FT1 - Financial Transaction (HL7 v2.5.1)
Versions: v2.3 v2.3.1 v2.4 v2.5.1 v2.6 v2.7.1
The FT1 segment (Financial Transaction) has 31 fields in HL7 v2.5.1. Fields are addressed as
FT1-n; composite fields break into components FT1-n.m. Paste a message into the
parser to see every field annotated with this table.
| # | Name | Type | Len | Opt | Repeats | Table |
|---|---|---|---|---|---|---|
| 1 | Set ID - FT1 | SI | 4 | Optional | No | |
| 2 | Transaction ID | ST | 12 | Optional | No | |
| 3 | Transaction Batch ID | ST | 10 | Optional | No | |
| 4 | Transaction Date | DR | 53 | Required | No | |
| 5 | Transaction Posting Date | TS | 26 | Optional | No | |
| 6 | Transaction Type | IS | 8 | Required | No | 0017 |
| 7 | Transaction Code | CE | 250 | Required | No | 0132 |
| 8 | Transaction Description | ST | 40 | Optional | No | |
| 9 | Transaction Description - Alt | ST | 40 | Optional | No | |
| 10 | Transaction Quantity | NM | 6 | Optional | No | |
| 11 | Transaction Amount - Extended | CP | 12 | Optional | No | |
| 12 | Transaction Amount - Unit | CP | 12 | Optional | No | |
| 13 | Department Code | CE | 250 | Optional | No | 0049 |
| 14 | Insurance Plan ID | CE | 250 | Optional | No | 0072 |
| 15 | Insurance Amount | CP | 12 | Optional | No | |
| 16 | Assigned Patient Location | PL | 80 | Optional | No | |
| 17 | Fee Schedule | IS | 1 | Optional | No | 0024 |
| 18 | Patient Type | IS | 2 | Optional | No | 0018 |
| 19 | Diagnosis Code - FT1 | CE | 250 | Optional | Yes | 0051 |
| 20 | Performed By Code | XCN | 250 | Optional | Yes | 0084 |
| 21 | Ordered By Code | XCN | 250 | Optional | Yes | |
| 22 | Unit Cost | CP | 12 | Optional | No | |
| 23 | Filler Order Number | EI | 22 | Optional | No | |
| 24 | Entered By Code | XCN | 250 | Optional | Yes | |
| 25 | Procedure Code | CE | 250 | Optional | No | 0088 |
| 26 | Procedure Code Modifier | CE | 250 | Optional | Yes | 0340 |
| 27 | Advanced Beneficiary Notice Code | CE | 250 | Optional | No | 0339 |
| 28 | Medically Necessary Duplicate Procedure Reason. | CWE | 250 | Optional | No | 0476 |
| 29 | NDC Code | CNE | 250 | Optional | No | 0549 |
| 30 | Payment Reference ID | CX | 250 | Optional | No | |
| 31 | Transaction Reference Key | SI | 4 | Optional | Yes |