HL7 Interface Specification Merge LIS™ v. 3 · HL7 Interface Specification ... For questions...
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HL7 Interface Specification Merge LIS™ v. 3.8 Merge Healthcare 900 Walnut Ridge Drive Hartland, WI 53029 USA 877.44.MERGE
Transcript of HL7 Interface Specification Merge LIS™ v. 3 · HL7 Interface Specification ... For questions...
HL7 Interface SpecificationMerge LIS™
v. 3.8
Merge Healthcare900 Walnut Ridge Drive
Hartland, WI 53029 USA
877.44.MERGE
© 2012 Merge Healthcare. The information contained herein is confidential and is the sole property of Merge Healthcare. None of the information may be reproduced, copied, and/or re-distributed electronically, manually, or otherwise to any person without advance written permission from Merge Healthcare, except as may be expressly authorized by contracts or other agreements between Merge Healthcare and its customer. Merge Healthcare® and AMICAS are registered trademarks and VERICIS, RadSuite, Abraxas, and iConnect are also trademarks of Merge Healthcare. Other trademarks or service marks referred to herein are the property of their respective owners.
Doc # Revision Date Description
LIS-756 2 9/10/12 Modifications from Implementation.
Merge LIS™ v. 3.8 HL7 Interface Specification
Table of ContentsIntroduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
HL7 Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
ADT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Message Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
MSH Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
NTE Segment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
PID Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
PV1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
DG1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
GT1 Segment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
IN1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Message Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
MSH Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
PID Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
NTE Segment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
PV1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
FT1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
GT1 Segment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
IN1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Orders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Message Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
MSH Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
NTE Segment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
PID Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
PV1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
DG1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
IN1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
GT1 Segment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
ORC Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
OBR Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Results . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
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Message Support . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
MSH Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
PID Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
NTE Segment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
PV1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
ORC Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
OBR Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
OBX Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
GT1 Segment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
IN1 Segment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
ZPS Segment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
HL7 Example Message Formats. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
ADT Example . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Charge Example. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25
Order Example . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Result Example . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
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Merge LIS™ v. 3.8 HL7 Interface Specification
Introduction
Purpose
This document presumes the reader has a working knowledge of the HL7 Version 2.3 interface specification.
The HL7 specification is available through:
Health Level Seven
3300 Washtenaw Ave. Suite 227
Ann Arbor, MI 48104-4250
Office: (313) 677-7777
FAX: (313) 677-6622
For questions specific to the enclosed documentation, please contact Merge Healthcare Technical Assistance at 877-44-MERGE.
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Merge LIS™ v. 3.8 HL7 Interface Specification
HL7 Messages
ADT
The following describes the Protocol for the Merge LIS ADT HL7 format.
Message Support
ADT - patient administration; supported for input only. The following trigger events are supported in the ADT interface: A01: Admit Patient, A02: Transfer Patient, A04: Register Patient, A08: Change Patient Data.
MSH Segment
NTE Segment
Field # Field name Length Notes
1 Field Separator 1 '|'
2 Encoding Characters 4 '^~\&'
3 Sending Application 12
4 Sending Facility 30 Defined in HL7 configuration for site
5 Receiving Application 30 Defined in HL7 configuration for site
6 Receiving Facility 20 Defined in HL7 configuration for site
