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APPENDIX D:

ALTERNATE NAMES

Following the item name are other names by which the same item is called, including the name used by the standard setter for the item. All other names are followed by the source of each name indicated with the following labels:

 

CoC Preferred name in the CoC FORDS/ROADS manual and supplements
CoC pre-96 Previously used name appearing in the CoC ROADS manual before 1998
CoC pre-98 Previously used name appearing in the CoC ROADS manual before 1998
NAACCR pre-98 Previously used name appearing in the NAACCR standards before 1998
SEER Name in the SEER Program Code Manual
SEER pre-98 Previously used name appearing in SEER Manual before 1998

 

Item #Item NameAlternate Name
70Addr at DX--CityCity or Town (pre-96 CoC)
City/Town at Diagnosis (CoC)
80Addr at DX--StateState at Diagnosis (CoC)
State (pre-96 CoC)
90County at DXCounty (pre-96 SEER/CoC)
County at Diagnosis (CoC)
100Addr at DX--Postal CodeZip Code (pre-CoC)
Postal Code (CCCR)
Postal Code at Diagnosis (CoC)
110Census Tract 1970/80/90Census Tract/Block Numbering Area (BNA) (SEER)
Census Tract
120Census Cod Sys 1970/80/90Coding System for Census Tract (pre-96 SEER/CoC)
Census Coding System (CoC)
130Census Tract 2000Census Tract--Alternate (pre-2003)
150Marital Status at DXMarital Status at Diagnosis (SEER/CoC)
Marital Status at Initial Diagnosis (pre-96 CoC)
160Race 1Race
190Spanish/Hispanic OriginSpanish Origin--All Sources (96 CoC)
Spanish Surname or Origin (SEER)
192IHS LinkIndian Health Service Linkage
193Race--NAPIIA(derived API)Race--NAPIIA
240Date of BirthBirth Date(SEER/CoC/CCCR)
250BirthplacePlace of Birth (SEER/CoC)
270Census Occ Code 1970-2000Occupation Code--Census
272Census Ind Code 2010 CDCCensus Industry Code--2010
Census Ind Code 2010
280Census Ind Code 1970-2000Industry Code--Census
282Census Occ Code 2010 CDCCensus Occ Code 2010
330Census Occ/Ind Sys 70-00Occup/Ind Coding System
362Census Block Group 2000Census Tract Block Group
364Census Tr Cert 1970/80/90Census Tract Certainty
380Sequence Number--CentralSequence Number (pre-96 SEER)
390Date of DiagnosisDate of Initial Diagnosis (CoC)
400Primary SiteIDC-O-2/3 Topography (CCCR)
410LateralityLaterality at Diagnosis (SEER)
420Histology (92-00) ICD-O-2Histology (CoC)
ICD-O-2 Histology (CCCR)
430Behavior (92-00) ICD-O-2ICD-O-2 Behaviour (CCCR)
440GradeGrade, Differentiation, or Cell Lineage Indicator (SEER/CCCR)
Grade/Differentiation (CoC)
442Ambiguous Terminology DXAmbiguous Terminology
Ambiguous Terminology as Basis for Diagnosis
443Date Conclusive DXDate of Conclusive Diagnosis
Date of Conclusive Terminology
Date of Conclusive DX
444Mult Tum Rpt as One PrimMultiple Tumors Reported as Single Primary
Type of Multiple Tumors Reported As One Primary
445Date of Mult TumorsDate of Multiple Tumors
522Histologic Type ICD-O-3ICD-O-3 Histology (CCCR)
523Behavior Code ICD-O-3Behavior Code (CoC)
ICD-O-3 Behaviour (CCCR)
540Reporting FacilityFacility Identification Number (CoC)
Reporting Hospital
Institution ID Number (CoC)
550Accession Number--HospAccession Number (CoC)
