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Starting from the HL7 Message types, the document describes the conetent of each HL7 segment. The last sections describes the data handling (patient / order / observation / tenant), meaning the typical workflow / lifecycle of the data in custo diagnostic.
(Typical use / default does not imply, that the software has activated this options out of the box. Some manual configuration work is necessary by the custo diagnostic vendor / implementer.)
General Data Used
Drübergehen DTM Format?
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##bitte prüfen, ob hier alles aus default mapping drin ist
| Field | o/r/i | s/so | Default Usage | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OBR-1 / OBR-5 | r | s/so | Order Control The combination of OBR-1 and OBR-5 can be configured as order control: Default:
By default, OBR-5 is not evaluated, but can be configured to specific values. In this case the combination of OBR-1 and OBR-5 must match. ORR-MessagesOutgoing: See below, "Updating order placer also "Sending Obervation Status via ORR / ORU Messages" | |||||||||||||||
| OBR-2 | r | s | Placer ID | |||||||||||||||
| OBR-3 | i | so | Outgoing: Consecutive Number with an alphanumeric prefix, e.g. "CM00001234" or some GUID, e.g. "36eea93b-bc1b-4769-a84e-4ebeaaaf387e" | |||||||||||||||
| OBR-4 | r | s | OBR-4 contains information about the type of observation which should by executed. OBR-4-1 is a coded value which must be defined. OBR-4-2 when incomfing, OBR-4-2 is shown to the user, e.g. "Resting ECG" OBR-4-1 and OBR-4-2 is requried, other components optional. ##bitte prüfen - when OBR-4-2 in eingehender Nachricht abweichen zur Konfiguration in "Untersuchung" - welcher Text wird dabei angezeigt - der aus der Konfig, oder der aus der Nachricht? Outgoing: The software sends OBR-4 as received with the order. | |||||||||||||||
| OBR-5 | see OBR-1 | |||||||||||||||||
| OBR-20 | o | Incoming: Flexible text-fields which can be used to show additional information regarding this order to the user. | ||||||||||||||||
| OBR-21 | o | Incoming: Flexible text-fields which can be used to show additional information regarding this order to the user. |
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- ORR Messages
- ORU Status Messages (OBR-1/OBR-5)
- Obervation Observation Result Status in (OBX-11)
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When the orders are processed, custo diagnostic adds an internal "Filler ID" . This can be configured by a fixed length consecutive number, with an arbitrary alphanumeric prefix, e.g. "CM00001234", or an GUID.
ORR Messages and ORU Status Sending Observation Status via ORR / ORU Messages
ORR Message and / or ORU Status Messages can be configured on special activity / events.
The following events can be activated:
| Activity/Event | ORC-1 / ORC-5 |
|---|---|
| Order request accepted | by default not activated |
| Order request updated | by default not activated |
| Examination starts | SC / SC |
| Examination is finished | SC / CM |
| Order request will be deleted | SC / CA |
| Order request will be reset | by default not activated |
| Examination will be deleted | by default not activated |
Observation Result Status
The following result Status is part of the of the OBX-Segment, when sending the results.
##bitte nochmal OBX prüfen. Stimmt OBX-25?
| OBX-11/OBX-25 | Meaning |
|---|---|
| R | The results are entered or automatically generated. |
| P | The results are preconfirmed, in general not by an accountable person. |
| F | The results are confirmed by an accountable person. |
Observation Results (ORU)
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