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How should an NPI number be formatted?

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  • January 14, 2014 at 5:44 pm #54000
    Michael Hertel
    Participant

      I’d like to know how to format an NPI number as part of an HL7 doctor field.

      Currently we format a doctor like this:

      |M467^MCDONALD MD^LARRY^L^””^””^””|

      M467 is his internal number.

      I’d like to know how to format to include the NPI number.

      Perhaps |M467^MCDONALD MD^LARRY^L^””^””^””^VMMC@142343232^NPI| ?

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      • January 14, 2014 at 7:27 pm #79835
        Jim Kosloskey
        Participant

          Michael,

          That depends somewhat on the HL/7 Version, what segment, and which field.

          Basically in the PV1 segment the various Provider locations (Attending Doctor, etc.) are repeating fields and are a XCN Data Type.

          That Data Type has a component (component 8 I believe – Assigning Authority) which indicates who assigned the number.

          So if one had an internal number and an NPI Number there would be 2 repeitions for the field and the 8th component would indicate which is which like this:

          |M467^MCDONALD MD^LARRY^L^””^””^””^FAC~99999^MCDONALD MD^LARRY^L^””^””^””^NPI|  

          or I believe the standard allows the intervening information to not be repeated (like if the name is the same) like this:

          M467^MCDONALD MD^LARRY^L^””^””^””^FAC~99999^^^^””^””^””^NPI|

          Now some other fields in some other segments do not repeat and instead have a component structure which allows for specification of an Alternate Code set of components – so the best thing to do is to look at the standard for the specific field(s) in question.

          email: jim.kosloskey@jim-kosloskey.com 30+ years Cloverleaf, 60 years IT – old fart.

        • January 14, 2014 at 7:42 pm #79836
          Michael Hertel
          Participant

            Thanks Jim,

            I have looked at the spec and cannot make heads nor tails of what I am reading.

            I am looking for an example of how to code a single non-repeating field.

            Quote:

            Now some other fields in some other segments do not repeat and instead have a component structure which allows for specification of an Alternate Code set of components – so the best thing to do is to look at the standard for the specific field(s) in question.

          • January 14, 2014 at 8:19 pm #79837
            Jim Kosloskey
            Participant

              Michael,

              I did a little more research and could not find a reference for provider which is not repeating for multiple codes.

              So if following the standard is not required, then I suppose the trading partners can agree on any one of these:

              Use some of the currently unused components in your implentation to represent the NPI data. Just be aware some of the Provider particulars may be different between the Facility Number and the NPI number and in that case the information must be presented. For example a provider name may be one thing for the Facility Code and officially different for the NPI – so you may run out of components in the standard allocation of components (Cloverleaf of course allows you to specify components which do not appear in the GUI).

              Add a User field to the end of the segment and put the NPI components there.

              Add a Z segment to contain the NPI information.

              If you would like to discuss more email me and we can take the conversation to verbal (I will send you my contact number).

              email: jim.kosloskey@jim-kosloskey.com 30+ years Cloverleaf, 60 years IT – old fart.

            • January 14, 2014 at 8:25 pm #79838
              Michael Hertel
              Participant

                Thanks for the extra due diligence Jim.

                Sounds like you found the same thing I did.

                I’m aware of other solutions but am looking for a non-repeating standard solution. I don’t want to get too far off of the standards.

                Currently the registraion system wants to send it out in a Z segment for each doctor type. I am looking for a more elegant solution.

                Is there anyone else out there formatting the NPI as part of a non-repeating doctor field?

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