560Sequence Number--HospitalSequence Number (CoC)
580Date of 1st ContactDate of Adm/First Contact
581Date of 1st Contact FlagDate of First Contact Flag
590Date of Inpt AdmDate of Inpatient Admission (CoC)
Date of Inpatient Adm
600Date of Inpt DischDate of Inpatient Discharge (CoC)
Date of Inpatient Disch
630Primary Payer at DXPrimary Payer at Diagnosis (CoC)
670RX Hosp--Surg Prim SiteCancer-Directed Surgery at This Facility (pre-96 CoC)
Surgical Procedure of Primary Site
RX Hosp--CA Dir Surgery (pre-96 NAACCR)
672RX Hosp--Scope Reg LN SurScope of Regional Lymph Node Surgery at this Facility (CoC)
674RX Hosp--Surg Oth Reg/DisSurgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s) at this Facility (CoC)
Surgical Procedure/Other Site at this Facility
676RX Hosp--Reg LN RemovedRX Hosp--Reg LN Examined
Number of Regional Lymph Nodes Examined at This Facility (CoC)
690RX Hosp--RadiationRadiation at this Facility (CoC)
700RX Hosp--ChemoChemotherapy at this Facility (CoC)
710RX Hosp--HormoneHormone Therapy at this Facility (CoC)
720RX Hosp--BRMImmunotherapy at this Facility (CoC)
730RX Hosp--OtherOther Treatment at this Facility (CoC)
740RX Hosp--DX/Stg ProcNon Cancer-Directed Surgery at this Facility (CoC)
Surgical Diagnostic & Staging Procedure at this Facility (1996-2002)
RX Hosp--DX/Stg/Pall Proc
746RX Hosp--Surg Site 98-02RX Hosp--CA Dir Surgery (pre-96 NAACCR)
Surgical Procedure of Primary Site
Cancer-Directed Surgery at this Facility (pre-96 CoC)
747RX Hosp--Scope Reg 98-02Scope of Regional Lymph Node Surgery at this Facility (CoC)
748RX Hosp--Surg Oth 98-02Surgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s) at this Facility (CoC)
Surgical Procedure/Other Site at this Facility
760SEER Summary Stage 1977General Summary Stage (SEER/CoC)
762Derived SS2017Derived Summary Stage 2017
764Directly Assigned SS2017Directly Assigned Summary Stage 2017
780EOD--Tumor SizeSize of Primary Tumor (SEER)
Size of Tumor (CoC)
790EOD--ExtensionExtension (SEER EOD) (96 CoC)
Extension (pre-96 SEER/CoC)
810EOD--Lymph Node InvolvLymph Nodes (pre 96-SEER/CoC)
Lymph Nodes (SEER EOD) (96 CoC)
820Regional Nodes PositivePathologic Review of Regional Lymph Nodes (SEER)
Regional Lymph Nodes Positive
Number of Positive Regional Lymph Nodes (SEER)
830Regional Nodes ExaminedNumber of Regional Lymph Nodes Examined (SEER)
Regional Lymph Nodes Examined
Pathologic Review of Regional Lymph Nodes (SEER)
840EOD--Old 13 DigitSEER EEOD (SEER)
13-Digit (Expanded) Site-Specific Extent of Disease (SEER)
850EOD--Old 2 Digit2-Digit Nonspecific and 2-Digit Site-Specific Extent of Disease (1973-1982 SEER)
860EOD--Old 4 Digit4-Digit Extent of Disease (1983-1987 SEER)
870Coding System for EODCoding System for Extent of Disease (SEER)
880TNM Path TPathologic T (CoC)
890TNM Path NPathologic N (CoC)
900TNM Path MPathologic M (CoC)
910TNM Path Stage GroupPathologic Stage Group (CoC)
920TNM Path DescriptorPathologic Stage (Prefix/Suffix) Descriptor (CoC)
930TNM Path Staged ByStaged By (Pathologic Stage) (CoC)
940TNM Clin TClinical T (CoC)
950TNM Clin NClinical N (CoC)
960TNM Clin MClinical M (CoC)
