LOI Analysis v30

Shared by: HC120831231224
Categories
Tags
-
Stats
views:
0
posted:
8/31/2012
language:
Unknown
pages:
12257
Document Sample
scope of work template
							                                            LOI V0.1
                                           New Order


V                ELEMENT NAME            DATA TYPE   USAGE CARD




                 Field Separator            ST        R    [1..1]




                 Encoding Characters        ST        R    [1..1]




                 Sending Application       Varies     RE   [0..1]




                 Sending Facility          Varies     R    [1..1]




                 Receiving Application                O




                 Receiving Facility        Varies     RE   [0..1]




                 Date/Time Of Message      TS_1       R    [1..1]




                 Security                             O




                 Message Type              MSG        R    [1..1]
    age Header
                 Message Control ID                 ST    R   [1..1]
Message Header




                 Processing ID                      PT    R   [1..1]




                 Version ID                         VID   R   [1..1]




                 Sequence Number                          O




                 Continuation Pointer                     O




                 Accept Acknowledgment Type         ID    R   [1..1]




                 Application Acknowledgment Type    ID    R   [1..1]




                 Country Code                             O




                 Character Set                            O




                 Principal Language Of Message            O



                 Alternate Character Set Handling
                                                          O
                 Scheme
                 Message Profile Identifier    EI_GU   R   [1..*]




                 Acknowledgment Code            ID     R   [1..1]




                 Message Control ID             ST     R   [1..1]
Acknowledgment




                 Text Message                          X




                 Expected Sequence Number              O




                 Delayed Acknowledgment Type           X




                 Error Condition                       X




                 Error Code and Location               X




                 Error Location                        O




                 HL7 Error Code                CWE     R   [1..1]




                 Severity                       ID     R   [1..1]
r
        Application Error Code                 O




        Application Error Parameter            O
Error




        Diagnostic Information         TX      RE   [0..1]




        User Message                           O




        Inform Person Indicator                O




        Override Type                          O




        Override Reason Code                   O




        Help Desk Contact Point                O




        Set ID – PID                    SI     R    [1..1]




        Patient ID                             X




        Patient Identifier List       Varies   R    [1..*]
Alternate Patient ID –PID              X




Patient Name                XPN        R      [1..*]




Mother’s Maiden Name                   O




Date/Time of Birth          Varies     R      [1..1]




Administrative Sex            IS       R      [1..1]




Patient Alias                          X




Race                         CE       RE      [0..*]




Patient Address             XAD      C(R/O)   [0..*]




County Code                            X




Phone Number – Home                    O




Phone Number –Business                 O
                         Primary Language                         O




                         Marital Status                           O




                         Religion                                 O




                         Patient Account Number                   O




                         SSN Number – Patient                     X
Patient Identification




                         Driver’s License Number – Patient        X




                         Mother’s Identifier                      O




                         Ethnic Group                        CE   RE   (0..1)




                         Birth Place                              O




                         Multiple Birth Indicator                 O




                         Birth Order                              O
Citizenship                   O




Veterans Military Status      O




Nationality                   X




Patient Death Date and Time   O




Patient Death Indicator       O




Identity Unknown Indicator    X




Identity Reliability Code     O




Last Update Date/Time         O




Last Update Facility          O




Species Code                  X




Breed Code                    X
Strain                           X




Species Code                     X




Production Class Code            X




Tribal Citizenship               X




Set ID – PV1                SI   O




Patient Class               IS   R   [1..1]




Assigned Patient Location        O




Admission Type                   O




Preadmit Number                  O




Prior Patient Location           O




Attending Doctor                 O
Referring Doctor          O




Consulting Doctor         X




Hospital Service          O




Temporary Location        O




Preadmit Test Indicator   O




Re-admission Indicator    O




Admit Source              O




Ambulatory Status         O




VIP Indicator             O




Admitting Doctor          O




Patient Type              O
                                  Visit Number                     O




                                  Financial Class             FC   R   [1..1]




                                  Charge Price Indicator           O




                                  Courtesy Code                    O




                                  Credit Rating                    O




                                  Contract Code                    O




                                  Contract Effective Date          O
PV1 - Patient Visit Information




                                  Contract Amount                  O




                                  Contract Period                  O




                                  Interest Code                    O




                                  Transfer to Bad Debt Code        O
Transfer to Bad Debt Date   O




Bad Debt Agency Code        O




Bad Debt Transfer Amount    O




Bad Debt Recovery Amount    O




Delete Account Indicator    O




Delete Account Date         O




Discharge Disposition       O




Discharged to Location      O




Diet Type                   O




Servicing Facility          O




Bed Status                  O
Account Status             O




Pending Location           O




Prior Temporary Location   O




Admit Date/Time            O




Discharge Date/Time        O




Current Patient Balance    O




Total Charges              O




Total Adjustments          O




Total Payments             O




Alternate Visit ID         O




Visit Indicator            O
Other Healthcare Provider            O




Prior Pending Location               O




Accommodation Code                   O




Admit Reason                         O




Transfer Reason                      O




Patient Valuables                    O




Patient Valuables Location           O




Visit User Code                      O




Expected Admit Date/Time             O




Expected Discharge Date/Time         O




Estimated Length of Inpatient Stay   O
      Actual Length of Inpatient Stay        O




      Visit Description                      O




      Referral Source Code                   O




      Previous Service Date                  O




      Employment Illness Related Indicator   O




      Purge Status Code                      O




      Purge Status Date                      O




      Special Program Code                   O




      Retention Indicator                    O




      Expected Number of Insurance Plans     O




      Visit Publicity Code                   O
V2)
                                             Visit Protection Indicator       O
Patient Visit-Additional Information (PV2)




                                             Clinic Organization Name         O




                                             Patient Status Code              O




                                             Visit Priority Code              O




                                             Previous Treatment Date          O




                                             Expected Discharge Disposition   O




                                             Signature on File Date           O




                                             First Similar Illness Date       O




                                             Patient Charge Adjustment Code   O




                                             Recurring Service Code           O




                                             Billing Media Code               O
Expected Surgery Date and Time   O




Military Partnership Code        O




Military Non-Availability Code   O




Newborn Baby Indicator           O




Baby Detained Indicator          O




Mode of Arrival Code             O




Recreational Drug Use Code       O




Admission Level of Care Code     O




Precaution Code                  O




Patient Condition Code           O




Living Will Code                 O
Organ Donor Code                            O




Advance Directive Code                      O




Patient Status Effective Date               O




Expected LOAReturn Date/Time                O



Expected Pre-admission Testing
                                            O
Date/Time



Notify Clergy Code                          O




Order Control                     ID        R       [1..1]




Placer Order Number              Varies     R       [1..1]




Filler Order Number              Varies     RE      [0..1]




Placer Group Number              Varies   RE or R   [0..1]




Order Status                                O
                     Response Flag                        O




                     Quantity/Timing                      X




                     Parent                               O




                     Date/Time of Transaction    TS_4     R    [1..1]




                     Entered By                           O




                     Verified By                          O




                     Ordering Provider           Varies   R    [1..1]




                     Enterer's Location                   O




                     Call Back Phone Number      XTN      RE   [0..*]
ORC - Common Order




                     Order Effective Date/Time            O




                     Order Control Code Reason            O
ORC - Common Or
                  Entering Organization                              O




                  Entering Device                                    O




                  Action By                                          O




                  Advanced Beneficiary Notice Code           CE      RE      [0..1]




                  Ordering Facility Name                             O




                  Ordering Facility Address                          O




                  Ordering Facility Phone Number                     O




                  Ordering Provider Address                  XAD     RE      [0..*]




                  Order Status Modifier                              O



                  Advanced Beneficiary Notice Override
                                                             CWE   C(RE/X)   [0..1]
                  Reason



                  Filler's Expected Availability Date/Time           O
Confidentiality Code                                      O




Order Type                                                O




Enterer Authorization Mode                                O




Parent Universal Service Identifier       Varies        Varies   [0..1]




Set ID - OBR                                SI            R      [1..1]




Placer Order Number                   EI - s/b Varies     R      [1..1]




Filler Order Number                   EI - s/b Varies    RE      [0..1]




Universal Service Identifier            CWE_CR            R      [1..1]




Priority – OBR                                            X




Requested Date/Time                                       X




Observation Date/Time                     TS_4          C(R/X)   [0..1]
Observation End Date/Time         TS_5      C(RE/X)   [0..1]




Collection Volume                             O




Collector Identifier                          O




Specimen Action Code               ID         R       [1..1]




Danger Code                                   O




Relevant Clinical Information   CWE_CRE       RE      [0..*]




Specimen Received Date/Time                   X




Specimen Source                               X




                                XCN - s/b
Ordering Provider                             R       [1..1]
                                 "Varies"




Order Callback Phone Number                   O




Placer Field 1                                O
                            Placer Field 2                                O




                            Filler Field 1                                O




                            Filler Field 2                                O




                            Results Rpt/Status Chng- Date/Time            X




                            Charge to Practice                            O




                            Diagnostic Serv Sect ID                       O
OBR - Observation Request




                            Result Status                                 X




                            Parent Result                                 O




                            Quantity/Timing                               X




                            Result Copies To                     Varies   RE   [0..*]




                            Parent                                        O
Transportation Mode                       O




Reason for Study                          O




Principal Result Interpreter              O




Assistant Result Interpreter              O




Technician                                O




Transcriptionist                          O




Scheduled Date/Time                       O




Number of Sample Containers               O




Transport Logistics of Collected Sample   O




Collector's Comment                       O




Transport Arrangement Responsibility      X
Transport Arranged                             X




Escort Required                                X




Planned Patient Transport Comment              X




Procedure Code                                 O




Procedure Code Modifier                        O




Placer Supplemental Service Information        O




Filler Supplemental Service Information        O



Medically Necessary Duplicate
                                               O
Procedure Reason



Result Handling                                O




Parent Universal Service Identifier            O




Set ID - TQ1                              SI   R   [1..1]
                  Quantity                           O




                  Repeat Pattern                     O




                  Explicit Time                      O




                  Relative Time and Units            O




                  Service Duration                   O
Timing/Quantity




                  Start date/time           TS_3   C(R/O)    [0..1]




                  End date/time             TS_3   C(RE/O)   [0..1]




                  Priority                  CWE      R       [1..1]




                  Condition text                     O




                  Text instruction                   O




                  Conjunction                        X
Occurrence duration                  O




Total occurrence's                   O




Set ID – OBX                SI       R      [1..1]




Value Type                 ID      C(R/X)   [0..1]




Observation Identifier   CWE_CR      R      [1..1]




Observation Sub-ID         ST      C(R/O)   (0..1)




Observation Value         Varies    RE      [1..*]




Units                    CWE_CRE    RE      [0..1]




References Range                     O




Abnormal Flags                       O




Probability                          O
                           Nature of Abnormal Test                          O




                           Observation Result Status                        O
OBX - Observation/Result




                           Effective Date of Reference Range                O




                           User-Defined Access Checks                       O




                           Date/Time of the Observation              TS   C(R/O)   [0..1]




                           Producer’s Reference                             O




                           Responsible Observer                             O




                           Observation Method                               O




                           Equipment Instance Identifier                    O




                           Date/Time of the Analysis                        O



                           Reserved for harmonization with Version
                                                                            X
                           2.6
Reserved for harmonization with Version
                                                    X
2.6



Reserved for harmonization with Version
                                                    X
2.6



Performing Organization Name                        O




Performing Organization Address                     O



Performing Organization Medical
                                                    O
Director



Set ID – SPM                                SI      R    [1..1]




Specimen ID                                 EIP     RE   (0..1)




Specimen Parent IDs                                 O




Specimen Type                             CWE_CRE   R    [1..1]




Specimen Type Modifier                              O




Specimen Additives                                  O
                 Specimen Collection Method            O




                 Specimen Source Site            CWE   RE   [0..1]




                 Specimen Source Site Modifier         O




                 Specimen Collection Site              O




                 Specimen Role                         O




                 Specimen Collection Amount            O




                 Grouped Specimen Count                O




                 Specimen Description                  O
SPM - Specimen




                 Specimen Handling Code                O




                 Specimen Risk Code                    O




                 Specimen Collection Date/Time   DR    R    [1..1]
Specimen Received Date/Time     X




