	00183
4	Transfer Reason	CWE	O		[0..1]	00184
5	Patient Valuables	ST	O		[0..*]	00185		25	#
6	Patient Valuables Location	ST	O		[0..1]	00186		25	#
7	Visit User Code	CWE	O	0130 Visit User Code	[0..*]	00187
8	Expected Admit Date/Time	DTM	O		[0..1]	00188
9	Expected Discharge Date/Time	DTM	O		[0..1]	00189
10	Estimated Length of Inpatient Stay	NM	O		[0..1]	00711		3	#
11	Actual Length of Inpatient Stay	NM	O		[0..1]	00712		3	#
12	Visit Description	ST	O		[0..1]	00713		50	#
13	Referral Source Code	XCN	O		[0..*]	00714
14	Previous Service Date	DT	O		[0..1]	00715
15	Employment Illness Related Indicator	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00716	[1..1]
16	Purge Status Code	CWE	O	0213 Purge Status Code	[0..1]	00717
17	Purge Status Date	DT	O		[0..1]	00718
18	Special Program Code	CWE	O	0214 Special Program Code	[0..1]	00719
19	Retention Indicator	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00720	[1..1]
20	Expected Number of Insurance Plans	NM	O		[0..1]	00721		1	#
21	Visit Publicity Code	CWE	O	0215 Publicity Code	[0..1]	00722
22	Visit Protection Indicator	ID	B	0136(R) Yes/no Indicator(Required)	[0..1]	00723	[1..1]
23	Clinic Organization Name	XON	O		[0..*]	00724
24	Patient Status Code	CWE	O	0216 Patient Status Code	[0..1]	00725
25	Visit Priority Code	CWE	O	0217(S) Visit Priority Code(Suggested)	[0..1]	00726
26	Previous Treatment Date	DT	O		[0..1]	00727
27	Expected Discharge Disposition	CWE	O	0112 Discharge Disposition	[0..1]	00728
28	Signature on File Date	DT	O		[0..1]	00729
29	First Similar Illness Date	DT	O		[0..1]	00730
30	Patient Charge Adjustment Code	CWE	O	0218 Patient Charge Adjustment	[0..1]	00731
31	Recurring Service Code	CWE	O	0219 Recurring Service Code	[0..1]	00732
32	Billing Media Code	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00733	[1..1]
33	Expected Surgery Date and Time	DTM	O		[0..1]	00734
34	Military Partnership Code	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00735	[1..1]
35	Military Non-Availability Code	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00736	[1..1]
36	Newborn Baby Indicator	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00737	[1..1]
37	Baby Detained Indicator	ID	O	0136(R) Yes/no Indicator(Required)	[0..1]	00738	[1..1]
38	Mode of Arrival Code	CWE	O	0430(S) Mode of Arrival Code(Suggested)	[0..1]	01543
39	Recreational Drug Use Code	CWE	O	0431 Recreational Drug Use Code	[0..*]	01544
40	Admission Level of Care Code	CWE	O	0432(S) Admission Level of Care Code(Suggested)	[0..1]	01545
41	Precaution Code	CWE	O	0433(S) Precaution Code(Suggested)	[0..*]	01546
42	Patient Condition Code	CWE	O	0434(S) Patient Condition Code(Suggested)	[0..1]	01547
43	Living Will Code	CWE	O	0315(S) Living Will Code(Suggested)	[0..1]	00759
44	Organ Donor Code	CWE	O	0316(S) Organ Donor Code(Suggested)	[0..1]	00760
45	Advance Directive Code	CWE	C	0435 Advance Directive Code	[0..*]	01548
46	Patient Status Effective Date	DT	O		[0..1]	01549
47	Expected LOA Return Date/Time	DTM	C		[0..1]	01550
48	Expected Pre-admission Testing Date/Time	DTM	O		[0..1]	01841
49	Notify Clergy Code	CWE	O	0534(S) Notify Clergy Code(Suggested)	[0..*]	01842
50	Advance Directive Last Verified Date	DT	O		[0..1]	02141

PV2-1: Prior Pending Location (PL) 00181

Definition: This field is required for cancel pending transfer (A26) messages. In all other events it is optional.

PV2-2: Accommodation Code (CWE) 00182

Definition: This field indicates the specific patient accommodations for this visit. Refer to User-defined Table 0129 - Accommodation Code in Chapter 2C, Code Tables, for suggested values.

PV2-3: Admit Reason (CWE) 00183

Definition: This field contains the short description of the reason for patient admission.

PV2-4: Transfer Reason (CWE) 00184

Definition: This field contains the short description of the reason for a patient location change.

PV2-5: Patient Valuables (ST) 00185

Definition: This field contains the short description of patient valuables checked in during admission.

