JAHIS臨床検査データ交換規約 オンライン版Ver1.0
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- えりか いのら
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5 HIS Datadase LIS AnyOther System
6 HISLIS QRY/ADR QRY ADT/ACK ADR ADT ACK OSQ/OSR OSQ OSR ORM/ORR ORM ORR QRY/ORF QRY / ORU/ACK ORF ORU ACK / / A19 A01 A02 A04 A06 A07 A08 A11 A12 Q06 O01/O02 R02,R04 R01
7 QRY/ADR QRY Query HIS LIS MSH Message Header QRD Query Reader [QRF] Observ Result/Record Response [{NTE}] Notes and Comments(for QRD) ADR ADT Response HIS LIS MSH Message Header MSA Message Acknowledgment QRD Query Definition { } PID Patient Identification PV1 Patient Visit [ PV2 ] Patient Visit - Additional Info. [ {AL1} ] Allergy Information
8 ADT/ACK ADT ADT Message HIS LIS MSH Message Header PID Patient Identification PV1 Patient Visit [ PV2 ] Patient Visit - Additional Info. [ { AL1 } ] Allergy Information ACK General Acknowledgment HIS LIS MSH Message Header MSA Message Acknowledgment [ ERR ] Error
9 OSQ OSQ Order Status Query HIS LIS MSH Message Header QRD Query Definition [ QRF ] Query Filter [ DSC ] Continuation Pointer
10 OSR OSR Order Status HIS LIS MSH Message Header MSA Message Acknowledgement [ERR] Error [{NTE}] Notes and Comments(for ERR) QRD Query Definition [QRF] Query Filter [NTE] Notes and Comments(for QRD,QRF) [ PID Patient Identification PV1 Patient Visit [{AL1}] Allergy Information { ORC Order Common { OBR Observations Request { OBX Observation/Result [NTE] Notes and Comments(for OBX) } } } ]
11 ORM ORM General Order Message HIS LIS MSH Message Header [ {NTE} ] Notes and Comments (for Header) { PID Patient Identification [ {NTE} ] Notes and Comments (for Patient ID) [ PV1 Patient Visit [ PV2 ] ] Patient Visit 2 [ { AL1 } ] Allergy ORC Order Common } OBR Observation Request [ { NTE } ] Notes and Comments (for OBR) [ { OBX Observation/Result } ] [ { NTE } ] Notes and Comments (for Results)
12 ORR ORR General Order Acknowledgment Message HIS LIS MSH Message Header [ {NTE} ] Notes and Comments (for Header) { PID Patient Identification [ {NTE} ] Notes and Comments (for Patient ID) [ PV1 Patient Visit [ PV2 ] ] Patient Visit 2 [ { AL1 } ] Allergy ORC Order Common } OBR Observation Request [ { NTE } ] Notes and Comments (for OBR) [ { OBX } ] Observation/Result [ { NTE } ] Notes and Comments (for Results)
13 QRY/ORF QRY Query HIS LIS MSH Message Header QRD Query Definition QRF Query Filter NTE Notes and Comments ORF Observational Report HIS LIS MSH Message Header MSA Message Acknowledgment QRD Query Definition { [ QRF ] Query Filter { [ PID Patient ID [{NTE}] ] Notes and Comments [ ORC ] Order Common OBR Observation request [{NTE}] Notes and comments { } Identification } } [OBX] ObservationResult [{NTE}] Notes and Comments {[CTI]} Clinical Trial
14 ORU/ACK HIS ORU Observational Results HIS LIS MSH Message Header } { PID Patient Identification { [ { NTE } ] Notes and Comments( for PID) [ PV1 ] Patient Visit OBR Observations Request } [ { NTE } ] Notes and Comments( for OBR) [ { OBX Observation/Result } ] [ { NTE } ] Notes and Comments( for OBX) [ DSC ] Continuation Pointer ACK Acknowledgment HIS LIS MSH Message Header MSA Message Acknowledgment