Specimen Expiration Date/Time   X




Specimen Availability           X




Specimen Reject Reason          X




Specimen Quality                X




Specimen Appropriateness        X




Specimen Condition              X




Specimen Current Quantity       X




Number of Specimen Containers   O




Container Type                  O




Container Condition             X
Specimen Child Role                              O




Set ID - NK1                               SI    R    [1..1]




Name                                       XPN   R    [1..1]




Relationship                               CE    R    [1..1]




Address                                    XAD   RE   [0..1]




Phone Number                               XTN   RE   [0..1]




Business Phone Number                            O




Contact Role                                     O




Start Date                                       O




End Date                                         O




Next of Kin/Associated Parties Job Title   ST    O
                    Next of Kin/Associated Parties Job
                                                              JCC   O
                    Code/Class



                    Next of Kin/Associated Parties Employee
                                                              CX    O
                    Number



                    Organization Name - NK1                   XON   O




                    Marital Status                                  O




                    Administrative Sex                              O




                    Date/Time of Birth                              O




                    Living Dependency                               O




                    Ambulatory Status                               O




                    Citizenship                                     O
NK1 - Next of Kin




                    Primary Language                                O




                    Living Arragement                               O
NK1 -
        Publicity Code                      O




        Protection Indicator                O




        Student Indicator                   O




        Religion                            O




        Mother's Maiden Name                O




        Nationality                         O




        Ethnic Group                        O




        Contact Reason                      O




        Contact Person's Name               O




        Contact Person's Telephone Number   O




        Contact Person's Address            O
Next of Kin/Associated Party's Identifiers   CX    O




Job Status                                         O




Race                                               O




Handicap                                           O




Contact Person Social Security Number              X




Next of Kin Birthplace                             O




VP Indicator                                       O




Set ID - IN1                                 SI    R   [1..1]




Insurance Plan ID                            CE    R   [1..1]




Insurance Company ID                         CX    R   [1..1]




Insurance Company Name                       XON   R   [1..1]
Insurance Company Address     XAD     R      [1..1]




Insurance Co Contact person           O




Insurance Co Phone Number             O




Group Number                  ST     RE      [0..1]




Group Name                            O




Insured's Group Emp ID                O




Insured's Group Emp Name      XON   C(R/O)   [0..1]




Plan Effective Date                   O




Plan Expiration Date          DT    O/RE     (0..1)




Authorization Information             O




Plan Type                             O
                  Name of Insured                     XPN   R    [1..1]




                  Insured's Relationship to Patient   CE    R    [1..1]




                  Insured's Date of Birth             TS    RE   [0..1]




                  Insured's Address                   XAD   RE   [0..1]




                  Assignment of Benefits                    O




                  Coordination of Benefits                  O




                  Coordination of Benefits Priority         O




                  Notice of Admission Flag                  O




                  Notice of Admission Date                  O




                  Report of Eligibility Flag                O




                  Report of Eligibility Date                O
IN1 - Insurance
IN1 - Insurance
                  Release of Information Code        O




                  Pre-Admin Cert (PAC)               O




                  Verification Date/Time             O




                  Verification By                    O




                  Type of Agreement Code        IS   RE   [0..1]




                  Billing Status                     O




                  Lifetime Reserve Days              O




                  Delay Before L.R. Day              O




                  Company Plan Code                  O




                  Policy Number                 ST   R    [1..1]




                  Policy Deductible                  O
Policy Limit - Amount          O




Policy Limit - Days            O




Room Rate - Semi Private       X




Room Rate - Private            X




Insured's Employment Status    O




Insured's Administrative Sex   O




Insured's Employer's Address   O




Verification Status            O




Prior Insurance Plan ID        O




Coverage Type                  O




Handicap                       O
Insured's ID Number             O




Signature Code                  O




Signature Code Date             O




Insured's Birth Place           O




VIP Indicator                   O




Set ID - GT1              SI    R    [1..1]




Guarantor Number                O




Guarantor Name            XPN   RE   [0..1]




Guarantor Spouse Name           O




Guarantor Address         XAD   R    [1..1]




Guarantor Ph Num - Home         O
Guarantor Ph Num - Business         O




Guarantor Date/Time of Birth        O




Guarantor Administrative Sex        O




Guarantor Type                 IS   R   [1..1]




Guarantor Relationship         CE   R   [1..1]




Guarantor SSN                       O




Guarantor Date - Begin              O




Guarantor Date - End                O




Guarantor Priority                  O




Guarantor Employer Name             O




Guarantor Employer Address          O
                  Guarantor Employer Phone Number             O




                  Guarantor Employee ID Number                O




                  Guarantor Employment Status                 O




                  Guarantor Organization Name         XON   C(RE/O)   [0..1]




                  Guarantor Billing Hold Flag                 O




                  Guarantor Credit Rating Code                O




                  Guarantor Death Date and Time               O




                  Guarantor Death Flag                        O




                  Guarantor Charge Adjustment Code            O




                  Guarantor Household Annual Income           O




                  Guarantor Household Size                    O
GT1 - Guarantor
GT1 - Guarantor
                  Guarantor Employer ID Number    O




                  Guarantor Marital Status Code   O




                  Guarantor Hire Effective Date   O




                  Employment Stop Date            O




                  Living Dependency               O




                  Ambulatory Status               O




                  Citizenship                     O




                  Primary Language                O




                  Living Arrangement              O




                  Publicity Code                  O




                  Protection Indicator            O
Student Indicator                   O




Religion                            O




Mother's Maiden Name                O




Nationality                         O




Ethnic Group                        O




Contact Person's Name               O




Contact Person's Telephone Number   O




Contact Reason                      O




Contract Relationship               O




Job Title                           O




Job Code/Class                      O
Guarantor Employer's Organization
                                          O
Name



Handicap                                  O




Job Status                                O




Guarantor's Financial Class               O




Guarantor Race                            O




Guarantor Birth Place                     O




VIP Indicator                             O




Participation Instance ID           EI    R   [1..1]




Action Code                         ID    R   [1..1]




Action Reason                             O




Participation                       CWE   R   [1..1]
                      Participation Person                     XCN     R       [1..1]




                      Participation Person Provider Type               O




                      Participant Organization Unit Type               O
PRT - Participation




                      Participation Organization                       O




                      Participant Location                             O




                      Participation Device                             O



                      Participation Begin Date/Time (arrival
                                                                       O
                      time)



                      Participation End Date/Time (depature
                                                                       O
                      time)



                      Participation Qualitative Duration               O




                      Participation Address                    XAD   C(R/RE)   [0..1]




                      Participant Telecommunication Address    XTN   C(R/RE)   [0..2]
                           Set ID - NTE                SI    R   [1..1]
NTE - Notes and Comments




                           Source of Comment                 O




                           Comment                     FT    R   [1..*]




                           Comment Type                      O




                           Set ID - DG1                SI    R   [1..1]




                           Diagnosis Coding Method           X




                           Diagnosis Code - DG1        CWE   R   [1..1]




                           Diagnosis Description             X




                           Diagnosis Date/Time               O




                           Diagnosis Type              IS    R   [1..1]




                           Major Diagnostic Category         X
                  Diagnostic Related Group        X




                  DRG Approval Indicator          X




                  DRG Grouper Review Code         X
DG1 - Diagnosis




                  Outlier Type                    X




                  Outlier Days                    X




                  Outlier Cost                    X




                  Grouper Version And Type        X




                  Diagnosis Priority         ID   RE   [0..1]




                  Diagnosing Clinician            O




                  Diagnosis Classification        O




                  Confidential Indicator          O
Attestation Date/Time   O




Diagnosis Identifier    O




Diagnosis Action Code   O
                                                           LRI V49                                 ELINCS ORDER