PV2-6: Patient Valuables Location (ST) 00186

Definition: This field indicates the location of the patient's valuables.

PV2-7: Visit User Code (CWE) 00187

Definition: This field further categorizes a patient's visit with respect to an individual institution's needs, and is expected to be site-specific. Refer to User-defined Table 0130 - Visit User Code in Chapter 2C, Code Tables, for suggested values.

PV2-8: Expected Admit Date/Time (DTM) 00188

Definition: This field contains the date and time that the patient is expected to be admitted. This field is also used to reflect the date/time of an outpatient/emergency patient registration.

PV2-9: Expected Discharge Date/Time (DTM) 00189

Definition: This field contains the date and time that the patient is expected to be discharged. This is a non-event related date used by ancillaries to determine more accurately the projected workloads. This field is also used to reflect the anticipated discharge date/time of an outpatient/emergency patient, or an inpatient.

PV2-10: Estimated Length of Inpatient Stay (NM) 00711

Definition: This field specifies the estimated days of inpatient stays.

PV2-11: Actual Length of Inpatient Stay (NM) 00712

Definition: This field contains the actual days of inpatient stays. The actual length of the inpatient stay may not be calculated from the admission and discharge dates because of possible leaves of absence.

PV2-12: Visit Description (ST) 00713

Definition: This field contains a brief user-defined description of the visit.

PV2-13: Referral Source Code (XCN) 00714

Definition: This field contains the name and the identification numbers of the person or organization that made the referral. This person/organization is not the same as the referring doctor. For example, Adam Everyman referred me to the Clinic (or to Dr. Everywoman at the Clinic).

PV2-14: Previous Service Date (DT) 00715

Definition: This field contains the date of previous service for the same recurring condition. This may be a required field for billing certain illnesses (e.g., accident related) to a third party.

PV2-15: Employment Illness Related Indicator (ID) 00716

Definition: This field specifies whether a patient's illness was job-related. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the patient's illness was job-related

• N    the patient's illness was not job-related

PV2-16: Purge Status Code (CWE) 00717

Definition: This field contains the purge status code for the account. It is used by the application program to determine purge processing. Refer to User-defined Table 0213 - Purge Status Code in Chapter 2C, Code Tables, for suggested values.

PV2-17: Purge Status Date (DT) 00718

Definition: This field contains the date on which the data will be purged from the system.

PV2-18: Special Program Code (CWE) 00719

Definition: This field designates the specific health insurance program for a visit required for healthcare reimbursement. Refer to User-defined Table 0214 - Special Program Codes in Chapter 2C, Code Tables, for suggested values.

PV2-19: Retention Indicator (ID) 00720

Definition: This field allows the user to control the financial and demographic purge processes at the visit. It is used to preserve demographic and financial data on specific, high priority visits. Refer to HL7 Table 0136 - Yes/No Indicator for valid values.

• Y    retain data

• N    normal purge processing

PV2-20: Expected Number of Insurance Plans (NM) 00721

Definition: This field contains the number of insurance plans that may provide coverage for this visit.

PV2-21: Visit Publicity Code (CWE) 00722

Definition: This field contains a user-defined code indicating what level of publicity is allowed for a specific visit. Refer to User-defined Table 0215 - Publicity Code in Chapter 2C, Code Tables, for suggested values. Refer to PD1-11 - Publicity Code for the patient level publicity code.

PV2-22: Visit Protection Indicator (ID) 00723

Definition: From v 2.6 onward, this field has been retained for backwards compatibility only. Use the ARV segment instead. This field identifies the person'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 a specific visit. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    protect access to patient information

• N    normal access

Refer to PD1-12 - Protection Indicator for the patient level protection indicator.

PV2-23: Clinic Organization Name (XON) 00724

Definition: This field contains the organization name or sub-unit and identifier that is associated with the (visit) episode of care. For example, the Allergy or Oncology Clinic within the healthcare facility might be named.

PV2-24: Patient Status Code (CWE) 00725

Definition: This field indicates the status of the episode of care. Refer to User-defined Table 0216 - Patient Status in Chapter 2C, Code Tables, for suggested values.

PV2-25: Visit Priority Code (CWE) 00726

Definition: This field contains the priority of the visit. Refer to User-defined Table 0217 - Visit Priority Code in Chapter 2C, Code Tables, for suggested values.

PV2-26: Previous Treatment Date (DT) 00727

Definition: This field contains the date that the patient last had treatment for any condition prior to this visit. In the case of a prior hospital visit, it is likely to be the previous discharge date.

PV2-27: Expected Discharge Disposition (CWE) 00728

Definition: This field describes what the patient's disposition is expected to be at the end of the visit. Refer to User-defined Table 0112 - Discharge Disposition in Chapter 2C, Code Tables, for suggested values.