15 ORU/ACK LIS( ) ORU Observational Results HIS LIS MSH Message Header } { PID Patient Identification { [ { NTE } ] Notes and Comments( for PID) [ PV1 ] Patient Visit [ ORC ] Order Common } OBR Observations Request [ { NTE } ] Notes and Comments( for OBR) [ { OBX Observation/Result } ] [ { NTE } ] Notes and Comments( for OBX) [ DSC ] Continuation Pointer ACK Acknowledgment HIS LIS MSH Message Header MSA Message Acknowledgment
16 QRY/ORF ORU Observational Results HIS LIS MSH Message Header } { PID Patient Identification { [ { NTE } ] Notes and Comments( for PID) [ PV1 ] Patient Visit [ ORC ] Order Common } OBR Observations Request [ { NTE } ] Notes and Comments( for OBR) [ { OBX Observation/Result } ] [ { NTE } ] Notes and Comments( for OBX) [ DSC ] Continuation Pointer ACK Acknowledgment HIS LIS MSH Message Header MSA Message Acknowledgment
17 Data type Data Type Name Notes/Format Alphanumeric ST String TX Text data FT Formatted text Numerical CQ Composite quantity with units <quantity (NM)> ^ <units (CE)> MO Money <quantity (NM)> ^ <denomination (ID)> NM Numeric SI Sequence ID SN Structured numeric <comparator> ^ <num1 (NM)> ^ <separator/suffix> ^ <num2 (NM)> Identifier ID Coded values for HL7 tables IS Coded value for user-defined tables HD Hierarchic designator <namespace ID (IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)> Used only as part of EI and other data types. EI Entity identifier <entity identifier (ST)> ^ <namespace ID (IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)> RP Reference pointer <pointer (ST) > ^ < application ID (HD)> ^ <type of data (ID)> ^ <subtype (ID)> PL Person location <point of care (IS )> ^ <room (IS )> ^ <bed (IS)> ^ <facility (HD)> ^ < location status (IS )> ^ <person location type (IS)> ^ <building (IS )> ^ <floor (IS )> ^ <location description (ST)> PT Processing type <processing ID (ID)> ^ <processing mode (ID)> Date/Time DT Date YYYY[MM[DD]] TM Time HH[MM[SS[.S[S[S[S]]]]]][+/-ZZZZ] TS Time stamp YYYY[MM[DD[HHMM[SS[.S[S[S[S]]]]]]]][+/-ZZZZ] ^ <degree of precision>
18 Waveform CD Channel definition For waveform data only, see Chapter 7, Section <channel identifier (*)> ^ <channel number (NM)> & <channel name (ST)>> ^ <electrode names (*) > ^ <channel sensitivity/units (*) > ^ <calibration parameters (*)> ^ <sampling frequency (NM)> ^ <minimum/maximum data values (*)> MA Multiplexed array For waveform data only, see Chapter 7, Section <sample 1 from channel 1 (NM)> ^ <sample 1 from channel 2 (NM)> ^ <sample 1 from channel 3 (NM)>...~<sample 2 from channel 1 (NM)> ^ <sample 2 from channel 2 (NM)> ^ <sample 2 from channel 3 (NM)>...~ NA Numeric array For waveform data only, see Chapter 7, Section <value1 (NM)> ^ <value2 (NM)> ^ <value3 (NM)> ^ <value4 (NM)> ^... ED Encapsulated data Supports ASCII MIME-encoding of binary data. <source application (HD) > ^ <main ta Tm(
