| | | | | | | | | | | |
| | _Ref_ | Id | _________Element Name__________ | Req | Type | Min/Max | | |
| | DTP01 | 374 | Date/Time Qualifier | M | ID | 3/3 | | |
| | | | Description: Code specifying type of date or time, or both date and time |
| | | | | Code | Name_______________________________ |
| | | | | 102 | Issue |
| | | | | 152 | Effective Date of Change |
| | | | | | Description: Date on which the change went into effect |
| | | | | 291 | Plan |
| | | | | | Description: Range of dates for which the plan is in effect |
| | | | | 307 | Eligibility |
| | | | | | Description: Range of dates when the subscriber or dependent were eligible for benefits |
| | | | | 318 | Added |
| | | | | 340 | Consolidated Omnibus Budget Reconciliation Act (COBRA) Begin |
| | | | | | Description: Date on which COBRA benefits begin |
| | | | | 341 | Consolidated Omnibus Budget Reconciliation Act (COBRA) End |
| | | | | | Description: Date on which COBRA benefits end |
| | | | | 342 | Premium Paid to Date Begin |
| | | | | | Description: Date for which premium began to be applied |
| | | | | 343 | Premium Paid to Date End |
| | | | | | Description: Date for which premium is paid through |
| | | | | 346 | Plan Begin |
| | | | | | Description: Date on which the plan begins |
| | | | | 347 | Plan End |
| | | | | | Description: Date on which plan ends |
| | | | | 382 | Enrollment |
| | | | | 435 | Admission |
| | | | | | Description: Date of entrance to a health care establishment |
| | | | | 442 | Date of Death |
| | | | | | Description: Date life terminated |
| | | | | 458 | Certification |
| | | | | | Description: Date of a document attesting to a fact |
| | | | | 472 | Service |
| | | | | 539 | Policy Effective |
| | | | | 540 | Policy Expiration |
| | | | | 636 | Date of Last Update |
| | DTP02 | 1250 | Date Time Period Format Qualifier | M | ID | 2/3 | | |
| | | | Description: Code indicating the date format, time format, or date and time format |
| | | | | Code | Name_______________________________ |
| | | | | D8 | Date Expressed in Format CCYYMMDD |
| | | | | RD8 | Range of Dates Expressed in Format CCYYMMDD-CCYYMMDD |
| | | | | | Description: A range of dates expressed in the format CCYYMMDD-CCYYMMDD where CCYY is the numerical expression of the century CC and year YY, MM is the numerical expression of the month within the year, and DD is the numerical expression of the day within the year; the first occurrence of CCYYMMDD is the beginning date and the second occurrence is the ending date |
| | DTP03 | 1251 | Date Time Period | M | AN | 1/35 | | |
| | | | Description: Expression of a date, a time, or range of dates, times or dates and times |
