GT1 - HL7 Segment Reference

GT1 - Guarantor Segment

SEQ	LEN	DT	ITEM#	ELEMENT NAME
1	4	SI	00405	Set ID - GT1
2	250	CX	00406	Guarantor Number
3	250	XPN	00407	Guarantor Name
4	250	XPN	00408	Guarantor Spouse Name
5	250	XAD	00409	Guarantor Address
6	250	XTN	00410	Guarantor Ph Num - Home
7	250	XTN	00411	Guarantor Ph Num - Business
8	26	TS	00412	Guarantor Date/Time Of Birth
9	1	IS	00413	Guarantor Administrative Sex
10	2	IS	00414	Guarantor Type
11	250	CE	00415	Guarantor Relationship
12	11	ST	00416	Guarantor SSN
13	8	DT	00417	Guarantor Date - Begin
14	8	DT	00418	Guarantor Date - End
15	2	NM	00419	Guarantor Priority
16	250	XPN	00420	Guarantor Employer Name
17	250	XAD	00421	Guarantor Employer Address
18	250	XTN	00422	Guarantor Employer Phone Number
19	250	CX	00423	Guarantor Employee ID Number
20	2	IS	00424	Guarantor Employment Status
21	250	XON	00425	Guarantor Organization Name
22	1	ID	00773	Guarantor Billing Hold Flag
23	250	CE	00774	Guarantor Credit Rating Code
24	26	TS	00775	Guarantor Death Date And Time
25	1	ID	00776	Guarantor Death Flag
26	250	CE	00777	Guarantor Charge Adjustment Code
27	10	CP	00778	Guarantor Household Annual Income
28	3	NM	00779	Guarantor Household Size
29	250	CX	00780	Guarantor Employer ID Number
30	250	CE	00781	Guarantor Marital Status Code
31	8	DT	00782	Guarantor Hire Effective Date
32	8	DT	00783	Employment Stop Date
33	2	IS	00755	Living Dependency
34	2	IS	00145	Ambulatory Status
35	250	CE	00129	Citizenship
36	250	CE	00118	Primary Language
37	2	IS	00742	Living Arrangement
38	250	CE	00743	Publicity Code
39	1	ID	00744	Protection Indicator
40	2	IS	00745	Student Indicator
41	250	CE	00120	Religion
42	250	XPN	00109	Mother’s Maiden Name
43	250	CE	00739	Nationality
44	250	CE	00125	Ethnic Group
45	250	XPN	00748	Contact Person’s Name
46	250	XTN	00749	Contact Person’s Telephone Number
47	250	CE	00747	Contact Reason
48	2	IS	00784	Contact Relationship
49	20	ST	00785	Job Title
50	20	JCC	00786	Job Code/Class
51	250	XON	01299	Guarantor Employer’s Organization Name
52	2	IS	00753	Handicap
53	2	IS	00752	Job Status
54	50	FC	01231	Guarantor Financial Class
55	250	CE	01291	Guarantor Race