00474
Insured's Employer's Name and ID
2000-10-28
Components: <ID number (ST)> ^ <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (IS)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>^ <name representation code (ID)> ^ <name context (CE)> ^ <name validity range (DR)>
Subcomponents of family name: <family name (ST)> & <own family name prefix (ST)> & <own family name (ST)> & <family name prefix from partner/spouse (ST)> & <family name from partner/spouse (ST)>
Length≤250
18 components
| 1 | O | - | ID number (ST) | |
| 2 | O | - | family name | |
| 3 | O | - | given name | |
| 4 | O | - | second and further given names or initials thereof | |
| 5 | O | - | suffix (e.g., JR or III) | |
| 6 | O | - | prefix (e.g., DR) | |
| 7 | O | - | degree (e.g., MD) | |
| 8 | O | - | source table | |
| 9 | O | - | assigning authority | |
| 10 | O | - | name type code | |
| 11 | O | - | identifier check digit | |
| 12 | O | - | code identifying the check digit scheme employed | |
| 13 | O | - | identifier type code (IS) | |
| 14 | O | - | assigning facility | |
| 15 | O | - | Name Representation code | |
| 16 | O | - | name context | |
| 17 | O | - | name validity range | |
| 18 | O | - | name assembly order |