HL7 Conformance Statement

8/3/2019 HL7 Conformance Statement

http://slidepdf.com/reader/full/hl7-conformance-statement 1/19

Turmap Information Technologies

Mediplus PACS & RIS

HL7 Conformance Statement



Turmap Information Technologies HL7 Conformance Statement

2 © 2007 Turmap Information Technologies

1. Introduction

1.1. Content

T h i s d o c u m e n t s p e c i f i e s t h e e l e c t r o n i c d a t a e x c h a n g e o f T u r m a p

I n f o r m a t i o n S y s t e m ’ s p r o d u c t s o f M e d i p l u s P A C S & R I S u s i n g H L 7

V 2 . 5 s t a n d a r d .

I m p o r t a n t N o t e : S p e c i f i c a t i o n s d e c l a r e d i n t h i s d o c u m e n t a r e

s u b j e c t t o c h a n g e w i t h o u t a n y n o t i f i c i c a t i o n , p l e a s e c o n t a c t i n

a d v a n c e f o r t h e l a t e s t .

1.2. Terms, Descriptions and Abbreviations

T h e t e r m s , d e s c r i p t i o n s a n d t h e a b b r e v i a t i o n s u s e d i n t h i s d o c u m e n t

a r e g i v e n b e l o w w i t h t h e i r f o r m a l n a m e s .

P A C S P i c t u r e A r c h i e v i n g a n d C o m m u n i c a t i o n S y s t e m

D I C O M D i g i t a l I m a g i n g a n d C o m m u n i c a t i o n s i n M e d i c i n e

R I S R a d i o l o g i c a l I n f o r m a t i o n S y s t e m

H L 7 H e a l t h L e v e l S e v e n

A D T A d m i s s i o n – D i s c h a r g e - T r a n s f e r

M W L D I C O M M o d a l i t y W o r k l i s t

O R M O r d e r R e q u e s t M e s s a g e

O R U U n s o l i c i t e d T r a n s m i s s i o n o f a n O b s e r v a t i o n

T C P / I P T r a n s m i s s i o n C o n t r o l P r o t o c o l / I n t e r n e t P r o t o c o l

M L L P M i n i m a l L o w e r L a y e r P r o t o c o l

I H E I n t e g r a t i n g t h e H e a l t h c a r e E n t e r p r i s e





1.3. Supported Message List

Message Definition Message Type Event Code

Admit/Visit Notification ADT A01

Transfer a patient ADT A02

Discharge/end Visit ADT A03

Register a patient ADT A04

Pre-admit a patient ADT A05

Change an outpatient to an inpatient ADT A06

Change an inpatient to an outpatient ADT A07

Update Patient Info ADT A08

Cancel admit/visit notification ADT A11

Cancel Transfer ADT A12

Cancel discharge /end visit ADT A13

Delete a patient Record ADT A23

Cancel pre-admit ADT A38

Merge patient – Internal ID ADT A40

Request new appointment booking SRM S01

Request appointment rescheduling SRM S02

Request appointment Delete SRM S06

General Order Message ORM O01

unsolicited transmission of an observation

message

ORU R01

unsolicited transmission of an observation

message Update

ORU R02

Embedded query language query EQQ Q01

Virtual table query VTQ Q01





2. Transportation Profile

MLLP

A s i t i s r e c o m m e n d e d i n H L 7 v . 2 . 5 . 1 , M i n i m a l L o w e r L a y e r P r o t o c o l

( M L L P ) i s s u p p o r t e d f o r M e d i p l u s a s t r a n s p o r t a t i o n p r o t o c o l . M L L P

i s a p r o t o c o l t h a t b a s e d o n T C P / I P w i t h O S I - 7 l a y e r i n g . D u e t o t h e

r e c o m e n d a t i o n s t o p r o v i d e b a c k g r a u n d a m o n g l a y e r s , H L 7 m e s s a g e s ;

• S t a r t s w i t h 0 x 0 B .

• E n d s w i t h 0 x 1 C a n d 0 x 0 D .

• E a c h s e g m e n t e n d s w i t h 0 x 0 D .





3. HL7 Messages

3.1.

