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1 J Japanese A Association of H Healthcare J A H I S Ver. 1.1 I Information S Systems Industry

2 JAHIS Ver Copyright Copyright Copyright i

3 1 2 HL HL7 52 (OMP/ORP 53 (QRY/ADR 54 (OSQ/OSR / 64 HL MSH 72 NTE 73 PID 74 PV1 75 AL1 76 ORC 77 RXO 78 RXR 79 MSA 710 ERR 711 QRD ii

4 1. 1

5 2. HL7 (HL7 OSI 7 HL7 ( (HL V1.0 V V V ANSI 1992 ANSI HISPP(Healthcare Informatics Standards Planning Panel 1994 ANSI 1994 V V2.3 V3.0 (HL7 HL7 HL7 HL7 HL (HL7 HL7OSI7( HL7 V2.1 V2.2 V2.3 HL7 ID ( ( ( ( ( ASTM E1238 HL7 ANSI HISPP (HISB NCPDP(, ACR/NEMA( DICOM, IEEE MEDIX(, ASTM(, ASC X12( CEN-TC251(European Committee for Standardization Technical Committee 251 ( HL7 HL HL7 2

6 3. Trigger Event HL7 Message1 ADT( 3 Segment(record 1 ( ID 3 OBR OBX Field Field components ( Message Delimiters Placer(Requestor Filler(Producer ( 3

7 4. 1.OMP/ORP (ORM/ORR 2.QRY/ADR 3.OSQ/OSR HIS OMP/ORP OMP ORP (HL7 Ver , O09/O10 QRY/ADR QRY ADR (HL7 Ver A19 OSQ/OSR OSQ OSR (HL7 Ver Q06 OMP/ORP OMP ORP QRY/ADR QRY ADR OSQ/OSR OSQ OSR 4

8 HL7 ( ( (MSH ( ( 5.2 (OMP/ORP,RXO,RXCRXR ORMORR OMPORP ORMORR V2.3.1 OMPORP OMP O09 O Pharmacy/treatmentOrderMessage(HIS MSH Message Header [{NTE}] Notes and Comments (for Header [ PID Patient Identification [PD1] Additional Demographics [{NTE}] Notes and Comments (for Patient ID [PV1 Patient Visit [PV2]] Patient Visit - Additional Info [{IN1 Insurance [IN2] Insurance Additional Info [IN3] Insurance Add l Info - Cert. }] [GT1] Guarantor [{AL1}] Allergy Information ] { ORC Common Order RXO Pharmacy/Treatment Order [{NTE}] Notes and Comments (for RXO {RXR} Pharmacy/Treatment Route [ {RXC} Pharmacy/Treatment Component 5

9 } [{NTE}] Notes and Comments (for RXC ] [ { OBX Observation/Result [{NTE}] Notes and Comments (for OBX } ] [{FT1}] Financial Transaction [BLG] Billing Segment [ ] { } MSH ( PID1 1 MSH AL1 ORC1 (RXO 1 ORP O10 ORP Description (HIS MSH Message Header MSA Message Acknowledgment [ERR] Error [{NTE}] Notes and Comments(for Response Header [ [PID Patient Identification [{NTE}] Notes and Comments (for Patient ID ] { ORC Common Order [ RXO Pharmacy/Treatment Order [{NTE}] Notes and Comments (for RXO {RXR} Pharmacy/Treatment Route [{RXC}] Pharmacy/Treatment Component [{NTE}] Notes and Comments (for RXC ] } ] [ ] { } 6

10 5.3 (QRY/ADR (QRY ADT (ADR QRY/ADR A19 QRY/ADR QRY PatientQuery ( HIS MSH Message Header QRD Query Definition [ QRF ] Query Filter ADR MSH MSA [ERR] [QAK] QRD { ADT Response ( HIS Message Header Message Acknowledgment Error Query Acknowledgment Query Definition [ QRF ] Query Filter [ EVN ] Event Type PID Patient Identification [PD1] Additional Demographics [ {ROL} ] Role [ {NK1} ] Next of Kin /Associated Parties PV1 Patient Visit [ PV2 ] Patient Visit - Additional Info. [ {ROL} ] Role [ { DB1 } ] Disability Information [ {OBX} ] Observation/Result [ {AL1} ] Allergy Information [ {DG1} ] Diagnosis Information [DRG] Diagnosis Related Group [ {PR1 Procedures [{ROL}] Role }] [ {GT1} ] Guarantor [ { IN1 Insurance [ IN2 ] Insurance Additional Info. [ IN3 ] Insurance Add l Info - Cert. } ] [ ACC ] Accident Information [ UB1 ] Universal Bill Information [ UB2 ] Universal Bill Information } [ DSC ] Continuation Pointer 7

11 [ ] { } 5.4 (OSQ/OSR OSQ/OSR Q06 OSQ/OSR OSQ Order Status Query ( HIS MSH Message Header QRD Query Definition [ QRF ] Query Filter [ DSC ] Continuation Pointer OSR Order Status Response ( HIS MSH Message Header MSA Message Acknowledgment [ERR] Error [{NTE}] Notes and Comments (for Header QRD Query Definition [ QRF ] Query Filter [ [PID Patient Identification [{NTE}] Notes and Comments (for Patient ID ] { ORC Common Order [ RXO Pharmacy/Treatment Order [{NTE}] Notes and Comments (for RXO {RXR} Pharmacy/Treatment Route ] } ] [DSC] [{NTE}] [{CTI}] Notes and Comments (for Detail Clinical Trial Identification Continuation Pointer [ ] { } 8

12 Message Delimiters (160D MSH 4 MSH MSH Delimiter values - <cr> hex 0D ^ 2 ~ 3 \ TXFT 4 & Segment Terminator ASCII (16 0D Field Separator HL7 ID MSH 4 Component Separator MSH ^ Repetition Separator MSH ~ Subcomponent Separator MSH & Escape Character (TX FT TX FT MSH 3 \ ASCII 9

13 ASCII ASCII 10

14 6.2 Data types 2-2. HL7 data types( 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> NM Numeric SI Sequence ID 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> 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]] TS Time stamp YYYY[MM[DD[HHMM[SS[.S[S[S[S]]]]]]]][+/-ZZZZ] ^ <degree of precision> Code Values CE Coded element <identifier (ST> ^ <text (ST> ^ <name of coding system (ST> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (ST> CK Composite ID with check digit <ID number (NM> ^ <check digit (NM> ^ <code identifying the check digit scheme employed (ID> ^ < assigning authority (HD> CX Extended composite ID with check digit <ID (ST> ^ <check digit (ST> ^ <code identifying the check digit scheme employed (ID> ^ < assigning authority (HD > ^ <identifier type code (IS> ^ < assigning facility (HD XCN Extended composite ID number and name <ID number (ST> ^ <family name (ST> ^ <given name (ST> ^ <middle initial or name (ST> ^ <suffix (e.g., JR or III (ST> ^ <prefix (e.g., DR (ST> ^ <degree (e.g., MD (ST> ^ <source table (IS> ^ <assigning authority (HD> ^ <name type code (ID> ^ <identifier check digit (ST> ^ <code identifying the check digit scheme employed (ID> ^ <identifier type code (IS> ^ <assigning facility (HD> Generic CM Composite No new CM s are allowed after HL7 Version 2.2. Hence there are no new CM s in Version 2.3. Demographics XAD Extended address <street address (ST> ^ <other designation (ST> ^ <city (ST> ^ <state or province (ST> ^ <zip or postal code (ST> ^ <country (ID> ^ < address type (ID> ^ <other geographic designation (ST> ^ <county/parish code (IS> ^ <census tract (IS> XPN Extended person name <family name (ST> ^ <given name (ST> ^ <middle initial or name (ST> ^ <suffix (e.g., JR or III (ST> ^ <prefix (e.g., DR (ST> ^ <degree (e.g., MD (ST> ^ <name type code (ID > XTN Extended telecommunications number [NNN] [(999] [X99999] [B99999] [C any text] ^ <telecommunication use code (ID> ^ <telecommunication equipment type (ID> ^ < address (ST> ^ <country code (NM> ^ <area/city code (NM> ^ <phone number (NM> ^ <extension (NM> ^ <any text (ST> Time Series: TQ Timing/quantity For timing/quantity specifications for orders, see Chapter 4, Section 4.4. <quantity (CQ> ^ <interval (*> ^ <duration (*> ^ <start date/time (TS> ^ <end date/time (TS> ^ <priority (ID> ^ <condition (ST> ^ <text (TX> ^ <conjunction (ID> ^ <order sequencing (*> * for subcomponents of these elements please refer to the definition in the text. Data types ( ST ( 11