970TNM Clin Stage GroupClinical Stage Group (CoC)
980TNM Clin DescriptorClinical Stage (Prefix/Suffix) Descriptor (CoC)
990TNM Clin Staged ByStaged By (Clinical Stage) (CoC)
1130Pediatric Staging SystemType of Staging System (Pediatric) (CoC)
1140Pediatric Staged ByStaged By (Pediatric Stage) (CoC)
1150Tumor Marker 1Tumor Marker One (CoC)
1160Tumor Marker 2Tumor Marker Two (CoC)
1170Tumor Marker 3Tumor Marker Three (CoC)
1200RX Date SurgeryDate of Cancer-Directed Surgery (CoC)
Date of Surgery
Date of First Surgical Procedure (CoC)
RX Date--Surgery
1201RX Date Surgery FlagRX Date--Surgery Flag
1210RX Date RadiationDate Radiation Started (CoC)
RX Date--Radiation
1211RX Date Radiation FlagRX Date--Radiation Flag
1220RX Date ChemoDate Chemotherapy Started (CoC)
RX Date--Chemo
1221RX Date Chemo FlagRX Date--Chemo Flag
1230RX Date HormoneDate Hormone Therapy Started (CoC)
RX Date--Hormone
1231RX Date Hormone FlagRX Date--Hormone Flag
1240RX Date BRMDate Immunotherapy Started (CoC)
RX Date--BRM
1241RX Date BRM FlagRX Date--BRM Flag
1250RX Date OtherDate Other Treatment Started (CoC)
RX Date--Other
1251RX Date Other FlagRX Date--Other Flag
1260Date Initial RX SEERDate Therapy Initiated (SEER)
Date Started (SEER)
Date of Initial RX--SEER
1261Date Initial RX SEER FlagDate of Initial RX Flag
1270Date 1st Crs RX CoCDate Started (pre 96 CoC)
Date of First Course Treatment (CoC)
Date of 1st Crs RX--CoC
1271Date 1st Crs RX CoC FlagDate of 1st Crs Rx Flag
1280RX Date DX/Stg ProcDate of Non Cancer-Directed Surgery ( CoC)
Date of Diagnostic, Staging or Palliative Procedures (1996-2002)
Date of Surgical Diagnostic and Staging Procedure (CoC)
RX Date--DX/Stg/Pall Proc
RX Date--DX/Stg Proc
1281RX Date DX/Stg Proc FlagRX Date--Dx/Stg Proc Flag
1290RX Summ--Surg Prim SiteSurgery of Primary Site (SEER/CoC)
Cancer-Directed Surgery (pre-96 CoC)
1292RX Summ--Scope Reg LN SurScope of Regional Lymph Node Surgery (SEER/CoC)
1294RX Summ--Surg Oth Reg/DisSurgery of Other Regional Site(s), Distant Site(s) or Distant Lymph Nodes (SEER/CoC)
Surgical Procedure/Other Site
1296RX Summ--Reg LN ExaminedNumber of Regional Lymph Nodes Removed (CoC)
Number of Regional Lymph Nodes Examined (SEER/CoC)
1310RX Summ--Surgical ApprochSurgical Approach (CoC)
1320RX Summ--Surgical MarginsSurgical Margins (CoC)
Residual Primary Tumor Following Cancer-Directed Surgery (pre-96 CoC)
1330RX Summ--Reconstruct 1stReconstruction/Restoration-First Course (CoC)
Reconstruction--First Course (SEER)
1340Reason for No SurgeryReason for No Cancer-Directed Surgery (SEER)
Reason for No CA Dir Surgery (CoC)
Reason for No Surgery to Primary Site
1350RX Summ--DX/Stg ProcRX Summ--DX/Stg/Pall Proc
Surgical Diagnostic and Staging Procedure (1996-2002)
Non Cancer-Directed Surgery (CoC)
1360RX Summ--RadiationRadiation (SEER/CoC)
Radiation Therapy (pre-96 CoC)
1370RX Summ--Rad to CNSRadiation to the Brain and/or Central Nervous System (SEER)
Radiation Therapy to CNS (CoC)
1380RX Summ--Surg/Rad SeqRadiation Sequence with Surgery (pre-96 SEER/CoC)
Radiation/Surgery Sequence (CoC)
1390RX Summ--ChemoChemotherapy (SEER/CoC)
1400RX Summ--HormoneHormone Therapy (SEER/CoC)
