00918

Primary Activity Provider Code/Name

2015-07-13
Definition: This field contains the name of the person identified in the document as being responsible for performing the procedure or activity. This field includes the code and name (if available) of the caregiver. This field is conditional based upon the presence of a value in TXA-4-Activity Date/Time.
LengthNot specified
25 components
1C-Person Identifier
2C-Family Name
3O-Given Name
4O-Second and Further Given Names or Initials Thereof
5O-Suffix (e.g., JR or III)
6O-Prefix (e.g., DR)
7W-Degree (e.g., MD)
8BSource Table
9CAssigning Authority
10CName Type Code
11O-Identifier Check Digit
12CCheck Digit Scheme
13CIdentifier Type Code
14O-Assigning Facility
15OName Representation Code
16OName Context
17W-Name Validity Range
18OName Assembly Order
19O-Effective Date
20O-Expiration Date
21O-Professional Suffix
22C-Assigning Jurisdiction
23C-Assigning Agency or Department
24O-Security Check
25OSecurity Check Scheme