ORU Specification and Sample Messages

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Inbound Observation

Reporting InterfaceSpecicationsHL7 ORU Message Version 2.5.1

athenahealth, Inc.Version 1.0 Published: ece!ber "01#


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Inbound Observation Reporting Interface Specications

$able of %ontents

TABLE OF CONTENTS.............................................................................................................2

1.0 INTRODUCTION.............................................................................................................3

1.1 & OV'RVI'(............................................................................................................................................. )

1." & %O**'%$IVI$+........................................................................................................................................ )

1.) & $-'**'$'SS/''%-*/'2 '*/I*'...........................................................................................)

1.# & -34 'SS/'V'RSIO*I*/......................................................................................................................)

2.0 HL7 ORU MESSAGE SPECIFICATIONS...............................................................................4

".1 & $RI//'R'V'*$S.................................................................................................................................... #

"." & 'SS/''5I*I$IO*.............................................................................................................................. #

".) & 'SS/'5OR$..................................................................................................................................6

3.0 SEGMENT MAPPINGS.....................................................................................................5

).1 & S- 'SS/'-''RS'/'*$.............................................................................................................6

)." & PI P$I'*$I'*$I5I%$IO*S'/'*$....................................................................................................... 4

).) & P1 I$IO*3'O/RP-I%SS'/'*$................................................................................................ 7

).# & PV1 P$I'*$VISI$S'/'*$....................................................................................................................8

).6 & OR% OR'R%OO*S'/'*$.............................................................................................................11

).9 & OR OS'RV$IO*R';


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1.1 & Overvie?

$his docu!ent describes the i!ple!entation of an application interface using -ealth 3evel Seven@s -342 OR trading partner and inbound to athena*et. $he useCcase for

the observation reporting interface enco!passes all t>pes of laborator> results, i!aging results, and clinicall> relateddocu!entation.

uring the interface i!ple!entation proDect, this docu!ent should be used as a co!pli!ent to the i!ple!entationguides that can be found on athenahealth@s interfaces ?eb page.

1." & %onnectivit>

athenahealth oEers a variet> of connectivit> options to the athena*et 'ngine, ?hich is athenahealth@s s>ste! toolfor eFchanging data over an interface. ata eFchange partners should ?orG directl> ?ith their athenahealth interfaceproDect !anager to deter!ine and eFecute a connectivit> plan.

1.) & athena*et essage 'Fchange 2 'ngine

$he athena*et 'ngine is athenahealth@s !echanis! for the eFchange of -34 !essages. ll necessar> functionalit>to receive, process, and acGno?ledge an inbound OR< !essage is i!ple!ented using the athena*et 'ngine.

1.# & -34 essage Versioning

$his guide discusses the processing of an inbound OR< !essage as it relates to -34@s ".6.1 !essage specications.$he athena*et 'ngine is bacG?ards co!patible ?ith -34 versions ".", ".), ".).1, ".#, and ".6.

".0 & -34 OR< essage Specications

".1 & $rigger 'vents

$he athena*et 'ngine processes inbound OR< !essages for laborator>, i!aging, and clinical docu!ent resultC

www.!"#$"#%!".&'( athenahealth, Inc. %ondential and Proprietar> 3
http://www.athenahealth.com/cmp/interfaces/index.php?intcmp=I000470&intcmp=INTERFACEShttp://www.athenahealth.com/http://www.athenahealth.com/cmp/interfaces/index.php?intcmp=I000470&intcmp=INTERFACEShttp://www.athenahealth.com/


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t>pes in athena*et. $rigger events that are supported include both R01 for unsolicited observation !essages2 andR0) displa>Coriented results, Huer>=unsolicited update for bacG?ard co!patibilit> onl>2 events.

"." & essage enition

$he seg!ent ordering for a ".6.1 OR the athena*et 'ngine are denoted using bold teFt. 5or the athena*et 'ngine,seg!ents that are optional are enclosed ?ith bracGets ) * 2 ?hile seg!ents enclosed in braces + , 2 indicate theseg!ent is repeatable.

S#-(#$! S#-(#$! D#$/!/'$

MSH M#-# H##

J S5$ K Soft?are

PID P!/#$! I#$!/&!/'$

) PD1 * A/!/'$% D#('-"/&

) + NTE , * N'!# $ C'((#$!

J L *M1 N K *eFt of Min=ssociated Parties

) P1 * P!/#$! //!

J PV" K Patient Visit & dditional Info

) + ORC , * O# C'(('$

+ OBR , O#6!/'$ R##!

