6 Identifiers

6 Identifiers

In health care messaging and healthcare generally it is vitally important that the correct test, procedure, report etc is done on the right patient and the results are consigned to the appropriate person.  The use of identifiers plays a major role in ensuring clinical safety in messaging and the healthcare system.

The representation of healthcare identifiers used for patient, provider organisation and health identifiers in HL7 V2.x messages uses the common attributes of HL7 Table 0203 - Identifier Type and User-defined Table 0363 - Assigning Authority below.

HL7 Table 0203 - Identifier Type 

Value

Description

Comment

Value

Description

Comment

ACSN

Accession ID

Accession Identifier

AM

American Express

Deprecated and replaced by BC in v 2.5.

AMA

American Medical Association
Number

A physician identifier assigned by the AMA.

AN

Account number

An identifier that is unique to an account.

ANON

Anonymous identifier

An identifier for a living subject whose real identity is protected or suppressed
Justification: For public health reporting purposes, anonymous identifiers are occasionally used for protecting patient identity in reporting certain results. For instance, a state health department may choose to use a scheme for generating an anonymous identifier for reporting a patient that has had a positive human immunodeficiency virus antibody test. Anonymous identifiers can be used in PID 3 by replacing the medical record number or other nonanonymous identifier. The assigning authority for an anonymous identifier would be the state/local health department.

ANC

Account number Creditor

Class: Financial
A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.
Kreditorenkontonummer

AND

Account number debitor

Class: Financial
A more precise definition of an account number: sometimes two distinct account numbers must be transmitted in the same message, one as the creditor, the other as the debitor.
Debitorenkontonummer

ANT

Temporary Account Number

Class: Financial
Temporary version of an Account Number.
Use Case: An ancillary system that does not normally assign account numbers is the first time to register a patient. This ancillary system will generate a temporary account number that will only be used until an official account number is assigned.

APRN

Advanced Practice
Registered Nurse number

An identifier that is unique to an advanced practice registered nurse within the jurisdiction of a certifying board

ASID

Ancestor Specimen ID

A unique identifier for the ancestor specimen. All child, grandchild, etc. specimens of the ancestor specimen share the same Ancestor Specimen ID.

BA

Bank Account Number

Class: Financial

BC

Bank Card Number

Class: Financial
An identifier that is unique to a person’s bank card. Replaces AM, DI, DS, MS, and VS beginning in v 2.5.

BCT

Birth Certificate

A number associated with a document identifying the event of a person’s birth.

BR

Birth registry number

An identifier unique within the Assigning Authority that is the official legal record of a person's birth.

BRN

Breed Registry Number

 

BSNR

Primary physician office
number

Betriebsstättennummer - for use in the German realm.

CC

Cost Center number

Class: Financial
Use Case: needed especially for transmitting information about invoices.

CONM

Change of Name Document

A number associated with a document identifying a person’s legal change of name.

CZ

Citizenship Card

A number assigned by a person’s country of residence to identify a person’s citizenship.

CY

County number

 

DDS

Dentist license number

An identifier that is unique to a dentist within the jurisdiction of the licensing board

DEA

Drug Enforcement
Administration registration
number

An identifier for an individual or organization relative to controlled substance regulation and transactions.
Use case: This is a registration number that identifies an individual or organization relative to controlled substance regulation and transactions.
A DEA number has a very precise and widely accepted meaning within the United States. Surprisingly, the US Drug Enforcement Administration does not solely assign DEA numbers in the United States. Hospitals have the authority to issue DEA numbers to their medical residents. These DEA numbers are based upon the hospital’s DEA number, but the authority rests with the hospital on the assignment to the residents. Thus, DEA as an Identifier Type is necessary in addition to DEA as an Assigning Authority.

DI

Diner’s Club card

Deprecated and replaced by BC in v 2.5.

DFN

Drug Furnishing or
prescriptive authority Number

An identifier issued to a health care provider authorizing the person to write drug orders
Use Case: A nurse practitioner has authorization to furnish or prescribe
pharmaceutical substances; this identifier is in component 1.

DL

Driver’s license number

 

DN

Doctor number

 

DO

Osteopathic License number

An identifier that is unique to an osteopath within the jurisdiction of a licensing board.

DP

Diplomatic Passport

A number assigned to a diplomatic passport.

DPM

Podiatrist license number

An identifier that is unique to a podiatrist within the jurisdiction of the licensing board.

DR

Donor Registration Number

 

DS

Discover Card

Deprecated and replaced by BC in v 2.5.

DVW

DVA Card - White

Australian Department of Veterans' Affairs White card number.

DVG

DVA Card - Gold

Australian Department of Veterans' Affairs Gold card number.

DVO

DVA Card - Orange

Australian Department of Veterans' Affairs Orange card number.

DV

Veterans number

Australian Department of Veterans' number.

EI

Employee number

A number that uniquely identifies an employee to an employer.

EN

Employer number

 

ESN

Staff Enterprise Number

An identifier that is unique to a staff member within an enterprise (as identified by the Assigning Authority).

FI

Facility ID

 

GI

Guarantor internal identifier

Class: Financial

GL

General ledger number

Class: Financial

GN

Guarantor external identifier

Class: Financial

HC

Health Card Number

 

JHN

Jurisdictional health number
(Canada)

Class: Insurance
2 uses: a) UK jurisdictional CHI number; b) Canadian provincial health card number:

IND

Indigenous/Aboriginal

A number assigned to a member of an indigenous or aboriginal group outside of Canada

LACSN

Laboratory Accession ID

A laboratory accession id is used in the laboratory domain. The concept of accession is used in other domains such as radiology, so the LACSN is used to distinguish a lab accession id from an radiology accession id

LANR

Lifelong physician number

Lebenslange Arztnummer - for use in German realm.

