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[Gnumed-devel] Incoming HL7 result type "General Message" that relates t


From: Jim Busser
Subject: [Gnumed-devel] Incoming HL7 result type "General Message" that relates to a lab request "order"
Date: Wed, 06 Jul 2011 12:53:47 -0700

See below example of a urine and drug and alcohol screen result message, which 
supplies (in relation to a specific patient) two {ORC OBR} pairs:

ORC… OBR… multiple OBX that provides the actual results, followed by

ORC… OBR… but no OBX… just an NTE which supplies additional information about 
the OBR to explain that following the original request -- which was for a "drug 
screen" -- came a follow-on request for urine barbiturates, which measurement 
appears included with the first ORC OBR despite that barbiturates might not 
normally be included.

Since it may be reasonable to be able to capture such NTE "notes" when they 
concern the ORC OBR (about "the order") then in

        clin.lab_request

we need a column

        note_test_org : text

just like column clin.test_result. note_test_org

??

*******************************************************

MSH|^~\&|SENDING_APP|VML|HTTPCLIENT|vendor1|20060328111858||ORU^R01|MDC20060328111858740|P|2.3|||ER|AL
PID|||||DEMO^CPATIENT||19240817|F|||260 DOMINION ST||(250)555-5555
ORC|RE||06998252-DOA-0|||||||||90909^MDCARE^BOB
OBR|1||06998252-DOA-0|DOA^Drug / Alcohol Screen 
Urine|R|20060327162501|20060327162501|||||||20060327162501||90909^MDCARE^BOB||||||20060327164218||CHEM|F||^^^^^R|90909^MDCARE^BOB
OBX|1|ST|X31022^Header|1|SCREEN *||||||F|||20060327163801
OBX|2|NM|19261-7^Amphetamines|1|25||||||F|||20060327163801
OBX|3|NM|19270-8^Barbiturates|1|25||||||F|||20060327163801
OBX|4|ST|14316-4^Benzodiazepine|1|neg||||||F|||20060327163901
OBX|5|ST|3393-6^Cocaine|1|neg||||||F|||20060327163901
OBX|6|ST|19295-5^Opiates|1|neg||||||F|||20060327163901
OBX|7|NM|3529-5^Cannabinoid|1|25||||||F|||20060327163801
OBX|8|ST|X10003^Methadone Metabolite|1|neg||||||F|||20060327163901
OBX|9|NM|5644-0^Urine Alcohol|1|25||||||F|||20060327163801
ORC|RE||06998252-GCM-0|||||||||90909^MDCARE^BOB
OBR|2||06998252-GCM-0|GCM^General 
Information||20060327162501|20060327162501|||||||20060327162501||90909^MDCARE^BOB||||||20060327164218||GENERAL|F|||90909^MDCARE^BOB
NTE|||Urine Barbiturates added March 27 2006

*******************************************************************

-- Jim




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