15 ASCII (20 7E 16 almost any data at all TX leading spaces are allowed. TX TX ( CR/LF FT (ST FT (65k \.sp\(skip one vertical line CQ < >^< > 1 2 ISO+ ANSI 123.7^kg kilograms is an ISO unit 150^lb&&ANSI+ weight in pounds is a customary US unit defined within ANSI+. NM ASCII ( ( ( ASCII <12 SI ID NM ID ST ID IS ST IS HL7 HD Components: <namespace ID (IS> ^ <universal ID (ST> ^ <universal ID type (ID> HD UID HD HL7 IS HD

16 HD 2 ID(UID3 ID (UID UIDUID UID UID UID 1 UID(23 ID HL7 0301ID Value Description DNS ASCII GUID UUID HCD CEN (DICOM HL7 HL7 ISO LMN base64 ASCII base64 UUID DCE ID x400 X400 MHS ID x500 X , ^ISO ^GUID falcon.iupui.edu^dns 40C983F09183B A ^RANDOM LAB1 Local use only: an HD that looks like an IS data type. PathLab^UCF.UC^L A locally defined HD in which the middle component is itself structured. This can be considered the combination of 'PathLab' with the locally defined UID system "L". LAB1^ ^ISO An HD with an ISO "Object Identifier" as a suffix, and a locally defined system name. ^ ^ISO An HD consisting only of an ISO UID. EI Components: <entity identifier (ST> ^ <namespace ID (IS> ^ <universal ID (ST> ^ < universal ID type (ID> S 24 (HD3 EI EI HD HL PL Components: <point of care (IS> ^ <room (IS> ^ <bed(is> ^ <facility (HD> ^ <location status (IS > ^ <person location type (IS> ^ <building (IS> ^ <floor(is> ^ <location description (ST> HL7 < (IS> ^ < (HD> ^ < 13

17 PT (IS> ^ < (IS> ^ < (IS> ^ < (IS> ^ < (ST> ^ < (IS> Components: <processing ID (ID> ^ <processing mode (ID> HL7 HL7 ID HL7 0103ID HL DT YYYYLLDD TS YYYYLLDD[HHMM[SS[.SSSS]]][+/-ZZZZ]^< > HHMM HHMM 0000 (00 HL7 ISO (E (Y = L = D = H = M = S = : :01:59 on July 4, 1776 in the Eastern Standard Time zone :01:59 on July 4, 1776 in the Eastern Daylight Saving Time zone Midnight of the night extending from July 4 to July 5, 1988 in the local time zone of the sender ^D Same as prior example, but precision extends only to the day. Could be used for a birthdate.( HL7 HL : ( 1211 HL7 CM CM HL7 HL7 CE <& & > HL7 HL7 HL7 / CE Components: <identifier(st> ^ <text (ST> ^ <name of coding system (ST> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (ST> 14

18 54.21^Laparoscopy^I9^42112^^AS4 F-11380^CREATININE^I9^2148-5^CREATININE^LN 6 <text> ( X (ST ICD-9ICD-10SNOMED HL7 HL7 nnnn HL7nnnn 3 2 CE ( CK ID Components:<ID number ID (NM> ^ <check digit (NM> ^ <code identifying the check digit scheme employed (ID> ^ < assigning authority (HD> PID-3- ID( ID CK 2 3 Null null 0061 HL70061 NPI ISO ISO 7064: 1983 M10 Mod 10 M11 Mod ^6^M11^ADT01 Mod10 = Mod Mod Mod11 d = w = W (6 c = ( 1 m = 1 (d * w d = 1 15

19 CX w = ( 2 c1 = m mod 11 ( 3 c1 =0 c1 =1 ( 4 c =(11c1 mod 10 : if the number is , then the mod 11 check digit = 6 m =(7*2+(6*3+(5*4+(4*5+(3*6+(2*7+(1*2 = = 106 c1 = 106 mod 11 = 7 c = (11-c1 mod 10 = 4 mod 10 = 4 ID Components: <ID (ST> ^ <check digit (ST> ^ <code identifying the check digit scheme employed (ID> ^ < assigning authority (HD > ^ <identifier type code ID (IS> ^ < assigning facility (HD M11ADT01MRUniversity Hospital IDCK ST NM CK ST NM HL70203 AM AN BA BR BRN DI DL DN DR DS EI EN FI GI GN HC JHN LN LR ID ( ID 16

20 MA MC MCN MR MS NE NH NI NNxxx NPI PEN PI PN PRN PT RR RRI SL SR SS U UPIN VN VS WC WCN XX (xxx ISO ( ID ID /HCFA VISA WIC XCN ID Components: <ID numberid (ST> ^ <family name(st> ^ <given name(st> ^ <middle initial or name (ST> ^ <suffix (e.g., JR or III (ST> ^ <prefix(e.g., DR (ST> ^ <degree (e.g., MD (ST> ^ <source table(is> ^ <assigning authority (HD> ^ <name type code (ID> ^ <identifier check digit (ST> ^ <code identifying the check digit scheme employed (ID > ^ <identifier type code (IS> ^ <assigning facility (HD> 1 8 ID 2 7 PN 8 1 ID XPN

21 XAD : 12372^RIGGINS^JOHN^""^""^""^MD^ADT ^RIGGINS^JOHN^""^""^""^MD SmithJohnJIIIDRPHDADT01 L4M11MR Components: <street address (ST> ^ <other designation (ST> ^ <city (ST> ^ <state or province (ST> ^ <zip or postal code ZIP (ST> ^ <country(id> ^ < address type (ID> ^ <other geographic designation (ST>^ <county/parish code/ (IS> ^ <census tract (IS> 1234Easy St.Ste. 123SanFranciscoCA95123USAB SF Suite HL SMSA XPN Components: <family name(st> ^ <given name(st> ^ <middle initial or name ( (ST> ^ <suffix (e.g., JR or III ( JR (ST> ^ <prefix (e.g., DR ( DR (ST> ^ <degree (e.g., MD ( MD (ST> ^ <name type code (ID > ^ <name representation code (ID> HL Smith^John^J^III^DR^PHD^L ^ ^^^^^D^I~ ^^^^^^D^P~ NIHON^Tarou^^^^^D^A Value 0360 Degree Description AAS AA ABA AE AS BA BBA BE BFA BN BS BSL BT CER DIP DBA DED Associate of Applied Science Associate of Arts Associate of Business Administration Associate of Engineering Associate of Science Bachelor of Arts Bachelor of Business Administration Bachelor or Engineering Bachelor of Fine Arts Bachelor of Nursing Bachelor of Science Bachelor of Science Law Bachelor of Theology Certificate Diploma Doctor of Business Administration Doctor of Education 18

