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In case a patient/visit already exists in custo diagnostic, it is updated by default by each ADT message. (see "Null Value").
In some environments, a patient is only created via Order-Messages and Merge/Move-Messages. (can be configured).
This behavior can be configured - meaning that it can be stipulated which message creates a patient/visit (e.g. only ADT^A01), and which messages updates a patient/visit information.
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In most installations, the manually typed in Report-Text (german "Befund") and a created PDF-File (also base64-embedded) are the most important data of the observation.
OBX-Segment
| Field | o/r/i | s/so | Default Usage |
|---|---|---|---|
| OBX-1 | 1) | s | Set-ID |
| OBX-2 | 1) | s | Value Type (ST, NM, FT, RP, ED) |
| OBX-3 | 1) | so | observation identifier, see below OBX-3-1 code, OBX-3-2 text/human readable |
| OBX-5 | 1) | so | observation value, see below |
| OBX-6 | 1) | so | units |
| OBX-11 | so | Observation Result Status. (see above, section "Observation Result Status") |
1) Incoming: See section "Orders" above.
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custo diagnostic can send specific observation data. The most common one is the manually typed in report or the entire observation as PDF / base64 embedded, but more than hundred specific numeric values can be defined which are described more specific below.
| OBX-2 | OBX-3-1 | OBX-3-2 | OBX-5-1 | OBX-5-3 | OBX-5-4 |
|---|---|---|---|---|---|
| FT | AKT_BEF | Report | Formatted Report | ||
| RP | FILE_PDF | PDF File | Points to an PDF-File, including path. | ||
| ED | FILE_PDF | PDF File | Base64 | ||
Sample:
| Code Block |
|---|
MSH|^~\&|||||20210604110853.844+0200||ORU^R01^ORU_R01|2401|P|2.5|||NE|NE|D
PID|1||197051008||Benson^Joe||19570213|M|||Trebeck Street 14^^Tedworth, South^^10417 PV1|1|U|H1A^^B377T^IM^^^3^5e||||||||||||||||3044281008||K
ORC|SC|12345|CM0000000001||CM OBR|1|12345|CM0000000001|EKG03^EKG03|||20210602160514.037+0200|||||||20210602160514||||||||20210604103235||||||||||&Supervisor
OBX|1|ED|FILE_PDF^PDF File||^^pdf^Base64^JVBERi0xLjQKJcOiw6MKMSAwIG9iago8PAovVGl0bGUgKP7AGMAdQBzAHQAbwBfAGQAaQBhA ... olJUVPRgo=||||||F
OBX|2|ST|AKT_BEF^Report|1|normofrequenter Sinusrhythmus\.br\Steiltyp||||||F |
Medical Document (MDM)
Physical Transport
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