iConnect Enterprise Archive v. 9 - Merge® Enterprise Archive v. 9 HL7 Interface Specification 2 of...

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HL7 Interface Specification iConnect ® Enterprise Archive v. 9 Merge Healthcare 900 Walnut Ridge Drive Hartland, WI 53029 USA 877.44.MERGE

Transcript of iConnect Enterprise Archive v. 9 - Merge® Enterprise Archive v. 9 HL7 Interface Specification 2 of...

HL7 Interface SpecificationiConnect®

Enterprise Archivev. 9

Merge Healthcare900 Walnut Ridge Drive

Hartland, WI 53029 USA

877.44.MERGE

© 2013 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.

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Doc # Revision Date Description

ECM-2772 1 2/11/13 Initial release.

iConnect® Enterprise Archive v. 9 HL7 Interface Specification

Table of ContentsTable of Contents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Purpose . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Related Documents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

Implementation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Communication Profile . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

HL7 Implementation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Version . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Message Delimiters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Processing Rules . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Original Acknowledgement Mode. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Rejection Messages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

Error Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7

HL7 Messages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Patient Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ADT^A08 - update patient information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

ADT^A40 - merge patient - patient identifier list. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Procedure Scheduled . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

ORM^O01 - general order message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Procedure Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

ORM ^O01 - general order message . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Unsolicited Observation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

ORU^R01 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

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iConnect® Enterprise Archive v. 9 HL7 Interface Specification

Introduction

Purpose

This document describes the HL7 Interface v. 1.2 based on the IHE Year 3 Technical Framework.

Related Documents

The following documents are related to the HL7 Interface 1.2 Specification document:

● NEMA 2003, The DICOM Standard: Parts 1 - 14.

● Integrated Healthcare Enterprise (IHE) Technical Framework Year 3, revision 5.5 dated November 20, 2003. This document is available at: http://www.ihe.net

● HL 7 Standard version 2.3.1. This document is available at: http://www.hl7.org

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iConnect® Enterprise Archive v. 9 HL7 Interface Specification

ImplementationHL7 Interface 1.2 is implemented as a single application entity. Its main functionality is to facilitate HIS/RIS/PACS integration by converting HL7 messages to DICOM Data Sets. The interface implementation is in accordance with IHE Year 3 Technical Framework.

The HL7 Interface 1.2 handles Procedure Scheduled, Patient Update and Procedure Update IHE-defined transactions from HIS/RIS and updates the necessary Merge iConnect Enterprise Archive products accordingly. Table 1 summarizes supported IHE transactions and their corresponding HL7 messages.

The HL7 Interface 1.2 is administered with a remote administrative application.

Table 1: Supported IHE Transactions

IHE Transactions HL7 Messages

Procedure Scheduled ORM^O01 (general order message)

Patient Update ADT^A08 (update patient information)ADT^A40 (merge patient - patient identifier list)

Procedure Update ORM^O01 (general order message)

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iConnect® Enterprise Archive v. 9 HL7 Interface Specification

Communication ProfileHL7 v. 2.3.1 recommends Minimal Lower Layer Protocol (LLP) to provide an interface between the HL7 application and the network. Lower Layer Protocol is any protocol residing in OSI layers one to four. These protocols package, route, verify, and transmit datagrams. A prime example of one of the protocols is TCP/IP. HL7 Interface 1.2 implements TCP/IP Minimal LLP and operates in a TCP/ IP network environment.

HL7 messages should conform to the HL7 Minimal LLP block format as follows:

● HL7 message starts with 0x0B and ends with 0x1C and 0x0D.

● Each HL7 segment is terminated by 0x0D.

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HL7 Implementation

Version

HL7 Interface 1.2 supports HL7 version 2.3.1 as specified by IHE Year 3 Technical Framework.

Message Delimiters

HL7 Interface 1.2 uses the delimiter values in Table 2 as specified by IHE Year 3 Technical Framework.

Processing Rules

HL7 Interface 1.2 implements Original Acknowledge Mode. Upon receiving an HL7 message, HL7 Interface 1.2 implements original acknowledgment rules as follows:

1. Accepts the message.

2. Validates it against the following criteria, in addition to Message Delimiters:

Table 2: Delimiter Values

Delimiter Value

Segment Terminator <cr>

Field Separator |

Component Separator ^

Subcomponent Separator &

Repetition Separator ~

Escape Character \

Field IHE Notes

MSH-3-sending application Namespace ID is the only sub component used in HD data type. This field is required.