7 Date-Time of Message 14 Date/time output file was created
9 Message Type 3^3 "ADT^A08"
10 Message Control ID 10 Unique sequential number
11 Processing ID 1 'P' = production, 'T' = test
12 Version ID 3 "2.3"
15 Accept Acknowledgement Type 2 "NE" or "AL" as defined in site parameters
16 Application Acknowledgement Type 2 "NE" or "AL" as defined in site parameters
Field # Field name Length Notes
1 Set ID 2 Sequential number starting at '1'
3 Comment 80 Text comment
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PID Segment
PV1 Segment
Field # Field name Length Notes
1 Set ID 4 Sequential number starting at '1'
2 Placer Patient ID 12 Host patient ID; required field
3 Merge LIS Patient ID 12 Merge LIS patient ID; optional with orders, required with results
4 Alternate Patient ID
5 Patient Name Note 1
6 Mother's Maiden Name 30
7 Date/Time of Birth 14
8 Sex 1 'M', 'F', or 'O'
10 Race 20
11 Address Note 2
13 Home Phone No 20
14 Work Phone No 20
18 Account Number 20
19 SSN 16
29 Patient death date 14
Field # Field name Length Notes
1 Set ID 1 '1'
2 Patient Class 1 'I' = inpatient, 'O' = outpatient
3 Patient Location ^8^8^8 room, bed, ward
7 Attending Doctor Note 3
8 Referring Doctor Note 3
9 Consulting doctor Note 3
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DG1 Segment
GT1 Segment
IN1 Segment
17 Admitting doctor Note 3
19 Placer Visit Number 20
44 Admit date 14
45 Discharge date 14
Field # Field name Length Notes
1 Set ID 1 '1'
3 Diagnosis Code 8, 80, 2 ICD-9 code for procedure
Field # Field name Length Notes
1 Set ID 1 Always '1'
3 Guarantor Name Note 1
5 Guarantor Address Note 2
6 Guarantor Home Phone 14
7 Guarantor Work Phone 14
11 Guarantor Relationship 1 '1' = self, '2' = spouse, '3' = son, '4' = daughter, '5' = other
12 Guarantor SSN 9
Field # Field name Length Notes
1 Set ID 1 Sequential number starting at '1'
2 Insurance Plan ID 15
3 Insurance Company ID 5 Required for Insurance Table must be unique. May be host-specific
4 Insurance Company Name 30
5 Insurance Company Address Note 2
Field # Field name Length Notes
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Note 1: "Person" fields support: Last name,^First name^ middle name
Note 2: "Address" fields support: street address^other address^city^state^zip
Note 3: "Providers" are represented as: FFlex Connect ID^last name^first name^^^^^Coding System
7 Insurance Company Phone Number 20
8 Group Number 15
9 Group Name 30
15 Plan Type 2 PI =Private Insurance
MC = Medicare
MD = Medicaid
HM = HMO
16 Name of Insured Note 1
17 Insured's Relationship to Patient 1 '1' = self, '2' = spouse, '3' = son, '4' = daughter, '5' = other
31 Type of Agreement 1 Workman's compensation flag (Y/N)
36 Policy Number 20 Policy number
Field # Field name Length Notes
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Charges
The following describes the Protocol for the Merge LIS Charges HL7 format.
Message Support
DFT event P03 - post detail financial transactions; support for output only. The transmission is triggered by a batch or single-sample reporting mechanisms outputting to the charges site.
MSH Segment
PID Segment
Field # Field name Length Notes
1 Field Separator 1 '|'
2 Encoding Characters 4 '^~\&'
3 Sending Application 12
4 Sending Facility 30 Defined in HL7 configuration for site
5 Receiving Application 30 Defined in HL7 configuration for site
6 Receiving Facility 20 Defined in HL7 configuration for site
7 Date-Time of Message 14 Date/time output file was created
9 Message Type 3^3 "DFT^P03"
10 Message Control ID 10 Unique sequential number
11 Processing ID 1 'P' = production, 'T' = test
12 Version ID 3 "2.3"
15 Accept Acknowledgement Type 2 "NE" or "AL" as defined in site parameters
16 Application Acknowledgement Type 2 "NE" or "AL" as defined in site parameters
Field # Field name Length Notes
1 Set ID 4 Sequential number starting at '1'
2 Placer Patient ID 12 Host patient ID; required field
3 Merge LIS Patient ID 12 Merge LIS patient ID; optional with orders, required with results
4 Alternate Patient ID
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NTE Segment
PV1 Segment
5 Patient Name Note 1
6 Mother's Maiden Name 30
7 Date/Time of Birth 14
8 Sex 1 'M', 'F', or 'O'
10 Race 20
11 Address Note 2
13 Home Phone No 20
14 Work Phone No 20
18 Account Number 20
19 SSN 11
29 Patient death date 14
Field # Field name Length Notes
1 Set ID 2 Sequential number starting at '1'
3 Comment 80 Text comment
Field # Field name Length Notes
1 Set ID 1 '1'
2 Patient Class 1 'E' = emergency, 'I' = inpatient, 'O' = outpatient, 'P' = preadmit, 'R' = recurring patient, 'B' = obstetrics
3 Patient Location ^8^8^8 ^Room^bed^ward
7 Attending Doctor Note 3
8 Referring Doctor Note 3
9 Consulting doctor Note 3
17 Admitting doctor Note 3
Field # Field name Length Notes
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FT1 Segment
19 Placer Visit Number 20
20 Financial Class 1 Bill Type: C = Client, T = Third Party, P = Patient
44 Admit date 14
45 Discharge date 14
Field # Field name Length Notes
1 Set ID 3 Sequential number starting at '1'
3 Transaction Batch ID 1 '1'
4 Transaction Date 14 Sample draw date yyyymmddhhmmss
6 Transaction Type 2 "CG"
7 Transaction Code 20^30^5
Procedure Code<identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)>
10 Transaction Quantity 1 '1'
16 Assigned Patient Location 8^0^0^8
Draw Location as both first and fourth component
19 Diagnosis Code 8^80^2 ICD-9 code for procedure<identifier (ST)> ^ <text (ST)> ^ <name of coding system (ST)> Repeat up to 4 times.
