DMG

Dependent Demographic Information

Pos: 100	Max: 1
Detail - Optional
Loop: 2100D	Elements: 3

Ref

Id

Element Name

Req

Type

Min/Max

Usage

DMG01

1250

Date Time Period Format Qualifier
Description: Code indicating the date format, time format, or date and time format
Use this code to indicate the format of the date of birth that follows in DMG02.
Use this element if utilizing the HIPAA search option. See Section 1.3.8 for more information.

C

ID

2/3

Situational

Code

Name

D8

Date Expressed in Format CCYYMMDD

DMG02

1251

Date Time Period
Description: Expression of a date, a time, or range of dates, times or dates and times
Industry: Dependent Birth Date
Use this date for the date of birth of the individual.
Use this element if utilizing the HIPAA search option. See Section 1.3.8 for more information.

C

AN

1/35

Situational

DMG03

1068

Gender Code
Description: Code indicating the sex of the individual
Industry: Dependent Gender Code
Use this code to indicate the dependent’s gender.
1285 Use if information is known and will assist in identification of the person named, particularly when not utilizing the HIPAA search option.

O

ID

1/1

Situational

Code

Name

F

Female

M

Male

1.

P0102 - If either DMG01,DMG02 is present, then all are required

1.

DMG02 is the date of birth.

2.

DMG07 is the country of citizenship.

3.

DMG09 is the age in years.

Notes:

1. Use this segment when needed to convey the birth date or gender demographic information for the dependent.
2. Please refer to Section 1.3.8 Search Options for specific information about how to identify an individual to an Information Source.

Example:

DMG*D8*19430121*F~