MSH-4-sending facility Namespace ID is the only sub component used in HD data type. This field is required.

MSH-5-receiving application Namespace ID is the only sub component used in HD data type. This field is required.

MSH-6-receiving facility Namespace ID is the only sub component used in HD data type. This field is required.

MSH-9-message type As defined by HL7 v2.3.1. This field is required.

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If any of these fields fail, the HL7 Interface 1.2 generates a reject message with AR in MSA-1-acknowledgment code.

3. If the message passes validation, HL7 Interface 1.2 maps the message to DICOM Data Set and sends it to the necessary Merge iConnect Enterprise Archive products. The next action of the HL7 Interface 1.2 is conditional based on one of the following scenarios:

○ If mapping the message and sending a Data Set to Merge iConnect Enterprise Archive products passes, HL7 Interface 1.2 generates a successful response with AA in MSA-1-acknowledgment code.

○ If mapping the message and sending a Data Set to Merge iConnect Enterprise Archive products fails due to error in the message content or format, HL7 Interface 1.2 generates a reject message with AR in MSA-1-acknowledgment code.

○ If an unexpected error happens during this process that is not related to the message content or format (e.g., hard disk out of space), HL7 Interface 1.2 generates a reject message with AR in MSA-1-acknowledgment code.

4. HL7 Interface 1.2 sends an ACK message to the initiator.

Original Acknowledgement Mode

In all responses described above, HL7 Interface 1.2 implements the following acknowledgement message grammar:

With the following fields value:

MSH-10-message control ID Unique identifier used to relate the response to the initial message. This field is required.

MSH-11-processing ID The value should be the literal P.

MSH-12-version ID The value should be the literal 2.3.1. This field is required.

ACK General Acknowledgement HL7 v. 2.3.1 Chapter

MSH Message Header 2

MSA Message Acknowledgement 3

Table 3: MSH Segment

SEQ Element Name Value

1 Field Separator |

2 Encoding Characters ^~\&

3 Sending Application MSH-5 Receiving Application from received message.

4 Sending Facility MSH-6 Receiving Facility from received message.

5 Receiving Application MSH-3 Sending Application from received message.

Field IHE Notes

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Rejection Messages

Rejection messages usually result from an unexpected exception, so the server logs a comprehensive message detailing the reason of rejection. Due to the nature of the exception, it is inadequate to send it in the MSA-3 Text Message. Instead, a descriptive message will be sent. The interface log should be consulted for full details.

Error Messages

Error messages usually result from message format or context. An MSA-3 Text Message will have a detailed description of the error.

6 Receiving Facility MSH-4 Sending Application from received message.

7 Date/Time Of Message Time stamp when the message is sent

9 Message Type Event: ACK Type: Message Type of the received message.

10 Message Control ID Same value from the received message.

11 Processing ID P

12 Version ID 2.3.1

Table 4: MSA Segment

SEQ Element Name Item #

1 Acknowledgment Code Possible values: AA, AE, AR

2 Message Control ID MSH-10 Message Control ID from the received message.

3 Text Message Error description, if any

Table 3: MSH Segment (Continued)

SEQ Element Name Value

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iConnect® Enterprise Archive v. 9 HL7 Interface Specification

HL7 MessagesHL7 messages related to HL7 Interface 1.2 are mentioned in “HL7 Implementation” on page 5. This section depicts each message grammar based on IHE Year 3 Technical Framework, describes required fields and HL7 fields to DICOM data elements mapping. An ACK message is sent to the initiator upon receiving any of these messages. Since a MSH segment is common to all messages, it will not be provided in the message's semantics. Segment fields required by IHE Year 3 Technical Framework will not be provided in this document. Since the interface required fields are a subset of IHE Year 3 Technical Framework, this document only discusses fields related to the interface. HL7 messages are grouped based on IHE Transaction naming convention.

In describing messages semantics, the following conventions are used:

● Position (sequence within the segment) - Position of the data field within the segment. In the message semantics tables this information is provided in the column labeled SEQ.

● Optionality - Whether the field is required, or optional, the designations are:

R - Required.

O - Optional.

In the message semantics tables, this information is provided in the column labeled OPT.

● Repetition - Whether the field may repeat. The designations are:

Empty - No repetition.

Y - The field may repeat an indefinite (or site-determined) number of times.

In the message semantics tables, this information is provided in the column labeled RP/#.