21 Ordered By 10^30^30^1^^^^1
Ordering Provider<ID number (ST)> ^ <Last name (ST)> ^ <First name (ST)> ^ <middle initial or name (ST)>^^^Coding System(ST)
23 Filler Order Number 8^30 Lab number or outside provider lab number and site name
25 Procedure Code 20^30^5
Procedure Code
26 Procedure Modifier 2 Procedure Modifiers; up to four modifiers separated by repeat delimiter
Field # Field name Length Notes
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GT1 Segment
IN1 Segment
Note 1: "Person" fields support: Last name,^First name^ middle name
Field # Field name Length Notes
1 Set ID 1 Always '1'
3 Guarantor Name Note 1
5 Guarantor Address Note 2
6 Guarantor Home Phone 14
7 Guarantor Work Phone 14
11 Guarantor Relationship 1 '1' = self, '2' = spouse, '3' = son, '4' = daughter, '5' = other
Field # Field name Length Notes
1 Set ID 1 Sequential number starting at '1'
2 Insurance Plan ID 15
3 Insurance Company ID 5
4 Insurance Company Name 30
5 Insurance Company Address Note 2
7 Insurance Company Phone Number 20
8 Group Number 15
9 Group Name 30
15 Plan Type 2 PI =Private Insurance
MC = Medicare
MD = Medicaid
HM = HMO
16 Name of Insured Note 1
17 Insured's Relationship to Patient 1 '1' = self, '2' = spouse, '3' = son, '4' = daughter, '5' = other -Values can be modified.
31 Type of Agreement 1 Workman's compensation flag (Y/N)
36 Policy Number 20 Policy number
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Note 2: "Address" fields support: street address^other address^city^state^zip
Note 3: "Providers" are represented as: FFlex Connect ID^last name^first name^^^^^Coding System
EVN Segment
Orders
The following describes the Protocol for the Merge LIS Orders HL7 format.
Message Support
ORM event O01 - general order message; supported for input only.
MSH Segment
Field # Field name Length Notes
1 Event Type 3 P03
2 Event Date/Time 14 Date/Time of Event
Field # Field name Length Notes
1 Field Separator 1 '|'
2 Encoding Characters 4 '^~\&'
3 Sending Application 12
4 Sending Facility 30 Defined in HL7 configuration for site
5 Receiving Application 30 Defined in HL7 configuration for site
6 Receiving Facility 20 Defined in HL7 configuration for site
7 Date-Time of Message 14 Date/time output file was created
9 Message Type 3^3 "ORM^O01"
10 Message Control ID 10 Unique sequential number
11 Processing ID 1 'P' = production, 'T' = test
12 Version ID 3 "2.3"
15 Accept Acknowledgement Type 2 "NE" or "AL" as defined in site parameters
16 Application Acknowledgement Type 2 "NE" or "AL" as defined in site parameters
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Merge LIS™ v. 3.8 HL7 Interface Specification
NTE Segment
PID Segment
Field # Field name Length Notes
1 Set ID 2 Sequential number starting at '1'
3 Comment 80 Text comment
Field # Field name Length Notes
1 Set ID 4 Sequential number starting at '1'
2 Placer Patient ID 12 Host patient ID; required field
3 Merge LIS Patient ID 12 Merge LIS patient ID; optional with orders, required with results
4 Alternate Patient ID
5 Patient Name Note 1
6 Mother's Maiden Name 30
7 Date/Time of Birth 14
8 Sex 1 'M', 'F', or 'O'
10 Race 20
11 Address Note 2
13 Home Phone No 20
14 Work Phone No 20
18 Account Number 20
19 SSN 16
29 Patient death date 14
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PV1 Segment
DG1 Segment
IN1 Segment
Field # Field name Length Notes
1 Set ID 1 '1'
2 Patient Class 1 'I' = inpatient, 'O' = outpatient
3 Patient Location ^8^^8 room, location
7 Attending Doctor Note 3
8 Referring Doctor Note 3
9 Consulting doctor Note 3
17 Admitting doctor Note 3
19 Placer Visit Number 20
20 Financial Class 12 Bill Type: C = Client, T = Third Party, P = Patient. See Note 4
44 Admit date 14
45 Discharge date 14
Field # Field name Length Notes
1 Set ID 1 '1'