IntroductionU p t o t h e H L 7 V 3 . 0 , a l l p r e v o u s v e r s i o n s f o r m e d o f s e g m e n t s . E a c h

m e s s g a e h a s b e e n d e s c r i b e d w i t h m e s s a g e f o r m u l a s

W h i l e i t h a s b e e n f o r m u l i z e d

• T h e s e g m e n t s w r i t t e n w i t h o u t a n y p r e f i x a r e m a n d a t o r y

• T h e s e g m e n s t s t a t e d i n [ ] a r e o p t i o n a l

• { } r e p r e s e n t s s e g m e n t b l o c k s

3.2. HL7 Mesage Grammers

T h e m e s s a g e g r a m m e r s o f t h e H L 7 m e s s a g e s s u p p o r t e d i n M e d i p l u s

P A C S & R I S a r e b e l o w ;

ADTÂ01

M S H M e s s a g e H e a d e r

E V N E v e n t T y p e

P I D P a t i e n t I d e n t i f i c a t i o n

[ P D 1 ] A d d i t i o n a l D e m o g r a p h i c sP V 1 P a t i e n t V i s i t

ADTÂ02




[ P D 1 ] A d d i t i o n a l D e m o g r a p h i c s

P V 1 P a t i e n t V i s i t

ADTÂ03









ADTÂ04






ADTÂ05



P I D P a t i e n t I d e n t i f i c a t i o n[ P D 1 ] A d d i t i o n a l D e m o g r a p h i c s

P V 1 P a t i e n t V i s i t ADTÂ06






ADTÂ07















ADTÂ11






ADTÂ12











ADTÂ23






ADTÂ38

M S H M e s s a g e H e a d e r E V N E v e n t T y p e








ADTÂ40





P V 1 P a t i e n t V i s i t SRM^S01


A R Q A p p o i n t m e n t R e q u e s t I n f o r m a t i o n


[ P V 1 ] P a t i e n t V i s i t[ { D G 1 } ] D i a g n o s i s

R G S R e s o u r c e G r o u p

A I S A p p o i n t m e n t I n f o r m a t i o n S e r v i c e

SRM^S02




[ P V 1 ] P a t i e n t V i s i t

[ { D G 1 } ] D i a g n o s i s

R G S R e s o u r c e G r o u p


SRM^S06



P I D P a t i e n t I d e n t i f i c a t i o nR G S R e s o u r c e G r o u p






ORMÔ01

M S H

[ { N T E } ]

[ P A T I E N T

P I D

[ P D 1 ]

[ { N T E } ]

[ P A T I E N T V I S I T

P V 1

[ P V 2 ]

]

[ I N S U R A N C EI N 1

[ I N 2 ]

[ { I N 3 } ]

]

[ G T 1 ]

[ { A L 1 } ]

]

{ O R D E R

O R C

[ O R D E R D E T A I L

O B R

[ { N T E } ]

[ { D G 1 } ]

[ O B S E R V A T I O N

O B X

[ { N T E } ]

]

]

[ { C T I } ]

[ B L G ]

}





ORRÔ02


M S A P a t i e n t I n f o r m a t i o n

[ E R R ] P a t i e n t V i s i t

[ R E S P O N S E

[ P A T I E N T

P I D

[ { N T E } ]

]

{ O R D E R

O R C

O B R [ { N T E } ]

[ { C T I } ]

}

]

ORU^R01


P I D P a t i e n t I n f o r m a t i o n

[ P V 1 ] P a t i e n t V i s i t

O B R O b s e r v a t i o n s R e p o r t I D

O B X O b s e r v a t i o n R e s u l t

EQQ^Q01


E Q L E Q L D e f i n i t i o n

VTQ^Q01


V T Q V T Q D e f i n i t i o n

[ R D F ] T a b l e R o w D e f i n i t i o n





4. HL7 Mesage Segments

4.1.

Notes on table structure

T h e s e g m e n t s u s e d i n M e d i p l u s P A C S & R I S H L 7 m e s s a g i n g a r e l i s t e d

b e l o w i n f o r m o f t a b l e . I f w e d e s c r i b e t h e c o l u m n s i n o r d e r .

S E Q – S e q u e n c e o f f i e l d

L E N – M a x i m u m n u m b e r o f c h a r a c t e r

D T - D a t a T y p e

O P T – O p t i o n a l i t y , t h o s e f i e l d s ‘ R ’ a r e t h e r e q u i r e d f i e l d s t o b e i n

m e s s a g e b y H L 7 s t a n d a r d s .

R P – R e p i t i b l e

T B L – I f t h e v a l u e o f t h i s f i e l d i s a s s g i n i n g f r o m a u s e r d e f i n e d

t a b l e .

