付録2-2.検査依頼/結果の問い合わせ

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1 2-2Ver2.0 (1)QBP LIS(Laboratory Information System) ID(SAC-3) ID(SAC-10)100 (SAC-11)98 Conformance Statement ID=CS0001 MSH ^~\& INSTPROG AUTINST LISPROG LISSYS SECURITY QBP^ZOS^QBP_Q11 MSG00001 P 2.4 ~ISO IR87 ISO <CR> QBP^ZOS^QBP_Q11 MSG00001 P 2.4 <cr> QPD ZOS^Lab Order Specimen Query Q <cr> RCP I 1^RD <cr> (2)RSP LIS(Laboratory Information System) ID(SAC-3) ID(SAC-10)100 (SAC-11)98 MSH ^~\& LISPROG LISSYS INSTPROG AUTINST SECURITY RSP^ZOS^RSP_K11 MSGLIS00001 P 2.4 ~ISO IR87 ISO <CR> MSA AA MSG00001<cr> QAK Q001 OK ZOS^Lab Order Specimen Query 1 <cr> QPD ZOS^Lab Order Specimen Query Q <cr> PID YAMADA^TARO^^^^^L^A~ ^ ^^^^^L^I~ ^ ^^^^^L^P M<cr> SAC ^EXTLAB ^THISLAB SER U^UNKNOWN <cr> ORC NW A<cr> OBR A ^SODIUM^LN A SER ^^^^^R <CR> MSH SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME 1 1 ST R R Field Separator 2 4 ST R R Encoding Characters ^~\& HD O O Sending Application (1)INSTPROG(2)LISPROG HD O O Sending Facility (1)AUTINST (2)LISSYS HD O O Receiving Application (1)LISPROG (2)INSTPROG HD O O Receiving Facility (1)LISSYS (2)AUTINST 7 26 TS O R Date/Time Of Message / ST O O Security SECURITY 9 13 CM R R Message Type (1)QBP^ZOS^QBP_Q11 (2)RSP^ZOS^RSP_K ST R R Message Control ID (1)MSG00001 (2) MSGLIS PT R R Processing ID P ID R R Version ID NM O O Sequence Number ST O O Continuation Pointer 15 2 ID O O Accept Acknowledgment Type 16 2 ID O O Application Acknowledgment Type 17 3 ID O N Country Code ID O R Y Character Set ~ISO IR CE O O Principal Language of Message ID O O Alternate Character Set Handling Scheme ISO ID O O Conformance Statement ID QPD CE R R Message Query Name (for HL7 trigger) ZOS^Lab Order Specimen Query 2 32 ST C C Query Tag Q EI O O User Parameters (in successive fields) SAC-3 Container ID ID CE O O User Parameters (in successive fields) SAC-9 Carrier Type Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 249

2 5 80 EI O O User Parameters (in successive fields) 100 SAC-10 Carrier ID ID 6 80 NA O O User Parameters (in successive fields) 98 SAC-11 Position in Carrier 7 80 NA O O User Parameters (in successive fields) SAC-12 Tray Type 8 80 NA O O User Parameters (in successive fields) SAC-13 Tray ID 9 80 NA O O User Parameters (in successive fields) SAC-14 Position in Tray NA O O User Parameters (in successive fields) SAC-15 Location TS O O User Parameters (in successive fields) OBR-6 Requested Date/Time Low Level TS O O User Parameters (in successive fields) OBR-6 Requested Date/Time Upper Level RCP 1 1 ID O O Query Priority I(Immediate) 2 10 CQ O O Quantity Limited Request 1^RD 3 60 CE O O Response Modality 4 26 TS C C Execution and Delivery Time 5 1 ID O O Modify Indicator SRT O O Y Sort-by Field ID O O Y Segment group inclusion MSA SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME 1 2 ID R R Acknowledgment Code AA( ) 2 20 ST R R Message Control ID ID MSG ST O O Text Message 4 15 NM O O Expected Sequence Number 5 1 ID B O Delayed Acknowledgment Type CE O O Error Condition QAK 1 32 ST C C Query Tag Q ID O O Query Response Status OK CE O O Message Query Name ZOS^Lab Order Specimen Query 4 10 NM O O Hit Count NM O O This payload 6 10 NM O O Hits remaining PID 1 4 SI O O Set ID - Patient IDID CK O O Patient ID (External ID) ID( ID) CX R R Y Patient ID (Internal ID) ID( ID) ST O O Y Alternate Patient ID - PID ID XPN R R Y Patient Name YAMADA TARO( ) ( ) Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 250