Endocrine (Hormone/Steroid) Therapy (pre-96 SEER)
1410RX Summ--BRMBiological Response Modifiers (pre-96 SEER)
Immunotherapy (SEER/CoC)
1420RX Summ--OtherOther Treatment (CoC)
Other Cancer-Directed Therapy (SEER/pre-96 CoC)
1430Reason for No RadiationReason for No Regional Radiation Therapy
1510Rad--Regional Dose: cGyRegional Dose: cGy (CoC)
1520Rad--No of Treatment VolNumber of Treatments to this Volume (CoC)
1540Rad--Treatment VolumeRadiation Treatment Volume (CoC)
1550Rad--Location of RXLocation of Radiation Treatment (CoC)
1570Rad--Regional RX ModalityRegional Treatment Modality (CoC)
1639RX Summ--Systemic/Sur SeqSystemic/Surgery Sequence
1640RX Summ--Surgery TypeSite--Specific Surgery (pre-98 SEER)
1646RX Summ--Surg Site 98-02Surgery of Primary Site (SEER/CoC)
Cancer-Directed Surgery (pre-96 CoC)
1647RX Summ--Scope Reg 98-02Scope of Regional Lymph Node Surgery (SEER/CoC)
1648RX Summ--Surg Oth 98-02Surgery of Other Regional Site(s), Distant Site(s) or Distant Lymph Nodes (SEER/CoC)
Surgical Procedure/Other Site
1660Subsq RX 2nd Course DateSecond Course of Therapy-Date Started (pre-96 CoC)
1741Subsq RX--Reconstruct DelReconstruction/Restoration--Delayed (CoC)
1750Date of Last ContactDate of Last Contact or Death (CoC)
Date of Last Follow-Up or of Death (SEER)
1790Follow-Up SourceFollow-Up Method (pre-96 CoC)
1800Next Follow-Up SourceNext Follow-Up Method (pre-96 CoC)
1810Addr Current--CityCity/Town--Current (CoC)
1820Addr Current--StateState--Current (CoC)
1830Addr Current--Postal CodePostal Code--Current (CoC)
1860Recurrence Date--1stDate of First Recurrence (CoC)
1880Recurrence Type--1stType of First Recurrence (CoC)
1910Cause of DeathUnderlying Cause of Death (SEER)
Underlying Cause of Death (ICD Code) (pre-96 CoC)
1920ICD Revision NumberICD Code Revision Used for Cause of Death (SEER)
1960Site (73-91) ICD-O-1Primary Site (1973-91) (SEER)
1980ICD-O-2 Conversion FlagReview Flag for 1973-91 Cases (SEER)
1981Over-ride SS/NodesPosOver-ride Summary Stage/Nodes Positive
1982Over-ride SS/TNM-NOver-ride Summary Stage/TNM-N
1983Over-ride SS/TNM-MOver-ride Summary Stage/TNM-M
1985Over-ride Acsn/Class/SeqOver-ride Accession/Class of Case/Sequence
1986Over-ride HospSeq/DxConfOver-ride Hospital Sequence/Diagnostic Confirmation
1988Over-ride HospSeq/SiteOver-ride Hospital Sequence/Site
1990Over-ride Age/Site/MorphAge/Site/Histology Interfield Review (Interfield Edit 15) (SEER #3)
2000Over-ride SeqNo/DxConfSequence Number/Diagnostic Confirmation Interfield Review (Interfield Edit 23)
2010Over-ride Site/Lat/SeqNoSite/Histology/Laterality/Sequence Number Interrecord Review (Interrecord Edit 09)
2020Over-ride Surg/DxConfSurgery/Diagnostic Confirmation Interfield Review (Interfield Edit 46)
2030Over-ride Site/TypeSite/Type Interfield Review (Interfield Edit 25)
2040Over-ride HistologyHistology/Behavior Interfield Review (Field Item Edit Morph)
2050Over-ride Report SourceType of Reporting Source/Sequence Number Interfield Review (Interfield Edit 04) (Seer #7)
2060Over-ride Ill-define SiteSequence Number/Ill-defined Site Interfield Review (Interfield Edit 22)
