| seq | type | opt | description | value |
|---|---|---|---|---|
| 1 | R | Sequence Number | ||
| 2 | R | Elation Requisition Number | ||
| 4.1 | R | Test Code | ||
| 4.2 | R | Test Description | ||
| 4.3 | O | Coding System | ’L’ - Local | |
| 7 | YYYYMMDDHHMM | R | Date/Time of Collection | |
| 11 | O | Action code to identify new order | ’N’ - New Order | |
| 16.1 | R | Ordering Provider NPI | NPI of ordering provider | |
| 16.2 | R | Ordering Provider Last Name | ||
| 16.3 | R | Ordering Provider First Name | ||
| 16.4 | O | Ordering Provider Initial | ||
| 27.6 | O | Priority | ’S’ - STAT | |
| 28.1 | O | Courtesy Copied Provider NPI | ||
| 28.2 | O | Courtesy Copied Provider Last Name | ||
| 28.3 | O | Courtesy Copied Provider First Name | ||
| 36 | YYYYMMDDHHMM | O | Scheduled date/time |