I T E M - U n i q u e r e f e r e n c e n u m b e r o f f i e l d i n H L 7

M E D I P L U S – t h i s i s n o t a c o l u m n o f s t a n d a r d H L 7 s e g m e n t t a b l e ,

w h i c h i s a d d e d b y u s . ‘ * ’ ( s t a r ) s i g n r e p r e s e n t s t h a t t h o s e f i e l d s i n

s e g m e n t a r e s u p p o r t e d b y M e d i p l u s P A C S & R I S a p p l i c a t i o n s .

4.2. Segments

MSH

SEQ LEN DT OPT RP/# TBL# ITEM

# ELEMENT NAME MEDIPLUS

1 1 ST R 00001 Field Separator *

2 4 ST R 00002 Encoding Characters *

3 180 HD O 00003 Sending Application *

4 180 HD O 00004 Sending Facility *

5 180 HD O 00005 Receiving Application *

6 180 HD O 00006 Receiving Facility

7 26 TS O 00007 Date/Time Of Message *





8 40 ST O 00008 Security

9 7 CM R 00009 Message Type *

10 20 ST R 00010 Message Control ID *

11 3 PT R 00011 Processing ID *

12 8 ID R 0104 00012 Version ID *

13 15 NM O 00013 Sequence Number

14 180 ST O 00014 Continuation Pointer

15 2 ID O 0155 00015 Accept Acknowledgment Type

16 2 ID O 0155 00016 Application Acknowledgment

Type

17 2 ID O 00017 Country Code

18 6 ID O Y/3 0211 00692 Character Set 19 60 CE O 00693 Principal Language Of Message

EVN

SEQ LEN DT OPT RP/# TBL# ITEM# ELEMENT NAME MEDIPLUS

1 3 ID B 0003 00099 Event Type Code *

2 26 TS R 00100 Recorded Date/Time *

3 26 TS O 00101 Date/Time Planned Event *

4 3 IS O 0062 00102 Event Reason Code 5 60 XCN O 0188 00103 Operator ID

6 26 TS O 01278 Event Occurred

PID


1 4 SI O 00104 Set ID - Patient ID *

2 20 CX O 00105 Patient ID (External ID)