2070Over-ride Leuk, LymphomaLeukemia or Lymphoma/Diagnostic Confirmation Interfield Review (Interfield Edit 48)
2071Over-ride Site/BehaviorOver-ride Flag for Site/Behavior (IF39)
2072Over-ride Site/EOD/DX DtOver-ride Flag for Site/EOD/Diagnosis Date (IF40) (SEER #13)
Over-ride Flag for Site/CS Extension/Diagnosis Date (IF176)
2073Over-ride Site/Lat/EODOver-ride Flag for Site/Laterality/CS Extension (IF177)
Over-ride Flag for Site/Laterality/EOD (IF41)
2074Over-ride Site/Lat/MorphOver-ride Flag for Site/Laterality/Morphology (IF42)
2110Date Case Report ExportedDate Case Transmitted (pre-98 NAACCR)
2140CoC Coding Sys--CurrentCommission on Cancer Coding System-Current (CoC)
2180SEER Type of Follow-UpType of Follow-Up (SEER)
2190SEER Record NumberRecord Number (SEER)
2200Diagnostic Proc 73-87Diagnostic Procedures (1973-87 SEER)
2230Name--LastLast Name (CoC)
2240Name--FirstFirst Name (CoC)
2250Name--MiddleMiddle Name (CoC)
Middle Initial (pre-96 CoC)
2260Name--PrefixName Prefix (CoC)
2270Name--SuffixName Suffix (CoC)
2280Name--AliasAlias (CoC)
2310Military Record No SuffixMilitary Medical Record Number Suffix (CoC)
2330Addr at DX--No & StreetPatient Address (Number and Street) at Diagnosis (CoC)
Number and Street (pre-96 CoC)
2335Addr at DX--SupplementlPatient Address (Number and Street) at Diagnosis--Supplemental (CoC)
2350Addr Current--No & StreetPatient Address (Number and Street)-Current (CoC)
2355Addr Current--SupplementlPatient Address (Number and Street) Current--Supplemental (CoC)
2390Name--MaidenMaiden Name (CoC)
2410Institution Referred FromFacility Referred From
2420Institution Referred ToFacility Referred To
2460Physician--ManagingManaging Physician (CoC)
Attending Physician (pre-96 CoC)
2470Physician--Follow-UpFollow-Up Physician (pre-96 CoC)
Following Physician (CoC)
2480Physician--Primary SurgPrimary Surgeon (CoC)
2490Physician 3Physician #3 (CoC)
Other Physician (pre-96 CoC)
2495NPI--Physician 3Radiation Oncologist (CoC)
2500Physician 4Other Physician (pre-96 CoC)
Physician #4 (CoC)
2505NPI--Physician 4Medical Oncologist (CoC)
2690Text--Place of DiagnosisPlace of Diagnosis
2820CS Tumor Size/Ext EvalCS Tumor Size/Extension Evaluation
CS TS/Ext-Eval
2830CS Lymph NodesCS Lymph Nodes (SEER EOD)
2840CS Lymph Nodes EvalCS Regional Nodes Evaluation
CS Reg Nodes Eval
2850CS Mets at DXCS Metastasis at Diagnosis
2860CS Mets EvalCS Metastasis Evaluation
2935CS Version Input OriginalCS Version 1ST
2936CS Version DerivedCS Version Latest
2940Derived AJCC-6 TDerived T
Derived AJCC T
2950Derived AJCC-6 T DescriptDerived AJCC T Descriptor
Derived 6 T Descriptor Storage Code
2960Derived AJCC-6 NDerived 6 N Descriptor Storage Code
Derived AJCC N
2970Derived AJCC-6 N DescriptDerived AJCC N Descriptor
Derived 6 N Descriptor Storage Code
2980Derived AJCC-6 MDerived 6 M Storage Code
Derived AJCC M
2990Derived AJCC-6 M DescriptDerived AJCC M Descriptor
Derived 6 M Descriptor Storage Code
3000Derived AJCC-6 Stage GrpDerived 6 Stage Group Storage Code
Derived AJCC Stage Group
3010Derived SS1977Derived SEER Summary Stage 1977
3020Derived SS2000Derived SEER Summary Stage 2000