                             E
Conformance/Conditions/Comme L
                             DATA TYPE USAGE DESCRIPTION/COMMENTS
                             E                                                                    DATA TYPE
             nts
                             M
                             E
                             F
                                           i
                                           e   ST     R                                              ST
                                           l
                                           d
                                           E
Constrained to the literal values      n                   Constrained to the literal values
‘^~\&’ or ‘^~\&#’, always appearing in c  ST          R    ‘^~\&’ or ‘^~\&#’, always                 ST
the same order.                        o                   appearing in the same order.
                                       d
                                       S
GU Datatype: HD_GU                     e                   GU Datatype: HD_GU
NG Datatype: HD_NG                     n Varies       RE   NG Datatype: HD_NG                        HD
                                           d
GU Datatype: HD_GU                         i
                                           S               GU Datatype: HD_GU
NG Datatype: HD_NG                         e               NG Datatype: HD_NG
If acknowledgments are in use, this        n Varies   R    If acknowledgments are in use,            HD
facility will receive any related          d               this facility will receive any
acknowledgment message.                    i               related acknowledgment
                                           R
                                           e
                                           c          O                                              HD
                                           e
GU Datatype: HD_GU                         i
                                           R               GU Datatype: HD_GU
NG Datatype: HD_NG                         e               NG Datatype: HD_NG
If acknowledgments are in use, this        c Varies   RE   If acknowledgments are in use,            HD
facility originates any related            e               this facility originates any related
acknowledgment message.                    i               acknowledgment message.
If the time zone offset is included in     D               If the time zone offset is included
MSH-7 it becomes the default time          a               in MSH-7 it becomes the default
zone for the message instance and          t   TS_1   R    time zone for the message                 TS
applies to all other date/time fields in   e               instance and applies to all other
that same message instance where           /               date/time fields in that same
                                           S
                                           e
                                           c          O                                              ST
                                           u
                                           r
                                           M
                                           e
                                           s   MSG    R                                             MSG
                                           s
                                           a
String that identifies the message    M             String that identifies the
instance from the sending             e             message instance from the
application. Example formats for      s   ST    R   sending application. Example      ST
message control IDs include GUID,     s             formats for message control IDs
timestamp plus sequence number,       a             include GUID, timestamp plus
                                      P
                                      r
                                      o   PT    R                                     PT
                                      c
HL7 version number used to            e
                                      V             HL7 version number used to
interpret format and content of the   e             interpret format and content of
message. Constrained to the literal   r   VID   R   the message. Constrained to the   VID
value ‘2.5.1’.                        s             literal value ‘2.5.1’.
Note that receivers must examine      i             Note that receivers must
                                      S
                                      e
                                      q         O                                     NM
                                      u
                                      e
                                      C
                                      o
                                      n         O                                     ST
                                      t
                                      i
                                      A
                                      c
                                      c   ID    R                                     ID
                                      e
                                      p
                                      A
                                      p
                                      p   ID    R                                     ID
                                      l
                                      i
                                      C
                                      o
                                      u         O                                     ID
                                      n
                                      t
                                      C
                                      h
                                      a         O                                     ID
                                      r
                                      a
                                      P
                                      r
                                      i         O                                     CE
                                      n
                                      c
                                      A
                                      l
                                      t         O                                     ID
                                      e
                                      r
The sender asserts that the           M             The sender asserts that the
message conforms to a given profile   e             message conforms to a given
and/or valid combination of           s EI_GU   R
                                                    profile and/or valid combination
                                                                                       EI
components.                           s             of components.
                                      a
                                      A
                                      c
                                      k   ID    R                                      ID
                                      n
                                      o
                                      M
                                      e
                                      s   ST    R                                      ST
                                      s
                                      a
                                      T
Excluded for this Implementation      e             Excluded for this Implementation
                                      x         X                                      ST
Guide, see Section 1.3.1                            Guide, see Section 1.3.1
                                      t
                                      M
                                      E
                                      x
                                      p         O                                      NM
                                      e
                                      c
                                      D
                                      e             Excluded for this Implementation
                                      l         X                                      ID
                                                    Guide, see Section 1.3.1
                                      a
                                      y
                                      E
                                      r             Excluded for this Implementation
                                      r         X                                      CE
                                                    Guide, see Section 1.3.1
                                      o
                                      r
                                      E
                                      r             Excluded for this Implementation
                                      r         X                                      ELD
                                                    Guide, see Section 1.3.1
                                      o
                                      r
                                      E
                                      r
                                      r         O                                      ERL
                                      o
                                      r
                                      H
                                      L
                                      7   CWE   R                                      CWE
                                      E
                                      r
                                      S
                                      e
                                      v   ID    R                                      ID
                                      e
                                      r
                                        A
                                        p
                                        p          O                                       CWE
                                        l
                                        i
                                        A
                                        p
                                        p          O                                       ST
                                        l
                                        i
                                        D
                                        i
                                        a   TX     RE                                      TX
                                        g
                                        n
                                        U
                                        s
                                        e          O                                       TX
                                        r
                                        M
                                        I
                                        n
                                        f          O                                       IS
                                        o
                                        r
                                        O
                                        v
                                        e          O                                       CWE
                                        r
                                        r
                                        O
                                        v
                                        e          O                                       CWE
                                        r
                                        r
                                        H
                                        e
                                        l          O                                       XTN
                                        p
                                        D
                                        S
                                        e               Constrained to the literal value
Constrained to the literal value ‘1’.   t   SI     R                                       SI
                                                        ‘1’.
                                        I
                                        D
                                        P
Excluded for this Implementation        a               Excluded for this Implementation
                                        t          X                                       CX
Guide, see Section 1.3.1                                Guide, see Section 1.3.1
                                        i
                                        e
                                        P
GU Datatype: CX_GU                      a               GU Datatype: CX_GU
NG Datatype: CX_NG                      t Varies   R    NG Datatype: CX_NG                 CX
                                        i
                                        e
                                      A
Excluded for this Implementation      l               Excluded for this Implementation
                                      t          X                                       CX
Guide, see Section 1.3.1                              Guide, see Section 1.3.1
                                      e
                                      r
                                      P
                                      a
                                      t    XPN   R                                       XPN
                                      i
                                      e
                                      M
                                      o
                                      t          O                                       XPN
                                      h
                                      e
                                      D               Base Profile: TS_2
Base Profile: TS_2
Newborn Screening Profile: TS_3       a               Newborn Screening Profile:
                                      t Varies   RE   TS_3                               TS
                                      e
                                      /
                                      A
                                      d
                                      m    IS    R    Patient’s gender.                  IS
                                      i
                                      n
                                      P
Excluded for this Implementation      a               Excluded for this Implementation
                                      t          X                                       XPN
Guide, see Section 1.3.1                              Guide, see Section 1.3.1
                                      i
                                      e
                                      R
Note that state regulations may       a               Note that state regulations may
                                           CE    RE                                      CE
dictate other behaviors.              c               dictate other behaviors.
                                      e
Patient address is required if this is P
patient Financial Class (PV1-20) is T- a
third party or P-Patient or it is      t         O                                       XAD
required for tests that are state      i
reportable such as blood leads and e
                                       C
Excluded for this Implementation      o               Excluded for this Implementation
                                      u          X                                       IS
Guide, see Section 1.3.1                              Guide, see Section 1.3.1
                                      n
                                      t
                                      P
                                      h
                                      o          O                                       XTN
                                      n
                                      e
                                      P
                                      h
                                      o          O                                       XTN
                                      n
                                      e
                                  P
                                  r
                                  i   O   CE
                                  m
                                  a
                                  M
                                  a
                                  r   O   CE
                                  i
                                  t
                                  R
                                  e
                                  l   O   CE
                                  i
                                  g
                                  P
                                  a
                                  t   O   CX
                                  i
                                  e
                                  S
                                  S
                                  N   X   ST
                                  N
                                  u
                                  D
                                  r
                                  i   X   DLN
                                  v
                                  e
                                  M
                                  o
                                  t   O   CX
                                  h
Where this is required for the    e
                                  E
ordered test it should also be    t
recorded as an AOE OBXs           h   O   CE
Note that state regulations may   n
dictate other behaviors.          i
                                  B
                                  i
                                  r   O   ST
                                  t
                                  h
                                  M
                                  u
                                  l   O   ID
                                  t
                                  i
                                  B
                                  i
                                  r   O   NM
                                  t
                                  h
C
i
t   O   CE
i
z
V
e
t   O   CE
e
r
N
a
t   X   CE
i
o
P
a
t   O   TS
i
e
P
a
t   O   ID
i
e
I
d
e   X   ID
n
t
I
d
e   O   IS
n
t
L
a
s   O   TS
t
U
L
a
s   O   HD
t
U
S
p
e   X   CE
c
i
B
r
e   X   CE
e
d
                                     S
                                     t
                                     r          X           ST
                                     a
                                     i
                                     S
                                     p
                                     e                      CE
                                     c
                                     i
                                     P
                                     r
                                     o          X           CWE
                                     d
                                     u
                                     T
                                     r
                                     i          X           CWE
                                     b
Note - missing Set ID for PV1        a
                                     P
                                      a
Note: PV1 will likely be C(R/O) when t
the bill is either to a 3rd party or  i
patient then PV1-20 (Finiacial Class) e
                                      P
                                      a
                                      t   N/A   N/A   N/A   IS
                                      i
                                      e
                                      A
                                     s
                                     s    N/A   N/A   N/A   PL
                                     i
                                     g
                                     A
                                     d
                                     m    N/A   N/A   N/A   IS
                                     i
                                     s
                                     P
                                     r
                                     e    N/A   N/A   N/A   CX
                                     a
                                     d
                                     P
                                     r
                                     i    N/A   N/A   N/A   PL
                                     o
                                     r
                                     A
                                     t
                                     t    N/A   N/A   N/A   XCN
                                     e
                                     n
                                       R
                                       e
                                       f   N/A   N/A   N/A   XCN
                                       e
                                       r
                                       C
                                       o
This is "B" in 2.5.1, should be "X"?   n   N/A   N/A   N/A   XCN
                                       s
                                       u
                                       H
                                       o
                                       s   N/A   N/A   N/A   IS
                                       p
                                       i
                                       T
                                       e
                                       m   N/A   N/A   N/A   PL
                                       p
                                       o
                                       P
                                       r
                                       e   N/A   N/A   N/A   IS
                                       a
                                       d
                                       R
                                       e
                                       -   N/A   N/A   N/A   IS
                                       a
                                       d
                                       A
                                       d
                                       m   N/A   N/A   N/A   IS
                                       i
                                       t
                                       A
                                       m
                                       b   N/A   N/A   N/A   IS
                                       u
                                       l
                                       V
                                       I
                                       P   N/A   N/A   N/A   IS
                                       I
                                       n
                                       A
                                       d
                                       m   N/A   N/A   N/A   XCN
                                       i
                                       t
                                       P
                                       a
                                       t   N/A   N/A   N/A   IS
                                       i
                                       e
                                    V
                                    i
                                    s   N/A   N/A   N/A   CX
                                    i
                                    t
                                    F
Note: Required see note regarding   i
the need for PV1 for billing        n   N/A   N/A   N/A   FC
considerations                      a
                                    n
                                    C
                                    h
                                    a   N/A   N/A   N/A   IS
                                    r
                                    g
                                    C
                                    o
                                    u   N/A   N/A   N/A   IS
                                    r
                                    t
                                    C
                                    r
                                    e   N/A   N/A   N/A   IS
                                    d
                                    i
                                    C
                                    o
                                    n   N/A   N/A   N/A   IS
                                    t
                                    r
                                    C
                                    o
                                    n   N/A   N/A   N/A   DT
                                    t
                                    r
                                    C
                                    o
                                    n   N/A   N/A   N/A   NM
                                    t
                                    r
                                    C
                                    o
                                    n   N/A   N/A   N/A   NM
                                    t
                                    r
                                    I
                                    n
                                    t   N/A   N/A   N/A   IS
                                    e
                                    r
                                    T
                                    r
                                    a   N/A   N/A   N/A   IS
                                    n
                                    s
                                       T
                                       r
                                       a   N/A   N/A   N/A   DT
                                       n
                                       s
                                       B
                                       a
                                       d   N/A   N/A   N/A   IS
                                       D
                                       e
                                       B
                                       a
                                       d   N/A   N/A   N/A   NM
                                       D
                                       e
                                       B
                                       a
                                       d   N/A   N/A   N/A   NM
                                       D
                                       e
                                       D
                                       e
                                       l   N/A   N/A   N/A   IS
                                       e
                                       t
                                       D