19 SE Q LE N DT OP T Japa n RP/# ITEM # ELEMENT NAME NOTE 1 1 ST R R Field Separator 2 4 ST R R Encoding Characters HD O O Sending Application HD O O Sending Facility HD O O Receiving Application HD O O Receiving Facility 7 26 TS O R Date/Time Of Message / 8 40 ST O O Security 9 7 C R R Message Type M ST R R Message Control ID 11 3 PT R R Processing ID 12 8 ID R R Version ID N M 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 2 ID O N Country Code ID O R Y Character Set CE O O Principal Language of Message ID O O Alternate Character Set Handling Scheme
20 SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME NOTE 1 4 SI O O Set ID - NTE ID-NTE 2 8 ID O O Source of Comment 3 64k FT O O Y Comment
21 SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE 1 4 SI O O Set ID - Patient IDID 2 16 CK O O Patient ID (External ID) ID( ID) 3 20 CX R R Y Patient ID (Internal ID) ID( ID) 4 12 ST O O Y Alternate Patient ID - PID ID 5 48*n XPN R R Y Patient Name 6 48 XPN O N Mother's Maiden Name 7 26 TS O O Date/Time of Birth 8 1 IS O R Sex 9 48 XPN O N Y Patient Alias 10 1 IS 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 16 1 IS O O Marital Status 17 3 IS O N Religion CX O O Patient Account Number ST O N SSN Number - Patient SSN CM O N Driver's Lic Num - Patient CX O O Mother's Identifier 22 3 IS O N Ethnic Group ST O N Birth Place 24 2 ID O N Multiple Birth Indicator 25 2 NM O N Birth Order 26 4 IS 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
22 SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE 1 4 SI O N Set ID - Patient Visit ID 2 1 IS R R Patient Class 3 12 PL O O Assigned Patient Location 4 2 IS O N Admission Type 5 20 CX O N Preadmit Number 6 12 PL O N Prior Patient Location 7 60 XCN O O Y Attending Doctor 8 60 XCN O N Y Referring Doctor 9 60 XCN O N Y Consulting Doctor 10 3 IS O N Hospital Service PL O N Temporary Location 12 2 IS O N Preadmit Test Indicator 13 2 IS O N Readmission Indicator 14 3 IS O N Admit Source 15 2 IS O N Y Ambulatory Status 16 2 IS O N VIP Indicator VIP XCN O N Y Admitting Doctor 18 2 IS O N Patient Type CK O N Visit Number CM O N Y Financial Class 21 2 IS O N Charge Price Indicator 22 2 IS O N Courtesy Code 23 2 IS O N Credit Rating 24 2 IS O N Y Contract Code 25 8 DT O N Y Contract Effective Date NM O N Y Contract Amount
23 27 3 NM O N Y Contract Period 28 2 IS O N Interest Code 29 1 IS O N Transfer to Bad Debt Code 30 8 DT O N Transfer to Bad Debt Date IS O N Bad Debt Agency Code NM O N Bad Debt Transfer Amount NM O N Bad Debt Recovery Amoun t 34 1 IS O N Delete Account Indicator 35 8 DT O N Delete Account Date 36 3 IS O N Discharge Disposition IS O N Discharged to Location 38 2 IS O N Diet Type 39 2 IS O N Servicing Facility 40 1 IS O N Bed Status 41 2 IS O N Account Status PL O N Pending Location PL O N Prior Temporary Location TS O O Admit Date/Time / TS O O Discharge Date/Time / NM O N Current Patient Balance NM O N Total Charges NM O N Total Adjustments NM O N Tota