● Value - The value, which is mapped to DICOM data element, is one of the following:

<number> - The number indicates the field SEQ. It means the entire field is mapped into DICOM data element.

<number.number> - The first part indicated the fields SEQ and the second indicate the component within that SEQ. For example to refer to a patient last name within a patient name in the PID segment: 5.1.

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Table 6:

Segmen

EVN

PID

etition

e part)e part)

8.4

Patient Update

ADT^A08 - update patient information

Table 5: Message Grammar

ADT ADT MessageHL7 v. 2.3.1 Chapter #

MSH Message Header 2

EVN Event Type 3

PID Patient Identification 3

PV1 Patient Visit 3

[ {OBX} ] Observation/Result 7

[ {AL1} ] Allergy Information 3

ADT^A08 Message Semantics

t SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element(group, element) Name (VR) = Value

2 R/O TS Recorded Date/Time

3 R/R Y CX Patient Identifier List

(0010, 0020) Patient ID (LO) = 3.1(0010, 0021) Issuer of Patient ID (LO) = 3.4(0010, 1000) Other Patient ID (LO) = 3.1 rep

5 R/R XPN Patient Name (0010, 0010) Patient Name (PN) = 5

6 O/O XPN Mother's Maiden Name

(0010, 1060) Mother Birth Name (PN) = 6

7 O/O TS Date/Time of Birth

(0010, 0030) Patient Birth Date (DA) = 7 (dat(0010, 0032) Patient Birth Date (TM) = 7 (tim

8 O/O IS Sex (0010, 0040) Patient Sex (CS) = 8

10 O/O CE Race (0010, 2160) Patient Ethnic Group (SH) = 10

11 O/O XAD Patient Address (0010, 1040) Patient Address (LO) = 11

18 R/O CX Patient Account Number

(0038, 0010) Admission ID (LO) = 18.1(0038, 0011) Issuer of Admission ID (LO) = 1

26 O/O CE Citizenship (0010, 2152) Region of residence (LO) = 26

27 O/O CE Veterans Military Status

(0010, 1080) Military Rank (LO) = 27

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PV1 3

) = 8

equal

tient

OBX

:3.2 =

.2 =

ight

AL1

Table 6:

Segmen

3 O/O PL Assigned Patient Location

(0038, 0300) Current Patient Location (LO) =

8 O/O XCN Referring Doctor (0008, 0090) Referring Physician's Name (PN

15 O/O IS Ambulatory Status

(0010, 21c0) Pregnancy Status (US) = 15, if to "B6"

16 O/O IS VIP Indicator (0040, 3001) Confidentiality Constrain on PaDate (LO) = 16

3 R/O CE Observation Identifier

3.2 = "Body Weight" or "Body Height"

5 R/O CE Observation Value

(0010, 1030) Patient Weight (DS) = 5; if OBX"Body Weight" & OBX:6.2 = "kg"(0010, 2010) Patient Size (DS) = 5; If OBX:3"Body Height" & OBX:6.2 = "m"

6 R/O CE Units 6.2 ="kg" for Body Weight or "m" for Body He

3 R/O CE Allergy Code/ Mnemonic/ Description

(0010, 2110) Contrast Allergies (LO) = 3

ADT^A08 Message Semantics (Continued)

t SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element(group, element) Name (VR) = Value

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Table 8:

Segme

EVN

PID

tition

part) part)

.4

ADT^A40 - merge patient - patient identifier list

Table 7: Message Grammar

ADT ADT Message HL7 v. 2.3.1 Chapter #

MSH Message Header 2

EVN Event Type 3

PID Patient Identification 3

MRG Merge Information 3

[ PV1 ] Patient Visit 3

ADT^A40 Message Semantics

nt SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element(group, element) Name (VR) = Value

2 R/O TS Recorded Date/Time

3 R/R Y CX Patient Identifier List

(0010, 0020) Patient ID (LO) = 3.1(0010, 0021) Issuer of Patient ID (LO) = 3.4(0010, 1000) Other Patient ID (LO) = 3.1 repe

5 R/R XPN Patient Name (0010, 0010) Patient Name (PN) = 5

6 O/O XPN Mother's Maiden Name

(0010, 1060) Mother Birth Name (PN) = 6

7 O/O TS Date/Time of Birth

(0010, 0030) Patient Birth Date (DA) = 7 (date(0010, 0032) Patient Birth Date (TM) = 7 (time