3 Diagnosis Code 8, 80, 2 ICD-9 code for procedure
Field # Field name Length Notes
1 Set ID 1 Sequential number starting at '1'
2 Insurance Plan ID 15
3 Insurance Company ID 5 Required for Insurance Table must be unique. May be host-specific
4 Insurance Company Name 30
5 Insurance Company Address Note 2
7 Insurance Company Phone Number 20
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GT1 Segment
8 Group Number 15
9 Group Name 30
15 Plan Type 2 PI =Private Insurance
MC = Medicare
MD = Medicaid
HM = HMO
16 Name of Insured Note 1
17 Insured's Relationship to Patient 1 '1' = self, '2' = spouse, '3' = son, '4' = daughter, '5' = other
31 Type of Agreement 1 Workman's compensation flag (Y/N)
36 Policy Number 20 Policy number
Field # Field name Length Notes
1 Set ID 1 Always '1'
3 Guarantor Name Note 1
5 Guarantor Address Note 2
6 Guarantor Home Phone 14
7 Guarantor Work Phone 14
11 Guarantor Relationship 1 '1' = self, '2' = spouse, '3' = son, '4' = daughter, '5' = other
12 Guarantor SSN 9
Field # Field name Length Notes
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ORC Segment
OBR Segment
Field # Field name Format Notes
1 Order Control 2 "NW" New Order or 'CA' will cause the OBR segments that follow this ORC to be cancelled.
2 Placer Order Number 10 Placer order number or Merge LIS lab number if order created in Merge LIS.
3 Merge LIS Order Number 10^8 Placer accession number (ID)
12 Attending Doctor Note 3
Field # Field name Format Notes
1 Set ID 3 Sequential number starting at '1'
2 Placer Test Number 10^8 May be supported by host; placer device code included with results (along with corresponding ZPS segment)
4 Test ID 8^30~5 Procedure ID
5 Priority 2
6 Order Date/Time 14
7 Draw Date/Time 14 Whether already drawn or future draw
9 Collection volume 3
10 Collector Identifier 8^30^30^30^5^5^5^^^^^^^8
Draw tech ID, last name, first name, MI, suffix, prefix, degree, ward
11 Specimen Action Code 1 Orders only: 'A' add test to existing specimen, 'G' reflexed by lab, 'L' lab to obtain specimen
14 Specimen Received Date/Time 14
15 Specimen Source 8 Sample type Code.
16 Ordering Provider Note 3
22 Results Reported Date/Time 14 Date/time that test was first reported to any destination
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Note 1: "Person" fields support: Last name,^First name^ middle name
Note 2: "Address" fields support: street address^other address^city^state^zip
Note 3: "Providers" are represented as: FFlex Connect ID^last name^first name^^^^^Coding System
Note 4: Saved as Client if GT1.2 Code exists. If no GT1.2 Code is sent saved as Guarantor unless financial class is "C" = Client.
25 Result Status 1 Results only: 'O' = order received, specimen not yet received; 'X' = no results available, order canceled; 'F' = final results; 'R' = results stored, not yet verified, 'A' = some, but not all, results available, 'S' = no results available, procedure scheduled but not done, 'I' = incomplete, 'C' = correction, 'P' = preliminary
26 Parent Isolate ^Isolate#
Used for associating a microbiology identification or sensitivity panel to a specific exam; this field will contain the isolate number (matches any OBX.4 results under the exam's OBR)
27 Quantity/Timing 1 Component 6 for stat or routine.
28 "Copy to" providers Note 3 Up to three repeats
29 Parent Exam 8 Used for associating a microbiology identification or sensitivity panel to a specific exam; this field will contain the exam test code (found in field four of the exam's OBR)
31 Diagnosis 8^220 ICD-9 code and descriptions; up to four repeats
37 Number of expected containers 2
45 Billing modifiers 2 Up to four repeats
Field # Field name Format Notes
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Results
The following describes the Protocol for the Merge LIS Results HL7 format.
