TXA — Transcription Document Header
Appears in MDM (Medical Document Management) messages. Carries metadata for the clinical document, with the actual document text in OBX segments that follow.
The TXA segment provides header information for transcribed clinical documents such as discharge summaries, operative reports, and H&P notes. It identifies the document type, authorship, and status.
Real-World Context
TXA is the envelope for clinical documents in HL7 interfaces. Document status in TXA.17 drives EHR document availability — documents are not displayed to clinicians until status reaches AU (authenticated) or LA (legally authenticated). If discharge summaries are not appearing in the EHR, document status is the first thing to check.
Field Reference
Click any row to see the full description, common values, and troubleshooting tip.
| # | Field Name | Type | Req | Max Len | |
|---|---|---|---|---|---|
| 1 | Set ID - TXA | SI | R | 4 | ▶ |
| 2 | Document Type | IS | R | 30 | ▶ |
| 3 | Document Content Presentation | ID | O | 2 | ▶ |
| 4 | Activity Date/Time | TS | O | 26 | ▶ |
| 5 | Primary Activity Provider Code/Name | XCN | O | 250 | ▶ |
| 6 | Origination Date/Time | TS | O | 26 | ▶ |
| 7 | Transcription Date/Time | TS | O | 26 | ▶ |
| 8 | Edit Date/Time | TS | O | 26 | ▶ |
| 9 | Originator Code/Name | XCN | O | 250 | ▶ |
| 10 | Assigned Document Authenticator | XCN | O | 250 | ▶ |
| 11 | Transcriptionist Code/Name | XCN | O | 250 | ▶ |
| 12 | Unique Document Number | EI | R | 427 | ▶ |
| 13 | Parent Document Number | EI | O | 427 | ▶ |
| 14 | Placer Order Number | EI | O | 427 | ▶ |
| 15 | Filler Order Number | EI | O | 427 | ▶ |
| 16 | Unique Document File Name | ST | O | 30 | ▶ |
| 17 | Document Completion Status | ID | R | 2 | ▶ |
| 18 | Document Confidentiality Status | ID | O | 2 | ▶ |
| 19 | Document Availability Status | ID | O | 2 | ▶ |
| 20 | Document Storage Status | ID | O | 2 | ▶ |
| 21 | Document Change Reason | ST | O | 30 | ▶ |
| 22 | Authentication Person, Time Stamp | PPN | O | 250 | ▶ |
| 23 | Distributed Copies (Code and Name of Recipients) | XCN | O | 250 | ▶ |
| 24 | Folder Assignment | CE | O | 250 | ▶ |
Example Segment
1TXA||1|DS^Discharge Summary|FT|20260310200000|1234567890^JONES^ROBERT^^^MD^NPI|20260310160000|20260310190000||1234567890^JONES^ROBERT^^^MD^NPI|1234567890^JONES^ROBERT^^^MD^NPI|MT001^DAVIS^CAROL^^^CMT|DOC20260310-001^TRANSCRIPTION|||RAD987654^RIS||DS_20260310_001.txt|AU|U|AV|AC|
Related Segments
Used In Message Types
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