3030Derived AJCC--FlagAJCC Conversion Flag
3040Derived SS1977--FlagSS1977 Conversion Flag
3050Derived SS2000--FlagSS2000 Conversion Flag
3110Comorbid/Complication 1Comorbidities and Complications #1
3120Comorbid/Complication 2Comorbidities and Complications #2
3130Comorbid/Complication 3Comorbidities and Complications #3
3140Comorbid/Complication 4Comorbidities and Complications #4
3150Comorbid/Complication 5Comorbidities and Complications #5
3160Comorbid/Complication 6Comorbidities and Complications #6
3161Comorbid/Complication 7Comorbidities and Complications #7
3162Comorbid/Complication 8Comorbidities and Complications #8
3163Comorbid/Complication 9Comorbidities and Complications #9
3164Comorbid/Complication 10Comorbidities and Complications #10
3165ICD Revision ComorbidICD Revision Comorbidities
3170RX Date Mst Defn SrgDate of Most Definitive Surgical Resection of the Primary Site
RX Date--Most Defin Surg
3180RX Date Surg DischDate of Surgical Discharge
RX Date--Surgical Disch
3190Readm Same Hosp 30 DaysReadmission to the Same Hospital Within 30 Days of Surgical Discharge
3200Rad--Boost RX ModalityBoost Radiation Treatment Modality
3210Rad--Boost Dose cGyBoost Radiation Dose: cGy
3220RX Date Rad EndedDate Radiation Ended
RX Date--Radiation Ended
3230RX Date SystemicDate Systemic Therapy Started
RX Date--Systemic
3250RX Summ--Transplnt/EndocrHematologic Transplant and Endocrine Procedures
3270RX Summ--Palliative ProcPalliative Procedure
Palliative Care
3280RX Hosp--Palliative ProcPalliative Care at this Facility
Palliative Procedure at this Facility
3300RuralUrban Continuum 1993Beale Code
3310RuralUrban Continuum 2003Beale Code
RuralUrban Continuum 2000
3400Derived AJCC-7 TDerived 7 T Storage Code
3402Derived AJCC-7 T DescriptDerived 7 T Descript Storage Code
3410Derived AJCC-7 NDerived 7 N Storage Code
3412Derived AJCC-7 N DescriptDerived 7 N Descript Storage Code
3420Derived AJCC-7 MDerived 7 M Storage Code
3422Derived AJCC-7 M DescriptDerived 7 M Descript Storage Code
3430Derived AJCC-7 Stage GrpDerived 7 Stage Grp Storage Code
3440Derived PreRx-7 TDerived PreRX 7 T Storage Code
3442Derived PreRx-7 T DescripDerived PreRX 7 T Descrip Storage Code
3450Derived PreRx-7 NDerived PreRX 7 N Storage Code
3452Derived PreRx-7 N DescripDerived PreRX 7 N Descrip Storage Code
3460Derived PreRx-7 MDerived PreRX 7 M Storage Code
3462Derived PreRx-7 M DescripDerived PreRX 7 M Descrip Storage Code
3470Derived PreRx-7 Stage GrpDerived PreRX 7 Stge Grp Storage Code
3480Derived PostRx-7 TDerived PostRX 7 T Storage Code
3482Derived PostRx-7 NDerived PostRX 7 N Storage Code
3490Derived PostRx-7 MDerived PostRX 7 M Storage Code
3492Derived PostRx-7 Stge GrpDerived PostRX 7 Stge Grp Storage Code
3622Derived SEER Cmb T SrcDerived SEER Combined T Source
3624Derived SEER Cmb N SrcDerived SEER Combined N Source
3626Derived SEER Cmb M SrcDerived SEER Combined M Source
3769Over-ride CS 20Direct Summary Stage 2000 Flag
3780Secondary Diagnosis 1Secondary Dx ICD-10 1
3782Secondary Diagnosis 2Secondary Dx ICD10 2
3784Secondary Diagnosis 3Secondary Dx ICD10 3
3786Secondary Diagnosis 4Secondary Dx ICD10 4