LI

Labor and industries number

 

LN

License number

 

LR

Local Registry ID

 

MA

Patient Medicaid number

Class: Insurance

MB

Member Number

An identifier for the insured of an insurance policy (this insured always has a subscriber), usually assigned by the insurance carrier.
Use Case: Person is covered by an insurance policy. This person may or may not be the subscriber of the policy.

MC

Patient's Medicare number

Class: Insurance

MCD

Practitioner Medicaid number

Class: Insurance

MCN

Microchip Number

 

MCR

Practitioner Medicare number

Class: Insurance

MCT

Marriage Certificate

A number associated with a document identifying the event of a person’s marriage.

MD

Medical License number

An identifier that is unique to a medical doctor within the jurisdiction of a licensing board.
Use Case: These license numbers are sometimes used as identifiers. In some states, the same authority issues all three identifiers, e.g., medical, osteopathic, and physician assistant licenses all issued by one state medical board. For this case, the CX data type requires distinct identifier types to accurately interpret component 1. Additionally, the distinction among these license types is critical in most health care settings (this is not to convey full licensing information, which requires a segment to support all related attributes).

MI

Military ID number

A number assigned to an individual who has had military duty, but is not currently on active duty. The number is assigned by the DOD or Veterans’ Affairs (VA).

MR

Medical record number

An identifier that is unique to a patient within a set of medical records, not necessarily unique within an application.

MRT

Temporary Medical Record Number

Temporary version of a Medical Record Number
Use Case: An ancillary system that does not normally assign medical record numbers is the first time to register a patient. This ancillary system will generate a temporary medical record number that will only be used until an official medical record number is assigned.

MS

MasterCard

Deprecated and replaced by BC in v 2.5.

NBSNR

Secondary physician office number

Nebenbetriebsstättennummer - for use in the German realm.

NCT

Naturalization Certificate

A number associated with a document identifying a person’s retention of citizenship in a particular country.

NE

National employer identifier

In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.

NH

National Health Plan Identifier

Class: Insurance
Used for the UK NHS national identifier.
In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.

NI

National unique individual
identifier

Class: Insurance
In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.

Note: In Australia is use for the Individual Healthcare identifier (IHI)

NII

National Insurance
Organization Identifier

Class: Insurance
In Germany a national identifier for an insurance company. It is printed on the insurance card (health card). It is not to be confused with the health card number itself.
Krankenkassen-ID der KV-Karte

NIIP

National Insurance Payor Identifier (Payor)

Class: Insurance
In Germany the insurance identifier addressed as the payor.
Krankenkassen-ID des Rechnungsempfängers
Use case: a subdivision issues the card with their identifier, but the main division is going to pay the invoices.

NNxxx

National Person Identifier where the xxx is the ISO table
3166 3-character (alphabetic) country code

 

NOI**

National Organisation Identifier

In Australia is use for the Healthcare Providers Organisation identifier (HPI-O) or General Supporting Organisation (GSO) / My Health Record (PCEHR) Assigned Identity for Organisations (PAI-O) / Contracted Service Provider (CSP)

NP

Nurse practitioner number

An identifier that is unique to a nurse practitioner within the jurisdiction of a certifying board.

NPI

National provider identifier

Class: Insurance
In the US, the Assigning Authority for this value is typically CMS, but it may be used by all providers and insurance companies in HIPAA related transactions.

Note: In Australia is used for the Healthcare Providers Individual identifier (HPI-I)

NPIO

National provider at organisation identifier

An identifier that is unique for an individual healthcare provider at a healthcare organisation. It is the concatenation of a HPI-I identifier followed by an "@" and then a HPI-O identifier. e.g. "800361XXXXXXXXXX@800362YYYYYYYYYY"

OD

Optometrist license number

A number that is unique to an individual optometrist within the jurisdiction of the licensing board.

PA

Physician Assistant number

An identifier that is unique to a physician assistant within the jurisdiction of a licensing board

PC

Parole Card

A number identifying a person on parole.

PCN

Penitentiary/correctional
institution Number

A number assigned to individual who is incarcerated.

PE

Living Subject Enterprise Number

An identifier that is unique to a living subject within an enterprise (as identified by the Assigning Authority).

PEN

Pension Number

 

PI

Patient internal identifier

A number that is unique to a patient within an Assigning Authority.

PN

Person number

A number that is unique to a living subject within an Assigning Authority.

PNT

Temporary Living Subject Number

Temporary version of a Lining Subject Number.

PPIN

Medicare/CMS Performing Provider Identification Number

Class: Insurance
An Identifier for a provider at a location in the CMS/Medicare program. This identifier type is only unique within the context of a location. The location is not integral to the identifier, it must be derived from the message context/content (e.g., this identifier associated to a location by association in a message or a message segment.)

PPN

Passport number

A unique number assigned to the document affirming that a person is a citizen of the country. In the US this number is issued only by the State Department.

PRC

Permanent Resident Card Number

 

PRES

Prescriber Number

A Pharmaceutical Benefits Scheme (PBS) prescriber identifier assigned to an individual that identifies the right to act as a prescriber under that scheme.

PRN

Provider number

A number that is unique to an individual provider, a provider group or an organization within an Assigning Authority.
Use case: This allows PRN to represent either an individual (a nurse) or a group/organization (orthopedic surgery team).

PT