Message Support
ORU event R01 - transmission of results; supported for output only.
MSH Segment
PID Segment
Field # Field name Length Notes
1 Field Separator 1 '|' (required)
2 Encoding Characters 4 '^~\&' (required)
3 Sending Application 12
4 Sending Facility 30 Defined in HL7 configuration for site
5 Receiving Application 30 Defined in HL7 configuration for site
6 Receiving Facility 20 Defined in HL7 configuration for site
7 Date-Time of Message 14 Date/time output file was created
9 Message Type 3^3 "ORU^R01"
10 Message Control ID 10 Unique sequential number
11 Processing ID 1 'P' = production, 'T' = test
12 Version ID 3 "2.3"
15 Accept Acknowledgement Type 2 "NE" or "AL" as defined in site parameters
16 Application Acknowledgement Type 2 "NE" or "AL" as defined in site parameters
Field # Field name Length Notes
1 Set ID 4 Sequential number starting at '1'
2 Placer Patient ID 12 Host patient ID; required field
3 Merge LIS Patient ID 12 Merge LIS patient ID; optional with orders, required with results
4 Alternate Patient ID
5 Patient Name Note 1
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NTE Segment
PV1 Segment
6 Mother's Maiden Name 30
7 Date/Time of Birth 14
8 Sex 1 'M', 'F', or 'O'
10 Race 20
11 Address Note 2
13 Home Phone No 20
14 Work Phone No 20
18 Account Number 20
19 SSN 16
29 Patient death date 14
Field # Field name Length Notes
1 Set ID 2 Sequential number starting at '1'
3 Comment 80 Text comment
Field # Field name Length Notes
1 Set ID 1 '1'
2 Patient Class 1 'E' = emergency, 'I' = inpatient, 'O' = outpatient, 'P' = preadmit, 'R' = recurring patient, 'B' = obstetrics
3 Patient Location ^8^^8 room, location
7 Attending Doctor Note 3
8 Referring Doctor Note 3
9 Consulting doctor Note 3
17 Admitting doctor Note 3
19 Placer Visit Number 20
44 Admit date 14
45 Discharge date 14
Field # Field name Length Notes
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Merge LIS™ v. 3.8 HL7 Interface Specification
ORC Segment
OBR Segment
Field # Field name Format Notes
1 Order Control 2 'RE'
2 Placer Order Number 10 Placer order number or Merge LIS lab number if order created in Merge LIS.
3 Merge LIS Order Number 10^8 Placer accession number (ID)
12 Attending Doctor Note 3
Field # Field name Format Notes
1 Set ID 3 Sequential number starting at '1'
2 Placer Test Number 10^8 May be supported by host; placer device code included with results (along with corresponding ZPS segment)
3 Filler Order Number 10 Merge LIS Lab Number.
4 Test ID 8^30~5 Procedure ID
5 Priority 2
6 Order Date/Time 14
7 Draw Date/Time 14 Whether already drawn or future draw
9 Collection volume 3
10 Collector Identifier 8^30^30^30^5^5^5^^^^^^^8
Draw tech ID, last name, first name, MI, suffix, prefix, degree, ward
11 Specimen Action Code 1 Orders only: 'A' add test to existing specimen, 'G' reflexed by lab, 'L' lab to obtain specimen
14 Specimen Received Date/Time 14
15 Specimen Source 8 Sample type Code.
16 Ordering Provider Note 3
22 Results Reported Date/Time 14 Date/time that test was first reported to any destination
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Merge LIS™ v. 3.8 HL7 Interface Specification
OBX Segment
25 Result Status 1 Results only: 'O' = order received, specimen not yet received; 'X' = no results available, order canceled; 'F' = final results; 'R' = results stored, not yet verified, 'A' = some, but not all, results available, 'S' = no results available, procedure scheduled but not done, 'I' = incomplete, 'C' = correction, 'P' = preliminary
26 Parent Isolate ^Isolate#
Used for associating a microbiology identification or sensitivity panel to a specific exam; this field will contain the isolate number (matches any OBX.4 results under the exam's OBR)
