NameDescriptionTypeAdditional information
MedicaidID

string

String length: inclusive between 0 and 15
MPI

string

Required

String length: inclusive between 1 and 50
PatientClass

string

Required

String length: inclusive between 1 and 1
PatientClassDesc

string

Required

String length: inclusive between 1 and 50
MessageType

string

Required

String length: inclusive between 3 and 3
MessageDate

date

None.
MessageControlID

string

Required

String length: inclusive between 0 and 50
AttendingProvider

string

String length: inclusive between 0 and 50
AdmissionSource

string

String length: inclusive between 0 and 50
AdmissionDate

date

None.
DischargeDate

date

None.
DiagnosisCode

string

String length: inclusive between 0 and 15
DiagnosisCodeDesc

string

String length: inclusive between 0 and 500
DrgCode

string

String length: inclusive between 0 and 15
DrgCodeDesc

string

String length: inclusive between 0 and 500
DischargeDisposition

string

String length: inclusive between 0 and 50
SendingFacilityName

string

String length: inclusive between 0 and 50
SendingFacilityAddress

string

String length: inclusive between 0 and 100
LevelOfCare

string

String length: inclusive between 0 and 50
PatientPCP

string

String length: inclusive between 0 and 50