22 Value Description PharmD Doctor of Pharmacy PHE PHD PHS MD DO HS JD MA MBA MCE MDI MED MEE ME MFA MME MS MSL MT NG SEC TS Doctor of Engineering Doctor of Philosophy Doctor of Science Doctor of Medicine Doctor of Osteopathy High School Graduate Juris Doctor Master of Arts Master of Business Administration Master of Civil Engineering Master of Divinity Master of Education Master of Electrical Engineering Master of Engineering Master of Fine Arts Master of Mechanical Engineering Master of Science Master of Science Law Master of Theology Non-Graduate Secretarial Certificate Trade School Graduate Value HL Name type code (ID Description A L D M C P S T Alias Name Legal Name Display Name Maiden Name Adopted Name Name at Birth Name of Partner/Spouse Coded Pseudo-Name to ensure anonymity Tribal/Community Name Unspecified HL Name representation code (ID Value I A P Description Ideographic (i.e., Kanji ( Alphabetic (i.e., Default or some single-byte Phonetic (i.e., ASCII, Katakana, Hiragana, etc (ASCII, 19

23 XTN Components: [NNN ] [(999 ] [X99999] [B99999] [C any text] ^ <telecommunication use cod e (ID> ^ <telecommunication equipment type (ID> ^ < address (ST> ^ <country code(nm> ^ <area/city code (NM> ^ <phone number (NM> ^ <extension (NM> ^ <any text (ST> ( ORNFX HL Telecommunication use code Value PRN ORN WPN VHN ASN EMR NET BPN Description Primary Residence Number Other Residence Number Work Number Vacation Home Number Answering Service Number Emergency Number Network ( Address ( Beeper Number HL Telecommunication equipment type Value Description PH Telephone FX Fax MD Modem CP Cellular Phone BP Beeper INTERNET Internet Address: Use Only If Telecommunication Use Code Is NET NET X.400 X.400 address: Use Only If Telecommunication Use Code Is NET X.400 NET TQ 6.3 / 20

24 6.3 QUANTITY/TIMING (TQ DEFINITION / Components: <quantity (CQ> ^ <interval (CM> ^ <duration (ST> ^ <start date/time (TS> ^ <end date/time (TS> ^ <priority (ST> ^ <condition (ST> ^ <text (TX> ^ <conjunction (ST> ^ <order sequencing (CM> / (ORC-7,OBR-27 / / Quantity component (CQ < & > Interval component (CM Subcomponents: < & > Repeat pattern Repeat pattern Q<integer>S every <integer> seconds Q<integer>M every <integer> minutes Q<integer>H every <integer> hours Q<integer>D every <integer> days Q<integer>W every <integer> weeks Q<integer>L every <integer> months (Lunar cycle Q<integer>J<day#> J jour(day < > 1 1= 7= Q2J2 2 Q1J6 BID 12 ( 9AM-4PM TID 13 ( 9AM-4PM-9PM QID 14 ( 9AM-11AM-4PM-9PM xid 1 x X 5 ( 5ID= 5 8ID= 8 4 Q< >H QID Q6H QAM QSHIFT 3 8 QOD (Q2D QHS QPM C U <spec> < >UNIX PRN PRNxxx xxx ( (PRNQ6H Once null Meal Related Timings <timing> A P I <timing>c("cum"<meal> 21

25 <timing> M D V ACM,PCV BID QOD TID QJ135 Explicit time interval subcomponent 1 HHMM,HHMM,HHMM, ( / 4 / hhmm HS xcy xa P I ym D V Ex: / 2...^QID&0230,0830,1430,2030^ ^TID&PC Duration component INDEF( S<integer> = <integer> seconds M<integer> = <integer> minutes H<integer> = <integer> hours D<integer> = <integer> days W<integer> = <integer> weeks L<integer> = <integer> months X<integer> = T<integer> = < >DOSAGE INDEF = ( - Start date/time component (TS ( -STAT End date/time component (TS 22

26 Priority component (ID ( R S = A = S R = P = C = T = PRN = As Needed T( Format: TS<integer> = TM<integer> = TH<integer> = TD<integer> = TW<integer> = TL<integer> = Condition component (ST PRN pain 110 ( PRN MERIT-9 Ver PRNLTs PRNheadache PRNpain PRNteeth pain PRNfever or PRNfebrile PRNchest pain PRNabdominal pain PRNinsomnia PRNanxiety PRNnervous PRNdizziness or PRNvertigo PRNitching PRNattack PRNcostipation PRNdiarrhea PRNvommiting PRNcough PRNhungry PRNhigh BP PRNauria PRNpolyuria Text component (TX ( 23

27 Conjunction component (ID null 2 3 a S = Synchronous (ORC44 ORC45 S 2 1 Q15 2 b A = Asynchronous (ORC44 ORC45 A 2 1 1/2 c C = This is an actuation time ( ( ORC 45 ORC EKG (3 EKG 3 ^1^QAM^X3^D10 Order sequencing component (complex (IV ( 1 PRN pain ORC4/ ORC4/ / 10 7 ( / Subcomponent Contains Notes 1 /S ; C, R 2, 3 4, 5 6 / : 2 2 HL7 / : 2 2 HL7 : <one of "SS", "EE", "SE", or "ES"> +/- <time> 24

28 Subcomponent Contains Notes 1 (S (E (S (E / (. < > : S<integer> <integer> M<integer> <integer> H<integer> <integer> D<integer> <integer> W<integer> <integer> L<integer> <integer> 7 / / 8,9 2 / : 2 : ID(ST ID (ID( EI 2 HL7 10,11 2 / : 2 : ID(ST ID (ID( EI 2 HL7 ORC4 / OE1000&OrdEnt ORC OE1001^OrdEnt ES + 10M OE1000&OrdEnt( 10 OE1001^OrdEnt( 10 SS - 10M ( Example: *FS+10M / 4 IV IV 4 : 1 ORC4 / IV / 4 ( 1 25

29 HL7 4 / / ( ( ( ( 10 Examples of quantity/timing usage / 3^once 3 1 1^QHS^X ^C^3D 3 1^Q1H^X4^^^^PVCs>10/min PVC EKG 1^Q2J^^ ^^^^ /21/ ^Q3600S^X5^ /5/89 10: ^QAM^X3^^^^^^S~1^QOD^4D^^^^if K+> ( 21 ^^^ ^^T^^Trough specimen for MIC^C ~^^^^^R 12/12/1988 8:00 ^TID&PC^D3^ ^DID&PCM,PCV^D14^ ^QID&PC,HS^D28^ ^Q12H^D7^ ^PRN^^ ^^PRN^PRNpain 26

30 <name of coding system> MR9P : MERIT-9 Ver 1.1 JHSP : 27

31 MSH - Message Header Segment MSH HL7MSH-Message Header SEQ LEN DT OPT Japan 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 13 CM R R Message Type ST R R Message Control ID 11 3 PT R R Processing ID VID 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 CE O O Principal Language of Message ID O O Alternate Character Set Handling Scheme ID O O Y Conformance Statement ID Optionality R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer MSH MSH-1 Field Separator (ST ID (MSH-2- (ASCII 124 MSH-2 Encoding Characters (ST ^~\& (ASCII 94,126,92 and 38 MSH-3 Sending Application (HD

32 MSH-4 Sending Facility (HD MSH-5 Receiving Application (HD MSH-6 Receiving Facility (HD MSH-7 Date/time Of Message (TS MSH-8 Security (ST MSH-9 Message Type (CM Components: <message type (ID> ^ <trigger event (ID> HL Message type ( Value ADR ORM ORR OSQ OSR QRY Value A19 O01 O02 O09 O10 Q06 Description ADT response (ADT Order message Order acknowledgment message Order status query Order status response Query, original Mode Description HL70003 QRY/ADR - Patient query Event type ( ORM Order message ORROrder response ORM OMP Pharmacy/treatment order ORP Pharmacy/treatment order acknowledgment OSQ/OSR - Query for order status OMP^O09 ORP^O10 QRY^A19 ADR^A19 OSQ^Q06 OSR^Q06 MSH-10 Message control ID ID (ST MSH-11 Processing ID ID (PT Value D P T HL Processing ID ID Description Debugging Production Training 29

