EDI 5010 Documentation 837 Professional - Loop 2300 Date information

 

        

2300 Date Onset (431)

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2300	DTP	Date – Onset of Current Illness/Symptom	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date/Time qualifier	ID	3	374	R	431
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8
		Element Separator	AN	1			*
	DTP03	Date Time Period	AN	1/35	1251	R	Print in CCYYMMDD format
		Segment Terminator					~

2300 Date Initial Treatment (454)

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2300	DTP	Date – Initial Treatment	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date/Time qualifier	ID	3	374	R	454
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8
		Element Separator	AN	1			*
	DTP03	Date Time Period	AN	1/35	1251	R	Print in CCYYMMDD format
		Segment Terminator					~

2300 Date Last Seen (304)

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2300	DTP	Date – Last Seen	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date/Time qualifier	ID	3	374	R	304
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8
		Element Separator	AN	1			*
	DTP03	Date Time Period	AN	1/35	1251	R	Print in CCYYMMDD format
		Segment Terminator					~

2300 Date Acute Manifestation (453)

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2300	DTP	Date – Acute Manifestation	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date/Time qualifier	ID	3	374	R	453
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8
		Element Separator	AN	1			*
	DTP03	Date Time Period	AN	1/35	1251	R	Print in CCYYMMDD format
		Segment Terminator					~

2300 Date Accident (439)

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2300	DTP	Date – Accident	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date/Time qualifier	ID	3	374	R	439
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8
		Element Separator	AN	1			*
	DTP03	Date Time Period	AN	1/35	1251	R	Print in CCYYMMDD format
		Segment Terminator					~

2300 Date Last Menstrual (484)

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2300	DTP	Date – Initial Menstrual	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date/Time qualifier	ID	3	374	R	484
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8
		Element Separator	AN	1			*
	DTP03	Date Time Period	AN	1/35	1251	R	Print in CCYYMMDD format
		Segment Terminator					~

2300 Date Last X-Ray (455)

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2300	DTP	Date – Last X-Ray	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date/Time qualifier	ID	3	374	R	455
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8
		Element Separator	AN	1			*
	DTP03	Date Time Period	AN	1/35	1251	R	Print in CCYYMMDD format
		Segment Terminator					~

2300 Date Hearing and Vision Prescription Date (471)

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2300	DTP	Date – Hearing and Vision Prescription Date	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date/Time qualifier	ID	3	374	R	471
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8
		Element Separator	AN	1			*
	DTP03	Date Time Period	AN	1/35	1251	R	Print in CCYYMMDD format
		Segment Terminator					~

2300 Date Last Worked(297)

Loop	Seg ID	Segment Name	Format	Length	Ref#	Req	Value
2300	DTP	Date – Last Worked	ID	3		R	DTP
		Element Separator	AN	1			*
	DTP01	Date/Time qualifier	ID	3	374	R	297
		Element Separator	AN	1			*
	DTP02	Date Time Period Format Qualifier	ID	2/3	1250	R	D8
		Element Separator	AN	1			*
	DTP03	Date Time Period	AN	1/35	1251	R	Print in CCYYMMDD format
		Segment Terminator					~

Sample

DTP*454*D8*20110609~
DTP*304*D8*20120517~
DTP*453*D8*20120621~
DTP*439*D8*20120605~
DTP*484*D8*20120807~
DTP*455*D8*20120904~
DTP*297*D8*20120925~

 

JSON to EDI 837 Professional

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