8 O/O IS Sex (0010, 0040) Patient Sex (CS) = 8

10 O/O CE Race (0010, 2160) Patient Ethnic Group (SH) = 10

11 O/O XAD Patient Address

(0010, 1040) Patient Address (LO) = 11

18 R/O CX Patient Account Number

(0038, 0010) Admission ID (LO) = 18.1(0038, 0011) Issuer of Admission ID (LO) = 18

26 O/O CE Citizenship (0010, 2152) Region of residence (LO) = 26

27 O/O CE Veterans Military Status

(0010, 1080) Military Rank (LO) = 27

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PV1

) = 8

ual to

ent

MRG

Table 8:

Segme

3 R/O PL Assigned Patient Location

(0038, 0300) Current Patient Location (LO) = 3

8 O/O XCN Referring Doctor

(0008, 0090) Referring Physician's Name (PN

15 O/O IS Ambulatory Status

(0010, 21c0) Pregnancy Status (US) = 15, if eq"B6"

16 O/O IS VIP Indicator (0040, 3001) Confidentiality Constrain on PatiDate (LO) = 16

1 R/R Y CX Prior Patient Identifier List (Internal)

(0010, 0020) Patient ID = 1.1(0010, 0021) Issuer of Patient ID = 1.4

4 O/R CX Prior Patient ID (External)

(0010, 0020) Patient ID = 3.1(0010, 0021) Issuer if Patient ID = 3.4

ADT^A40 Message Semantics (Continued)

nt SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element(group, element) Name (VR) = Value

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Table 10

Segmee

PID

tition

part) part)

.4

Procedure Scheduled

ORM^O01 - general order message

Table 9: Message Grammar

ADT ADT Message HL7 v. 2.3.1 Chapter #

MSH Message Header 2

PID Patient Identification 3

PV1 Patient Visit 3

{

ORC Common Order 4

OBR Order Detail 4

}

: ORM^O01 Message Semantics

nt SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element (group, element) Nam(VR) = Value

3 R/R Y CX Patient Identifier List

(0010, 0020) Patient ID (LO) = 3.1(0010, 0021) Issuer of Patient ID (LO) = 3.4(0010, 1000) Other Patient ID (LO) = 3.1 repe

5 R/R XPN Patient Name (0010, 0010) Patient Name (PN) = 5

6 O/O XPN Mother's Maiden Name

(0010, 1060) Mother Birth Name (PN) = 6

7 R/`R TS Date/Time of Birth

(0010, 0030) Patient Birth Date (DA) = 7 (date(0010, 0032) Patient Birth Date (TM) = 7 (time

8 R/R IS Sex (0010, 0040) Patient Sex (CS) = 8

10 O/O CE Race (0010, 2160) Patient Ethnic Group (SH) = 10

11 O/O XAD Patient Address

(0010, 1040) Patient Address (LO) = 11

18 R/O CX Patient Account Number

(0038, 0010) Admission ID (LO) = 18.1(0038, 0011) Issuer of Admission ID (LO) = 18

26 O/O CE Citizenship (0010, 2152) Region of residence (LO) = 26

27 O/O CE Veterans Military Status

(0010, 1080) Military Rank (LO) = 27

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PV1 3

) = 8

5

ent

ORC

Table 10

Segmee

3 R/O PL Assigned Patient Location

(0038, 0300) Current Patient Location (LO) =

8 O/O XCN Referring Doctor

(0008, 0090) Referring Physician's Name (PN

15 O/O IS Ambulatory Status

(0010, 21c0) Pregnancy Status (US) = "3", if 1equal to "B6"

16 O/O IS VIP Indicator (0040, 3001) Confidentiality Constrain on PatiDate (LO) = 16

1 R/R ID Order Control = NW

: ORM^O01 Message Semantics (Continued)

nt SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element (group, element) Nam(VR) = Value

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OBR

lue

aning

ence

encealue

n

n

ence

19

e ID

ence

ence

(DA)

e

SCH 1.4

1.4

ZDS

Table 10

Segmee

4 R/O CE Universal Service ID

(0032, 1064) Requested Procedure Coding Sequence (SQ):>(0008, 0100) Requested Procedure Code Va(SH) = 4.1>(0008, 0104) Requested Procedure Code Me(LO)= 4.2>(0008, 0102) Requested Procedure Coding Scheme (SH)= 4.3(0040, 0100) Scheduled Procedure Step Sequ(SQ)>(0040, 0008) Scheduled Protocol Code Sequ>>(0008, 0100) Scheduled Procedure Code v(SH)= 4.4>>(0008, 0104) Scheduled Procedure Code Meaning (LO) = 4.5>>(0008, 0102) Scheduled Procedure CodingScheme (SH)= 4.6(0040, 0007) Scheduled Procedure Descriptio(LO)= 4.5

