1Max Length20 →
1Conf Length→ 20=
2Data TypeIS → CWE
2Max Length8 →
3Max Length62 →
3Conf Length→ 62#
4Max Length8 →
4Conf Length→ 8=
4
| Comp# | FHIR | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| 1 | 763 | - | 20= | R | - | PLN.1 | ID Number | ||
| 2 | 764 | - | - | R | PLN.2 | Type of ID Number | |||
| 3 | 765 | - | 62# | O | - | PLN.3 | State/other Qualifying Information | - | |
| 4 | 766 | - | 8= | O | - | PLN.4 | Expiration Date |
3