Definition: This data type is used for specifying an identifier with its associated administrative detail.
Maximum Length: 1916
10
| Comp# | FHIR | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 1 | 79 | 15 | - | R | - | CX.1 | ID Number | ||
| 2 | 80 | 4 | - | O | - | CX.2 | Identifier Check Digit | ||
| 3 | 81 | 3 | - | O | CX.3 | Check Digit Scheme | |||
| 4 | 82 | 227 | - | O | CX.4 | Assigning Authority | |||
| 5 | 83 | 5 | - | O | CX.5 | Identifier Type Code | |||
| 6 | 84 | 227 | - | O | - | CX.6 | Assigning Facility | - | |
| 7 | 85 | 8 | - | O | - | CX.7 | Effective Date | ||
| 8 | 86 | 8 | - | O | - | CX.8 | Expiration Date | ||
| 9 | 87 | 705 | - | O | - | CX.9 | Assigning Jurisdiction | - | |
| 10 | 88 | 705 | - | O | - | CX.10 | Assigning Agency or Department | - |
40