33 Value A R I T not present HL Processing mode Description Archive Restore from archive Initial load Current processing, transmitted at intervals (scheduled or on demand Not present (the default, meaning current processing MSH-12 Version ID ID (ID ID 1 ID2.3.1 Value Description HL Version ID ID 2.0 Release September D Demo October Release March Release December Release March Release May Release November MSH-13 Sequence Number (NM MSH-14 Continuation Pointer (ST MSH-15 Accept Acknowledgment Type (ID MSH-16 Application Acknowledgment Type (ID HL Accept/application acknowledgment conditions Value AL NE ER SU Description Always Never Error/reject conditions only / Successful completion only MSH-15MSH-16 ( null 30

34 MSH-17 Country Code (ID ISO 3166 MSH-18 Character Set (ID Value ASCII Description HL70211 Alternate Character sets The printable 7-bit ASCII character set. ( 8859/1 The printable characters from the ISO 8859/1 Character set 8859/2 The printable characters from the ISO 8859/2 Character set 8859/3 The printable characters from the ISO 8859/3 Character set 8859/4 The printable characters from the ISO 8859/4 Character set 8859/5 The printable characters from the ISO 8859/5 Character set 8859/6 The printable characters from the ISO 8859/6 Character set 8859/7 The printable characters from the ISO 8859/7 Character set 8859/8 The printable characters from the ISO 8859/8 Character set 8859/9 The printable characters from the ISO 8859/9 Character set ISO IR14 Code for Information Exchange (one byte (JIS X ISO IR87 Code for the Japanese Graphic Character set for information interchange (JIS X ISO IR159 Code of the supplementary Japanese Graphic Character set for information interchange (JIS X UNICODE The world wide character standard from ISO/IEC : 7-bit ASCII PNXPN Null single-byte character set (ASCII (ISO IR-6 ( ISO-IR 6, ISO-IR 13, ISO-IR 14, ISO-IR 100, etc. ( ISO IR87 ISO-IR 6 (ISO 646 or ISO-IR 14 (JIS X G0 ~ISO IR87 JIS ~ISO IR159 MSH-19 Principal language of message (CE ISO 639 MSH-20 Alternate character set handling scheme (ID ISO MSH-21 ID (ID : HL7 " " HL

35 HL Conformance statements : HL HL7 32

36 7.2 NTE - Notes and Comments Segment NTE NTE HL7NTE Notes andcomments 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 CE O O Comment Type Optionality R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer NTE NTE-1 Set ID - NTE ID-NTE (SI : NTE NTE-2 Source Of Comment (ID : HL70105 Source Of Comment Value L P O Description Ancillary (filler department is source of comment Orderer (placer is source of comment Other system is source of comment NTE-3 Comment (FT : Value A B C D Description 33

37 NTE-4 (CE : < (ST> ^ < (ST> ^ < (IS> ^ < (ST> ^ < (ST> ^ < (IS> : HL Comment type PI AI GI 1R 2R GR RE DR Patient Instructions Ancillary Instructions General Instructions Primary Reason Secondary Reason General Reason Remark Duplicate/Interaction Reason : NTE NTE NTE NTE 34

38 7.3 PID - Patient Identification Segment PID HL7PID Patient identification SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE 1 4 SI O O Set ID - PID ID 2 20 CX B B Patient ID ID CX R R Y Patient Identifier List ID 4 20 CX B B Y Alternate Patient ID - PID ID XPN R R Y Patient Name XPN O N Mother's Maiden Name 7 26 TS O R Date/Time of Birth 8 1 IS O R Administrative Sex XPN B N Y Patient Alias CE O N Y Race XAD O O Y Patient Address 12 4 IS B N County Code XTN O O Y Phone Number - Home XTN O O Y Phone Number - Business CE O N Primary Language CE O N Marital Status CE O N Religion CX O O Patient Account Number ST B N SSN Number - Patient SSN DLN O N Driver's Lic Num - Patient CX O N Y Mother's Identifier CE O N Y 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 B B Nationality TS O N Patient Death Date and Time 30 1 ID O N Patient Death Indicator 31 1 ID O N Identity Unknown Indicator IS O N Y Identity Reliability Code TS O O Last Update Date/Time HD O O Last Update Facility CE C N Species Code CE C N Breed Code ST O N Strain CE O N Production Class Code Optionality R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer 35

39 PID PID-1 Set ID - Patient ID IDID (SI ID ID123 PID PID-2 Patient ID ID (CK ID PID-3 ID PID-3 ID HL70061 PID-3 Patient identifier list ID(CX ID( ID ORM ID PID-4 Alternate Patient ID - PID ID (ST PID-3 ID ID PID-5 Patient Name (XPN : <family name(st> ^ <given name(st> ^ <middle initial or name (ST> ^ <suffix (e.g., JR or III (ST> ^ <prefix (e.g., DR (ST> ^ <degree (e.g., MD (ST> ^ <name type code (ID > ^ <name representation code (ID> <>^<>^^^^^L^< Value A B C D I L M Description HL Name Type Alias Name Name at Birth Adopted Name Display Name Licensing Name Legal Name Maiden Name 36

40 Value Description N Nickname /"Call me" Name/Street Name P Name of Partner/Spouse (retained for backward compatibility only R S T U Registered Name (animals only Coded Pseudo-Name to ensure anonymity Indigenous/Tribal/Community Name Unspecified Value I A P HL Name Representation Code Description Ideographic (i.e., Kanji Alphabetic (i.e., Default or some single-byte Phonetic (i.e., ASCII, Katakana, Hiragana, etc. (ASCII, MSH-18 MSH-18 ASCII~ISO IR87 PID-5Yamada^Tarou^^^^^L^A~ ^ ^^^^^L^I~ ^^^^^^L^P L PID-6 Mother's Maiden Name (XPN M PID-7 Date/Time Of Birth (TS nnnu uy L W D Y(YYYYLLDDHHMMSS^nnnu ^ ^10 10 ^5D 5 YYYYMMDD PID-8 Sex (IS Sex Value F M O U A N PID-9 Patient Alias (XPN Description Female Male Other Unknown Ambiguous Not applicable PID-10 Race (IS PID-11 Patient Address (XAD

41 PID-12 County Code (IS PID-13 Phone Number - Home (XTN PID-14 Phone Number - Business (XTN PID-15 Primary Language (CE PID-16 Marital Status (IS Marital Status Value A D M S W C G P R E N I B U O T Description Separated Divorced Married Single Widowed Common law Living together Domestic partner Registered domestic partner Legally Separated Annulled Interlocutory Unmarried Unknown Other Unreported PID-17 Religion (IS PID-18 Patient Account Number (CX PID-19 SSN Number - Patient SSN (ST PID-20 Driver's License Number - Patient (CM PID-21 Mother's Identifier (CX ID PID-22 Ethnic Group (IS PID-23 Birth Place (ST

42 PID-24 Multiple Birth Indicator (ID Y/N PID-25 Birth Order (NM PID-26 Citizenship (IS ISO3166 PID-27 Veterans Military Status (CE PID-28 Nationality (CE PID-29 Patient Death Date and Time (TS PID-30 Patient Death Indicator (ID Y/N PID-31 PID-32 (ID HL Yes/No Y N (IS PID Value Description US UD UA AL Unknown/Default Social Security Number Unknown/Default Date of Birth Unknown/Default Address Patient/Person Name is an Alias PID-33 (TS PID 39