                                       e
                                       l   N/A   N/A   N/A   DT
                                       e
                                       t
                                       D
                                       i
                                       s   N/A   N/A   N/A   IS
                                       c
                                       h
                                       D
                                       i
                                       s   N/A   N/A   N/A   DLD
                                       c
                                       h
                                       D
                                       i
                                       e   N/A   N/A   N/A   CE
                                       t
                                       T
                                       S
                                       e
                                       r   N/A   N/A   N/A   IS
                                       v
                                       i
                                       B
                                       e
This is "W" in 2.5.1, should be "X"?   d   N/A   N/A   N/A   IS
                                       S
                                       t
A
c
c   N/A   N/A   N/A   IS
o
u
P
e
n   N/A   N/A   N/A   PL
d
i
P
r
i   N/A   N/A   N/A   PL
o
r
A
d
m   N/A   N/A   N/A   TS
i
t
D
i
s   N/A   N/A   N/A   TS
c
h
C
u
r   N/A   N/A   N/A   NM
r
e
T
o
t   N/A   N/A   N/A   NM
a
l
T
o
t   N/A   N/A   N/A   NM
a
l
T
o
t   N/A   N/A   N/A   NM
a
l
A
l
t   N/A   N/A   N/A   CX
e
r
V
i
s   N/A   N/A   N/A   IS
i
t
This is "W" in 2.5.1, should be "X"? O
                                     t
NOTE that this spreadsheet is        h     N/A   N/A   N/A   XCN
missing Service Episode Description e
and Service Episode Identifier, both r
                                     P
                                       r
                                       i   N/A   N/A   N/A   N/A
                                       o
                                       r
                                       A
                                       c
                                       c   N/A   N/A   N/A   N/A
                                       o
                                       m
                                       A
                                       d
                                       m   N/A   N/A   N/A   N/A
                                       i
                                       t
                                       T
                                       r
                                       a   N/A   N/A   N/A   N/A
                                       n
                                       s
                                       P
                                       a
                                       t   N/A   N/A   N/A   N/A
                                       i
                                       e
                                       P
                                       a
                                       t   N/A   N/A   N/A   N/A
                                       i
                                       e
                                       V
                                       i
                                       s   N/A   N/A   N/A   N/A
                                       i
                                       t
                                       E
                                       x
                                       p   N/A   N/A   N/A   N/A
                                       e
                                       c
                                       E
                                       x
                                       p   N/A   N/A   N/A   N/A
                                       e
                                       c
                                       E
                                       s
                                       t   N/A   N/A   N/A   N/A
                                       i
                                       m
A
c
t   N/A   N/A   N/A   N/A
u
a
V
i
s   N/A   N/A   N/A   N/A
i
t
R
e
f   N/A   N/A   N/A   N/A
e
r
P
r
e   N/A   N/A   N/A   N/A
v
i
E
m
p   N/A   N/A   N/A   N/A
l
o
P
u
r   N/A   N/A   N/A   N/A
g
e
P
u
r   N/A   N/A   N/A   N/A
g
e
S
p
e   N/A   N/A   N/A   N/A
c
i
R
e
t   N/A   N/A   N/A   N/A
e
n
E
x
p   N/A   N/A   N/A   N/A
e
c
V
i
s   N/A   N/A   N/A   N/A
i
t
V
i
s   N/A   N/A   N/A   N/A
i
t
C
l
i   N/A   N/A   N/A   N/A
n
i
P
a
t   N/A   N/A   N/A   N/A
i
e
V
i
s   N/A   N/A   N/A   N/A
i
t
P
r
e   N/A   N/A   N/A   N/A
v
i
E
x
p   N/A   N/A   N/A   N/A
e
c
S
i
g   N/A   N/A   N/A   N/A
n
a
F
i
r   N/A   N/A   N/A   N/A
s
t
P
a
t   N/A   N/A   N/A   N/A
i
e
R
e
c   N/A   N/A   N/A   N/A
u
r
B
i
l   N/A   N/A   N/A   N/A
l
i
E
x
p   N/A   N/A   N/A   N/A
e
c
M
i
l   N/A   N/A   N/A   N/A
i
t
M
i
l   N/A   N/A   N/A   N/A
i
t
N
e
w   N/A   N/A   N/A   N/A
b
o
B
a
b   N/A   N/A   N/A   N/A
y
D
M
o
d   N/A   N/A   N/A   N/A
e
o
R
e
c   N/A   N/A   N/A   N/A
r
e
A
d
m   N/A   N/A   N/A   N/A
i
s
P
r
e   N/A   N/A   N/A   N/A
c
a
P
a
t   N/A   N/A   N/A   N/A
i
e
L
i
v   N/A   N/A   N/A   N/A
i
n
                      O
                      r
                      g   N/A    N/A   N/A                   N/A
                      a
                      n
                      A
                      d
                      v   N/A    N/A   N/A                   N/A
                      a
                      n
                      P
                      a
                      t   N/A    N/A   N/A                   N/A
                      i
                      e
                      E
                      x
                      p   N/A    N/A   N/A                   N/A
                      e
                      c
                      E
                      x
                      p   N/A    N/A   N/A                   N/A
                      e
                      c
                      N
                      o
                      t   N/A    N/A   N/A                   N/A
                      i
                      f
                      O
                      r
                      d   ID     R                           ID
                      e
                      r
                      P
GU Datatype: EI_GU    l                GU Datatype: EI_GU
NG Datatype: EI_NG    a Varies   RE    NG Datatype: EI_NG    EI
                      c
                      e
                      F
                      i                GU Datatype: EI_GU
GU Datatype: EI_GU
NG Datatype: EI_NG    l Varies   R     NG Datatype: EI_NG    EI
                      l
                      e
                      P
GU Datatype: EI_GU                     GU Datatype: EI_GU
NG Datatype: EI_NG.   l                NG Datatype: EI_NG.
                      a Varies   RE                          EI
                      c
                      e
                      O
                      r
                      d          O                           ID
                      e
                      r
                                    R
                                    e
                                    s                 O                          ID
                                    p
                                    o
                                    Q
                                    u
depreciated and avaliable for backwards compatiability X
                                    a                                            TQ
                                    n
                                    t
                                    P
                                    a
                                    r                 O                          EIP
                                    e
                                    n
                                    D
                                     a
Need to determine time of order, cancel and/or add.
                                     t                O                          TS
                                    e
                                    /
                                    E
                                    n
                                    t                 O                          XCN
                                    e
                                    r
                                    V
                                    e
                                    r                 O                          XCN
                                    i
                                    f
                                    O
                                    r                      GU Datatype: XCN_GU
                                    d Varies          R
                                                           NG Datatype: XCN_NG
                                                                                 XCN
                                    e
                                    r
                                    E
                                    n
                                    t                 O                          PL
                                    e
                                    r
                                    C
                                    a
                                    l                 O                          XTN
                                    l
                                    B
                                    O
                                    r
                                    d                 O                          TS
                                    e
                                    r
                                    O
                                    r
                                    d                 O                          CE
                                    e
                                    r
                                       E
                                       n
                                       t                  O                                            CE
                                       e
                                       r
                                       E
                                       n
                                       t                  O                                            CE
                                       e
                                       r
                                       A
                                       c
                                       t                  O                                            XCN
                                       i
                                       o
                                       A
                                        d                           Excluded for this Implementation
                                                            X
important for billing, cannot not be returned in results - will this flag be helpful for the labs?
                                        v                                                              CE
                                                                    Guide, see Section 1.3.1
                                        a
                                        n
                                        O
                                       r
                                       d                  O                                            XON
                                       e
                                       r
                                       O
                                       r
                                       d                  O                                            XAD
                                       e
                                       r
                                       O
                                       r
                                       d                  O                                            XTN
                                       e
                                       r
                                       O
                                       r
                                       d                  O                                            XAD
                                       e
                                       r
                                       O
                                       r
                                       d                  O                                            CWE
                                       e
                                       r
                                       A
If ABN is valued this should be        d                         Excluded for this Implementation
                                       v               C(X/X)                                          CWE
valued                                                           Guide, see Section 1.3.1
                                       a
                                       n
                                       F
                                       i
                                       l                  O                                            TS
                                       l
                                       e
                                      C
                                      o
                                      n            O                                           CWE
                                      f
                                      i
                                      O
                                      r
                                      d            O                                           CWE
                                      e
                                      r
                                      E
                                      n
                                      t            O                                           CWE
                                      e
Contains the universal service        r
                                      P                   Contains the universal service
identifier of the parent order.       a                   identifier of the parent order.
RU Usage: O                           r Varies   Varies   RU Usage: O                          N/A
RN Usage: C(R/X),                     e                   RN Usage: C(R/X),
RN Condition Predicate: If OBR-29     n                   RN Condition Predicate: If OBR-
For the first occurrence of the OBR   S                   For the first occurrence of the
segment, the Sequence number          e                   OBR segment, the Sequence
shall be one (1), for the second      t   SI       R      number shall be one (1), for the     SI
occurrence, the Sequence number       I                   second occurrence, the
shall be two (2), etc.                D                   Sequence number shall be two
                                      P
                                      l                   GU Datatype: EI_GU
GU Datatype: EI_GU
NG Datatype: EI_NG                    a Varies    RE      NG Datatype: EI_NG                   EI
                                      c
                                      e
                                      F
GU Datatype: EI_GU                    i                   GU Datatype: EI_GU
NG Datatype: EI_NG                    l Varies     R      NG Datatype: EI_NG                   EI
                                      l
                                      e
                                      U
                                      n
                                      i CWE_CR     R                                           CE
                                      v
                                      e
                                      P
Excluded for this Implementation      r                   Excluded for this Implementation
                                      i            X                                           ID
Guide, see Section 1.3.1                                  Guide, see Section 1.3.1
                                      o
                                      r
                                      R
Excluded for this Implementation      e                   Excluded for this Implementation
                                      q            X                                           TS
Guide, see Section 1.3.1                                  Guide, see Section 1.3.1
                                      u
Condition Predicate: If OBR-11= 'O'. eO                   This reflects the specimen
This reflects the specimen collection b                   collection date/time when the test
date/time when the test involves a    s TS_4       R      involves a specimen.                 TS
specimen.                             e                   Since a test may also involve
Since a test may also involve         r                   drawing specimens at different
                                     O                    Sender Usage: O
                                     b                    Receiver Usage: RE
See above - OBR-7                    s TS_5      Varies   Note: Future versions of this        TS
                                     e                    guide will constrain the usage of
                                     r                    this element to RE.
                                     C
                                     o
                                     l             O                                           CQ
                                     l
                                     e
                                     C
                                     o
                                     l             O                                           XCN
                                     l
                                     e
                                     S
                                     p
                                     e   ID       RE                                           ID
                                     c
                                     i
                                     D
                                     a
                                     n             O                                           CE
                                     g
                                     e
                                     R
                                     e
                                     l CWE_CRE    RE                                           CWE
                                     e
                                     v
                                     S
                                     p                    Excluded for this Implementation
                                     e             X                                           TS
                                                          Guide, see Section 1.3.1
                                     c
                                     i
                                     S
                                     p                    Excluded for this Implementation
                                     e             X                                           SPS
                                                          Guide, see Section 1.3.1
                                     c
GU Datatype: XCN_GU                  i
                                     O                    GU Datatype: XCN_GU
NG Datatype: XCN_NG                  r                    NG Datatype: XCN_NG
Note that ORC-12 Ordering Provider   d Varies      R      Note that ORC-12 Ordering            XCN
is constrained to contain the same   e                    Provider is constrained to contain
value as this field.                 r                    the same value as this field.
                                     O
                                     r
                                     d             O                                           XTN
                                     e
                                     r
                                     P
                                     l
                                     a             O                                           ST
                                     c
                                     e
                                     P
                                     l
                                     a               O                                        ST
                                     c
                                     e
                                     F
                                     i
                                     l               O                                        ST
                                     l
                                     e
                                     F
                                     i
                                     l               O                                        ST
                                     l
                                     e
                                     R
                                     e
                                     s   TS_6        R                                        TS
                                     u
                                     l
                                     C
                                     h
                                     a               O                                        CM
                                     r
                                     g
                                     D
                                     i
                                     a               O                                        ID
                                     g
                                     n
                                     R
                                     e
                                     s    ID         R                                        ID
                                     u
                                     l
                                     P
                                     a                    Condition Predicate: If OBR-11
                                     r   PRL      C(R/RE) (Specimen Action Code) is           PRL
                                     e                    valued “G”
                                     n
                                     Q
Excluded for this Implementation     u                     Excluded for this Implementation
                                     a               X                                        TQ
Guide, see Section 1.3.1                                   Guide, see Section 1.3.1
                                     n
GU Profile: XCN_GU                   t
                                     R                    Condition Predicate: If
NG Profile: XCN_NG                     e                  CWE_CRE.1 (Identifier) or
                                       s Varies   C(R/X) CWE_CRE.4 (Alternate                 XCN
Bring forward the information          u                  Identifier) of at least one
provided in 3.3.10.2 of LRI IG for the l                  occurrence of OBR-49 is valued
                                       P                  Condition Predicate: If OBR-11
                                     a                    (Specimen Action Code) is
                                     r Varies     C(R/RE) valued “G”                          EIP
                                     e                    GU Profile: EIP_GU
                                     n                    NG Profile: EIP_NG
                       T
                       r
                       a   O   ID
                       n
                       s
                       R
                       e
                       a   O   CE
                       s
                       o
                       P
                       r
                       i   O   CM
                       n
                       c
                       A
                       s
                       s   O   CM
                       i
                       s
                       T
                       e
                       c   O   CM
                       h
                       n
                       T
                       r
                       a   O   CM
                       n
                       s
                       S
                       c
                       h   O   TS
                       e
                       d
                       N
                       u
                       m   O   NM
                       b
                       e
                       T
                       r
                       a   O   CE
                       n
                       s
                       C
                       o
                       l   O   CE
                       l
                       e
                       T
                       r
This is "O" in 2.5.1   a   O   CE
                       n
                       s
                       T
                       r
This is "O" in 2.5.1   a            O                                        ID
                       n
                       s
                       E
                       s
This is "O" in 2.5.1   c            O                                        ID
                       o
                       r
                       P
                       l
This is "O" in 2.5.1   a            O                                        CE
                       n
                       n
                       P
                       r
                       o            O                                        CE
                       c
                       e
                       P
                       r
                       o            O                                        CE
                       c
                       e
                       P
                       l
                       a            O                                        CE
                       c
                       e
                       F
                       i
                       l            O                                        CE
                       l
                       e
                       M
                       e
                       d            O                                        CWE
                       i
                       c
                       R
                       e
                       sCWE_CRE    RE                                        IS
                       u
                       l