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25 25 1 IS O N Visit Priority Code 26 8 DT O N Previous Treatment Date 27 2 IS O N Expected Discharge Disposition 28 8 DT O N Signature On File Date 29 8 DT O N First Similar Illness Date 30 3 IS O N Patient Charge Adjustment Code 31 2 IS O N Recurring Service Code 32 1 ID O N Billing Media Code TS O N Expected Surgery Date & Time 34 2 ID O N Military Prtnership Code 35 2 ID O N Military Non-Availabilty Code 36 1 ID O N Newborn Baby Indicator 37 1 ID O N Baby Detained Indicator
26 SEQ LEN DT OPT Japan RP/ ITEM ELEMENT NAME NOTE # # 1 4 SI R R Set ID - AllergyID 2 2 IS O O Allergy Type 3 60 CE R R Allergy Code/Mnemonic/Description / / 4 2 IS O O Allergy Severity 5 15 ST O O Allergy Reaction 6 8 DT O O Identification Date
27 SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE 1 2 ID R R Order Control 2 22 EI C R Placer Order Number 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 / 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
28 SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME NOTE 1 4 SI C R Set ID Observation Request ID 2 75 EI C R Placer Order Number 3 75 EI C O Filler Order Number CE R R Universal Service ID ID 5 2 ID B O Priority 6 26 TS B O Requested Date/time 7 26 TS C O Observation Date/Time # / 8 26 TS O O Observation End Date/Time # / 9 20 CQ O O Collection Volume * XCN O O Y Collector Identifier * 11 1 ID O O Specimen Action Code * CE O O Danger Code ( ) ST O O Relevant Clinical Info TS C O Specimen Received Date/Time * CM O R Specimen Source * 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 +
29 24 10 ID O O Diagnostic Serv Sect ID ID 25 1 ID C O Result Status CM O O Parent Result TQ O R Y Q
30 SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE 1 10 SI O O Set ID Observational Simple ID 2 2 ID R R Value Type CE R R Observation Identifier 4 20 ST C C Observation Sub-ID ID * C C Y Observation Value 6 60 CE O O Units 7 10 ST O O References Range 8 5 ID O O Y/ Abnormal Flags 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
31 SEQ LEN DT OPT Japan RP/# ITEM # ELEMENT NAME NOTE 1 2 ID R R Acknowledgment Code 2 20 ST R R Message Control ID ID 3 80 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
32 SEQ LEN DT OPT Japan RP/# TBL# ITEM # ELEMENT NAME NOTE 1 80 CM R R Y Error Code and Location
33 SEQ LEN DT OPT Japan RP/# ITEM ELEMENT NAME NOTE # 1 26 TS R R Query Date/Time / 2 1 ID R R Query Format Code 3 1 ID R R Query Priority 4 10 ST R R Query ID ID 5 1 ID O N Deferred Response Type 6 26 TS O N Deferred Response Date/Time / 7 10 CQ R R Quantity Limited Request 8 60 XCN R R Y Who Subject Filter 9 60 CE R R Y What Subject Filter CE R R Y What Department Data Code ST O O Y What Data Code Value Qual ID O O Query Results level
34 Value Description ADV ANU APN APP ARN APM APA CAN DEM FIN GOL MRI MRO NCK NSC NST ORD OTH PRB PRO