) + NTE , * N'!# $ C'((#$!

J $;1 K $i!ing=;uantit>

J L $;" N K $i!ing=;uantit> Order SeHuence

J %$ K %ontact ata

) + OBX , * O#6!/'$9R#%!

) + NTE , * N'!# $ C'((#$!

J L 5$1 N K 5inancial $ransaction

J L %$I N K %linical $rial Identication

) + SPM , * S#&/(#$

) + OBX , * O#6!/'$ R#%!# !' S#&/(#$

J S% K %ontinuation Pointer

".) & essage 5or!at

$he athena*et engine ?ill process infor!ation in the seg!ents described in section 3.0 Segment Mappings.Seg!ents are o!itted fro! this guide if the athena*et engine does not b> default process infor!ation ?ithin thatseg!ent. If additional seg!ents or elds are in need of being processed, please discuss this ?ith >our athenahealthInterface ProDect anager.

http://www.athenahealth.com/http://www.athenahealth.com/


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).0 & Seg!ent appings

).1 & S- essage -eader Seg!ent

$he S- seg!ent is used to identif> infor!ation related to the !essage including the source, destination, and otherspecic ite!s regarding the interface !essage.



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F/#% E%#(#$! C'((#$! S:$!;

MSH$ !"# ! #%

#%? MSH-2-encoding

characters.

T"# #;#&!# 6%# / @?

=ASCII 124>.

MSH (:

# /$/&!#

%'!': #%!.

LAB? RAD? ' TRN #

!:/&%%: # !' /#$!/:

!"# #%! !:#.

MSH


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MSH the athena*et 'ngine for patient!atching logic.



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5ield 'le!ent %o!!ents S>ntaF *otes

PID 8


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PID


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PD1


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).# & PV1 Patient Visit Seg!ent

5or an OR< !essage t>pe, the athena*et 'ngine ?ill use the PV1 seg!ent onl> ?hen looGing for an athena*etprovider to associate ?ith the result !essage.



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P1 12


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P1


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P1 ?hen looGing for an athena*etprovider to associate ?ith the result !essage.



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ORC 15


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ORC


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OBR


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OBR


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OBR


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OBX


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OBX infor!ation related to the speci!en.



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SPM


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SPMntaF *otes

NTE


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S-Q3*SO*thena"89#"01#10")1))"6#C0900OR


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SITSI$-TO-*ISISO3(P*P-1840)"79)64-ospital 3ine00001919Rain 3ab"01#11041"#400C0900*$'1;R+'Ftra *ote fro! 3ab

$;11"01#11041"##C0900"01#11041"##C0900RO1S$/SRPI /RO


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$;11"01#11041#06C0400"01#11041#06C0400RO1%(' Vie? -ospital1809 laGe ve./len?ood Spgs%O71901 Vie? -ospital1809 laGe ve./len?oodSpgs%O71901


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O1)S$V*I1V*%O+%I* IV21WY" S1 S5(3616"01#111"11)7O1#S$PI1PI%I33I* IV210.6 S1 S5(3616"01#111"11)7SP1000016)"ISO"090ISO10"):R%00001R"0903'5$ M*''3".6.1".6.13"01#10")1)""C0900"01#10")1)""C0900"01#1104086#000.1/R''* /'3 3I2

6.0 & %hange 3og

6.1 & *e? Seg!ent Support

athenahealth@s inbound OR< interface processes infor!ation in seg!ents denoted in bold teFt in 2.2 Message Defnition. Seg!ents that adhere to a ".6.1 OR< !essage, R01 trigger event ?ill parse through theathena*et 'ngine although infor!ation is not read fro! all seg!ents. *e? seg!ents that can be sentinclude S5$, $;1, $;", %$, 5$1, and SP. See 2.2 Message Defnitionfor seg!ent ordering.

6." & SP Seg!ent %hanges

Speci!en Received ate and $i!e& Regarding the displa> of the Speci!en Received ate and $i!e eld,ORC1# is available to be used for bacG?ards co!patibilit>. $he athena*et 'ngine ?ill b> default looG toSPC17 for the Speci!en Received ate and $i!e.

Speci!en Source& Regarding the displa> of the Speci!en Source eld, ORC16 is available to be used forbacG?ards co!patibilit>. $he athena*et 'ngine ?ill b> default looG to SPC7 for the Speci!en Source.



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6.) & O Seg!ent %hanges

OC"), OC"#, and OC"6 are no? used to displa> in the ZPerfor!ing 3ab@ section of a result docu!ent.

ORU Specification and Sample Messages

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