43 PID-34 (HD PID-35 PID... Metro Hospital... (CE : <identifier (ST> ^ <text (ST> ^ <name of coding system (IS> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (IS> SNOMED Value Description No suggested values defined PID-36 PID-38 PID L-80700^Canine, NOS^SNM L-80100^Bovine^SNM L-80A00^Feline^SNM3... (CE : <identifier (ST> ^ <text (ST> ^ <name of coding system (IS> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (IS> SNOMED Value Description No suggested values defined PID-37 PID L-80733^ Staffordshire bull terrier^snm3^^american Staffordshire Terrier^99AKC L-80900^Weimaraner^SNM L-80439^Peruvian Paso Horse^SNM3... (ST

44 ... DeKalb Balb/c DXL... PID-38 (CE : <identifier (ST> ^ <text (ST> ^ <name of coding system (IS> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (IS> DA^Dairy^L MT^Meat^L RA^Racing^L Value Description BR DA DR DU LY MT OT PL RA SH NA U Breeding/genetic stock Dairy Draft Dual Purpose Layer, Includes Multiplier flocks Meat Other Pleasure Racing Show Not Applicable Unknown 41

45 7.4 PV1 - Patient Visit Segment PV1 /ADT HL7PV1 Patient visit SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE 1 4 SI O N Set ID PV1 ID-PV 2 1 IS R R Patient Class 3 80 PL O O Assigned Patient Location 4 2 IS O N Admission Type CX O N Preadmit Number 6 80 PL O N Prior Patient Location XCN O O Y Attending Doctor XCN O N Y Referring Doctor XCN B 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 6 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 CX O N Visit Number FC 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 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 CM O N Discharged to Location CE O N Diet Type 39 2 IS O N Servicing Facility 40 1 IS B 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 Y Discharge Date/Time / NM O N Current Patient Balance NM O N Total Charges NM O N Total Adjustments NM O N Total Payments CX O N Alternate Visit ID ID 51 1 IS O N Visit Indicator XCN B N Y Other Healthcare Provider Optionality R - required O - optional C - conditional on the trigger event or on some other field(s 42

46 X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 Japan JAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer PV1 PV1-1 Set ID - PV1 IDPV1 (SI PV1-2 Patient Class (IS Patient class Value E I O P R B C N U Description Emergency Inpatient Outpatient Preadmit Recurring Patient Obstetrics Checkup Not Applicable Unknown I O PV1-3 Assigned Patient Location (PL : <point of care (IS > ^ <room (IS > ^ <bed (IS > ^ <facility (HD> ^ < location status (IS > ^ <person location type (IS> ^ <building (IS > ^ <floor (IS > ^ <location description (ST> PL 5( PV1-40 < >^< >^< >^< > Bed status Value C H O U K I Description Closed Housekeeping Occupied Unoccupied Contaminated Isolated PV1-4 Admission Type (IS

47 Admission type Value Description Comments A Accident E Emergency US UB92 code "1" L Labor and Delivery R Routine N Newborn (Birth in healthcare facility US UB92 code "4" U Urgent US UB92 code "2" C Elective US UB92 code "3" PV1-5 Pre-admit Number (CX PV1-6 Prior Patient Location (PL NULL PV1-7 Attending Doctor (XCN ID PV1-8 Referring Doctor (XCN ID PV1-9 Consulting Doctor (XCN PV1-10 Hospital Service (IS A01,A02,A14,A15 PV1-11 Temporary Location (PL ( OR. PV1-12 Pre-admit Test Indicator (IS PV1-13 Re-admission Indicator (IS R Null PV1-14 Admit Source (IS PV1-15 Ambulatory Status (IS Value A0 A1 A2 A3 A4 A5 A6 A7 A8 A9 B1 B2 B3 B4 B Ambulatory Status Description No functional limitations Ambulates with assistive device Wheelchair/stretcher bound / Comatose; non-responsive Disoriented Vision impaired Hearing impaired Speech impaired Non-English speaking Functional level unknown Oxygen Therapy Special equipment (tubes, IVs, catheters ( IV Amputee Mastectomy Paraplegic 44

48 B6 Pregnant PV1-16 VIP Indicator VIP (IS VIP PV1-17 Admitting Doctor (XCN ID PV1-18 Patient Type (IS PV1-19 Visit Number (CK PV1-20 Financial Class (CM PV1-21 Charge Price Indicator (IS PV1-22 Courtesy Code (IS PV1-23 Credit Rating (IS PV1-24 Contract Code (IS PV1-25 Contract Effective Date (DT PV1-26 Contract Amount (NM PV1-27 Contract Period (NM PV1-28 Interest Code (IS PV1-29 Transfer To Bad Debt Code (IS PV1-30 Transfer To Bad Debt Date (DT PV1-31 Bad Debt Agency Code (IS PV1-32 Bad Debt Transfer Amount (NM PV1-33 Bad Debt Recovery Amount (NM PV1-34 Delete Account Indicator (IS PV1-35 Delete Account Date (DT PV1-36 Discharge Disposition (IS ( 45

49 PV1-37 Discharged To Location (IS PV1-38 Diet Type (IS PV1-39 Servicing Facility (IS PV1-40 Bed Status (IS PL 5 PV1-41 Account Status (IS PV1-42 Pending Location (PL ID 5( PV1-40 PV1-43 Prior Temporary Location (PL PV1-44 Admit Date/Time (TS / PV1-45 Discharge Date/Time (TS / PV1-46 Current Patient Balance (NM PV1-47 Total Charges (NM PV1-48 Total Adjustments (NM PV1-49 Total Payments (NM PV1-50 Alternate Visit ID ID (CX ID ID PV1-51 Visit Indicator (IS Visit Indicator Value A V Description Account Level(default Visit Level PV1-52 Other Healthcare Provider (XCN ( 46

50 7.5 AL1 - Patient Allergy Information Segment AL1 AL1 HL7AL1 Patient allergy information SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE CE R R Set ID AL1 IDAL CE O O Allergy Type CE R R Allergy Code/Mnemonic/Description / CE O O Allergy Severity 5 15 ST O O Allergy Reaction 6 8 DT B O Identification Date Optionality R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer AL1 AL1-1 Set ID AL1 IDAL1 (SI ID AL1-2 Allergy Type (IS ( 127 Value DA FA MA MC EA AA PA LA Allergy Type Description Drug Allergy Food Allergy Miscellaneous Allergy Miscellaneous Contraindication Environmental Allergy Animal Allergy Plant Allergy Pollen Allergy AL1-3 Allergy Code/Mnemonic/Description / (CE ( <>^< > L 47

51 AL1-4 Allergy Severity (IS ( Allergy Severity Value SV MO MI U Description Severe Moderate Mild Unknown AL1-5 Allergy Reaction (ST ( AL1-6 Identification Date (DT

52 7.6 ORC - Order Common Segment (ORC ( ORC ORC OK < > < > <CR> ORC (HD ORC-1 ORC-2 ORC-3 ORC ORCOBR OBR ORC a 1 1 ORC-4- (ORCs ORCs b ORC ( ORC ( OBRRXO ORC-2 OBR-2 ORC c/ 1EKG 3 EKG 3 2EKG 3 EKG 1 3 1EKG ( 4 / HL7ORC SEQ LEN DT OP T Japan RP/# ITEM# ELEMENT NAME NO TE 1 2 ID R R N Order Control 2 22 EI C R Placer Order Number 3 22 EI C O Filler Order Number 4 22 EI O R Placer Group Number 5 2 ID O X N Order Status 6 1 ID O O Response Flag TQ O R Y Quantity/Timing / CM O X Parent 9 26 TS O O Date/Time of Transaction XCN O X Y Entered By XCN O X Y Verified By XCN O O Y Ordering Provider PL O O Enterer's Location XTN O X Y/ Call Back Phone Number TS O X Order Effective Date/Time CE O X Order Control Code Reason 49