                       P                   Contains the universal service
                       a                   identifier of the parent order.
                       r Varies   Varies   RU Usage: O                       CE
                       e                   RN Usage: C(R/X),
                       n                   RN Condition Predicate: If OBR-
                       S
                       e
                       t   SI       R                                        SI
                       I
                       D
                                            Q
                                            u
                                            a          O                                       ID
                                            n
                                            t
                                            R
                                            e
                                            p          O                                       RPT
                                            e
                                            a
                                            E
                                            x
                                            p          O                                       TM
                                            l
                                            i
                                            R
                                            e
                                            l          O                                       CQ
                                            a
                                            t
                                            S
                                            e
                                            r          O                                       CQ
                                            v
The start date should be the                i
                                            S
expected date the order should              t
begin or the anticipated date when          a   TS_3   RE                                      TS
the future order will be fulfilled by the   r
patient arriving at the PSC. Empty          t
                                            E
This will be provided if the Start          n
                                            d   TS_3   RE                                      TS
Date/Time was provided.
                                            d
                                            a
                                            P
                                            r
                                            i          O                                       CWE
                                            o
                                            r
                                            C
                                            o
                                            n          O                                       TX
                                            d
                                            i
                                            T
                                            e
                                            x          O                                       TX
                                            t
                                            i
                                            C
In LRI IG we constrained the                o               Excluded for this Implementation
                                            n          X                                       ID
message to a single TQ1                                     Guide, see Section 1.3.1
                                            j
                                            u
                                      O
                                      c
                                      c              O                                           CQ
                                      u
                                      r
                                      T
                                      o
                                      t              O                                           NM
                                      a
                                      l
                                      S                    For the first repeat of the OBX
                                      e                    segment, the sequence number
                                      t   SI         R     shall be one (1), for the second      SI
                                      I                    repeat, the sequence number
                                      D                    shall be two (2), etc.
Condition Predicate: If OBX-5         V                    Condition Predicate: If OBX-5
(Observation Value) is valued         a                    (Observation Value) is valued
This field identifies the data type   l   ID      C(R/X)   This field identifies the data type   ID
used for OBX-5.                       u                    used for OBX-5.
                                      e
                                      O                   LOINC shall be used as the
                                      b                   standard coding system for this
                                      s CWE_CR       R    field if an appropriate LOINC          CE
                                      e                   code exists. Appropriate status is
                                      r                   defined in the LOINC Manual
Condition Predicate: If there are     O                   Condition Predicate: If there are
multiple OBX segments associated      b                   multiple OBX segments
with the same OBR segment that        s   ST      C(R/RE) associated with the same OBR           ST
have the same OBX-3 values for        e                   segment that have the same
(OBX-3.1 and OBX-3.3) or (OBX-3.4     r                   OBX-3 values for (OBX-3.1 and
                                      O                   Note: If value is coded, ST
RE, R, C(R/O) and we need further     b                   should not be used
consideration.                        s Varies      RE    See Section 4.2 SNOMED CT              *
                                      e                   for guidance on how to value this
                                      r                   field for Microbiology.
                                      U                   Condition Predicate: If OBX-2
                                      n                   (Value Type) is valued “NM” or
                                      i CWE_CRE   C(R/RE) “SN” and OBX-11 is not valued          CE
                                      t                   “X” or “N”
                                      s                   Note: If there is not a unit of
                                      R                   Guidance: It is not appropriate to
                                      e                   send the reference range for a
                                      f   ST        RE    result in an associated NTE            ST
                                      e                   segment. It would be appropriate
                                      r                   to send additional information
                                      A                   Microbiology example:
                                      b                   Ceftazidime susceptibility
                                      n   IS        RE    (LOINC 133-9) value = |<=^1|,          IS
                                      o                   units = ug/ml, Abnormal flag = S
                                      r                   Note that this IG is adopting
                                      P
                                      r
                                      o              O                                           NM
                                      b
                                      a
                                 N
                                 a
                                 t          O                                        ID
                                 u
                                 r
                                 O
                                 b
                                 s    ID    R                                        ID
                                 e
                                 r
                                 E
                                 f
                                 f          O                                        TS
                                 e
                                 c
                                 U
                                 s
                                 e          O                                        ST
                                 r
                                 -
                                 D               For specimen based test, if it is
To be provide when OBX-5 has a   a               valued it must be the same as
                                 t   TS_5   RE   SPM-17.1                            TS
value
                                 e               If SPM-17.2 is present and
                                 /               relates to the same observation,
                                 P
                                 r
                                 o          O                                        CE
                                 d
                                 u
                                 R
                                 e
                                 s          O                                        XCN
                                 p
                                 o
                                 O
                                 b
                                 s          O                                        CE
                                 e
                                 r
                                 E
                                 q
                                 u          O                                        EI
                                 i
                                 p
                                 D
                                 a               Be as precise as appropriate and
                                 t   TS_5   RE                                       TS
                                                 available.
                                 e
                                 /
                                 R
                                 e               Excluded for this Implementation
                                 s          X
                                                 Guide, see Section 1.3.1
                                 e
                                 r
R
e               Excluded for this Implementation
s          X
                Guide, see Section 1.3.1
e
r
R
e               Excluded for this Implementation
s          X
                Guide, see Section 1.3.1
e
r
P               GU Datatype: XON_GU
e               NG Datatype: XON_NG
r Varies   R
                The information for producer ID
                                                   XON
f               is recorded as an XON data type.
o
P
e
r   XAD    R                                       XAD
f
o
P
e               GU Datatype: XCN_GU
r Varies   RE   NG Datatype: XCN_NG                XCN
f
o
S
e
t   SI     R                                       SI
I
D
S
p
e          O                                       EIP
c
i
S
p
e          O                                       EIP
c
i
S               Either HL70487 or SNOMED CT
p               Specimen hierarchy codes may
eCWE_CRE   R    be used. It should be noted that   CWE
c               in the future SNOMED CT
i               Specimen hierarchy may
S
p
e          O                                       CWE
c
i
S
p
e          O                                       CWE
c
i
S
p
e        O                                      CWE
c
i
S
p
e        O                                      CWE
c
i
S
p
e        O                                      CWE
c
i
S
p
e        O                                      CWE
c
i
S
p
e        O                                      CWE
c
i
S
p
e        O                                      CQ
c
i
G
r
o        O                                      NM
u
p
S
p
e        O                                      ST
c
i
S
p
e        O                                      CWE
c
i
S
p
e        O                                      CWE
c
i
S             SPM-17.1 must use TS_4 for the
p             data type definition.
e   DR   RE   SPM-17.2 must use TS_5 for the    DR
c             data type definition.
i             For OBXs reporting observations
S
p
e           O                                        TS
c
i
S
p
e           O                                        TS
c
i
S
p
e           O                                        ID
c
i
S                  Sender Usage: O using CWE
p                  Receiver Usage: RE using
e   CWE   Varies   CWE_CRE                           CWE
c                  Note: Future versions of this
i                  guide will constrain the sender
S
p
e           O                                        CWE
c
i
S
p
e           O                                        CWE
c
i
S                  Sender Usage: O using CWE
p                  Receiver Usage: RE using
e   CWE   Varies   CWE_CRE                           CWE
c                  Note: Future versions of this
i                  guide will constrain the sender
S
p
e           O                                        CQ
c
i
N
u
m           O                                        NM
b
e
C
o
n           O                                        CWE
t
a
C
o
n           O                                        CWE
t
a
                              S
                              p
                              e   O   CWE
                              c
                              i
                              S
                              e
                              t       SI
                              I
                              D
                              N
                              a
                                      XPN
                              m
                              e
                              R
                              e
                              l       CE
                              a
                              t
                              A
                              d
                              d       XAD
                              r
                              e
                              P
                              h
                              o       XTN
                              n
                              e
                              B
                              u
                              s       XTN
                              i
                              n
                              C
                              o
                              n       CE
                              t
                              a
                              S
                              t
                              a       DT
                              r
                              t
                              E
                              n
                              d       DT
                              D
                              a
                              N
                              e
could be RE for blood leads   x       ST
                              t
                              o
                              N
                              e
could be RE for blood leads   x   JCC
                              t
                              o
                              N
                              e
could be RE for blood leads   x   CX
                              t
                              o
                              O
                              r
could be RE for blood leads   g   XON
                              a
                              n
                              M
                              a
                              r   CE
                              i
                              t
                              A
                              d
                              m   IS
                              i
                              n
                              D
                              a
                              t   TS
                              e
                              /
                              L
                              i
                              v   IS
                              i
                              n
                              A
                              m
                              b   IS
                              u
                              l
                              C
                              i
                              t   CE
                              i
                              z
                              P
                              r
                              i   CE
                              m
                              a
                              L
                              i
                              v   IS
                              i
                              n
P
u
b   CE
l
i
P
r
o   ID
t
e
S
t
u   IS
d
e
R
e
l   CE
i
g
M
o
t   XPN
h
e
N
a
t   CE
i
o
E
t
h   CE
n
i
C
o
n   CE
t
a
C
o
n   XPN
t
a
C
o
n   XTN
t
a
C
o
n   XAD
t
a
N
e
x   CX
t
o
J
o
b   IS
S
t
R
a
    CE
c
e
H
a
n   IS
d
i
C
o
n   ST
t
a
N
e
x   ST
t
o
V
P
I   IS
n
d
S
e
t   SI
I
D
I
n
s   CE
u
r
I
n
s   CX
u
r
I
n
s   XON
u
r
                                 I
                                 n
                                 s   XAD
                                 u
                                 r
                                 I
                                 n
                                 s   XPN
                                 u
                                 r
                                 I
                                 n
                                 s   XTN
                                 u
                                 r
                                 G
                                 r
                                 o   ST
                                 u
                                 p
                                 G
                                 r
                                 o   XON
                                 u
                                 p
                                 I
                                 n
                                 s   CX
                                 u
                                 r
                                 I
Required when IN1-31 valued W.   n
                                 s   XON
(Workman's comp)
                                 u
                                 r
                                 P
                                 l
                                 a   DT
                                 n
                                 E
                                 P
                                 l
                                 a   DT
                                 n
                                 E
                                 A
                                 u
                                 t   AUI
                                 h
                                 o
                                 P
                                 l
                                 a   IS
                                 n
                                 T
N
a
m   XPN
e
o
I
n
s   CE
u
r
I
n
s   TS
u
r
I
n
s   XAD
u
r
A
s
s   IS
i
g
C
o
o   IS
r
d
C
o
o   ST
r
d
N
o
t   ID
i
c
N
o
t   DT
i
c
R
e
p   ID
o
r
R
e
p   DT
o
r
R
e
l   IS
e
a
P
r
e   ST
-
A
V
e
r   TS
i
f
V
e
r   XCN
i
f
T
y
p   IS
e
o
B
i
l   IS
l
i
L
i
f   NM
e
t
D
e
l   NM
a
y
C
o
m   IS
p
a
P
o
l   ST
i
c
P
o
l   CP
i
c
P
o
l   CP
i
c
P
o
l   NM
i
c
R
o
o   CP
m
R
R
o
o   CP
m
R
I
n
s   CE
u
r
I
n
s   IS
u
r
I
n
s   XAD
u
r
V
e
r   ST
i
f
P
r
i   IS
o
r
C
o
v   IS
e
r
H
a
n   IS
d
i
                                I
                                n
                                s    CX
                                u
                                r
                                S
                                i
                                g    IS
                                n
                                a
                                S
                                i
                                g    DT
                                n
                                a
                                I
                                n
                                s    ST
                                u
                                r
                                V
                                I
                                P    IS
                                I
                                n
                                S
                                e
                                t    SI
                                I
                                D
                                G
                                u
                                a    CX
                                r
                                a
                                G
Conformance: If GT1-3 empty GT1-
21 valued                        u
                                 a   XPN
GT1-21 empty GT1-3 must be
valued                           r
                                 a
                                 G
                                u
                                a    XPN
                                r
                                a
                                G
                                u
                                a    XAD
                                r
                                a
                                G
                                u
                                a    XTN
                                r
                                a
G
u
a   XTN
r
a
G
u
a   TS
r
a
G
u
a   IS
r
a
G
u
a   IS
r
a
G
u
a   CE
r
a
G
u
a   ST
r
a
G
u
a   DT
r
a
G
u
a   DT
r
a
G
u
a   NM
r
a
G
u
a   XPN
r
a
G
u
a   XAD
r
a
                                G
                                u
                                a    XTN
                                r
                                a
                                G
                                u
                                a    CX
                                r
                                a
                                G
                                u
                                a    IS
                                r
                                a
                                G
Conformance: If GT1-3 empty GT1-
21 valued                        u
                                 a   XON
GT1-3 empty GT1-21 must be
valued                           r
                                 a
                                 G
                                u
                                a    ID
                                r
                                a
                                G
                                u
                                a    CE
                                r
                                a
                                G
                                u
                                a    TS
                                r
                                a
                                G
                                u
                                a    ID
                                r
                                a
                                G
                                u
                                a    CE
                                r
                                a
                                G
                                u
                                a    CP
                                r
                                a
                                G
                                u
                                a    NM
                                r
                                a
G
u
a   CX
r
a
G
u
a   CE
r
a
G
u
a   DT
r
a
E
m
p   DT
l
o
L
i
v   IS
i
n
A
m
b   IS
u
l
C
i
t   CE
i
z
P
r
i   CE
m
a
L
i
v   IS
i
n
P
u
b   CE
l
i
P
r
o   ID
t
e
S
t
u   IS
d
e
R
e
l   CE
i
g
M
o
t   XPN
h
e
N
a
t   CE
i
o
E
t
h   CE
n
i
C
o
n   XPN
t
a
C
o
n   XTN
t
a
C
o
n   CE
t
a
C
o
n   IS
t
r
J
o
b   ST
T
i
J
o
b   JCC
C
o
G
u
a   XON
r
a
H
a
n   IS
d
i
J
o
b   IS
S
t
G
u
a   FC
r
a
G
u
a   CE
r
a
G
u
a   ST
r
a
V
I
P   IS
I
n
P
a
r   EI
t
i
A
c
t   ID
i
o
A
c
t   CWE
i
o
P
a
r   CWE
t
i
P
a
r   XCN
t
i
P
a
r   CWE
t
i
P
a
r   CWE
t
i
P
a
r   XON
t
i
P
a
r   PL
t
i
P
a
r   EI
t
i
P
a
r   DTM
t
i
P
a
r   DTM
t
i
P
a
r   CWE
t
i
P
a
r   XAD
t
i
P
a
r   XTN
t
i
             S            For the first repeat of the NTE
             e            segment, the sequence number
             t   SI   R   shall be one (1), for the second   SI
             I            repeat, the sequence number
             D            shall be two (2), etc.
             S
             o
             u        O                                      ID
             r
             c
             C
             o            Comment contained in the
             m   FT   R                                      FT
                          segment.
             m
             e
             C
             o
             m        O                                      CE
             m
             e
             S
             e
             t                                               SI
             I
             D
             D
             i
             a                                               ID
             g
             n
             D
             i
             a                                               CE
             g
             n
             D
             i
             a                                               ST
             g
             n
             D
             i
             a                                               TS
             g
             n
             D
             i
Table 0052   a                                               IS
             g
             n
             M
             a
             j                                               CE
             o
             r
D
i
a   CE
g
n
D
R
G   ID
A
p
D
R
G   IS
G
r
O
u
t   CE
l
i
O
u
t   NM
l
i
O
u
t   CP
l
i
G
r
o   ST
u
p
D
i
a   ID
g
n
D
i
a   XCN
g
n
D
i
a   IS
g
n
C
o
n   ID
f
i
A
t
t   TS
e
s
D
i
a   EI
g
n
D
i
a   ID
g
n
ELINCS ORDERS V1.O                 IHE Volume 2