27 Quantity/Timing 1 Component 6 for stat or routine.
28 "Copy to" providers Note 3 Up to three repeats
29 Parent Exam 8 Used for associating a microbiology identification or sensitivity panel to a specific exam; this field will contain the exam test code (found in field four of the exam's OBR)
31 Diagnosis 8^220 ICD-9 code and descriptions; up to four repeats
37 Number of expected containers 2
45 Billing modifiers 2 Up to four repeats
Field # Field name Format Notes
1 Set ID 1 Sequential number starting at '1'
2 Value Type 2 "NM", "ST", or "FT"
3 Result code 8^30 Code, name; note that in the case of microbiology exams, the same result code can exist in more than one OBX for the exam OBR, each having a different OBX.4 Isolate number; e.g. "Organism name"
4 Isolate number 2 Used to separate microbiology exam results by isolate, e.g. organism name, colony count, etc. Required field for all exam results.
5 Observation Value 5000 Numeric, alpha, or text
Field # Field name Format Notes
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Merge LIS™ v. 3.8 HL7 Interface Specification
ZPS Segment
Note 1: "Person" fields support: Last name,^First name^ middle name
Note 2: "Address" fields support: street address^other address^city^state^zip
Note 3: "Providers" are represented as: FFlex Connect ID^last name^first name^^^^^Coding System
6 Units 10 Units for numeric procedure
7 Reference Range 17 Reference range for numeric procedure
8 Abnormal Flags 2 'L' = below low normal; 'H' = above high normal; 'LL' = below lower panic limits; 'HH' = above upper panic limits; '<' = below absolute low/off instrument scale; '>' = above absolute high/off instrument scale; 'N' = normal; 'A' = abnormal (non-numeric result): 'AA' = very abnormal (non-numeric results), 'U' = significant change up, 'D' = significant change down, 'S' = susceptible (micro only), 'R' = resistant (micro only), 'I' = intermediate (micro only), 'MS' = moderately susceptible (micro only), 'VS' = very susceptible (micro only); supports up to two repeats
11 Result Status 1 'C' = correction; 'D' = deleted; 'F' = final result; 'I' = result pending, 'P' = preliminary, 'R' = entered but not verified, 'X' = results cannot be obtained
14 Result date/time 14 Date/time that result was generated (not when result was verified)
15 Producer's ID 8 Required if result not generated in FFlex Connect; will be corresponding ZPS segment
16 Accepting Tech 8^30^30^30^5^5^5
Accepting tech ID, last name, first name, MI, suffix, prefix, degree
Field # Field name Format Notes
1 Set ID 1 '1'
2 Device Code 8
3 Device Name 30
4 Device Address Note 2
Field # Field name Format Notes
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Merge LIS™ v. 3.8 HL7 Interface Specification
HL7 Example Message Formats
ADT Example
MSH|^~\&|AEMRADT|415|ERI|415|20030730041703||ADT^A08|00000000000177948|P|2.3