3 ( ) XPN O N Mother's Maiden Name 7 26 TS O O Date/Time of Birth IS O R Sex ( ) 9 48 XPN O N Y Patient Alias CE O N Race XAD O O Y Patient Address 12 4 IS O N County Code XTN O O Y Phone Number - Home XTN O O Y Phone Number - Business CE O N Primary Language CE O O Marital Status CE O N Religion CX O O Patient Account Number ST O N SSN Number - Patient SSN DLN O N Driver's Lic Num - Patient CX O O Mother's CE O N Ethnic Group ST O N Birth Place 24 1 ID O N Multiple Birth Indicator 25 2 NM O N Birth Order CE O N Y Citizenship CE O N Veterans Military Status CE O O Nationality TS O O Patient Death Date and Time 30 1 ID O O Patient Death Indicator SAC 1 80 EI O O ^EXTLAB 2 80 EI O O ^THISLAB 3 80 EI C C EI C C EI O O CM O O SER 7 26 TS O O CE O O U^UNKNOWN CE O O EI O O NA O O CE O O EI O O NA O O CE O O Y NM O O NM O O NM O O NM O O CE O O NM O O NM O O NM O O CE O O CE O O CE O O CE O O Y CE O O SN O O CE O O SN O O NM O O CE O O NM O O CE O O NM O O Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 251

4 CE O O NM O O CE O O CE O O CE O O CE O O CE O O CE O O ORC 1 2 ID R R Order Control 2 22 EI C R Placer Order Number A 3 22 EI C C Filler Order Number 4 22 EI O O Placer Group Number 5 2 ID O O Order Status 6 1 ID O O Response Flag TQ O X Quantity/Timing / (OBR-27) CM O O Parent 9 26 TS O O Date/Time of Transaction XCN O O Entered By XCN O O Verified By XCN O O Ordering Provider PL O O Enterer's Location XTN O O Y/ Call Back Phone Number TS O O Order Effective Date/Time CE O O Order Control Code Reason CE O O Entering Organization CE O O Entering Device XCN O O Action By OBR SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME 1 4 SI C R Set ID Observation Request ID EI C R Placer Order Number A 3 22 EI C O Filler Order Number CE R R Universal Service ID ID ^SODIUM^LN 5 2 ID B O Priority 6 26 TS B O Requested Date/time 7 26 TS C O Observation Date/Time # / TS O O Observation End Date/Time # / 9 20 CQ O O Collection Volume * XCN O O Y Collector * 11 1 ID O O Specimen Action Code * A CE O O Danger Code ( ) ST O O Relevant Clinical Info TS C O Specimen Received Date/Time * CM O R Specimen Source * SER XCN O O Y Ordering Provider XTN O O Y/ Order Callback Phone Number ST O O Placer field ST O O Placer field ST O O Filler Field ST O O Filler Field TS C O Results Rpt/Status Chng Date/Time + / CM O O Charge to Practice ID O O Diagnostic Serv Sect ID ID 25 1 ID C O Result Status + Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 252

