- PID-5.1 –
Patient Last Name
- PID-5.2 –
Patient First Name
- PID-5.3 –
Patient Middle Name
- PID-5.4 –
Patient Suffix
- PID-11.1 –
Street 1
- PID-11.2 –
Street 2
- PID-11.3 –
City
- PID-11.4 –
State
- PID-11.5 –
Postal Code
- PID-11.6 –
Country
- PV1-7.1 –
Attending Physician Code
- PV1-7.2 –
Attending Last Name
- PV1-7.3 –
Attending First Name
- PV1-7.5 –
Attending Suffix
- PV1-7.7 –
Attending Credentials
- PV1-8.1 –
Referring Physician Code
- PV1-8.2 –
Referring Last Name
- PV1-8.3 –
Referring First Name
- PV1-8.5 –
Referring Physician Suffix
- PV1-8.7 –
Referring Physician Credentials
- ORC-12.1 –
ID and NPI
- ORC-12.2 –
First Name
- ORC-12.3 –
Last Name
- ORC-12.5 –
Suffix
- ORC-12.7 –
Credentials
- OBR-4.1 –
Panel Host Code
- OBR-4.2 –
Panel Name
- OBR-27.4 –
Scheduled Collection Date
- OBR-27.6 –
Priority
- OBX-3.1 –
Result Code
- OBX-3.2 –
Result Name