15 O/O CM Specimen Source

(0032, 1060) Requested Procedure Descriptio(LO)= 4.2 + 15.5

18 O/O ST Placer Field 1 (0040, 0100) Scheduled Procedure Step Sequ(SQ)>(0008, 0050) Accession Number (SH) = 15

19 O/O ST Placer Field 2 (0040, 1001) Requested Procedure ID (SH) =

20 O/O ST Filler Field 1 + (0040, 0009) Scheduled Requested Procedur(SH) = 20

24 O/O ID Diagnostic Serv Sect ID

(0040, 0100) Scheduled Procedure Step Sequ(SQ)>(0008, 0060) Modality (CS) = 24

27 O/O TS Quantity/Timing

(0040, 0100) Scheduled Procedure Step Sequ(SQ)>(0040, 0002) Scheduled Procedure Start Date= 27.4 (date part)>(0040, 0003) Scheduled Procedure Start Tim(TM) = 27.4 (time part)

11 R/O TQ Appointment Timing Quantity

(0008, 0020) Appointment Start Date (DA) = 1(date part)(0008, 0030) Appointment Start Time (TM) = 1(time part)

1 R/R RP Study Instance UID

(0020, 000D) Study Instance UID (UI) = 1.1

: ORM^O01 Message Semantics (Continued)

nt SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element (group, element) Nam(VR) = Value

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Table 12

Segmeme

PID

etition

te part)e part)

8.4

Procedure Update

ORM ^O01 - general order message

Table 11: Message Grammar

ADT ADT Message HL7 v. 2.3.1 Chapter #

MSH Message Header 2

PID Patient Identification 3

PV1 Patient Visit 3

{

ORC Common Order 4

OBR Order Detail 4

}

: ORM^O01 Message Semantics

nt SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element (group, element) Na(VR) = Value

3 R/R Y CX Patient Identifier List

(0010, 0020) Patient ID (LO) = 3.1(0010, 0021) Issuer of Patient ID (LO) = 3.4(0010, 1000) Other Patient ID (LO) = 3.1 rep

5 R/R XPN Patient Name (0010, 0010) Patient Name (PN) = 5

6 O/O XPN Mother's Maiden Name

(0010, 1060) Mother Birth Name (PN) = 6

7 R/R TS Date/Time of Birth

(0010, 0030) Patient Birth Date (DA) = 7 (da(0010, 0032) Patient Birth Date (TM) = 7 (tim

8 R/R IS Sex (0010, 0040) Patient Sex (CS) = 8

10 O/O CE Race (0010, 2160) Patient Ethnic Group (SH) = 10

11 O/O XAD Patient Address (0010, 1040) Patient Address (LO) = 11

18 R/O CX Patient Account Number

(0038, 0010) Admission ID (LO) = 18.1(0038, 0011) Issuer of Admission ID (LO) = 1

26 O/O CE Citizenship (0010, 2152) Region of residence (LO) = 26

27 O/O CE Veterans Military Status

(0010, 1080) Military Rank (LO) = 27

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PV1 3

N) = 8

15

tient

ORC

Table 12

Segmeme

3 R/O PL Assigned Patient Location

(0038, 0300) Current Patient Location (LO) =

8 O/O XCN Referring Doctor (0008, 0090) Referring Physician's Name (P

15 O/O IS Ambulatory Status

(0010, 21c0) Pregnancy Status (US) = "3", ifequal to "B6"

16 O/O IS VIP Indicator (0040, 3001) Confidentiality Constrain on PaDate (LO) = 16

1 R/R ID Order Control = DC, CA, XO

: ORM^O01 Message Semantics (Continued)

nt SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element (group, element) Na(VR) = Value

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OBR

alue

uence

uencevalue

g

ion

ion

uence

= 19

re ID

uence

uence

ate

me

ZDS

Table 12

Segmeme

4 R/O CE Universal Service ID

(0032, 1064) Requested Procedure Coding Sequence (SQ):>(0008, 0100) Requested Procedure Code V(SH) = 4.1>(0008, 0104) Requested Procedure Code Meaning (LO)= 4.2>(0008, 0102) Requested Procedure CodingScheme (SH)= 4.3(0040, 0100) Scheduled Procedure Step Seq(SQ)>(0040, 0008) Scheduled Protocol Code Seq>>(0008, 0100) Scheduled Procedure Code (SH)= 4.4>>(0008, 0104) Scheduled Procedure Code Meaning (LO) = 4.5>>(0008, 0102) Scheduled Procedure CodinScheme (SH)= 4.6(0040, 0007) Scheduled Procedure Descript(LO)= 4.5

