00714
Referral Source Code
2003-08-22
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, Joe Smith referred me to the Clinic (or to Dr. Jones at the Clinic).
Length≤250
23 components
| 1 | O | - | ID Number | |
| 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 | B | Degree (e.g., MD) | ||
| 8 | C | Source Table | ||
| 9 | O | Assigning Authority | ||
| 10 | O | Name Type Code | ||
| 11 | O | - | Identifier Check Digit | |
| 12 | C | Check Digit Scheme | ||
| 13 | O | Identifier Type Code | ||
| 14 | O | - | Assigning Facility | |
| 15 | O | Name Representation Code | ||
| 16 | O | Name Context | ||
| 17 | B | - | Name Validity Range | |
| 18 | O | Name Assembly Order | ||
| 19 | O | - | Effective Date | |
| 20 | O | - | Expiration Date | |
| 21 | O | - | Professional Suffix | |
| 22 | O | - | Assigning Jurisdiction | |
| 23 | O | - | Assigning Agency or Department |