FT1 segment

The FT1 segment contains the detail data necessary to post charges, payments, adjustments, etc. to patient accounting records. SEQ LEN DT OPT RP/# TBL# ITEM# ELEMENT NAME 1 4 SI O 00355 Set ID - FT1 2 12 ST O 00356 Transaction ID 3 10 ST O 00357 Transaction Batch ID

The shape of one line

required optional kept for older systems, still counted

Count the pipes to find a field, and count the empty ones too: an empty field still holds its place. Leave out the separator before FT1-3 and its value arrives as FT1-2, so the receiver stores Transaction Batch ID as Transaction ID.

This page carries the FT1 field table as published and nothing beyond it. The field notes, vendor behaviour, FHIR mapping and parsing guidance that thePID page has are still to be written for FT1.

Every field

SEQ LEN DT OPT RP/# TBL# ITEM# Element name Cardinality

FT1-1 4 SI O 00355 Set ID - FT1 0..1

FT1-2 12 ST O 00356 Transaction ID 0..1

FT1-3 10 ST O 00357 Transaction Batch ID 0..1

FT1-4 53 DR R 00358 Transaction Date 1..1

FT1-4 is a DR, which holds 2 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
DR.1	26	TS	O		Range Start Date/Time
DR.2	26	TS	O		Range End Date/Time

FT1-5 26 TS O 00359 Transaction Posting Date 0..1

FT1-5 is a TS, which holds 2 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
TS.1	24	DTM	R		Time
TS.2	1	ID	B	0529	Degree of Precision

FT1-6 8 IS R 0017 00360 Transaction Type 1..1

FT1-7 250 CE R 0132 00361 Transaction Code 1..1

FT1-7 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

FT1-8 40 ST B 00362 Transaction Description deprecated 0..1

FT1-9 40 ST B 00363 Transaction Description - Alt deprecated 0..1

FT1-10 6 NM O 00364 Transaction Quantity 0..1

FT1-11 12 CP O 00365 Transaction Amount - Extended 0..1

FT1-11 is a CP, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CP.1	20	MO	R		Price
CP.2	2	ID	O	0205	Price Type
CP.3	16	NM	O		From Value
CP.4	16	NM	O		To Value
CP.5	483	CE	O		Range Units
CP.6	1	ID	O	0298	Range Type

FT1-12 12 CP O 00366 Transaction Amount - Unit 0..1

FT1-12 is a CP, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CP.1	20	MO	R		Price
CP.2	2	ID	O	0205	Price Type
CP.3	16	NM	O		From Value
CP.4	16	NM	O		To Value
CP.5	483	CE	O		Range Units
CP.6	1	ID	O	0298	Range Type

FT1-13 250 CE O 0049 00367 Department Code 0..1

FT1-13 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

FT1-14 250 CE O 0072 00368 Insurance Plan ID 0..1

FT1-14 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

FT1-15 12 CP O 00369 Insurance Amount 0..1

FT1-15 is a CP, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CP.1	20	MO	R		Price
CP.2	2	ID	O	0205	Price Type
CP.3	16	NM	O		From Value
CP.4	16	NM	O		To Value
CP.5	483	CE	O		Range Units
CP.6	1	ID	O	0298	Range Type

FT1-16 80 PL O 00133 Assigned Patient Location 0..1

FT1-16 is a PL, which holds 11 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
PL.1	20	IS	O	0302	Point of Care
PL.2	20	IS	O	0303	Room
PL.3	20	IS	O	0304	Bed
PL.4	227	HD	O		Facility
PL.5	20	IS	O	0306	Location Status
PL.6	20	IS	C	0305	Person Location Type
PL.7	20	IS	O	0307	Building
PL.8	20	IS	O	0308	Floor
PL.9	199	ST	O		Location Description
PL.10	427	EI	O		Comprehensive Location Identifier
PL.11	227	HD	O		Assigning Authority for Location