PID||36996-13|36996-13||WHITE^TEST^W^^|SMITH|19441215|F|NONE||1540 E CONSTITUTION^^LONG BEACH^CA^90001^^^||(480)795-3023|(480)795-3333||||00012350583|015348184||||
PV1|1|I|ER||||10830^ATTEND^ING|20830^REF^ALICE^|30830^LEE^CONSULT^||||||||40830^LEE^ADMIT^||3509319|
DG1|1||001.9^CHOLERA NOS|
GT1|1|000614848|WHITE^TEST^W^^||1540 E CONSTITUTION^^LONG BEACH^CA^90001^^^|(505)791-1023||19441215|F||1|015348184|
IN1|1|PLAN001|210012|BANNER CHOICE PLUS|445 W 5TH PLACE #108^^LOS ANGELES^CA^90002||(800)333-4444|BHA001|VALLEY MC||||||PI|WHITE^TEST^W^^|1|19441215|155 E 2nd^^LONG BEACH^CA^90001^^^||||||||||||N|||||123456|
Charge Example
MSH|^~\&|Labpak|RGMG_LBPK|INTERGY|RGMG_INTERGY|201008201705||DFT^P03|082017050601|P|2.3.1|||NE|NE
EVN|P03|201008201705
PID|1|M1302|||TEST^PATIENT^T^^||19670101|M|||123 8th street^apt.22b^long beach^CA^90802^||^^^^^714^5551212|^^^^^714^2225555||||873lfif|4441113||||||||||
PV1|1|O|^^^^^^^||||||||||||||||V4735|||||||||||||||||||||||||201008201648|
FT1|1||1|201008201648||CG|CBC^COMPLETE BLOOD COUNT^L|||1||||||^^^|||100.0||||15175||CBC^COMPLETE BLOOD COUNT^L|GA
FT1|2||1|201008201648||CG|ALC^ALCOHOL, ETHYL^L|||1||||||^^^|||||||15175||ALC^ALCOHOL, ETHYL^L|GA
FT1|3||1|201008201648||CG|A1C^A1C^L|||1||||||^^^|||||||15175||A1C^A1C^L|GA
GT1|1||TEST^PATIENT^T^^||123 8th street^^long beach^CA^90802^||||||5|
IN1|1|PLANID12T34||MEDICARE|^^^^^|||GROUP23|||||||TR|TEST^JOHN^M^^|5||^^^^^||||||||||||N|||||POLICY1234
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Merge LIS™ v. 3.8 HL7 Interface Specification
Order Example
MSH|^~\&|TEST|LAB|FFLEX|TEST|20030723120318||ORM^O01|163|T|2.3||||NE|NE
PID||36996-13|36996-13||WHITE^TEST^W^^|SMITH|19441215|F|NONE||1540 E CONSTITUTION^^LONG BEACH^CA^90001^^^||(480)795-3023|(480)795-3333||||00012350583|015348184||||
NTE|1||Patient Level Comment Only
PV1|1|I|ER||||10830^ATTEND^ING|20830^REF^ALICE^|30830^LEE^CONSULT^||||||||40830^LEE^ADMIT^||3501319|
DG1|1||001.9^CHOLERA NOS|
GT1|1|000614848|WHITE^TEST^W^^||1540 E CONSTITUTION^^LONG BEACH^CA^90001^^^|(505)791-1023||19441215|F||1|015348184|
IN1|1|PLAN001|210012|BANNER CHOICE PLUS|445 W 5TH PLACE #108^^LOS ANGELES^CA^90002||(800)333-4444|BHA001|VALLEY MC||||||PI|WHITE^TEST^W^^|1|19441215|155 E 2nd^^LONG BEACH^CA^90001^^^||||||||||||N|||||123456|
ORC|NW|000000064|||||||20030723114728|||20830^REF^ALICE^
OBR|2|000000064||ALT^ALT^L|R|20030723114734|20030723115904||4~CC|Tech|N|||20030723115904|BLDV~BLOOD VENOUS^^^LA~LEFT ARM|40830^LEE^ADMIT^|||||||||||||||285.29^ANEMIA OF OTHER CHRONIC ILLNESS (285.29)^I9||||||||||||||
NTE|1||N FASTING
DG1|1||285.29^ANEMIA OF OTHER CHRONIC ILLNESS|
OBR|2|000000064||ALB^ALBUMIN^L|R|20030723114734|20030723115904||4~CC|Tech|N|||20030723115904|BLDV~BLOOD VENOUS^^^LA~LEFT ARM|40830^LEE^ADMIT^|||||||||||||||285.29^ANEMIA OF OTHER CHRONIC ILLNESS (285.29)^I9||||||||||||||
Result Example
MSH|^~\&|LAB|Merge||EMR Partner|201008201704||ORU^R01|082017045701|P|2.3|||NE|NE