35 SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE 1 20 ST R R Y Where Subject Filter 2 26 TS O O When Data Start Date/Time 3 26 TS O O When Data End Date/Time 4 60 ST O N Y What User Qualifier 5 60 ST O N Y Other QRY Subject Filter QRY 6 12 ID O O Y Which Date/Time Qualifier 7 12 ID O O Y Which Date/Time Status Qualifier 8 12 ID O O Y Date/Time Selection Qualifier 9 60 TQ O O When Quantity/Timing Qualifier /
36 (1)QRY MSH ^~ & LIS HIS QRY^A19 LIS0001 P 2.3 ~ISO IR87 ISO <cr> QRD R I QPID ^RD <cr> <EOM> (2)ADR MSH ^~ & HIS LIS ADR^A19 HIS0001 P 2.3 ~ISO IR87 ISO <cr> MSA AA<cr> QRD R I QPID ^RD <cr> PID ^ ^^^^L^I~ ^ ^^^^L^P M<cr> PV1 O ^ ^ ^^^^^^L<cr> <EOM>
37 (1)ADT MSH ^~ & HIS LIS ADT^A P 2. 3 AL ~ISO IR87 ISO <cr> PID ^ ^^^^L^I~ ^ ^^^^L^P M<cr> PV1 O ^ ^ ^^^^^^L<cr> <EOM> (2)ACK MSH ^~ & LIS HIS ACK^A P 2. 3 ~ISO IR87 ISO <cr> MSA AA<cr> <EOM>
38 (1)OSQ MSH ^~ & LIS HIS OSQ^Q06 LIS0002 P 2.3 ~ISO IR87 ISO <cr> QRD R I OSQ ^RD PID001<cr> <EOM> (2)OSR MSH ^~ & HIS LIS OSR^Q06 HIS0002 P 2.3 ~ISO IR87 ISO <cr> MSA AA<cr> QRD R I OSQ ^RD PID001<cr> PID OPC-001 PID001 OTSUKA^TARO^^^^L^A~ ^ ^^^^L^I~ ^ ^^^^L^P M PV1 O ^ ^ ^^^^L^I AL1 1 DA ^ M O ORC NW OBR A100^ ^JC ^ ^ ^^^^L^I EC ORC NW OBR ^ set^l ^ ^ ^^^^L^I OAL 1 OBX NM 3B ^GOT^JC10 O OBX NM 3B ^GPT^JC10 O OBX NM 3B ^LDH-ISO^JC10 O ORC NW OBR ^OGTT^L ^ ^ ^ ^^^^L^I OAL 4 OBX NM 3D ^ ^JC10 O OBX NM 3D ^ 30M^JC10 O OBX NM 3D ^ 60M^JC10 O OBX NM 3D ^ 120M^JC10 O <EOM>
39 MSH ^~ & Seagaia LAB ORM^O01 mn123 T 2.3 ~ISO IR87 JP ISO NTE P Merit-9 Example Order PID OPC-001 PID001 OTSUKA^TARO^^^^L^A~ ^ ^^^^L^I~ ^ ^^^^L^P M PV1 O ^ ^ ^^^^L^I AL1 1 DA ^ M O ORC NW OBR A100^ ^JC
40 ORC MSH ^~ & LAB Seagaia ORU^R01 mn256 T 2.3 ~ISO IR87 ISO NTE L Sample Arrival Example PID OPC-001 PID001 OTSUKA^TARO^^^^L^A~ ^ ^^^^L^I~ ^ ^^^^L^P M OBR A100^ ^JC ^ ^ ^^^^L^I 0122 EC I OBX 0001 TX 9A100&IMP^ ^JC10 I OBR ^set^l ^ ^ ^^^^L^I 0123 OAL I OBX 0001 NM 3B ^GOT^JC10 U 6-28 I OAL OBX 0002 NM 3B ^GPT^JC10 U 3-9 I OAL OBX 0003 ST 3B ^LDH-ISO^JC10 I OAL OBX 0004 NM 3B ^LDH1^JC10 % I OAL OBX 0005 NM 3B ^LDH2^JC10 % I OAL OBX 0006 NM 3B ^LDH3^JC10 % I OAL OBX 0007 NM 3B ^LDH4^JC10 % I OAL
41 MSH ^~ & LAB Seagaia ORU^R01 mn256 T 2.3 ~ISO IR87 ISO NTE L Sample Arrival Example PID OPC-001 PID001 OTSUKA^TARO^^^^L^A~ ^ ^^^^L^I~ ^
42 ORU MSH ^~ & LAB Seagaia ORU^R01 mn256 T 2.3 ~ISO IR87 JP ISO NTE L Merit-9 Example Result PID OPC-001 PID001 OTSUKA^TARO^^^^L^A~ ^ ^^^^L^I~ ^ ^^^^L^P M ORC NW OBR A100^^JC ^ ^ ^^^^L^I 0122 EC F ^ OBX TX 9A100&IMP^ ^JC10 AA F ORC NW OBR ^OAL ^ set^l ^ ^ ^^^^L^I 0123 O AL F ^ 1 OBX 0001 NM 3B ^GOT^JC10 50 U 6-28 H N F OAL OBX 0002 NM 3B ^GPT^JC10 5 U 3-9 N F OAL OBX 0003 ST 3B ^LDH-ISO^JC10 F OAL OBX 0004 NM 3B ^LDH1^J
43 MSH... ORM^O01 PID... ORC NW A226677^PC ^PC N 3^QAM P123^A QITANE^ELLINORE^""^""^""^MD 4EAST<CR> OBR 9A100^EKG REPORT^JC10 P030^SMITH^MARTIN^""^""^""^MD 3^Q AM<CR>
44 MSH... ORM^O01 PID... ORC NW... // New order. OBR P42^PC 8A ^Creatinine Clearance^JC10... OBX ST ^Body Weight 62 kg<cr> OBX ST ^Height 190 cm<cr> ORC NW... // Next order....
