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Provider ID


Data Element ID: DE1
Name: Provider ID
Version: Hospital Version 1.1, Hospital Version 1.2
Data Element ISO Name: Provider-ID,ED
Definition: PSO-assigned provider identifier.
Question: Provider ID
Multiple Choice: No
Form Name: Administrative
Setting: Hospitals, including outpatient pharmacies and outpatient departments located within the hospital
Comments: None defined at this time
Description of Change: N/A
Go-To Logic: N/A
Guide For Use: Each provider shall be identified at the PSO by a unique identifier. The PSO can assign an identifier to a provider that does not identify the actual provider.
Format: Refer to Common Formats Technical Specifications - Appendix A: Resource Workbook (Validation Tab)
HL7 Data Type: Encapsulated Data (ED)
Data Type: Character
Maximum Length: 16
Answer Code Answer ID Answer Value Code System Code System Name
Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable
Effective Date: 03/31/2010
Until Date: - -
Update Date: - -
Source: Agency for Healthcare Research and Quality
Submitting Organization: Agency for Healthcare Research and Quality (AHRQ)
Date of Submission: - -
Responsible Organization: Agency for Healthcare Research and Quality (AHRQ)
Creator: Amy Helwig, MD, MS
Data Steward: Agency for Healthcare Research and Quality (AHRQ)
References: No specific reference at this time
Rationale for Change: N/A
Administrative Status: Final
Administrative Status Date: 03/31/2010
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