3 20 CX R Y 00106 Patient ID (Internal ID) *

4 20 CX O Y 00107 Alternate Patient ID - PID

5 48 XPN R 00108 Patient Name *

6 48 XPN O 00109 Mother’s Maiden Name *

7 26 TS O 00110 Date/Time of Birth *

8 1 IS O 0001 00111 Sex *

9 48 XPN O Y 00112 Patient Alias

10 1 IS O 0005 00113 Race





11 106 XAD O Y 00114 Patient Address *

12 4 IS B 00115 County Code *

13 40 XTN O Y 00116 Phone Number - Home *

14 40 XTN O Y 00117 Phone Number - Business *

15 60 CE O 0296 00118 Primary Language

16 1 IS O 0002 00119 Marital Status *

17 3 IS O 0006 00120 Religion

18 20 CX O 00121 Patient Account Number *

19 16 ST O 00122 SSN Number - Patient

20 25 CM O 00123 Driver's License Number -

Patient

21 20 CX O Y 00124 Mother's Identifier 22 3 IS O 0189 00125 Ethnic Group

23 60 ST O 00126 Birth Place *

24 2 ID O 0136 00127 Multiple Birth Indicator

25 2 NM O 00128 Birth Order

26 4 IS O Y 0171 00129 Citizenship *

27 60 CE O 0172 00130 Veterans Military Status *

28 80 CE O 00739 Nationality *

29 26 TS O 00740 Patient Death Date and Time *

30 1 ID O 0136 00741 Patient Death Indicator

PV1


1 4 SI O 00131 Set ID - PV1 *

2 1 IS R 0004 00132 Patient Class *

3 80 PL O 00133 Assigned Patient Location *

4 2 IS O 0007 00134 Admission Type *

5 20 CX O 00135 Preadmit Number *

6 80 PL O 00136 Prior Patient Location

7 60 XCN O Y 0010 00137 Attending Doctor *

8 60 XCN O Y 0010 00138 Referring Doctor *

9 60 XCN O Y 0010 00139 Consulting Doctor *

10 3 IS O 0069 00140 Hospital Service

11 80 PL O 00141 Temporary Location

12 2 IS O 0087 00142 Preadmit Test Indicator





13 2 IS O 0092 00143 Readmission Indicator

14 3 IS O 0023 00144 Admit Source

15 2 IS O Y 0009 00145 Ambulatory Status 16 2 IS O 0099 00146 VIP Indicator

17 60 XCN O Y 0010 00147 Admitting Doctor *

18 2 IS O 0018 00148 Patient Type *

19 20 CX O 00149 Visit Number *

20 50 CM O Y 0064 00150 Financial Class

21 2 IS O 0032 00151 Charge Price Indicator

22 2 IS O 0045 00152 Courtesy Code

23 2 IS O 0046 00153 Credit Rating

24 2 IS O Y 0044 00154 Contract Code 25 8 DT O Y 00155 Contract Effective Date

26 12 NM O Y 00156 Contract Amount

27 3 NM O Y 00157 Contract Period

28 2 IS O 0073 00158 Interest Code

29 1 IS O 0110 00159 Transfer to Bad Debt Code

30 8 DT O 00160 Transfer to Bad Debt Date

31 10 IS O 0021 00161 Bad Debt Agency Code

32 12 NM O 00162 Bad Debt Transfer Amount

33 12 NM O 00163 Bad Debt Recovery Amount 34 1 IS O 0111 00164 Delete Account Indicator

35 8 DT O 00165 Delete Account Date

36 3 IS O 0112 00166 Discharge Disposition

37 25 CM O 0113 00167 Discharged to Location

38 2 IS O 0114 00168 Diet Type

39 2 IS O 0115 00169 Servicing Facility

40 1 IS B 0116 00170 Bed Status

41 2 IS O 0117 00171 Account Status

42 80 PL O 00172 Pending Location

43 80 PL O 00173 Prior Temporary Location

44 26 TS O 00174 Admit Date/Time

45 26 TS O 00175 Discharge Date/Time

46 12 NM O 00176 Current Patient Balance

47 12 NM O 00177 Total Charges

48 12 NM O 00178 Total Adjustments

49 12 NM O 00179 Total Payments





50 20 CX O 0192 00180 Alternate Visit ID

51 1 IS O 0326 01226 Visit Indicator

52 60 XCN O Y 0010 01224 Other Healthcare Provider

PD1


1 2 IS O Y 0223 00755 Living Dependency

2 2 IS O 0220 00742 Living Arrangement

3 90 XON O Y 00756 Patient Primary Facility

4 90 XCN O Y 00757 Patient Primary Care Provider

Name & ID No.

5 2 IS O 0231 00745 Student Indicator

6 2 IS O 0295 00753 Handicap

7 2 IS O 0315 00759 Living Will

8 2 IS O 0316 00760 Organ Donor

9 2 ID O 0136 00761 Separate Bill

10 2 CX O Y 00762 Duplicate Patient

11 1 IS O 0125 00743 Publicity Indicator 12 1 ID O 0136 01283 Protection Indicator