53 SEQ LEN DT OP Japan RP/# ITEM# ELEMENT NAME NO T TE CE O O Entering Organization CE O O Entering Device XCN O O Y Action By CE O O XON O O Y XAD O O Y XTN O O Y XAD O O Y CWE O O N Optionality R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer ORC ORC-1 Order Control (ID a NW( CA( b OK( CR( c OC ( OD( (CR ( CA NW 50

54 0119 Ordeer Control Code Value 1 Description Originator 2 Field Note 3 NW New order P I OK Order accepted & OK &OK F I( UA Unable to Accept Order F n CA OC CR UC DC OD DR UD HD OH UH HR RL OE OR UR Cancel order request P A Order canceled F ( Canceled as requested ( F ( Unable to cancel ( F b( Discontinue order request P c(ca Order discontinued F (CA Discontinued as requested ( F (CA Unable to discontinue ( F (CA Hold order request P ( Order held F ( Unable to put on hold ( F ( On hold as requested ( F ( Release previous hold P ( Order released F ( Released as requested ( F ( Unable to release ( F ( RP Order replace request P e,d,h RU Replaced unsolicited ( F f,d,h(rp RO Replacement order P,F g,d,h,l(rp RQ Replaced as requested F d,e,g,h( UM Unable to replace ( F ( ( PA Parent order F I( CH Child order F,P i( XO XX UX XR Change order request P (RP Order changed, unsol. ( F (RP Unable to change ( F (RP Changed as requested ( F (RP DE Data errors P,F ( RE Observations to follow P,F j( RR Request received P,F k( SR Response to send order status request F ( SS Send order status request P ( SC Status changed F,P ( SN Send order number F l( NA Number assigned P l( CN Combined result F M( RF Refill order request F, P O( AF Order refill request approval P P( DF Order refill request denied P Q( FU Order refilled, unsolicited F R( OF Order refilled as requested F S( UF Unable to refill F T( LI or ( UF or ( 51

55 ORC a CA CR(ORC-1- b UC UC ( ORC-6- c DC d RP, RQ, RU, RO 1 / RP( ORC-1- RU( ( RU ORC (RPRU ORC (RPRU RO( ORC-1- ORC RO ORC 2 OBR RU RO Segment Order Control Comment ORC RU 1st replaced ORC OBR 1st replaced order's detail segment ORC RU 2nd replaced ORC OBR 2nd replaced order's detail segment ORC RO 1st replacement ORC OBR 1st replacement order's detail segment ORC RO 2nd replacement ORC OBR 2nd replacement order's detail segment ORC RO 3rd replacement ORC OBR 3rd replacement order's detail segment ORC-6- OBR RP 2 RU( ( 2 RQ( 4-3. RQ RO Segment Order Control Comment ORC RQ 1st replaced ORC OBR 1st replaced order's detail segment ORC RQ 2nd replaced ORC 52

56 Segment Order Control Comment OBR 2nd replaced order's detail segment ORC RO 1st replacement ORC OBR 1st replacement order's detail segment ORC RO 2nd replacement ORC OBR 2nd replacement order's detail segment ORC RO 3rd replacement ORC OBR 3rd replacement order's detail segment e RP, RQ 1 1 f RU ( g RO, RQ RPRU h RP, RQ, RU, RO RO ORC (RPRU RU( RU ORC RP( ORU ( 1 RO ORC 2 OBR ( 3 (OBX 4 NTE ORU OBR( OBX i PA, CH (PA (CH ( PAORC-1-1 ORC CHORC-1-1 ORC ORC-6- OBR Segment Order Control Comment ORC PA 1st parent ORC ORC CH 1st child ORC OBR 1st child order ORC CH 2nd child ORC OBR 2nd child order SN/NA 2 53

57 SN/NA ORC ORC-8- ( ( 3 EKG j RE ( OBR 1 (OBX ORU 3 RE 4-5. RE Segment Order Control Comment MSH PID ORC NW First new order RXO First order segment ORC NW 2nd new order RXO 2nd order segment [ORC RE Patient-specific observation, optional in V 2.2 OBR] Observation OBR, optional in V 2.2 OBX An observation segment OBX Another observation segment OBX Another observation segment OBX Another observation segment ORC NW 3rd order RXO 3rd order segment HL7 1 OBX ORCOBR ORC ORU ORU OBR ORCORU RE ORM (OBX RE ORU OBR (OBX k RR l SN, NA, NW 3 (ORC-2- ORC-3-1 HIS ORC-3-2 ORC-2-3 ( ORC-3-54

58 1 SN ORC-3- HIS ( HIS SNORC-1- ORM ORCNullORC-3- ORC-2- ORM(SN 2 i OKORC-1- ORR ORM NAORC-1- ORC ii NAORC-l- ORR NA ORC-1- NAORC-2- (SN ORC ID. Code From ORC-2-Placer Order Number ORC-3-Filler Order Number SN filler application placer order number^filler application ID null NA other application placer order number^filler application ID filler order number^filler application ID 2 SN ORC-2- SN ORC-1- ORM ORCnullORC-2- ORC-3- ORM(SN 2 i OKORC-1- ORR ORM NAORC-1- ORC ii NAORC-l- ORR NA ORC-2- ORC NAORC-1- ORC-2- ORC-3- (SN ORC Code From ORC-2-Placer Order Number ORC-3-Filler Order Number SN filler application null filler order number^filler application ID NA other application placer order number^placer application ID filler order number^filler application ID 3 NW ( RO (RO following an RP. ORC3-2 ID Code From ORC-2-Placer Order Number ORC-3-Filler Order Number NW, RO other application to the filler placer order number^placer application ID filler order number^filler application ID 55

59 m CN CN ORC RE ORC OBR 3 ORC MSH... PID... ORC CN... OBR A4461XA^HIS 81641^RAD 73666^Bilateral Feet... ORC CN... OBR A4461XB^HIS 81642^RAD 73642^Bilateral Hand PA... ORC RE... OBR A4461XC^HIS 81643^RAD 73916^Bilateral Knees... OBX CE 73916&IMP Radiologist's Impression... OBX CE 73642&IMP Radiologist's Impression... OBX FT 73642&GDT Description... n UA MSA. o RF RF p AF AF q DF DF NCPDF SCRIPT AA AB AC AD AE AF AG Patient unknown to the provider Patient never under provider care Patient no longer under provider care Patient has requested refill too soon Medication never prescribed for the patient Patient should contact provider first Refill not appropriate r FU FU. s OF OF t UF UF ORC-2 Placer Order Number ( EI Components:<entity identifier (ST> ^ <namespace ID (IS> ^ <universal ID (ST> ^ <universal ID type (ID> 1( (OBR 15 ( 2 56

60 ID ID 6 ID 2 3 a RU ROORC-1- b CH( ORC-1- c SN( ORC-1- ORC-2- ORC-1- ID ID 1 ( ORMORR ID (MSH ORC-2- OBR-2- ORC OBR ORC-2- OBR-2- ORU ORC OBR ORCOBR ( / ORC-3 Filler Order Number ( EI Components:<entity identifier (ST> ^ <namespace ID (IS> ^ <universal ID (ST> ^ <universal ID type(id> 1 15 (OBR ( ( ( 2 ID ID 6 2 ID ID 1 ( ORMORR ID (MSH ORC-3- OBR-2- ORC OBR ( ORC OBR ASTM ORU ORC OBR 57

61 (OBR-3 ORC-3 ( ORM CA ORC-1 ORC ORC-4 Placer Group Number (EI ORC ORC-5 Order Status (ID (ID ORC-1- SR SC Value A CA CM DC ER HD IP RP SC HL Order status Description Some, but not all, results available Order was canceled Order is completed Order was discontinued Error, order not found Order is on hold In process, unspecified Order has been replaced In process, scheduled ORC-6 Response Flag (ID ( ( null D Value E R D HL Response flag Description Report exceptions only Same as E, also Replacement and Parent-Child E Same as R, also other associated segments R 58

