element -> <ePayment.ClosestRelativeGroup>
Group Tag to hold information about patient's relative or guardian
Namespace:
http://www.nemsis.org
Type:
anonymous complexType
Content:
complex, 10 elements
Defined:
locally within ePayment complexType in ePayment_v3.xsd; see XML source
Includes:
definitions of 10 elements
Content Model Diagram
XML Representation Summary
<ePayment.ClosestRelativeGroup>
   
Content: 
 ePayment.23?, ePayment.24?, ePayment.25?, ePayment.26?, ePayment.27?, ePayment.28?, ePayment.29?, ePayment.30?, ePayment.31*, ePayment.32?
</ePayment.ClosestRelativeGroup>
Content model elements (10):
ePayment.23 (in ePayment.ClosestRelativeGroup),
ePayment.24 (in ePayment.ClosestRelativeGroup),
ePayment.25 (in ePayment.ClosestRelativeGroup),
ePayment.26 (in ePayment.ClosestRelativeGroup),
ePayment.27 (in ePayment.ClosestRelativeGroup),
ePayment.28 (in ePayment.ClosestRelativeGroup),
ePayment.29 (in ePayment.ClosestRelativeGroup),
ePayment.30 (in ePayment.ClosestRelativeGroup),
ePayment.31 (in ePayment.ClosestRelativeGroup),
ePayment.32 (in ePayment.ClosestRelativeGroup)
Included in content model of elements (1):
ePayment (in PatientCareReport)
XML Source (w/o annotations (11); see within schema source)
<xs:element id="ePayment.ClosestRelativeGroup" minOccurs="0" name="ePayment.ClosestRelativeGroup">
<xs:complexType>
<xs:sequence>
<xs:element id="ePayment.ClosestRelativeGuardianLastName" minOccurs="0" name="ePayment.23" type="PersonLastName"/>
<xs:element id="ePayment.ClosestRelativeGuardianFirstName" minOccurs="0" name="ePayment.24" type="PersonFirstName"/>
<xs:element id="ePayment.ClosestRelativeGuardianMiddleInitialName" minOccurs="0" name="ePayment.25" type="PersonMiddleName"/>
<xs:element id="ePayment.ClosestRelativeGuardianStreetAddress" minOccurs="0" name="ePayment.26">
<xs:complexType>
<xs:simpleContent>
<xs:extension base="StreetAddress">
<xs:attribute name="StreetAddress2" type="StreetAddress" use="optional"/>
</xs:extension>
</xs:simpleContent>
</xs:complexType>
</xs:element>
<xs:element id="ePayment.ClosestRelativeGuardianCity" minOccurs="0" name="ePayment.27" type="CityGnisCodePayment"/>
<xs:element id="ePayment.ClosestRelativeGuardianState" minOccurs="0" name="ePayment.28" type="ANSIStateCode"/>
<xs:element id="ePayment.ClosestRelativeGuardianZIPCode" minOccurs="0" name="ePayment.29" type="ZIP"/>
<xs:element id="ePayment.ClosestRelativeGuardianCountry" minOccurs="0" name="ePayment.30" type="ANSICountryCode"/>
<xs:element id="ePayment.ClosestRelativeGuardianPhoneNumber" maxOccurs="unbounded" minOccurs="0" name="ePayment.31">
<xs:complexType>
<xs:simpleContent>
<xs:extension base="PhoneNumber">
<xs:attribute name="PhoneNumberType" type="PhoneNumberType" use="optional"/>
<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>
</xs:extension>
</xs:simpleContent>
</xs:complexType>
</xs:element>
<xs:element id="ePayment.ClosestRelativeGuardianRelationship" minOccurs="0" name="ePayment.32" type="ClosestRelativeGuardianRelationship"/>
</xs:sequence>
</xs:complexType>
</xs:element>
Content Element Detail (all declarations; defined in this component only; 10/10)
ePayment.23
Type:
PersonLastName, simple content
ePayment.23 Closest Relative/Guardian Last Name No No The last (family) name of the patient's closest relative or guardian E07_18 Optional
Simple Content
xs:string
maxLength:
 60
minLength:
 1
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianLastName" minOccurs="0" name="ePayment.23" type="PersonLastName"/>
ePayment.24
Type:
PersonFirstName, simple content
ePayment.24 Closest Relative/ Guardian First Name No No The first (given) name of the patient's closest relative or guardian E07_19 Optional
Simple Content
xs:string
maxLength:
 50
minLength:
 1
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianFirstName" minOccurs="0" name="ePayment.24" type="PersonFirstName"/>
ePayment.25
Type:
PersonMiddleName, simple content
ePayment.25 Closest Relative/ Guardian Middle Initial/Name No No The middle name/initial, if any, of the closest patient's relative or guardian. E07_20 Optional
Simple Content
xs:string
maxLength:
 50
minLength:
 1
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianMiddleInitialName" minOccurs="0" name="ePayment.25" type="PersonMiddleName"/>
ePayment.26
Type:
anonymous (extension of StreetAddress), simple content
ePayment.26 Closest Relative/ Guardian Street Address No No The street address of the residence of the patient's closest relative or guardian. E07_21 Optional This element allows for a two line documentation of the address. For out of country addresses the second line should be used to document, city, country, postal code and any other pertinent information.