OBR

SEQ LEN DT OPT RP/# TBL# ITEM # ELEMENT NAME MEDIPLUS

1 4 SI C 00237 Set ID – OBR

2 75 EI C 00216 Placer Order Number

3 75 EI C 00217 Filler Order Number + *

4 200 CE R 00238 Universal Service ID *

5 2 ID B 00239 Priority *

6 26 TS B 00240 Requested Date/time

7 26 TS C 00241 Observation Date/Time # *

8 26 TS O 00242 Observation End Date/Time # *

9 20 CQ O 00243 Collection Volume *

10 60 XCN O Y 00244 Collector Identifier *





11 1 ID O 0065 00245 Specimen Action Code *

12 60 CE O 00246 Danger Code

13 300 ST O 00247 Relevant Clinical Info. *

14 26 TS C 00248 Specimen Received Date/Time

*

15 300 CM O 0070 00249 Specimen Source *

16 80 XCN O Y 00226 Ordering Provider

17 40 XTN O Y/2 00250 Order Callback Phone Number

18 60 ST O 00251 Placer field 1 *

19 60 ST O 00252 Placer field 2 *

20 60 ST O 00253 Filler Field 1 + *

21 60 ST O 00254 Filler Field 2 + *22 26 TS C 00255 Results Rpt/Status Chng -

Date/Time +

23 40 CM O 00256 Charge to Practice +

24 10 ID O 0074 00257 Diagnostic Serv Sect ID

25 1 ID C 0123 00258 Result Status +

26 400 CM O 00259 Parent Result +

27 200 TQ O Y 00221 Quantity/Timing

28 150 XCN O Y/5 00260 Result Copies To

29 150 CM O 00261 Parent

30 20 ID O 0124 00262 Transportation Mode

31 300 CE O Y 00263 Reason for Study *

32 200 CM O 00264 Principal Result Interpreter +

33 200 CM O Y 00265 Assistant Result Interpreter +

34 200 CM O Y 00266 Technician +

35 200 CM O Y 00267 Transcriptionist +

36 26 TS O 00268 Scheduled Date/Time +

37 4 NM O 01028 Number of Sample Containers

*

38 60 CE O Y 01029 Transport Logistics of

Collected Sample *

39 200 CE O Y 01030 Collector's Comment *

40 60 CE O 01031 Transport Arrangement

Responsibility

41 30 ID O 0224 01032 Transport Arranged

42 1 ID O 0225 01033 Escort Required

43 200 CE O Y 01034 Planned Patient Transport

Comment





OBX


1 10 SI O 00569 Set ID – OBX *

2 2 ID C 0125 00570 Value Type *

3 590 CE R 00571 Observation Identifier *

4 20 ST C 00572 Observation Sub-ID

5 65536 [ The

length of

the

observation

value fieldis variable,

depending

upon value

type. See

OBX-2-

value type

.]

* C Y [ May

repeat for

multipart,

single

answer results

with

appropriate

data types,

e.g., CE,

TX, and

FT data

types.]

00573 Observation Value *

6 60 CE O 00574 Units

7 10 ST O 00575 References Range

8 5 ID O Y/5 0078 00576 Abnormal Flags

9 5 NM O 00577 Probability

10 2 ID O Y 0080 00578 Nature of Abnormal Test

11 1 ID R 0085 00579 Observ Result Status *

12 26 TS O 00580 Date Last Obs Normal

Values

13 20 ST O 00581 User Defined Access

Checks

14 26 TS O 00582 Date/Time of the

Observation *

15 60 CE O 00583 Producer's ID

16 80 XCN O 00584 Responsible Observer 17 60 CE O Y 00936 Observation Method

ARQ


1 1 ST R 00001 Field Separator *

2 4 ST R 00002 Encoding Characters *

3 227 HD O 0361 00003 Sending Application





4 227 HD O 0362 00004 Sending Facility

5 227 HD O 0361 00005 Receiving Application

6 227 HD O 0362 00006 Receiving Facility7 26 TS R 00007 Date/Time Of Message *

8 40 ST O 00008 Security

9 15 MSG R 00009 Message Type *

10 20 ST R 00010 Message Control ID *

11 3 PT R 00011 Processing ID *

12 60 VID R 00012 Version ID *

13 15 NM O 00013 Sequence Number

14 180 ST O 00014 Continuation Pointer

15 2 ID O 0155 00015 Accept Acknowledgment Type

16 2 ID O 0155 00016Application Acknowledgment Type

17 3 ID O 0399 00017 Country Code

18 16 ID O Y 0211 00692 Character Set

19 250 CE O 00693 Principal Language Of Message

20 20 ID O 0356 01317Alternate Character Set Handling

Scheme

21 427 EI O Y 01598 Message Profile Identifier

RGS


1 4 SI R 01203 Set ID - RGS *

2 3 ID C 0206 00763 Segment Action Code

3 250 CE O 01204 Resource Group ID *

VTQ


1

32

ST

O

00696

Query Tag

*

2 1 ID R 0106 00697 Query/Response Format Code *

3 60 CE R 00698 VT Query Name *

4 60 CE R 00699 Virtual Table Name *

5 256 QSC O Y 00700 Selection Criteria *

RDF






1 3 NM R 00701 Number of Columns per Row *

2 40 RCD R Y 00702 Column Description *

5. REFERENCES

[1] Da vi d In gr am, “ Information Technology Solutions fo r Healthcare ”

[ 2] H.K. Hu a n g, “PACS and Ima ging Informatics ” , 2 0 04

[ 3] Dr . Dav id Ha rve y, 2 0 04 , “Understanding the role of IHE in

PACS

[4] “What is HL7 ” , ht t p: / /www. hl7. o r g/

HL7 Conformance Statement

Documents