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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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