45 ORM ORM OBXORU OBX (TP)(A L B A/G A/G TPA LB ORM M S H... O R M ^O 01 P ID... O R C... O B R... OBX NM 3A ^A/G ^JC10^402^A/G ^BML ORU M S H... O R U ^R 01 P ID... O B R... OBX NM 3A ^A/G ^JC10^402^A/G ^B M L H F OBX NM 3A ^(TP)^JC 10^401^(TP)^BML 7.0 g/dl <S P > F
46 2740X^OE 6B ( ) R=
47 MSH ORM^O01 PID OBR X^OE 6B ^ ^JC10 R ^JONES&COLLECTOR N Hepatitis risk 017&&JC ^INTERN^JOE^^^^MD^ L X3472<CR> OBR X^OE 6C ^ MIC^JC10 R A 4010^INTERN^JOE^^^^MD^L X3472<CR> OBX 1 ST 6C ^Ampicillin MIC D<CR> OBX 2 ST 6C ^Carbenicillin MIC D <CR> OBX 3 ST 6C ^Gentamicin MIC D <CR> OBX 4 ST 6C ^Tetracycline MIC1 D <CR> OBX 5 ST 6C ^Piperacillin MIC D <CR> OBX 6 ST 6C ^Cefuroxime MIC D <CR> OBX 7 ST 6C ^Cephalothin MIC D <CR> OBX 8 ST 6C ^Amoxicillin-Clavulanate D <CR>
48 BC376^M IC , ,1000 MB= =E.C oli,s.a ureus A= MSH ORU^R01 PID NTE <CR> OBR X^OE BC376^MIC 6B ^ ^JC10 R ^JO N E S & C O LLE C TO R N H epatitis risk &&JC ^INTERN ^JOE^^^^MD^L X MB F <CR> NTE <CR> OBX 1 CE 6B ^ ^JC10 1 ^E Coli A F<CR> OBX 2 CE 6B ^ ^JC10 2 ^S Aureus A F<CR>
49 / 1^^^^^P^^1^^^^^^^
50 OBX OBX-5OBX-2 OBX-2 OBX-5 NM NM NM <100 NM +4.5E+3 4.5E E ST ST <100 <100 ST CE ^ SN <^100 <100 SN <^1E+2 <1E+2<100
51 OBX OBX ST TX CE MEDIS suffix OBX NM 3A ^A/G ^JC H F OBX CE 3A &TCM^^JC10 E01^ ^L F
52 LOINC ( ) HIS BLOOD PRODUCT DISPOSITION:TYPE:PT:BPU:NOM BLOOD PRODUCT TYPE:TYPE:PT:BBL:NOM OBX ST 5H160XXXXXXXX^CROSSMATCHING^JC OBX ST 5H160XXXXXXXX^CROSSMATCHING^JC10 2 A AB:ACNC:PT:SER^DONOR:NOM:AGGL RBC ID=2 A AB ACNC PT SER DONOR NOM AGGL RBC ID XXXXXXXX LOINC
53 Ver2.0 Ver2.4 /
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