| | | | | | | | | | | |
| | _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_______________________________ |
| | | | | 193 | Period Start |
| | | | | 194 | Period End |
| | | | | 198 | Completion |
| | | | | | Description: Date when the activity was completed |
| | | | | 290 | Coordination of Benefits |
| | | | | | Description: Range for which coordination of benefits between insurers applies |
| | | | | 292 | Benefit |
| | | | | | Description: Range of benefit coverage |
| | | | | 295 | Primary Care Provider |
| | | | | | Description: Range of dates for which the services of the primary care provider are in effect |
| | | | | 304 | Latest Visit or Consultation |
| | | | | | Description: Date subscriber or dependent last visited or consulted with a physician |
| | | | | 307 | Eligibility |
| | | | | | Description: Range of dates when the subscriber or dependent were eligible for benefits |
| | | | | 318 | Added |
| | | | | 348 | Benefit Begin |
| | | | | | Description: Date on which the subscriber's or dependent's benefit begin |
| | | | | 349 | Benefit End |
| | | | | | Description: Date on which the subscriber's or dependent's benefit ends |
| | | | | 356 | Eligibility Begin |
| | | | | | Description: Date on which eligibility begins |
| | | | | 357 | Eligibility End |
| | | | | | Description: Date on which eligibility ends |
| | | | | 435 | Admission |
| | | | | | Description: Date of entrance to a health care establishment |
| | | | | 472 | Service |
| | | | | 636 | Date of Last Update |
| | | | | 771 | Status |
| | 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 |