15 O/O CM Specimen Source

(0032, 1060) Requested Procedure Descript(LO)= 4.2 + 15.5

18 O/O ST Placer Field 1 (0040, 0100) Scheduled Procedure Step Seq(SQ)>(0008, 0050) Accession Number (SH) = 15

19 O/O ST Placer Field 2 (0040, 1001) Requested Procedure ID (SH)

20 O/O ST Filler Field 1 + (0040, 0009) Scheduled Requested Procedu(SH) = 20

24 O/O ID Diagnostic Serv Sect ID

(0040, 0100) Scheduled Procedure Step Seq(SQ)>(0008, 0060) Modality (CS) = 24

27 O/O TS Quantity/Timing (0040, 0100) Scheduled Procedure Step Seq(SQ)>(0040, 0002) Scheduled Procedure Start D(DA) = 27.4 (date part)>(0040, 0003) Scheduled Procedure Start Ti(TM) = 27.4 (time part)

1 R/R RP Study Instance UID

(0020, 000D) Study Instance UID (UI) = 1.1

: ORM^O01 Message Semantics (Continued)

nt SEQOPT IHE/ Archive

RP/#HL7 Data Type

HL7Element Name

DICOM Data Element (group, element) Na(VR) = Value

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iConnect® Enterprise Archive v. 9 HL7 Interface Specification

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PID

refix

refix

Unsolicited ObservationMerge iConnect Enterprise Archive will receive Unsolicited Observation HL7 messages and convert them to DICOM Structured Reports (SR) for storage in the archive. The HL7 mappings are customizable and the SR creation strategies can handle site-specific HL7 configurations.

ORU^R01

Example Message:

MSH|^~\&|IDX|SM|PACS||20050222150005||ORU^R01|7020943|P|2.3

PID|||00169853^^^CLINIC||IDE^RUSSELL^E^^^||19231229|M

ORC|||2264355

OBR|||2264355|PCHEST1V^XR PORT CHEST 1 VIEW|||20050222100000||||||||||||||||||||||||WEAKNESS|09431^HOYER^ERIC^^^^

OBX|1|FT|PCHEST1V&GDT||This document is currently in Preliminary Status||||||P

OBX|2|FT|PCHEST1V&GDT||ONE VIEW CHEST ||||||P

OBX|3|FT|PCHEST1V&GDT|| ||||||P

ent SEQ RequiredAssociated DICOM

Name Additional Notes

3.1 yes (0010,0020) Patient ID MRN Number

3.4 (0010,0021) Issuer of Patient ID

4 (0010,1000) Other Patient ID

5 yes (0010,0010) Patient Name Last^First^Middle^suffix^p

6 (0010,0060) Mother's Birth Name Last^First^Middle^suffix^p

7 yes (0010,0030) Patient Birth Date YYYYMMDD

7 (0010,0032) Patient Birth Time hhmmss

8 (0010,0040) Patient Sex

10 (0010,2160) Patient Ethnic Group

11 (0010,1040) Patient Address

18.1 (0038,0010) Admission ID

18.4 (0038,0011) Issuer Of Admission ID

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iConnect® Enterprise Archive v. 9 HL7 Interface Specification

OBR

OBX

Segm

3.1 yes (0080,0050) Accession Number

4.1 yes (0040,1001) Requested Procedure ID

4.2 yes (0008,1030) Requested Procedure Description

4.3 (0008,0100) Requested Procedure Code Value

7 yes (0008,0023) Content Date YYYYMMDD

7 yes (0008,0033) Content Time hhmmss

24 yes (0008,0060) Modality

25 yes (0040,A491) Results Status Partial, Complete

27 yes (0040,0002) Scheduled Procedure Start Date YYYYMMDD

27 yes (0040,0003) Scheduled Procedure Start Time hhmmss

27.6 (0032, 000C) Requested Procedure Priority

31 (0032,1030) Reason For Study

32 (0040, A075) Principal Result Interpreter

3 Observation Value

5 yes Observation Text Report Text

ent SEQ RequiredAssociated DICOM

Name Additional Notes

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