FT1-17 1 IS O 0024 00370 Fee Schedule 0..1

FT1-18 2 IS O 0018 00148 Patient Type 0..1

FT1-19 250 CE O Y 0051 00371 Diagnosis Code - FT1 0..*

FT1-19 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

FT1-20 250 XCN O Y 0084 00372 Performed By Code 0..*

FT1-20 is a XCN, which holds 23 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XCN.1	15	ST	O		ID Number
XCN.2	194	FN	O		Family Name
XCN.3	30	ST	O		Given Name
XCN.4	30	ST	O		Second and Further Given Names or Initials Thereof
XCN.5	20	ST	O		Suffix (e.g., JR or III)
XCN.6	20	ST	O		Prefix (e.g., DR)
XCN.7	5	IS	B	0360	Degree (e.g., MD)
XCN.8	4	IS	C	0297	Source Table
XCN.9	227	HD	O	0363	Assigning Authority
XCN.10	1	ID	O	0200	Name Type Code
XCN.11	1	ST	O		Identifier Check Digit
XCN.12	3	ID	C	0061	Check Digit Scheme
XCN.13	5	ID	O	0203	Identifier Type Code
XCN.14	227	HD	O		Assigning Facility
XCN.15	1	ID	O	0465	Name Representation Code
XCN.16	483	CE	O	0448	Name Context
XCN.17	53	DR	B		Name Validity Range
XCN.18	1	ID	O	0444	Name Assembly Order
XCN.19	26	TS	O		Effective Date
XCN.20	26	TS	O		Expiration Date
XCN.21	199	ST	O		Professional Suffix
XCN.22	705	CWE	O		Assigning Jurisdiction
XCN.23	705	CWE	O		Assigning Agency or Department

FT1-21 250 XCN O Y 00373 Ordered By Code 0..*

FT1-21 is a XCN, which holds 23 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XCN.1	15	ST	O		ID Number
XCN.2	194	FN	O		Family Name
XCN.3	30	ST	O		Given Name
XCN.4	30	ST	O		Second and Further Given Names or Initials Thereof
XCN.5	20	ST	O		Suffix (e.g., JR or III)
XCN.6	20	ST	O		Prefix (e.g., DR)
XCN.7	5	IS	B	0360	Degree (e.g., MD)
XCN.8	4	IS	C	0297	Source Table
XCN.9	227	HD	O	0363	Assigning Authority
XCN.10	1	ID	O	0200	Name Type Code
XCN.11	1	ST	O		Identifier Check Digit
XCN.12	3	ID	C	0061	Check Digit Scheme
XCN.13	5	ID	O	0203	Identifier Type Code
XCN.14	227	HD	O		Assigning Facility
XCN.15	1	ID	O	0465	Name Representation Code
XCN.16	483	CE	O	0448	Name Context
XCN.17	53	DR	B		Name Validity Range
XCN.18	1	ID	O	0444	Name Assembly Order
XCN.19	26	TS	O		Effective Date
XCN.20	26	TS	O		Expiration Date
XCN.21	199	ST	O		Professional Suffix
XCN.22	705	CWE	O		Assigning Jurisdiction
XCN.23	705	CWE	O		Assigning Agency or Department

FT1-22 12 CP O 00374 Unit Cost 0..1

FT1-22 is a CP, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CP.1	20	MO	R		Price
CP.2	2	ID	O	0205	Price Type
CP.3	16	NM	O		From Value
CP.4	16	NM	O		To Value
CP.5	483	CE	O		Range Units
CP.6	1	ID	O	0298	Range Type

FT1-23 427 EI O 00217 Filler Order Number 0..1

FT1-23 is a EI, which holds 4 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
EI.1	199	ST	O		Entity Identifier
EI.2	20	IS	O	0363	Namespace ID
EI.3	199	ST	C		Universal ID
EI.4	6	ID	C	0301	Universal ID Type

