| Name | Description | Type | Additional information |
|---|---|---|---|
| HI_1_DiagnosisTypeCode | CodeListQualifierCode |
None. |
|
| HI_2_DiagnosisCode | string |
None. |
|
| HI_3_DateTimePeriodFormatQualifier | DateTimePeriodFormatQualifier |
None. |
|
| HI_4_DiagnosisDate | date |
None. |