5 SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME CM O O Parent Result TQ O R Y Quantity/Timing / ^^^^^R XCN O O Y/ Result Copies To CM O O Parent Number * ID O O Transportation Mode CE O O Y Reason for Study CM O O Principal Result Interpreter CM O O Y Assistant Result Interpreter CM O O Y Technician CM O N Y Transcriptionist TS O O Scheduled Date/Time NM O O Number of Sample Containers * CE O O Y Transport Logistics of Collected Sample * CE O O Y Collector's Comment * CE O O Transport Arrangement Responsibility ID O O Transport Arranged 42 1 ID O O Escort Required CE O O Y Planned Patient Transport Comment QBP/RSP / Conformance Statement Query Statement ID (Query ID=ZOS): Type: Query Name: Query Trigger (= MSH-9): Query Mode: Response Trigger (= MSH-9): Query Characteristics: Purpose: Response Characteristics: Based on Segment Pattern: Conformance Statement ZOS Query Lab Order Specimen Query QBP^ZOS^QBP_Q11 Immediate RSP^ZOS^RSP_K11 / / OML^O21 QBP^ZOS^QBP Q11 Query Grammar: QBP Message Section Reference MSH Message Header QPD Query Parameter Definition Segment RCP Response Control Parameters [ DSC ] Continuation Pointer RSP^ZOS^RSP_K11 Response Grammar: Lab Order Specimen Query Response Section Reference MSH Message Header MSA Message Acknowledgement [ERR] Error QAK Query Acknowledgement QPD Query Parameter Definition [{NTE}] Notes and Comments (for Header) [ PID Patient Identification [{NTE}] Notes and Comments (for Patient ID) [PV1 Patient Visit [PV2]] Patient Visit- Additional Info [{AL1}] Allergy Information Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 253

6 ] SAC Specimen Container Details [{OBX}] Additional Specimen Characteristics { ORC Common Order [ OBR Observation Request [TCD] Test Code Details [{NTE}] Notes and Comments (for Detail) [ {OBX Observation/Result [TCD] Test Code Detail [{NTE}] Notes and Comments (for Results) } ] [{ [PID Patient Identification previous result [PV1 Patient Visit previous result [PV2]] Patient Visit Add. Info previous result [AL1] Allergy Information - previous result { [ORC] Common Order - previous result OBR Order Detail - previous result {[NTE]} Notes and Comments - previous result {OBX Observation/Result - previous result [{NTE}] Notes and Comments - previous result } } }] ] } Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 254

7 QPD Input Parameter Specification Field Seq Name (Query ID = ZOS) 1 Message Query Name Key/ Search Sort LEN TYPE Opt Rep Match Op 250 CE R 2 Query Tag 32 ST R 3 Container ID 4 Carrier Type 5 Carrier 6 Position in Carrier TBL Segment Field Name Service Code Element Name S 80 EI O = SAC.3 SAC-3: Container S 250 CE O = SAC-9 SAC-9: Carrier Type S 80 EI O = SAC.10 SAC-10: Carrier S 80 NA O = SAC.11 SAC-11: Position in Carrier 7 Tray Type S 250 CE O = SAC.12 SAC-12: Tray Type 8 Tray 9 Position in Tray S 80 EI O = SAC.13 SAC-13: Tray S 80 NA O = SAC.14 SAC-14: Position in Tray 10 Location S 250 CE O = SAC.15 SAC-15: Location 11 Requested Date.LL 12 Requested Date.UL S 26 TS O >= OBR.6 OBR-6: Requested Date/Time S 26 TS O <= OBR.6 OBR-6: Requested Date/Time QPD Input Parameter Field Description and Commentary Input Parameter Comp. Name DT Description (Query ID=ZOS) Message Query Name CE ZOS^Lab Order Specimen Query Query Tag ST Container ID EI Carrier Type CE Carrier EI Position in Carrier NA Tray Type CE Tray EI Position in Tray NA Location CE Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 255

8 RequestedDate.LL TS RequestedDate.UL TS RCP Response Control Parameter Field Description and Commentary Field Seq Name Component LEN DT Description (Query ID = ZOS) Name 1 Query Priority 1 ID I(=Immediate) 2 Quantity Limited 10 CQ Request Quantity NM 1 Units CE RD Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 256