PV2-28: Signature on File Date (DT) 00729

Definition: This field contains the date on which a signature was obtained for insurance billing purposes.

PV2-29: First Similar Illness Date (DT) 00730

Definition: This field is used to determine if the patient has a pre-existing condition.

PV2-30: Patient Charge Adjustment Code (CWE) 00731

Definition: This field contains a user-defined code that indicates which adjustments should be made to this patient's charges. Refer to User-defined Table 0218 - Patient Charge Adjustment in in chapter 2C, for suggested values. This field is the same as GT1-26 - Guarantor Charge Adjustment Code.

PV2-31: Recurring Service Code (CWE) 00732

Definition: This field indicates whether the treatment is continuous. Refer to User-defined Table 0219 - Recurring Service in Chapter 2C, Code Tables, for suggested values.

PV2-32: Billing Media Code (ID) 00733

Definition: This field indicates if the account is to be rejected from tape billing. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    reject account from tape billing

• N    normal processing

PV2-33: Expected Surgery Date and Time (DTM) 00734

Definition: This field contains the date and time on which the surgery is expected to occur.

PV2-34: Military Partnership Code (ID) 00735

Definition: This field indicates that a military healthcare facility has contracted with a non-military healthcare facility for the use of its services. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    contract(s) exist

• N    no contract(s) exist

PV2-35: Military Non-Availability Code (ID) 00736

Definition: This field indicates whether a patient has permission to use a non-military healthcare facility for treatment. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the patient has permission to use a non-military healthcare facility

• N    the patient does not have permissions to use a non-military healthcare facility

PV2-36: Newborn Baby Indicator (ID) 00737

Definition: This field indicates whether the patient is a baby. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the patient is a baby

• N    the patient is not a baby

PV2-37: Baby Detained Indicator (ID) 00738

Definition: This field indicates if the baby is detained after the mother's discharge. Refer to HL7 Table 0136 - Yes/No Indicator in Chapter 2C, Code Tables, for valid values.

• Y    the baby was detained

• N    normal discharge of mother and baby

PV2-38: Mode of Arrival Code (CWE) 01543

Definition: Identifies how the patient was brought to the healthcare facility. Refer to User-defined Table 0430 - Mode of Arrival Code in Chapter 2C, Code Tables, for suggested values.

PV2-39: Recreational Drug Use Code (CWE) 01544

Definition: This field indicates what recreational drugs the patient uses. It is used for the purpose of room assignment. Refer to User-defined Table 0431 - Recreational Drug Use Code in Chapter 2C, Code Tables, for suggested values.

PV2-40: Admission Level of Care Code (CWE) 01545

Definition: This field indicates the acuity level assigned to the patient at the time of admission. Refer to User-defined Table 0432 - Admission Level of Care Code in Chapter 2C, Code Tables, for suggested values.

PV2-41: Precaution Code (CWE) 01546

Definition: This field indicates non-clinical precautions that need to be taken with the patient. Refer to User-defined Table 0433 - Precaution Code in Chapter 2C, Code Tables, for suggested values.

PV2-42: Patient Condition Code (CWE) 01547

Definition: This field indicates the patient's current medical condition for the purpose of communicating to non-medical outside parties, e.g., family, employer, religious minister, media, etc. Refer to User-defined Table 0434 - Patient Condition Code in Chapter 2C, Code Tables, for suggested values.

PV2-43: 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 PD1-7 - Living Will.

PV2-44: 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 PD1-8 - Organ Donor.

PV2-45: 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 PD1-15 - Advance Directive Code. This field is required if PV2-50 - Advance Directive Last Verified Date is valued.

Note: for details about specific consent refer to the Consent (CON) segment in chapter 9.

PV2-46: Patient Status Effective Date (DT) 01549

Definition: This field indicates the effective date for PV2-24 - Patient Status.

PV2-47: Expected LOA Return Date/Time (DTM) 01550

Definition: This field is conditionally required for A21 - Patient goes on LOA. It may be populated in A22 - Patient returns from LOA as well as in the A53 - Cancel LOA for a patient and the A54 - Cancel patient returns from LOA triggers. This field contains the date/time that the patient is expected to return from LOA.

PV2-48: Expected Pre-admission Testing Date/Time (DTM) 01841

Definition: This field contains the date/time that the patient is expected for pre-admission testing.

PV2-49: Notify Clergy Code (CWE) 01842

Definition: This field allows the user to indicate whether the clergy should be notified. Refer to User-defined Table 0534 - Notify Clergy Code in Chapter 2C, Code Tables, for suggested values.

PV2-50: Advance Directive Last Verified Date (DT) 02141

Definition: This field indicates the date that all the advance directives held in PV2-45 - Advance Directive Code were last verified. When this field is valued, the field PV2-45 - Advance Directive Code is required.