62 F Same as D, plus confirmations explicitly D N Only the MSA segment is returned MSA ORC-7 Quantity/Timing / (TQ ORC-8 Parent (CM ORC-9 Components: <parent's placer order number (EI> ^ <parent's filler order number (EI> Subomponents of parent s placer order number: identifier (UI> Subomponents of parent s filler order number: (UI> <entity identifier (ST> & <application identifier 1(IS> & <universal 6.3 <entity identifier (ST> & <application identifier 1(IS> & <universal identifier ORC ORC-8- OBR-29- Date/Time Of Transaction (TS ORC-10- ORC-11- ORC-13- ORC-10 Entered By (XCN ID ID ORC-11 Verified By (XCN ID ORC-12 Ordering Provider (XCN ORC-12- OBR-16- ID ORC-13 Enterer's Location (PL ( ICU4 4 ICU 59

63 ORC-14 Call Back Phone Number (XTN ORC-14- OBR-17- ORC-15 Order Effective Date/Time (TS ORC-9- ( ORC-15- ORC-16- ORC ORC-9- ORC-15- ORC ORC-15- ORC-9- MSH-7- ORC-15- ( ORC ORC-7- / ORC-15- ORC ORC-7- / ORC ORC-16 Order Control Code Reason (CE ( 0119 ( RXOOROOBRNTE ORC-1- NW ORC-16- ( ORC-17 Entering Organization (CE / ORC-18 Entering Device (CE (PC ORC-19 Action By (XCN CA( ORC-20 (CE Components: <identifier (ST> ^ <text (ST> ^ <name of coding system (IS> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (IS> HCFA (a (b 60

64 (c ORC-21 ORC-22 ORC-23 ORC-24 ORC (XON Components: <organization name (ST> ^ <organization name type code (IS> ^ <ID Number (NM> ^ <check digit (NM> ^ <code identifying the check digit scheme employed (ID> ^ <assigning authority (HD> ^ <identifier type code (IS> ^ <assigning facility ID (HD> ^ <name representation code (ID> Subcomponents of assigning authority: <namespace ID (IS> & <universal ID (ST> & <universal ID type (ID> Subcomponents of assigning facility: <namespace ID (IS> & <universal ID (ST> & <universal ID type (ID> (XAD Components: In Version 2.3 and later, replaces the AD data type. <street address (SAD> ^ <other designation (ST> ^ <city (ST> ^ <state or province (ST> ^ <zip or postal code (ST> ^ <country (ID> ^ < address type (ID> ^ <other geographic designation (ST> ^ <county/parish code (IS> ^ <census tract (IS> ^ <address representation code (ID> ^ <address validity range (DR> (XTN Components: [NNN] [(999] [X99999] [B99999] [C any text] ^ <telecommunication use code (ID> ^ <telecommunication equipment type (ID> ^ < address (ST> ^ <country code (NM> ^ <area/city code (NM> ^ <phone number (NM> ^ <extension (NM> ^ <any text (ST> (XAD Components: In Version 2.3 and later, replaces the AD data type. <street address (SAD> ^ <other designation (ST> ^ <city (ST> ^ <state or province (ST> ^ <zip or postal code (ST> ^ <country (ID> ^ < address type (ID> ^ <other geographic designation (ST> ^ <county/parish code (IS> ^ <census tract (IS> ^ <address representation code (ID> ^ <address validity range (DR> (CWE Components: <identifier (ST> ^ <text (ST> ^ <name of coding system (IS> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (IS> ^ <coding system version ID (ST> ^ alternate coding system version ID (ST> ^ <original text (ST> ORC-5- HL CE ORC-5- : LIS IP ORC-5- IP ORC-25- ORC-25-61

65 7.7 RXO Pharmacy/Treatment Order Segment OBR metabolites RXO ORC ORC-7 HL7- RXO - SEQ LEN DT OPT Japan RP/# ITEM ELEMENT NAME NOTE CE C R Requested Give Code 2 20 NM C R Requested Give Amount Minimum 3 20 NM O O Requested Give Amount Maximum CE C R Requested Give Units CE C R Requested Dosage Form CE O O Y Provider s Pharmacy/Treatment Instructions CE O O Y Provider s Administration Instructions CM O O Deliver-To Location 9 1 ID O X Allow Substitutions CE O X Requested Dispense Code NM O R Requested Dispense Amount CE O O Requested Dispense Units 13 3 NM O X Number Of Refills XC C O Y Ordering Provider s DEA Number DEA N XC N C X Y Pharmacist/Treatment Supplier s Verifier ID ID 16 1 ID O X Needs Human Review ST C O Requested Give Per (Time Unit NM O O Requested Give Strength CE O O Requested Give Strength Units CE O X Y Indication 21 6 ST O X Requested Give Rate Amount CE O X Requested Give Rate Units CQ O O Total Daily Dose CE O O Y Supplementary Code Optionality R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer 62

66 RXO RXO-1 Requested Give Code CE00292 OBR- ID RXO-10 RXO-11 RXO-12 15mg (librium6 10mg30 RXO-5 RXO-2 Requested Give Amount - Minimum NM RX RXO-3 Requested Give Amount - Maximum NM00294 RXO-4 Requested Give Units CE00295 Components: <identifier (ST> ^ <text (ST> ^ <name of coding system (ST> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (ST> KG micgkg KG ISO 7 OBX 63

67 TAB CAP G MG MCG L ML UNT AMP BAG BTL HON KO PCK SHT VIL MERIT-9 Ver1.1 4 name of coding system MR9P.TAB^^MR9P RXO-5 Requested Dosage Form CE00296 Components: <identifier (ST> ^ <text (ST> ^ <name of coding system (ST> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (ST> RXO-1 RXO-10 RXO-1 RXO-10 TAB CAP PWD SYR SUP LQD OIT CRM TPE INJ MERIT-9 Ver1.1 3 name of coding system MR9P RXO-6 Provider's Pharmacy/Treatment Instructions CE00297 Components: <identifier (ST> ^ <text (ST> ^ <name of coding system (ST> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (ST> 1 2 this is a free text treatment instruction 64

68 7.7.3 EMG 1 EMG 2 SPS 1 SPS 2 name of coding system JHSP SOD A SOD B SOD C SOD D name of coding system JHSP MSH NTE MERIT-9 Ver1.1 TOC OHP TOC OHI TOC OHO TOC IHP TOC DCG TOC ORD TOC XTR name of coding system MR9P RXO-7 Prorider's Administration Instructions CE00298 Components: <identifier (ST> ^ <text (ST> ^ <name of coding system (ST> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (ST> 1 2 this is a free text administration instruction MERIT-9 Ver1.1 ID DVD a-b-c-d a,b,c,d name of coding system MR9P RXO-8 Deliver-To Location CM PL PV1-3 65

69 QRY/ADR RXO-9 Allow Substitutions ID00300 HL70161 Allow substitution N G T RXO-10 Requested Dispense Code CE00301 OBR- ID RXO-11 RXO-12 RXO-1 RXO-5 Q6H NSD5W5 NSD5W 1 3 RXO-11 Requested Dispense Amount NM00302 RXO-12 Requested Dispense Units CE00303 RXO-4 RXO-13 Number Of Refills NM00304 RXO-14 Ordering Provider's DEA Number DEA XCN00305 RXO-15 Pharmacist/Treatment Supplier's Verifier ID IDXCN00306 ID ORC-11 66

