00874
Placer Contact Person
2007-10-26
Definition: This field identifies the person responsible for requesting the scheduling of a requested appointment. This person could be the same person responsible for executing the actual appointment, or it could be the provider requesting that an appointment be made on behalf of the patient, with another provider.
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 |