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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 PV1 Patient Visit [ PV2 Patient Visit - Additional Info. [AL1 Allergy Information [ MSA 1 PV2 AL1 Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 59

6.2 (ADT/ACK) ADT 6.2.1 ADT/ACK (A01 A02 A04 A06 A07 A08 A11 A12) A01 A02 A04 A06 A07 A08 A11 A12 A04 A08 ADT/ACK ADT ADT Message PV1 Patient Visit [ PV2 Patient Visit - Additional Info. [ AL1 Allergy Information ACK General Acknowledgment MSA [ ERR Error [ PV2 AL1 Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 60

6.3 (OSQ/OSR) (OSQ) (OSR) 6.3.1 OSQ/OSR Q06 Q06 OSQ OSQ Order Status Query QRD Query Definition [ QRF Query Filter OSR OSR Order Status MSA Message Acknowledgement [ERR Error [NTE Notes and Comments (for ERR) QRD Query Definition [QRF Query Filter [NTE Notes and Comments (for QRD,QRF) [ PV1 Patient Visit [AL1 Allergy Information ORC Order Common Observations Request OBX Observation/Result [NTE Notes and Comments (for OBX) : [ ( ) QRD QRF NTE for QRD,QRF Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 61

ORC ORC OBX 6.4 (ORM/ORR) (ORM) (ORR) 6.4.1 ORM ( ) O01 O01 ORM ORM General Order Message [ NTE Notes and Comments (for Header) [ NTE Notes and Comments (for Patient ID) [ PV1 Patient Visit [ PV2 Patient Visit 2 [ AL1 Allergy ORC Order Common Observation Request [ NTE Notes and Comments (for ) [ OBX Observation/Result [ NTE Notes and Comments (for Results) [ ( ) 1 1 PV2 AL1 ORC 1 () 1 1 ORC OBX Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 62

ORC 1 ORC OBX ORC OBX OBX OBX GOT,GPT,HBs 100g OBX, 30 (-4/OBX-3) (-15) OBX 6.4.2 ORR - O02 O02 ORR ORR General Order Acknowledgment Message [ NTE Notes and Comments (for Header) [ NTE Notes and Comments (for Patient ID) [ PV1 Patient Visit [ PV2 Patient Visit 2 [ AL1 Allergy ORC Order Common Observation Request [ NTE Notes and Comments (for ) [ OBX Observation/Result [ NTE Notes and Comments (for Results) [ Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 63

6.5 (QRY/ORF) (QRY) ORF 6.5.1 QRY/ORF R02 R04 R02 R04 QRY/ORF QRY QRD QRF NTE Query Query Definition Query Filter Notes and Comments ORF Observational Report MSA QRD Query Definition [ QRF Query Filter [ Patient ID [NTE Notes and Comments [ ORC Order Common Observation request [NTE Notes and comments [OBX Observation Result [NTE Notes and Comments [CTI Clinical Trial Identification [ CTI HL7 QRD QRF ID 1 1 Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 64

6.6 (ORU/ACK) (ORU) R01 (-25) ( ) : I : A, R, F 6.6.1 (ORU) ORU/ACK - R01 R01 ORU/ACK HIS ORU Observational Results [ NTE Notes and Comments( for ) [ PV1 Patient Visit Observations Request [ NTE Notes and Comments( for ) [ OBX Observation/Result [ NTE Notes and Comments( for OBX) ACK MSA Acknowledgment [ Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 65

ORU/ACK LIS ( ) ORU Observational Results [ NTE Notes and Comments( for ) [ PV1 Patient Visit [ ORC Order Common Observations Request [ NTE Notes and Comments( for ) [ OBX Observation/Result [ NTE Notes and Comments( for OBX) ACK MSA Acknowledgment : [ 1 OBX (-4/OBX-3) DSC Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 66

6.6.2 (ORU) ORU/ACK - R01 R01 ORU/ACK ORU Observational Results [ NTE Notes and Comments( for ) [ PV1 Patient Visit [ ORC Order Common Observations Request [ NTE Notes and Comments( for ) [ OBX Observation/Result [ NTE Notes and Comments( for OBX) ACK MSA Acknowledgment : [ 1 1 (-4/OBX-3) OBX 1 ID OBX DSC Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 67

6.7 OML/ORL OML ORL ORM SAC 6.7.1 OML O21 O21 OML OML Laboratory Order Message [ NTE Notes and Comments (for Header) [ [NTE Notes and Comments ( for Patient ID) [PV1 Patient Visit [PV2 Patient Visit Additional Info [AL1 Allergy [SAC Specimen Container Detail [OBX Additional Specimen Characteristics ORC Common Order [ Observation Request [SAC Specimen Container Details [OBX Additional Specimen Characteristics [TCD Test Code Details [NTE Notes and Comments ( for Detail) [ OBX Observation/Result [TCD Test Code Detail [NTE Notes and Comments ( for Results) [ [ previous result [PV1 Patient Visit previous result [PV2 Patient Visit Add. Info previous result [AL1 Allergy Information previous result [ORC Common Order previous result 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 68

1 1 SAC SAC OBX ORC 1 () 1 OBX 6.7.2 ORL O22 O22 ORL ORL General Laboratory Order Response Message MSA [ERR Error [NTE Notes and Comments (for Header) [ [ [SAC Specimen Container Details [OBX Additional Specimen Characteristics [ ORC Common Order [ Observations Request [SAC Specimen Container Details [ Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 69

6.8 OUL/ACK OUL 6.8.1 OUL/ACK (R21) R21 OUL/ACK OUL [NTE [ [NTE [PV1 [PV2 [SAC [SID [OBX [ORC [NTE [OBX [TCD [SID [NTE [DSC Laboratory Observation Message(unsolicited) Notes and Comments Notes and Comments (for Patient ID) Patient Visit Patient Visit Additional Information Specimen Container Details Substance Identifier Additional Specimen Characteristics Common Order Observation Notes and Comments (for Detail) Observations Request Test Code Detail Substance Identifier Notes and Comments Continuation Pointer ACK MSA Acknowledgment [ SAC QC SAC SID TCD SID QC Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 70

6.9 / (QBP/RSP) / (QBP) / RSP 6.9.1 QBP / Q11 / (Q11) QBP / QBP^Q11 Query By Parameter QPD Query Parameter Definition Segment [... Optional query by example segments RCP Response Control Parameters [ Q11 Q11 Conformance Statement Z Conformance Statement QBP_Q11 [... 6.9.2 RSP / K11 / (K11) RSP / RSP^K11 Segment Pattern Response MSA [ ERR Error QAK Query Acknowledgement QPD Query Parameter Definition Segment [... Segment Pattern from Conformance Statement... [ Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 71

MSA ACK K11 K11 Conformance Statement Z Conformance Statement RSP_K11 [... Copyright 2002 JAHIS V2.0 JHLDEX20.DOC 72