3788Secondary Diagnosis 5Secondary Dx ICD10 5
3790Secondary Diagnosis 6Secondary Dx ICD10 6
3792Secondary Diagnosis 7Secondary Dx ICD10 7
3794Secondary Diagnosis 8Secondary Dx ICD10 8
3796Secondary Diagnosis 9Secondary Dx ICD10 9
3798Secondary Diagnosis 10Secondary Dx ICD10 10
7010Path Reporting Fac ID 1MSH-4 Sending Facility (Name) #00004 (HL7)
BHS-4 Batch Sending Facility #0084
7011Path Reporting Fac ID 2BHS-4 Batch Sending Facility #0084
MSH-4 Sending Facility (Name) #00004 (HL7)
7012Path Reporting Fac ID 3MSH-4 Sending Facility (Name) #00004 (HL7)
BHS-4 Batch Sending Facility #0084
7013Path Reporting Fac ID 4BHS-4 Batch Sending Facility #0084
MSH-4 Sending Facility (Name) #00004 (HL7)
7014Path Reporting Fac ID 5MSH-4 Sending Facility (Name) #00004 (HL7)
BHS-4 Batch Sending Facility #0084
7090Path Report Number 1Path Report Number
OBR-3 Filler Order Number #00217 (HL7)
7091Path Report Number 2OBR-3 Filler Order Number #00217 (HL7)
Path Report Number
7092Path Report Number 3Path Report Number
OBR-3 Filler Order Number #00217 (HL7)
7093Path Report Number 4OBR-3 Filler Order Number #00217 (HL7)
Path Report Number
7094Path Report Number 5Path Report Number
OBR-3 Filler Order Number #00217 (HL7)
7100Path Order Phys Lic No 1OBR-16 Ordering Provider (License Number) #00226
Path Ordering Client/Phys--Lic No.
7101Path Order Phys Lic No 2Path Ordering Client/Phys--Lic No.
OBR-16 Ordering Provider (License Number) #00226
7102Path Order Phys Lic No 3OBR-16 Ordering Provider (License Number) #00226
Path Ordering Client/Phys--Lic No.
7103Path Order Phys Lic No 4Path Ordering Client/Phys--Lic No.
OBR-16 Ordering Provider (License Number) #00226
7190Path Ordering Fac No 1ORC-21 Ordering Facility Name #01311 (HL7)
Path Ordering Facility Number (AHA Number)
7191Path Ordering Fac No 2Path Ordering Facility Number (AHA Number)
ORC-21 Ordering Facility Name #01311 (HL7)
7192Path Ordering Fac No 3ORC-21 Ordering Facility Name #01311 (HL7)
Path Ordering Facility Number (AHA Number)
7193Path Ordering Fac No 4Path Ordering Facility Number (AHA Number)
ORC-21 Ordering Facility Name #01311 (HL7)
7194Path Ordering Fac No 5ORC-21 Ordering Facility Name #01311 (HL7)
Path Ordering Facility Number (AHA Number)
7320Path Date Spec Collect 1OBR-7 Observation Date/Time #00241 (HL7)
Path--Date Spec Collection
7321Path Date Spec Collect 2Path--Date Spec Collection
OBR-7 Observation Date/Time #00241 (HL7)
7322Path Date Spec Collect 3OBR-7 Observation Date/Time #00241 (HL7)
Path--Date Spec Collection
7323Path Date Spec Collect 4Path--Date Spec Collection
OBR-7 Observation Date/Time #00241 (HL7)
7324Path Date Spec Collect 5OBR-7 Observation Date/Time #00241 (HL7)
Path--Date Spec Collection
7480Path Report Type 1Path--Report Type
OBR-4 Universal Service ID #00238 (HL7)
7481Path Report Type 2OBR-4 Universal Service ID #00238 (HL7)
Path--Report Type
7482Path Report Type 3Path--Report Type
OBR-4 Universal Service ID #00238 (HL7)
7483Path Report Type 4OBR-4 Universal Service ID #00238 (HL7)
Path--Report Type
7484Path Report Type 5Path--Report Type
OBR-4 Universal Service ID #00238 (HL7)