     USAGE ELINCS SECTION DATA TYPE USAGE   CARD     LENGTH




       R        6.2.1        1       R      [1..1]     1




       R        6.2.2        4       R      [1..1]     4




       O        6.2.3       227      R      [1..1]    227




      RE        6.2.4       227      R      [1..1]    227




       O        6.2.5       227      R      [1..1]    227




       O        6.2.6       227      R      [1..1]    227




       R        6.2.7        26      R      [1..1]     26




       X                     40      X      [0..0]     40




       R        6.2.8        15      R      [1..1]     15
R   6.2.9    20    R    [1..1]   20




R   6.2.10   3     R    [1..1]   3




R   6.2.11   60    R    [1..1]   60




X




X            180   X    [0..0]   180




R   6.2.12   2     X    [0..0]   2




R   6.2.13   2     X    [0..0]   2




X            3     RE   [1..1]   3




X            16    C    [0..1]   16




X            250   RE   [1..1]   250




X            20    C    [1..1]   20
 R            6.2.14             427    RE    [0..*]   427




 R             7.3.1                    R     [1..1]




 R             7.3.2




 X




 X




 X




 X




 X                               N/A    N/A   N/A      N/A




 O        Not supported          N/A    N/A   N/A      N/A




 R    No additional guidance.    N/A    N/A   N/A      N/A




 R                                N/A
No additional constraint or guidance.   N/A   N/A      N/A
X    Not supported   N/A   N/A   N/A      N/A




X    Not supported   N/A   N/A   N/A      N/A




RE   Not supported   N/A   N/A   N/A      N/A




X    Not supported   N/A   N/A   N/A      N/A




X    Not supported   N/A   N/A   N/A      N/A




X    Not supported   N/A   N/A   N/A      N/A




X    Not supported   N/A   N/A   N/A      N/A




X    Not supported   N/A   N/A   N/A      N/A




R        6.3.1       SI    O     [1..1]    4




X                    CX    X     [0..1]   20




R        6.3.2       CX    R     [1..*]   250
X            CX    X    [0..1]   20




R    8.4.3   XPN   R    [1..*]   250




O            XPN   O    [0..1]   250




R    8.4.4   TS    RE   [0..1]   26




R    8.4.5   IS    R    [1..1]   1




X            XPN   X    [0..1]   250




RE           CE    RE   [0..1]   250




RE           XAD   RE   [0..*]   250




X            IS    X    [0..1]   4




RE           XTN   O    [0..*]   250




X            XTN   O    [0..*]   250
X    CE    O    [0..1]   250




O    CE    O    [0..1]   250




X    CE    O    [0..1]   250




X    CX    RE   [0..1]   250




X    ST    X    [0..1]   16




X    DLN   X    [0..1]   25




X    CX    O    [0..*]   250




RE   CE    O    [0..1]   250




X    ST    O    [0..1]   250




X    ID    O    [0..1]   1




X    NM    O    [0..1]   2
X   CE    O     [0..1]   250




X   CE    O     [0..1]   250




X   CE    X     [0..0]   250




X   TS    O     [0..1]   26




X   ID    O     [0..1]   1




X   ID    RE    [0..1]   1




X   IS    RE    [0..1]   20




X   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




X   CE    C     [0..1]   250




X   CE    C     [0..1]   250
X         N/A   N/A   N/A      N/A




X         N/A   N/A   N/A      N/A




X         N/A   N/A   N/A      N/A




X         N/A   N/A   N/A      N/A




R   N/A   IS    R     [1..1]   1




X   N/A   PL    RE    [0..1]   80




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A
X   N/A   N/A   N/A   N/A      N/A




X   N/A   CXN   X     [0..0]   250




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A
X   N/A   CX    RE    [0..1]   250




R   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A
X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   IS    X     [0..0]   1
X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A   N/A      N/A




X   N/A   IS    C     [0..1]   1
X     N/A   XCN   X     [0..0]   250




N/A   N/A   N/A   N/A   N/A      N/A




N/A   N/A   N/A   N/A   N/A      N/A




N/A   N/A   N/A   N/A   N/A      N/A




N/A   N/A   N/A   N/A   N/A      N/A




N/A   N/A   N/A   N/A   N/A      N/A




N/A   N/A   N/A   N/A   N/A      N/A




N/A   N/A   N/A   N/A   N/A      N/A




N/A   N/A   N/A   N/A   N/A      N/A




N/A   N/A   N/A   N/A   N/A      N/A




N/A   N/A   N/A   N/A   N/A      N/A
N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A
N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A
N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A