9 (1)QBP LIS(Laboratory Information System) ID(SAC-3) ID(SAC-10)100 (SAC-11)98 Conformance Statement ID=CS0001 MSH ^~\& LISPROG LISSYS INSTPROG AUTINST SECURITY QBP^ZRS^QBP_Q11 MSGLIS00001 P 2.4 ~ISO IR87 ISO <CR> QPD ZRS^Lab Result Specimen Query Q <cr> RCP I 1^RD <cr> (2)RSP LIS(Laboratory Information System) ID(SAC-3) ID(SAC-10)100 (SAC-11)98 MSH ^~\& INSTPROG AUTINST LISPROG LISSYS SECURITY RSP^ZRS^RSP_K11 MSG00001 P 2.4 ~ISO IR87 ISO <CR> MSA AA MSG00001<cr> QAK Q001 OK ZRS^Lab Result Specimen Query 1 <cr> QPD ZRS^Lab Result Specimen Query Q <cr> PID YAMADA^TARO^^^^^L^A~ ^ ^^^^^L^I~ ^ ^^^^^L^P M<cr> SAC ^EXTLAB ^THISLAB SER U^UNKNOWN <cr> OBR A ^SODIUM^LN A SER ^^^^^R <CR> OBX 1 NM ^SODIUM^LN 24.3 ug/g N<CR> MSH SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME 1 1 ST R R Field Separator 2 4 ST R R Encoding Characters ^~\& HD O O Sending Application (1) LISROG(2) INSTPROG HD O O Sending Facility (1) LISSYS (2) AUTINST HD O O Receiving Application (1) INSTPROG (2) LISPROG HD O O Receiving Facility (1) AUTINST (2) LISSYS 7 26 TS O R Date/Time Of Message / ST O O Security SECURITY 9 13 CM R R Message Type (1)QBP^ZRS^QBP_Q11 (2)RSP^ZRS^RSP_K ST R R Message Control ID (1)MSGLIS00001 (2) MSG PT R R Processing ID P ID R R Version ID NM O O Sequence Number ST O O Continuation Pointer 15 2 ID O O Accept Acknowledgment Type 16 2 ID O O Application Acknowledgment Type 17 3 ID O N Country Code ID O R Y Character Set ~ISO IR CE O O Principal Language of Message ID O O Alternate Character Set Handling Scheme ISO ID O O Conformance Statement ID QPD CE R R Message Query Name (for HL7 trigger) ZRS^Lab Result Specimen Query 2 32 ST C C Query Tag Q EI O O User Parameters (in successive fields) SAC-3 Container ID ID CE O O User Parameters (in successive fields) SAC-9 Carrier Type 5 80 EI O O User Parameters (in successive fields) 100 SAC-10 Carrier ID Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 257

10 ID 6 80 NA O O User Parameters (in successive fields) 98 SAC-11 Position in Carrier 7 80 NA O O User Parameters (in successive fields) SAC-12 Tray Type 8 80 NA O O User Parameters (in successive fields) SAC-13 Tray ID 9 80 NA O O User Parameters (in successive fields) SAC-14 Position in Tray NA O O User Parameters (in successive fields) SAC-15 Location TS O O User Parameters (in successive fields) OBR-6 Requested Date/Time Low Level TS O O User Parameters (in successive fields) OBR-6 Requested Date/Time Upper Level RCP 1 1 ID O O Query Priority I(Immediate) 2 10 CQ O O Quantity Limited Request 1^RD 3 60 CE O O Response Modality 4 26 TS C C Execution and Delivery Time 5 1 ID O O Modify Indicator SRT O O Y Sort-by Field ID O O Y Segment group inclusion MSA SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME 1 2 ID R R Acknowledgment Code AA( ) 2 20 ST R R Message Control ID ID MSG ST O O Text Message 4 15 NM O O Expected Sequence Number 5 1 ID B O Delayed Acknowledgment Type CE O O Error Condition QAK 1 32 ST C C Query Tag Q ID O O Query Response Status OK CE O O Message Query Name ZRS^Lab Result Specimen Query 4 10 NM O O Hit Count NM O O This payload 6 10 NM O O Hits remaining PID 1 4 SI O O Set ID - Patient IDID CK O O Patient ID (External ID) ID( ID) CX R R Y Patient ID (Internal ID) ID( ID) ST O O Y Alternate Patient ID - PID ID XPN R R Y Patient Name YAMADA TARO( ) ( ) ( ) XPN O N Mother's Maiden Name 7 26 TS O O Date/Time of Birth Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 258

