Box 15 - Other Date

Box Definition

Box 15 identifies another date related to the patient’s condition. This can be entered using the 6-digit (MMDDYY) or 8-digit (MMDDYYYY) date format. This will be identified using one of the following qualifiers:

• 304 - Last Seen
• 439 - Accident
• 454 - Initial Treatment

Enter the qualifier between the left-hand set of vertical, dotted lines.

In AveaOffice

Box is not supported in AveaOffice. 

EDI Loop/Segment

Loop 2300, DTP01 (Qualifier) and DTP03 (Date)