N/A   N/A   N/A   N/A   N/A   N/A
N/A   N/A     N/A   N/A   N/A      N/A




N/A   N/A     N/A   N/A   N/A      N/A




N/A   N/A     N/A   N/A   N/A      N/A




N/A   N/A     N/A   N/A   N/A      N/A




N/A   N/A     N/A   N/A   N/A      N/A




N/A   N/A     N/A   N/A   N/A      N/A




R     8.5.1   ID    R     [1..1]   2




R     8.5.2   EI    C     [0..1]   22




X     8.5.3   EI    C     [0..1]   22




R     8.5.4   EI    RE    [0..1]   22




X             ID    C     [0..1]   2
X           ID    O    [0..1]   1




X           TQ    X    [0..0]   200




X           EIP   C    [0..1]   200




X           TS    R    [1..1]   26




X           XCN   RE   [0..*]   250




X           XCN   RE   [0..*]   250




R   8.5.5   XCN   O    [0..1]   250




X           PL    O    [0..1]   80




C           XTN   O    [0..2]   250




X           TS    O    [0..1]   26




X           CE    O    [0..1]   250
X    CE    C   [0..1]   250




X    CE    O   [0..1]   250




X    CXN   O   [0..*]   250




X    CE    X   [0..0]   250




X    XON   O   [0..1]   250




X    XAD   O   [0..1]   250




X    XTN   O   [0..1]   250




RE   XAD   O   [0..1]   250




X    CWE   X   [0..0]   250




X    CWE   X   [0..0]   60




X    TS    C   [0..1]   26
  X              CWE   O     [0..1]   250




  X              CWE   RE    [0..1]   250




  X              CNE   O     [0..1]   250




 N/A     N/A     CWE   X     [0..1]   250




  R      8.6.1   N/A   N/A   N/A      N/A




  R      8.6.2   EI    R     [1..1]   22




  X      8.6.3   EI    RE    [0..1]   22




  R      8.6.4   CE    R     [1..1]   250




  X              ID    X     [0..0]   2




  X              TS    X     [0..0]   26




C(R/X)   8.6.5   TS    X     [0..0]   26
CE   8.6.6   TS    X    [0..0]   26




X            CQ    X    [0..0]   20




X            XCN   RE   [0..*]   250




R    8.6.7   ID    RE   [0..1]   1




X            CE    X    [0..0]   250




O            ST    X    [0..0]   300




X            TS    X    [0..0]   26




X            SPS   X    [0..0]   300




X            XCN   R    [1..1]   250




X            XTN   RE   [0..2]   250




O            ST    X    [0..0]   60
O             ST    X   [0..0]   60




R    8.6.8    ST    X   [0..0]   60




X             ST    X   [0..0]   60




X    8.6.9    TS    X   [0..0]   26




X             MOC   X   [0..0]   40




X             ID    C   [0..1]   10




X    8.6.10   ID    C   [0..1]   1




X             PRL   X   [0..0]   400




X             TQ    X   [0..0]   200




CE            XCN   C   [0..*]   250




X             EIP   X   [0..0]   200
X   ID    X     [0..0]   20




X   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




X   NM    X     [0..1]   4




X   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




X   CE    X     [0..0]   250
X           ID    X     [0..0]   30




X           ID    X     [0..0]    1




X           CE    X     [0..0]   250




X           N/A   N/A   N/A      N/A




X           N/A   N/A   N/A      N/A




X           N/A   N/A   N/A      N/A




X           N/A   N/A   N/A      N/A




X           CWE   X     [0..0]   250




X           N/A   N/A   N/A      N/A




X           N/A   N/A   N/A      N/A




R   6.9.1   N/A   N/A   N/A      N/A
X           N/A   N/A   N/A      N/A




X           N/A   N/A   N/A      N/A




X           N/A   N/A   N/A      N/A




X           N/A   N/A   N/A      N/A




X           N/A   N/A   N/A      N/A




C   6.9.2   TS    C     [0..1]   26




C           N/A   N/A   N/A      N/A




R   6.9.3   CWE   R     [1..1]   250




X           N/A   N/A   N/A      N/A




X           N/A   N/A   N/A      N/A




X           ID    X     [0..0]   10
X             N/A     N/A   N/A      N/A




X             N/A     N/A   N/A      N/A




R   6.14.1     SI     R     [1..1]    4




R   6.14.2    ID      C     [0..1]    2




R   6.14.3    CE      R     [1..1]   250




X             ST      C     [0..1]    20




R   6.14.4   Varies   C     [0..1]   99999




O   6.14.5    CE      C     [0..1]   250




X             ST      RE    [0..1]    60




X              IS     RE    [0..*]    5




X             NM      X     [0..0]    5
X            ID    X     [0..0]   2




R   6.14.6   ID    R     [1..1]   1




X            TS    X     [0..0]   26




X            ST    C     [0..1]   20




X            TS    RE    [0..1]   26




X            CE    RE    [0..1]   250




X            XCN   RE    [0..1]   250




X            CE    C     [0..1]   250




X            EIP   O     [0..*]   22




X            TS    RE    [0..1]   26




X            N/A   N/A   N/A      N/A
X            N/A   N/A   N/A      N/A




X            N/A   N/A   N/A      N/A




X            XON   C     [0..1]   567




X            XAD   O     [0..1]   631




X            XCN   O     [0..1]   3002




R   6.15.1   SI    R     [1..1]    4




O   6.15.2   EIP   C     [0..1]   80




X            EIP   RE    [0..1]   80




R   6.15.3   CWE   R     [1..1]   250




X            CWE   X     [0..0]   250




X            CWE   O     [0..*]   250
O   6.15.4   CWE   RE   [0..1]   250




O   6.15.5   CWE   C    [0..1]   250




O   6.15.6   CWE   C    [0..*]   250




X            CWE   O    [0..1]   250




X            CWE   RE   [0..*]   250




O   6.15.7    X    X    [0..0]   20




X             X    X    [0..0]   6




O   6.15.8   O     O    [0..1]   250




X            O     O    [0..*]   250




X            RE    RE   [0..1]   250




R   6.15.9   RE    RE   [0..1]   26
X   CWE   X    [0..1]   26




X   O     O    [0..1]   26




X   CWE   X    [0..1]   1




X   CWE   X    [0..*]   250




X   O     O    [0..1]   250




X   O     O    [0..1]   250




X   O     O    [0..*]   250




X   O     O    [0..1]   20




X   RE    RE   [0..1]   4




X   CWE   X    [0..1]   250




X   O     O    [0..1]   250
X    O     O     [0..1]   250




R    N/A   N/A   N/A      N/A




R    N/A   N/A   N/A      N/A




R    N/A   N/A   N/A      N/A




RE   N/A   N/A   N/A      N/A




RE   N/A   N/A   N/A      N/A




X    N/A   N/A   N/A      N/A




X    N/A   N/A   N/A      N/A




X    N/A   N/A   N/A      N/A




X    N/A   N/A   N/A      N/A




X    N/A   N/A   N/A      N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




R   N/A   N/A   N/A   N/A




R   N/A   N/A   N/A   N/A




R   N/A   N/A   N/A   N/A




R   N/A   N/A   N/A   N/A
R    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




RE   N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




C    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




O    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A
R    N/A   N/A   N/A   N/A




R    N/A   N/A   N/A   N/A




RE   N/A   N/A   N/A   N/A




RE   N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A
X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




RE   N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




R    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




R




X




C




X




R




X
X




X




X




R




R   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




C   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




R   N/A   N/A   N/A   N/A




R   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




R   N/A   N/A   N/A   N/A
R   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




C   N/A   N/A   N/A   N/A




C   N/A   N/A   N/A   N/A
R   SI    R     [1..1]    4




X   ID    RE    [0..1]    8




R   FT    RE    [0..1]   65536




X   CE    RE    [0..1]   250




R   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




R   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A




R   N/A   N/A   N/A      N/A




X   N/A   N/A   N/A      N/A
X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




R    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




RE   N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A




X    N/A   N/A   N/A   N/A
X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A




X   N/A   N/A   N/A   N/A
                   LOI



                   Sequenc                                                                         LRI
                                    Component Name       Usage           Comments
                      e                                                                         Sequence



                         1   Identifier                 RE                                         1

                                                                Condition Predicate: If
                                                                CE.1 (Identifier) is not
                                                                valued. It is strongly
                                                                recommended that text
                                                                be sent to accompany
                         2   Text                       C(R/RE)                                    2
                                                                any identifier. When a
                                                                coded value is not known,
                                                                text can still be sent, in
                                                                which case no coding
                                                                system should be
                                                                identified.
                                                                Condition Predicate: If
                         3   Name of Coding System      C(R/X)                                     3
                                                                CE.1 (Identifier) is valued
                                                                  The alternate identifier
2.1 CE_1 - Coded                                                  (from the alternate coding
     Element                                                      system) should be the
                         4   Alternate Identifier       RE                                         4
                                                                  closest match for the
                                                                  identifier found in
                                                                  component 1.


                                                                  It is strongly
                                                                  recommended that
                         5   Alternate Text             RE        alternate text be sent to        5
                                                                  accompany any alternate
                                                                  identifier.



                                                                  Condition Predicate: If
                             Name of Alternate Coding
                         6                              C(R/X)    CE.4 (Alternate Identifier)      6
                             System
                                                                  is valued




                         1   Identifier                      R
                      2   Text                         R




                      3   Name of Coding System        R
CE_2 (PID-10, PID-
 22) ??DG1-3??
     VOCAB

                      4   Alternate Identifier         O




                      5   Alternate Text               O




                          Name of Alternate Coding
                      6                                O
                          System




                      1   Identifier                   R




                      2   Text                         R




                      3   Name of Coding System        R
CE or CWE? (OBR-
4) - Second Triplet
 support required
 or not? VOCAB
                      4   Alternate Identifier       O or RE
4) - Second Triplet
 support required
 or not? VOCAB




                      5   Alternate Text             O or RE




                                                               Condition Predicate: If
                          Name of Alternate Coding   O or
                      6                                        CE.4 (Alternate Identifier)
                          System                     C(R/X)
                                                               is valued




                      1   Identifier                 R




                      2   Text                       R




                      3   Name of Coding System      R
CE_3 (NK1-3, IN1-
17, OBX-3) ??DG1-
    3?? VOCAB

                      4   Alternate Identifier       X




                      5   Alternate Text             X




                          Name of Alternate Coding
                      6                              X
                          System




                      1   Identifier                 R




CE_4 (IN1-2) Field
  use is not the
same as HL7, but
 there is nothing
                      2   Text                       O




CE_4 (IN1-2) Field
   use is not the     3   Name of Coding System      O
same as HL7, but
  there is nothing
else available and
 this is a required
    field with the    4   Alternate Identifier       X
 wrong data type.




                      5   Alternate Text             X




                          Name of Alternate Coding
                      6                              X
                          System




                                                            LRI
                                                         Sequence
       CQ




                                                            LRI
                                                         Sequence
                    1




                    2




                    3



                    4

  2.2 CWE_CRE
   Coded with
Exceptions - Code
Required But May    5
    Be Empty


                    6
                    7
                    8



                    9



                    10
                    11
                    12

                    13
                    14
                    15
                    16
                    17
                    18
                    19
                       20
                       21
                       22



                       LRI
                    Sequence




                       1



                       2
                       3


                       4



                       5
  2-3 CWE_CR
   Coded With          6
Exceptions - Code
    Required           7
                       8

                       9
                       10
                       11
                       12

                       13
                       14
                       15
                       16
                       17
                       18
                       19
                       20
                       21
                       22
                       LRI
                    Sequence
                       1


                       2

   2-4 CX_GU           3
    Extended
Composite ID with
  Check Digit
                       4


                       5
                       6
                       7
                       8
                       9
                       10
                       LRI
                    Sequence


                       1



   2-5 CX_NG           2
    Extended
                       3
Composite ID with
  Check Digit
                       4
                       5
                       6
                       7
                       8
                       9
                       10
                       LRI
                    Sequence
2-6 DR Date/Time
     Range             1

                        2
                       LRI
   2-7 DT Date      Sequence
                        1
                       LRI
    2-8 DTM         Sequence
   Date/Time
    2-8 DTM
   Date/Time
                       1




                       LRI
                    Sequence

2-9 EI_GU Entity
    Identifier

                       1

                       2
                       3
                       4



                       LRI
                    Sequence



2-9 EI_NG Entity
    Identifier         1


                       2

                       3

                       4
                       LRI
                    Sequence
 2-10 EIP_GU
Entity Identifier      1
      Pair
                       2
                       LRI
                    Sequence
 2-11 EIP_NG
Entity Identifier      1
      Pair
                       2
                       LRI
                    Sequence
                       1
2-12 ERL Error
                       2
   Location
                       3
 2-12 ERL Error
    Location
                        4
                        5
                        6
                       LRI
       FC           Sequence
                        1
                        2
                       LRI
                    Sequence
                       1
 2-13 FN Family
                       2
      Name
                       3
                       4
                        5
                       LRI
2-14 FT Formatted
                    Sequence
    Text Data




                       LRI
                    Sequence
  2-15 HD_GU
   Hierarchic
  Designator

                       1

                       2
                       3



                       LRI
                    Sequence
  2-16 HD_NG
   Hierarchic
  Designator
                       1


                       2
                       3
                     LRI
2-17 ID Coded
                  Sequence
Value for HL7-
Defined Tables




                     1




                     LRI
2-18 IS Coded
                  Sequence
Value for User-
Defined Tables



                     1
                     LRI
                  Sequence
   2-19 MSG          1
 Message Type
                     2
                     3
                     LRI
2-20 NM Numeric   Sequence
                      1
                     LRI
                  Sequence
                      1
2-21 PRL Parent
  Result Link        2

                     3
                     LRI
                  Sequence
    2-22 PT
Processing Type      1
    2-22 PT
Processing Type

                       2
                      LRI
                   Sequence
2-23 SAD Street
                      1
    Address
                      2
                      3




                      LRI
2-24 SI Sequence
                   Sequence
        ID




                       1
                      LRI
                   Sequence

    2-25 SN           1
   Structured
    Numeric           2
                      3
                      4




                      LRI
 2-26 ST String
                   Sequence
      Data




                       1
                      LRI
 2-27 TM Time      Sequence
                       1
                    LRI
                 Sequence




2-28 TS_1 Time
    Stamp           1
                    2
                   3.1
                   3.2
                   3.3
                   3.4
                   3.5
                   3.6
                   3.7


                   3.8




                    LRI
                 Sequence




2-29 TS_2 Time
                    1
    Stamp
                    2
                   3.1
                   3.2
                   3.3
                   3.4
                   3.5
                   3.6


                   3.7
                    LRI
                 Sequence




2-30 TS_3 Time
                    1
    Stamp
                    2
                   3.1
                   3.2
                   3.3
                   3.4
                   3.5
                   3.6


                   3.7




                    LRI
                 Sequence




                    1
2-31 TS_4 Time
                    2
    Stamp
                   3.1
                   3.2

                   3.3

                   3.4

                   3.5

                   3.6
                      3.7




                       LRI
                    Sequence



 2-32 TS_5 Time
     Stamp
                       1
                       2
                      3.1
                      3.2
                      3.3
                      3.4
                      3.5
                      3.6
                      3.7




                       LRI
                    Sequence




 2-33 TS_6 Time
     Stamp
                       1
                        2
                       3.1
                       3.2
                       3.3
                       3.4
                       3.5
                       3.6
                       3.7
                       3.8
                       LRI
2-34 TX Text Data   Sequence
                        1
                       LRI
                    Sequence
2-35 VID Version
    Identifier
2-35 VID Version      1
    Identifier
                      2
                      3




                      LRI
                   Sequence




                      1
    2-36 XAD
Extended Address      2
                      3
                      4
                      5


                      6


                       7
                       8
                       9
                      10
                      11
                      12
                      13
                      14
                      LRI
                   Sequence




                      1
                     2
                     3
                     4
                     5
                     6
                     7
                     8

  2-37 XCN_GU
    Extended         9
  Composite ID
Number and Name
   for Persons
                     10
                     11

                     12


                     13
                     14
                     15
                     16

                     17

                     18
                     19
                     20
                     21
                     22
                     23
                     LRI
                  Sequence



                     1



                     2
                     3
                     4
                     5
                     6
                     7
                     8


  2-38 XCN_NG
    Extended
  Composite ID
Number and Name
  2-38 XCN_NG
    Extended            9
  Composite ID
Number and Name
   for Persons          10
                        11
                        12
                        13
                        14
                        15
                        16

                        17

                        18
                        19
                        20
                        21
                        22
                        23



                        LRI
                     Sequence




                        1



  2-39 XON_GU           2
    Extended
Composite Name          3
and Identification      4
   Number for
 Organizations          5


                        6
                        7
                        8
                        9
                        10



                        LRI
                     Sequence




                        1




  2-40 XON_NG           2
    Extended
                        3
Composite Name
and Identification      4
   Number for
 Organizations          5




                        6



                        7
                        8
                        9
                        10



                        LRI
                     Sequence



                        1

                        2
                        3
    2-41 XPN            4
Extended Person
      Name
    2-41 XPN
Extended Person      5
      Name
                     6
                     7
                     8
                     9

                     10

                     11
                     12
                     13
                     14

                     LRI
                  Sequence

                     1
                     2
                     3
                      4
     XTN
                      5
                      6
                      7
                      8
                      9
                     10
                     11
                     12
                      LRI IG v38                                         ELINCS Orders IG


                                                                             PID-10 Race
 LRI Comp.         LRI
                                        LRI Comments                     PID-22 Ethnic Group
 Data Type        Usage
                                                                         OBR-4 Univ. Svc ID



ST           RE                                                                   R

                            Condition Predicate: If CE.1 (Identifier)
                            is not valued. It is strongly
                            recommended that text be sent to
                            accompany any identifier. When a
                            coded value is not known, text can still
ST           C(R/RE)                                                              R
                            be sent, in which case no coding
                            system should be identified.
                            It is strongly recommended that text be
                            sent to accompany any identifier. When
                            a coded value is not known, text can still
                            be sent, in which case no coding
                            Condition Predicate: If CE.1 (Identifier)
ID           C(R/X)                                                               R
                            is valued


                            The alternate identifier (from the
                            alternate coding system) should be the
ST           RE                                                                   O
                            closest match for the identifier found in
                            component 1.




