FT1 - Financial Transaction (HL7 v2.7.1)
Versions: v2.3 v2.3.1 v2.4 v2.5.1 v2.6 v2.7.1
The FT1 segment (Financial Transaction) has 43 fields in HL7 v2.7.1. 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 | Required | No | ||
| 5 | Transaction Posting Date | DTM | Optional | No | ||
| 6 | Transaction Type | CWE | Required | No | 0017 | |
| 7 | Transaction Code | CWE | Required | No | 0132 | |
| 8 | Transaction Description | ST | Backward compatible | No | ||
| 9 | Transaction Description Alt | ST | Backward compatible | No | ||
| 10 | Transaction Quantity | NM | Optional | No | ||
| 11 | Transaction Amount Extended | CP | Optional | No | ||
| 12 | Transaction Amount Unit | CP | Optional | No | ||
| 13 | Department Code | CWE | Optional | No | 0049 | |
| 14 | Health Plan ID | CWE | Optional | No | 0072 | |
| 15 | Insurance Amount | CP | Optional | No | ||
| 16 | Assigned Patient Location | PL | Optional | No | ||
| 17 | Fee Schedule | CWE | Optional | No | 0024 | |
| 18 | Patient Type | CWE | Optional | No | 0018 | |
| 19 | Diagnosis Code - FT1 | CWE | Optional | Yes | 0051 | |
| 20 | Performed By Code | XCN | Optional | Yes | 0084 | |
| 21 | Ordered By Code | XCN | Optional | Yes | ||
| 22 | Unit Cost | CP | Optional | No | ||
| 23 | Filler Order Number | EI | Optional | No | ||
| 24 | Entered By Code | XCN | Optional | Yes | ||
| 25 | Procedure Code | CNE | Optional | No | 0088 | |
| 26 | Procedure Code Modifier | CNE | Optional | Yes | 0340 | |
| 27 | Advanced Beneficiary Notice Code | CWE | Optional | No | 0339 | |
| 28 | Medically Necessary Duplicate Procedure Reason | CWE | Optional | No | 0476 | |
| 29 | NDC Code | CWE | Optional | No | 0549 | |
| 30 | Payment Reference ID | CX | Optional | No | ||
| 31 | Transaction Reference Key | SI | 4 | Optional | Yes | |
| 32 | Performing Facility | XON | Optional | Yes | ||
| 33 | Ordering Facility | XON | Optional | No | ||
| 34 | Item Number | CWE | Optional | No | ||
| 35 | Model Number | ST | Optional | No | ||
| 36 | Special Processing Code | CWE | Optional | Yes | ||
| 37 | Clinic Code | CWE | Optional | No | ||
| 38 | Referral Number | CX | Optional | No | ||
| 39 | Authorization Number | CX | Optional | No | ||
| 40 | Service Provider Taxonomy Code | CWE | Optional | No | ||
| 41 | Revenue Code | CWE | Optional | No | 0456 | |
| 42 | Prescription Number | ST | Optional | No | ||
| 43 | NDC Qty and UOM | CQ | Optional | No |