11 8 1 IS O R Sex ( ) 9 48 XPN O N Y Patient Alias CE O N Race XAD O O Y Patient Address 12 4 IS O N County Code XTN O O Y Phone Number - Home XTN O O Y Phone Number - Business CE O N Primary Language CE O O Marital Status CE O N Religion CX O O Patient Account Number ST O N SSN Number - Patient SSN DLN O N Driver's Lic Num - Patient CX O O Mother's CE O N Ethnic Group ST O N Birth Place 24 1 ID O N Multiple Birth Indicator 25 2 NM O N Birth Order CE O N Y Citizenship CE O N Veterans Military Status CE O O Nationality TS O O Patient Death Date and Time 30 1 ID O O Patient Death Indicator SAC 1 80 EI O O ^EXTLAB 2 80 EI O O ^THISLAB 3 80 EI C C EI C C EI O O CM O O SER 7 26 TS O O CE O O U^UNKNOWN CE O O EI O O NA O O CE O O EI O O NA O O CE O O Y NM O O NM O O NM O O NM O O CE O O NM O O NM O O NM O O CE O O CE O O CE O O CE O O Y CE O O SN O O CE O O SN O O NM O O CE O O NM O O CE O O NM O O CE O O NM O O CE O O Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 259

12 CE O O CE O O CE O O CE O O CE O O OBR SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME 1 4 SI C R Set ID Observation Request ID EI C R Placer Order Number A 3 22 EI C O Filler Order Number CE R R Universal Service ID ID ^SODIUM^LN 5 2 ID B O Priority 6 26 TS B O Requested Date/time 7 26 TS C O Observation Date/Time # / TS O O Observation End Date/Time # / 9 20 CQ O O Collection Volume * XCN O O Y Collector * 11 1 ID O O Specimen Action Code * A CE O O Danger Code ( ) ST O O Relevant Clinical Info TS C O Specimen Received Date/Time * CM O R Specimen Source * SER XCN O O Y Ordering Provider XTN O O Y/ Order Callback Phone Number ST O O Placer field ST O O Placer field ST O O Filler Field ST O O Filler Field TS C O Results Rpt/Status Chng Date/Time + / CM O O Charge to Practice ID O O Diagnostic Serv Sect ID ID 25 1 ID C O Result Status CM O O Parent Result TQ O R Y Quantity/Timing / ^^^^^R XCN O O Y/ Result Copies To CM O O Parent Number * ID O O Transportation Mode CE O O Y Reason for Study CM O O Principal Result Interpreter CM O O Y Assistant Result Interpreter CM O O Y Technician CM O N Y Transcriptionist TS O O Scheduled Date/Time NM O O Number of Sample Containers * CE O O Y Transport Logistics of Collected Sample * CE O O Y Collector's Comment * CE O O Transport Arrangement Responsibility ID O O Transport Arranged 42 1 ID O O Escort Required CE O O Y Planned Patient Transport Comment OBX 1 4 SI O O Set ID Observational SimpleID1 2 2 ID R R Value Type NM(Numeric) Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 260