70 1 ORC-11 2 RXO-15 ID RXO-16 Needs Human Review ID YN HL70136 Yes/no indicatoryn Y Yes RXO-6 N No Null. RXO-17 Requested Give Per(Time Unit ST00308 S M H D W L X DURATION 300ml H1 300mlhr 300mlNS1 12 RXO-18 Requested Give Strength NM01121 RXO-1 RX mg

71 500mg 500 RXO 250mg2 500mg RXE NDC Ampicillin 250 MG TABSNDC RXO-1 CE RXO-19 Requested Give Strength Unit CE01122 RXO-1 RXO-10 RXO-18 ugh ISO+ ISO+ 7 RXO-4 RXO-20 IndecationCE01123 RXO-21 Requested Give Rate Amount ST01218 RXO-22 Requested Give Rate Units CE01219 RXO-21 RXO-23 Total Daily Dose RXO-4 RXO-24 (CE01476 Components: <identifier (ST> ^ <text (ST> ^ <name of coding system (IS> ^ <alternate identifier (ST> ^ <alternate text (ST> ^ <name of alternate coding system (IS> Generic Product Identifier(GPIGeneric Code Number_Sequence Number(GCN_SEQNONational Drug Code(NDC 68

72 7.8 RXR pharmacy/treatment route segment HL7RXR Pharmacy/Treatment Route SEQ LEN DT OPT Japan RP/# ITEM# ELEMENT NAME NOTE 1 60 CE R R Route 2 60 CE O O Site 3 60 CE O O Administration Device 4 60 CE O O Administration Method CE O O Routing Instruction RXR RXR-1 RouteCE00309 NDC CE HL HL70162 AP Apply Externally MM Mucous Membrane B Buccal NS Nasal DT Dental NG Nasogastric EP Epidural NP Nasal Prongs* * ET Endotrachial Tube* NT Nasotrachial Tube * GTT Gastrostomy Tube OP Ophthalmic GU GU IrrigantGU OT Otic IMR Immerse (Soak Body PartOTH Other/Miscellaneous IA Intra-arterial PF Perfusion IB Intrabursal PO Oral IC Intracardiac PR Rectal ICV Intracervical (uterus RM Rebreather Mask* * ID Intradermal SD Soaked Dressing IH Inhalation SC Subcutaneous IHA Intrahepatic Artery SL Sublingual IM Intramuscular TP Topical IN Intranasal TRA Tracheostomy* * IO Intraocular TD Transdermal IP Intraperitoneal TL Translingual IS Intrasynovial UR Urethral IT Intrathecal VG Vaginal IU Intrauterine VM Ventimask IV Intravenous WND Wound MTH Mouth/Throat * RXR-2 Administrative SiteCE00310 HL

73 CE SNOMED HL BE Bilateral Ears LVL Left Vastus Lateralis OU Bilateral Eyes NB Nebulized BN Bilateral Nares PA Perianal BU Buttock PERIN Perineal CT Chest Tube RA Right Arm LA Left Arm RAC Right Anterior Chest LAC Left Anterior Chest RACF Right Antecubital Fossa LACF Left Antecubital Fossa RD Right Deltoid LD Left Deltoid RE Right Ear LE Left Ear REJ Right External Jugular LEJ Left External Jugular OD Right Eye OS Left Eye RF Right Foot LF Left Foot RG Right Gluteus Medius LG Left Gluteus Medius RH Right Hand LH Left Hand RIJ Right Internal Jugular LIJ Left Internal Jugular RLAQ Rt Lower Abd Quadrant LLAQ Left Lower Abd Quadrant RLFA Right Lower Forearm LLFA Left Lower Forearm RMFA Right Mid Forearm LMFA Left Mid Forearm RN Right Naris LN Left Naris RPC Right Posterior Chest LPC Left Posterior Chest RSC Right Subclavian LSC Left Subclavian RT Right Thigh LT Left Thigh RUA Right Upper Arm LUA Left Upper Arm RUAQ Right Upper Abd Quadrant LUAQ Left Upper Abd Quadrant RUFA Right Upper Forearm LUFA Left Upper Forearm RVL Right Vastus Lateralis LVG Left Ventragluteal RVG Right Ventragluteal RXR-3 Administrative Device4 CE00311 HL HL70164 AP Applicator IVS IV Soluset BT Buretrol MI Metered Inhaler HL Heparin Lock NEB Nebulizer IPPB IPPB PCA PCA Pump IVP IV Pump RXR-4 Administrative MethodCE00312 HL HL70165 CH Chew NB Nebulized DI Dissolve PT Pain DU Dust PF Perfuse IF Infiltrate SH Shampoo IS Insert SO Soak IR Irrigate WA Wash IVPB IV Piggyback WI Wipe IVP IV Push 70

74 7.9 MSA - Message Acknowledgment Segment MSA HL7MSA Message Acknowledgment 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 Optionality R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer MSA MSA-Acknowledgment Code HL Value AA AE AR CA CE CR HL Acknowledgment Code Description : : : : : : : : : : : : : : : MSA-2 Message Control ID ID ST00010 ID MSA-3 Text Message ST00020 MSA-4 Expected Sequence Number NM00021 MSA-5 Delayed Acknowledgment Type ID

75 Value D F Delayed acknowledgment type Description MSA-6 Error Condition CE00023 Components: <identifier (ID> ^ <text (ST> ^ <name of coding system (ST> ^ <alternate identifier (ID> ^ <alternate text (ST> ^ <name of alternate coding system (ST> AR AE MSA-3 72

76 7.10 ERR - Error Segment ERR ERR attribute ERR SEQ LEN DT OPT Japan RP/# TBL# ITEM # ELEMENT NAME NOTE 1 80 CM R R Y Error Code and Location Optionality R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer ERR ERR-1 Error Code and Location CM00024 Components: <segment ID (ST> ^ <sequence (NM> ^ <field position (NM> ^ <code identifying error (CE> ID 2 HL7 3 4 CE 73

77 7.11 QRD Query Definition Segment 713 QRD HL7QRD - Original-Style Query Definition 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 XCN R R Y Who Subject Filter CE R R Y What Subject Filter CE R R Y What Department Data Code CM O O Y What Data Code Value Qual ID O O Query Results level Optionality R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 JapanJAHIS R - required O - optional C - conditional on the trigger event or on some other field(s X - not used with this trigger event B - left in for backward compatibility with previous versions of HL7 N - not used useally. use only on the site Repetition N - no repetition Y - the field may repeat an indefinite or site determined number of times (integer- the field may repeat up to the number of times specified in the integer QRD QRD-1 Query Date/Time TS00025 QRD-2 Query Format Code ID R HL70106Query/Response Format Code Value D R Description 74

78 QRD-3 Query Priority ID D HL Query Priority Value Description D I QRD-4 Query ID IDST00028 QRD-5 Deferred Response Type ID QRD-3 HL Deferred Response Type Value Description B L QRD-6 Deferred Response Date/Time TS00030 QRD-5 QRD-3 QRD-7 Quantity Limited Request CQ LI RD HL Quantity Limited Request Value Description CH LI PG RD ZO QRD-8 Who Subject Filter XCN

79 ID^^ QRD-10 QRD-10 QRD-9 What Subject Filter CE00033 OSQ ORD HL What Subject Filter Value Description ADV ANU APN APP ARN APM APA CAN DEM FIN GOL MRI MRO NCK NSC NST ORD PRB PRO RES RAR RER RDR RGR ROR SAL SBL SOP SSA SSR STA VXI OTH SBK QRD-10 What Department Data Code CE00034 ORC-2 HIS 76

80 QRD-11 What Data Code Value Qual. CM00035 QRD-10 QRD-12 Query Results level ID O T HL Query Results level Value O R S T Description 77

81

82 mg mg mg mg (10g 79

83 (10mg (1g (100ml (50mg (20ml mg 80

84 g g g 81

85

86 83