Simple Content
xs:string
maxLength:
 255
minLength:
 1
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianStreetAddress" minOccurs="0" name="ePayment.26">
<xs:complexType>
<xs:simpleContent>
<xs:extension base="StreetAddress">
<xs:attribute name="StreetAddress2" type="StreetAddress" use="optional"/>
</xs:extension>
</xs:simpleContent>
</xs:complexType>
</xs:element>
ePayment.27
Type:
CityGnisCodePayment, simple content
ePayment.27 Closest Relative/ Guardian City No No The primary city or township of residence of the patient's closest relative or guardian. E07_22 Optional The city elements within the ePayment section have been updated to allow free text. This is important for mailing address purposes to submit claims and identify the correct payer.
Simple Content
xs:string
maxLength:
 30
minLength:
 2
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianCity" minOccurs="0" name="ePayment.27" type="CityGnisCodePayment"/>
ePayment.28
Type:
ANSIStateCode, simple content
ePayment.28 Closest Relative/ Guardian State No No The state of residence of the patient's closest relative or guardian. E07_23 Optional Based on ANSI State Code.<br/><br/>GNIS Codes Website: <a>http://geonames.usgs.gov/domestic/download_data.htm</a>
Simple Content
xs:string
Pattern:
 [0-9]{2}
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianState" minOccurs="0" name="ePayment.28" type="ANSIStateCode"/>
ePayment.29
Type:
ZIP, simple content
ePayment.29 Closest Relative/ Guardian ZIP Code No No The ZIP Code of the residence of the patient's closest relative or guardian. E07_24 Optional ZIP Codes Product Website: <a>https://www.zipcodedownload.com/Products/Product/Z5Commercial/Standard/Overview/</a> <br/>Product: USA - 5-digit ZIP Code Database, Commercial Edition
Simple Content
xs:string
Pattern:
 [0-9]{5}|[0-9]{5}-[0-9]{4}|[0-9]{5}-[0-9]{5}|[A-Z][0-9][A-Z] [0-9][A-Z][0-9]
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianZIPCode" minOccurs="0" name="ePayment.29" type="ZIP"/>
ePayment.30
Type:
ANSICountryCode, simple content
ePayment.30 Closest Relative/ Guardian Country No No The country of residence of the patient's closest relative or guardian. Optional Based on the ISO Country Code.<br/><br/>ANSI Country Codes (ISO 3166) Website: <a>http://www.iso.org/iso/country_codes/iso_3166_code_lists.htm</a> Added to improve international compatibility.
Simple Content
xs:string
Length:
 2
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianCountry" minOccurs="0" name="ePayment.30" type="ANSICountryCode"/>
ePayment.31
Type:
anonymous (extension of PhoneNumber), simple content
ePayment.31 Closest Relative/ Guardian Phone Number No No The phone number of the patient's closest relative or guardian E07_25 Optional
Simple Content
xs:string
Pattern:
 [2-9][0-9][0-9]-[2-9][0-9][0-9]-[0-9][0-9][0-9][0-9]
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianPhoneNumber" maxOccurs="unbounded" minOccurs="0" name="ePayment.31">
<xs:complexType>
<xs:simpleContent>
<xs:extension base="PhoneNumber">
<xs:attribute name="PhoneNumberType" type="PhoneNumberType" use="optional"/>
<xs:attribute name="CorrelationID" type="CorrelationID" use="optional"/>
</xs:extension>
</xs:simpleContent>
</xs:complexType>
</xs:element>
ePayment.32
Type:
ClosestRelativeGuardianRelationship, simple content
ePayment.32 Closest Relative/ Guardian Relationship No No The relationship of the patient's closest relative or guardian E07_26 Optional
Simple Content
enumeration of xs:string
Enumeration:
"2632001"
 - 
 Appointed Guardian
"2632003"
 - 
 Child/Dependent
"2632005"
 - 
 Father
"2632007"
 - 
 Mother
"2632009"
 - 
 Other (Non-Relative)
"2632011"
 - 
 Other (Relative)
"2632013"
 - 
 Sibling
"2632015"
 - 
 Spouse
"2632017"
 - 
 Employee
"2632019"
 - 
 Life/Domestic Partner
"2632021"
 - 
 Unknown
XML Source (w/o annotations (1); see within schema source)
<xs:element id="ePayment.ClosestRelativeGuardianRelationship" minOccurs="0" name="ePayment.32" type="ClosestRelativeGuardianRelationship"/>