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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
- [Gnumed-devel] Incoming HL7 result type "General Message" that relates to a lab request "order",
Jim Busser <=