13 3 250 CE R R Observation ^SODIUM^LN 4 20 ST C C Observation Sub-ID ID * C C Y Observation Value CE O O Units ug/g 7 60 ST O O References Range 8 5 ID O O Y/ Abnormal Flags N 9 5 NM O O Probability 10 2 ID O O Y Nature of Abnormal Test 11 1 ID R R Observ Result Status TS O O Date Last Obs Normal Values ST O O User Defined Access Checks TS O O Date/Time of the Observation CE O O Producer's ID ID XCN O O Responsible Observer CE O O Y Observation Method EI O O Y Equipment Instance TS O O Date/Time of the Analysis QBP/RSP / Conformance Statement Query Statement ID (Query ID=ZRS) : Type: Query Name: Query Trigger (= MSH-9): Query Mode: Response Trigger (= MSH-9): Query Characteristics: Purpose: Response Characteristics: Based on Segment Pattern: Conformance Statement ZRS Query Lab Result Specimen Query QBP^ZRS ^QBP_Q11 Immediate RSP^ZRS^RSP_K11 / / OUL^R21 QBP^ZRS^QBP Q11 Query Grammar: QBP Message Section Reference MSH Message Header QPD Query Parameter Definition Segment RCP Response Control Parameters [ DSC ] Continuation Pointer RSP^ZRS^RSP_K11 Response Grammar: Lab Result Specimen Query Response MSH Message Header MSA Message Acknowledgement [ERR] Error QAK Query Acknowledgement QPD Query Parameter Definition [NTE] Notes and Comments [ PID Patient Identification [{NTE}] Notes and Comments (for Patient ID) ] [ PV1 Patient Visit [PV2]] Patient Visit Additional Information ] Section Reference Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 261

14 { [ SAC Specimen Container Details [SID] Substance [{OBX}] Additional Specimen Characteristics ] [ORC] Common Order OBR Observation [{NTE}] Notes and Comments (for Detail) { [OBX] Observation Result [TCD] Test Code Detail {[SID]} Substance [{NTE}] Notes and Comments } } [DSC] Continuation Pointer Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 262

15 QPD Input Parameter Specification Field Seq Name (Query ID = ZRS) 1 Message Query Name Key/ Search Sort LEN TYPE Opt Rep Match Op 250 CE R 2 Query Tag 32 ST R 3 Container ID 4 Carrier Type 5 Carrier 6 Position in Carrier TBL Segment Field Name Service Code Element Name S 80 EI O = SAC.3 SAC-3: Container S 250 CE O = SAC-9 SAC-9: Carrier Type S 80 EI O = SAC.10 SAC-10: Carrier S 80 NA O = SAC.11 SAC-11: Position in Carrier 7 Tray Type S 250 CE O = SAC.12 SAC-12: Tray Type 8 Tray 9 Position in Tray S 80 EI O = SAC.13 SAC-13: Tray S 80 NA O = SAC.14 SAC-14: Position in Tray 10 Location S 250 CE O = SAC.15 SAC-15: Location 11 Requested Date.LL 12 Requested Date.UL S 6 TS O >= OBR.6 OBR-6: Requested Date/Time S 6 TS O <= OBR.6 OBR-6: Requested Date/Time QPD Input Parameter Field Description and Commentary Input Parameter Comp. Name DT Description (Query ID=ZRS) Message Query Name CE ZRS^Lab Result Specimen Query Query Tag ST Container ID EI Carrier Type CE Carrier EI Position in Carrier NA Tray Type CE Tray EI Position in Tray NA Location CE Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 263

16 RequestedDate.LL TS RequestedDate.UL TS RCP Response Control Parameter Field Description and Commentary Field Seq Name Component LEN DT Description (Query ID = ZRS) Name 1 Query Priority 1 ID I(=Immediate) 2 Quantity Limited 10 CQ Request Quantity NM 1 Units CE RD Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 264

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6. 6.1 (QRY/ADR) QRY ADR QRY/ADR QRF NTE 6.1.1 QRY/ADR - A19 A19 QRY/ADR QRY QRD [QRF [NTE Query Query Reader Observ Result/Record Response Notes and Comments (for QRD) ADR ADT Response MSA QRD Query Definition