PID|1||M1302||TEST^PATIENT^T^^||19670101|M|||123 8th street^apt.22b^long beach^CA^90802^||(714)555-1212|(714)222-5555||||873lfif|4441113||||||||||
PV1|1|O|RGH^^^RGH^^^^||||999999^TEST^TEST^^^^^L||9999^TEST^DOCTOR^^^^^L||||||||288^ALBRIGHT^MD^^^^^L||V4735|||||||||||||||||||||||||201008201648|
ORC|RE||15175|||||||||288^ALBRIGHT^MD^^^^^L|
OBR|1||15175|CBC^COMPLETE BLOOD COUNT^L|R|201008201650|201008201648|||BB^RGH^^^^^^^^^^^^RGH||||201008201648|B|288^ALBRIGHT^MD^^^^^L||||||20100820170246|||F|^|||||100.0||||||||||||||GA
OBX|1|NM|WBC^WBC^L||4.0|10\S\3/MM\S\3|3.6-11.1||||F|||201008201652|RGH|ADM
OBX|2|NM|RBC^RBC^L||5.10|10\S\6/MM\S\3|4.50-5.90||||F|||201008201652|RGH|ADM
OBX|3|NM|HGB^HGB^L||12.5|g/dL|12.0-18.0||||F|||201008201652|RGH|ADM
OBX|4|NM|HCT^HCT^L||38.3|%|37.0-54.0||||F|||201008201652|RGH|ADM
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Merge LIS™ v. 3.8 HL7 Interface Specification
OBX|5|NM|MCV^MCV^L||78|um\S\3|77-99||||F|||201008201652|RGH|ADM
OBX|6|NM|MCH^MCH^L||25.5|PG|25.2-32.7||||F|||201008201652|RGH|ADM
OBX|7|NM|MCHC^MCHC^L||32.0|g/dL|31.0-36.8||||F|||201008201652|RGH|ADM
OBX|8|NM|PLT^PLT^L||145|10\S\3/MM\S\3|130-400||||F|||201008201652|RGH|ADM
OBX|9|NM|LYMPH%^LYMPH %^L||36.0|%|25.0-50.0||||F|||201008201652|RGH|ADM
OBX|10|NM|MONO%^MONO%^L||2.0|%|2.0-10.0||||F|||201008201652|RGH|ADM
OBX|11|NM|NEUT%^NEUT %^L||55.0|%|50.0-80.0||||F|||201008201652|RGH|ADM
OBX|12|NM|EOS%^EOS%^L||4.1|%|0.0-5.0||||F|||201008201652|RGH|ADM
OBX|13|NM|BASO%^BASO%^L||2.0|%|0.0-2.0||||F|||201008201652|RGH|ADM
OBX|14|NM|LYMPH#^LYMPH#^L||1.00|10\S\3/MM\S\3|1.00-5.00||||F|||201008201652|RGH|ADM
OBX|15|NM|MONO#^MONO#^L||1.00|10\S\3/MM\S\3|0.10-1.00||||F|||201008201652|RGH|ADM
OBX|16|NM|NEUT#^NEUT #^L||2.00|10\S\3/MM\S\3|2.00-8.00||||F|||201008201652|RGH|ADM
OBX|17|NM|EOS#^EOS #^L||1.50|10\S\3/MM\S\3|0.00-0.40|H|||F|||201008201652|RGH|ADM
OBX|18|NM|BASO#^BASO #^L||0.10|10\S\3/MM\S\3|0.00-0.20||||F|||201008201652|RGH|ADM
OBX|19|NM|RDW^RDW^L||10.0|%|13.0-16.0|L|||F|||201008201652|RGH|ADM
OBX|20|NM|MPV^MPV^L||7.6|um\S\3|7.4-10.4||||F|||201008201652|RGH|ADM
OBX|21|ST|COM 1:^COMMENT1:^L||*** Unable to give accurate Platelet count due to clumping.||||||F|||201008201652|RGH|ADM
OBX|22|ST|COMT1^COMMENT:^L||NOT SUITABLE FOR ANALYSIS||||||F|||201008201652|RGH|ADM
ORC|RE||15175|||||||||288^ALBRIGHT^MD^^^^^L|
OBR|2||15175|ALC^ALCOHOL, ETHYL^L|R|201008201650|201008201648|||BB^RGH^^^^^^^^^^^^RGH||||201008201648|B|288^ALBRIGHT^MD^^^^^L||||||20100820170246|||F|^|||||||||||||||||||GA
OBX|1|NM|ALC^ALCOHOL (ETHANOL)^L||36|mg/dL|0-32|H|||F|||201008201650|RGH|ADM
ORC|RE||15175|||||||||288^ALBRIGHT^MD^^^^^L|
OBR|3||15175|A1C^A1C^L|R|201008201650|201008201648|||BB^RGH^^^^^^^^^^^^RGH||||201008201648|B|288^ALBRIGHT^MD^^^^^L||||||20100820170246|||F|^|||||||||||||||||||GA
OBX|1|NM|HBA1C^HBA1C^L||5.0|%|4.2-6.3||||F|||201008201650|RGH|ADM
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