FT1-24 250 XCN O Y 00765 Entered By Code 0..*

FT1-24 is a XCN, which holds 23 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
XCN.1	15	ST	O		ID Number
XCN.2	194	FN	O		Family Name
XCN.3	30	ST	O		Given Name
XCN.4	30	ST	O		Second and Further Given Names or Initials Thereof
XCN.5	20	ST	O		Suffix (e.g., JR or III)
XCN.6	20	ST	O		Prefix (e.g., DR)
XCN.7	5	IS	B	0360	Degree (e.g., MD)
XCN.8	4	IS	C	0297	Source Table
XCN.9	227	HD	O	0363	Assigning Authority
XCN.10	1	ID	O	0200	Name Type Code
XCN.11	1	ST	O		Identifier Check Digit
XCN.12	3	ID	C	0061	Check Digit Scheme
XCN.13	5	ID	O	0203	Identifier Type Code
XCN.14	227	HD	O		Assigning Facility
XCN.15	1	ID	O	0465	Name Representation Code
XCN.16	483	CE	O	0448	Name Context
XCN.17	53	DR	B		Name Validity Range
XCN.18	1	ID	O	0444	Name Assembly Order
XCN.19	26	TS	O		Effective Date
XCN.20	26	TS	O		Expiration Date
XCN.21	199	ST	O		Professional Suffix
XCN.22	705	CWE	O		Assigning Jurisdiction
XCN.23	705	CWE	O		Assigning Agency or Department

FT1-25 250 CE O 0088 00393 Procedure Code 0..1

FT1-25 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

FT1-26 250 CE O Y 0340 01316 Procedure Code Modifier 0..*

FT1-26 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

FT1-27 250 CE O 0339 01310 Advanced Beneficiary Notice Code 0..1

FT1-27 is a CE, which holds 6 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CE.1	20	ST	O		Identifier
CE.2	199	ST	O		Text
CE.3	20	ID	O	0396	Name of Coding System
CE.4	20	ST	O		Alternate Identifier
CE.5	199	ST	O		Alternate Text
CE.6	20	ID	O	0396	Name of Alternate Coding System

FT1-28 250 CWE O 0476 01646 Medically Necessary Duplicate Procedure Reason. 0..1

FT1-28 is a CWE, which holds 9 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CWE.1	20	ST	O		Identifier
CWE.2	199	ST	O		Text
CWE.3	20	ID	O	0396	Name of Coding System
CWE.4	20	ST	O		Alternate Identifier
CWE.5	199	ST	O		Alternate Text
CWE.6	20	ID	O	0396	Name of Alternate Coding System
CWE.7	10	ST	C		Coding System Version ID
CWE.8	10	ST	O		Alternate Coding System Version ID
CWE.9	199	ST	O		Original Text

FT1-29 250 CNE O 0549 01845 NDC Code 0..1

FT1-29 is a CNE, which holds 9 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CNE.1	20	ST	R		Identifier
CNE.2	199	ST	O		Text
CNE.3	20	ID	O	0396	Name of Coding System
CNE.4	20	ST	O		Alternate Identifier
CNE.5	199	ST	O		Alternate Text
CNE.6	20	ID	O	0396	Name of Alternate Coding System
CNE.7	10	ST	C		Coding System Version ID
CNE.8	10	ST	O		Alternate Coding System Version ID
CNE.9	199	ST	O		Original Text

FT1-30 250 CX O 01846 Payment Reference ID 0..1

FT1-30 is a CX, which holds 10 components separated by carets.

SEQ	LEN	DT	OPT	TBL#	Component name
CX.1	15	ST	R		ID Number
CX.2	1	ST	O		Check Digit
CX.3	3	ID	O	0061	Check Digit Scheme
CX.4	227	HD	O	0363	Assigning Authority
CX.5	5	ID	O	0203	Identifier Type Code
CX.6	227	HD	O		Assigning Facility
CX.7	8	DT	O		Effective Date
CX.8	8	DT	O		Expiration Date
CX.9	705	CWE	O		Assigning Jurisdiction
CX.10	705	CWE	O		Assigning Agency or Department

FT1-31 4 SI O Y 01847 Transaction Reference Key 0..*

Message types carrying FT1

FT1 appears in 12 message structures, belonging to 9 message types.

FT1 segment

The shape of one line

Every field

Related

Message types carrying FT1