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[Gnumed-devel] address@hidden: HL7 Question]
From: |
Karsten Hilbert |
Subject: |
[Gnumed-devel] address@hidden: HL7 Question] |
Date: |
Fri, 21 Nov 2008 16:41:34 +0100 |
User-agent: |
Mutt/1.5.18 (2008-05-17) |
----- Forwarded message from richard terry <address@hidden> -----
> Not sure where gnumed is up to on this.
>
> I've played a little more with the hl7 stuff. I can parse the hl7 easily and
> put up a result as per the piccie, which BTW feel free to use the design if
> you so desire.
>
> Thinking further about reconciliation of requests which seems to be
> problematic having canvased various GP practices/lists some observations and
>
> a question, then perhaps you can tell me how you've implemented this in
> gnumed.
>
> With reference to the OBR field (I think this is 2.3 standard):
>
> OBR (Observation Request)
> =========================
> OBR.1 SetID
> OBR.2 Place order number
> OBR.3 filler Order Number
> OBR.4 Universal Service ID
>
> Seems to me there is an easy way to be able to reconcile the hl7 requests in
> the OBR field and I used this example because of the unintelligable test name
> used by the lab (it is actually alpha-foeto protein):
>
>
> OBR|1|1-00508|99059448-E-E498^NATA^2178^N|E-E498^E498^2178|| etc
>
> When each request record is saved to the database it should generate a
> unique
> database primary key in a table linked to that patient episode and request
> form.
>
> Currently, as above, the lab transcribes the patients reference code from the
> sender (here our surgeries RACGP file number) into OBR [3] - here 1-00508,
> identically to **all** OBR's in a given episode.
>
> I can't see any reason why this unique key couldn't be provided on a per-test
> basis either listed next to the request if printed on paper
>
> eg FBC (Ref OBR3:n) where n is the key, or
> if sent electronically just included in the OBR segment for that request.
>
> I would have thought that by inserting the primary key into that segment
> when
> something was requested would make re-conciliation quick and accurate, since
> as a cross check one would always have matching of the patients names/dob
> etc.
>
> Not sure how a user sends a request electronically using hl7 to a lab
>
> Thoughts?
>
> Regards
>
> Richard
----- End forwarded message -----
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- [Gnumed-devel] address@hidden: HL7 Question],
Karsten Hilbert <=