                            It is strongly recommended that
ST           RE             alternate text be sent to accompany any               O
                            alternate identifier.




                            Condition Predicate: If CE.4 (Alternate
ID           C(R/X)                                                               O
                            Identifier) is valued
LRI Comp.    LRI                   SPM-12 Specimen
                    LRI Comments
Data Type   Usage                  Collection Amount*


                                           O

                                           O



LRI Comp.    LRI                     TQ1-9 Priority
                    LRI Comments
Data Type   Usage                  PRT-4 Participation
ST    RE                                                       R




                Condition Predicate: If CWE_CRE.1
                (Identifier) is valued. It is strongly
                recommended that text be sent to
                accompany any identifier. When a
ST    C(RE/X)                                                  R
                coded value is not known, the original
                text element (CWE_CRE.9) is used to
                carry the text, not the text
                (CWE_CRE.2) element.
ID    C(R/X)    Condition Predicate: If CWE_CRE.1              R
                (Identifier) is valued
                Condition Predicate: If CWE_CRE.1
                (Identifier) is valued The alternate
ST    C(RE/X)   identifier (from the alternate coding          X
                system) should be the closest match for
                the identifier found in CWE_CRE.1.
                Condition Predicate: If CWE_CRE.4
                (Alternate Identifier) is valued. It is
ST    C(RE/X)   strongly recommended that alternate            X
                text be sent to accompany any alternate
                identifier.
                Condition Predicate: If CWE_CRE.4
ID    C(R/X)                                                   X
                (Alternate Identifier) is valued
ST    O                                                        X
ST    O                                                        X
                Condition Predicate: If CWE_CRE.1
                (Identifier) is not valued. Original Text is
                used to convey the text that was the
ST    C(R/RE)                                                  X
                basis for coding. If neither the first or
                second triplet has values, this contains
                the text of the field.
ST    O                                                        X
ST    O                                                        X
ID    O                                                        X

ST    O                                                        X
ST    O                                                        X
ST    O                                                        X
DTM   O                                                        X
ST    O                                                        X
ST    O                                                        X
DTM   O                                                        X
ST           O                                                                   X
ST           O                                                                   X
DTM          O                                                                   X



 LRI Comp.         LRI                                                   TQ1-9 Priority
                                      LRI Comments
 Data Type        Usage                                                PRT-4 Participation




ST           R                                                                   R


                          It is strongly recommended that text be
ST           RE                                                                  R
                          sent to accompany any identifier.
ID           R                                                                   R
                          The alternate identifier (from the
                          alternate coding system) should be the
ST           RE                                                                  X
                          closest match for the identifier found in
                          CWE_CR.1.
                          It is strongly recommended that
ST           RE           alternate text be sent to accompany any                X
                          alternate identifier.
                          Condition Predicate: If CWE_CR.4
ID           C(R/X)                                                              X
                          (Alternate Identifier) is valued
ST           O                                                                   X
ST           O                                                                   X
                          Original Text is used to convey the text
ST           R                                                                   X
                          that was the basis for coding.
ST           O                                                                   X
ST           O                                                                   X
ID           O                                                                   X

ST           O                                                                   X
ST           O                                                                   X
ST           O                                                                   X
DTM          O                                                                   X
ST           O                                                                   X
ST           O                                                                   X
DTM          O                                                                   X
ST           O                                                                   X
ST           O                                                                   X
DTM          O                                                                   X
 LRI Comp.         LRI                                                PID-3 Patient Identifier
                                      LRI Comments
 Data Type        Usage                                                        List
ST           R                                                                   R


ST           O                                                                   X
                          Note that the condition predicate will be
ID           C(O/X)       established when this profile is                       X
                          constrained further.
                          The Assigning Authority component is
                          used to identify the system, application,
HD_GU        R                                                                   O
                          organization, etc. that assigned the ID
                          Number in component 1.
ID           R                                                                   R
HD           O                                                                   O
DT           O                                                                   O
DT           O                                                                   O
CWE          O
CWE          O
 LRI Comp.         LRI                                                PID-3 Patient Identifier
                                      LRI Comments
 Data Type        Usage                                                        List


ST           R                                                                   R


ST           O                                                                   X
                          Note that the condition predicate will be
ID           C(O/X)       established when this profile is                       X
                          constrained further.
HD_NG        RE                                                                  O
ID           R                                                                   R
HD           O                                                                   O
DT           O                                                                   O
DT           O                                                                   O
CWE          O
CWE          O
 LRI Comp.         LRI                                                 SPM-17 Specimen
                                      LRI Comments
 Data Type        Usage                                               Collection Date/Time*

TS_5         RE                                                                  O

TS_5        RE                                                                  O
  LRI Comp.     LRI                                                   IN1-13 Plan Expiration
                                      LRI Comments
  Data Type    Usage                                                          Date*
-           R             Format: YYYY[MM[DD]]                                  R
  LRI Comp.     LRI
                                      LRI Comments
  Data Type    Usage
                             Format:
-               R            YYYY[MM[DD[HH[MM[SS[.S[S[S[S]]]]]]]]
                             ][+/-ZZZZ]

                                                                       MSH-21 Message Profile
                                                                             Identifier*
    LRI Comp.         LRI
                                         LRI Comments                   PRT-1 Participation
    Data Type        Usage
                                                                            Instance ID*
                                                                         PRT-2 Action Code


ST              R                                                                O

IS              RE           .                                                   O
ST              R                                                                C
ID              R            Fixed to “ISO”                                      C

                                                                       MSH-21 Message Profile
                                                                             Identifier*
    LRI Comp.         LRI
                                         LRI Comments                   PRT-1 Participation
    Data Type        Usage
                                                                            Instance ID*
                                                                         PRT-2 Action Code


ST              R                                                                O

                             Condition Predicate: If EI_NG.3
IS              C(R/O)                                                           O
                             (Universal ID) is not valued
                             Condition Predicate: If EI_NG.2
ST              C(R/O)                                                           C
                             (Namespace ID) is not valued
                             Condition Predicate: If EI_NG.3
ID              C(R/X)                                                           C
                             (Universal ID) is valued
    LRI Comp.         LRI
                                         LRI Comments                    SPM-2 Specimen ID
    Data Type        Usage

EI_GU           RE                                                               O

                             Condition Predicate: If EIP_GU.1 is not
EI_GU           C(R/RE)                                                          O
                             valued
    LRI Comp.         LRI
                                         LRI Comments                    SPM-2 Specimen ID
    Data Type        Usage

EI_NG           RE                                                               O

                             Condition Predicate: if EIP_NG.1 is not
EI_NG           C(R/RE)                                                          O
                             valued
    LRI Comp.         LRI
                                         LRI Comments
    Data Type        Usage
ST              R
NM              R
NM              O
NM         O
NM         O
NM         O
 LRI Comp.    LRI
                                      LRI Comments           PV1-20 Financial Class
 Data Type   Usage
                                                                       R
                                                                       X
 LRI Comp.         LRI
                                      LRI Comments
 Data Type        Usage
ST           R
ST           O
ST           O
ST           O
ST          O
  LRI Comp.    LRI
                                      LRI Comments              NTE-3 Comment
  Data Type   Usage
-           R                                                          R

                                                                MSH-3 Sending
                                                                 Application*
 LRI Comp.         LRI                                       MSH-4 Sending Facility
                                      LRI Comments
 Data Type        Usage                                        MSH-5 Receiving
                                                                 Application*
                                                            MSH-6 Receiving Facility*


IS           RE                                                        O

ST           R                                                         C
ID           R            Fixed to “ISO”                               C
                                                                MSH-3 Sending
                                                                 Application*
 LRI Comp.         LRI                                       MSH-4 Sending Facility
                                      LRI Comments
 Data Type        Usage                                        MSH-5 Receiving
                                                                 Application*
                                                            MSH-6 Receiving Facility*

                          Condition Predicate: If HD_NG.2
IS           C(R/O)                                                    O
                          (Universal ID) is not valued
                          Condition Predicate: If HD_NG.1
ST           C(R/O)                                                    C
                          (Namespace ID) is not valued
ID           C(R/X)       Condition Predicate: If HD_NG.2              C
                          (Universal ID) is valued
                                                MSH-15 Accept
                                             Acknolwedgement Type
                                               MSH-16 Application
                                             Acknowledgement Type
                                              ORC-1 Order Control
    LRI Comp.         LRI
                             LRI Comments   OBR-11 Specimen Action
    Data Type        Usage
                                                     Code
                                            DG1-15 Diagnosis Priority
                                               OBX-2 Value Type
                                              OBX-11 Observation
                                                 Result Status



-               R                                      R



                                             PID-8 Administrative Sex
                                               PV1-2 Patient Class
    LRI Comp.         LRI                   IN1-31 Type of Agreement
                             LRI Comments
    Data Type        Usage                            Code
                                              GT1-10 Guarantor Type
                                              DG1-6 Diagnosis Type



-               R                                      R
    LRI Comp.         LRI
                             LRI Comments    MSH-9 Message Type*
    Data Type        Usage
ID              R                                      R
ID              R                                      R
ID              R                                      R
    LRI Comp.         LRI
                             LRI Comments
    Data Type        Usage
-          R
 LRI Comp.    LRI
                             LRI Comments
 Data Type   Usage
CWE_CR     R
ST              RE

TX              O
    LRI Comp.         LRI
                             LRI Comments    MSH-11 Processing ID
    Data Type        Usage

                R                                      R
ID
ID              O                                     O
    LRI Comp.         LRI
                             LRI Comments
    Data Type        Usage

ST              R

ST              O
ST              O
                                                PID-1 Set ID-PID
                                               NK1-1 Set ID-NK1
                                               PV1-1 Set ID-PV1
                                                IN1-1 Set ID-IN1
                                               GT1-1 Set ID-GT1
    LRI Comp.         LRI
                             LRI Comments      TQ1-1 Set ID-TQ1
    Data Type        Usage
                                               OBR-1 Set ID-OBR
                                               NTE-1 Set ID-NTE
                                               DG1-1 Set ID-DG1
                                               OBX-1 Set ID-OBX
                                               SMP-1 Set ID-SPM
-               R
    LRI Comp.         LRI
                             LRI Comments
    Data Type        Usage

                RE
ST
NM              RE
ST              RE
NM              RE
                                             MSH-1 Field Separator
                                                MSH-2 Encoding
                                                   Characters
                                            MSH-10 Message Control
                                                       ID
    LRI Comp.         LRI                     IN1-8 Group Number
                             LRI Comments
    Data Type        Usage                   IN1-36 Policy Number
                                             OBR-18 Placer Field 1
                                             OBR-19 Placer Field 2
                                              OBR-20 Filler Field 1
                                               SPM-14 Specimen
                                                  Description
-               R                                      R
    LRI Comp.         LRI
                             LRI Comments
    Data Type        Usage
-               R
                                                                      MSH-7 Date/Time of
                                                                            Message
                                                                    PID-7 Date/Time of Birth
                                                                    IN1-18 Insured's Date of
LRI Comp.         LRI                                                         Birth
                                     LRI Comments
Data Type        Usage                                               TQ1-7 Start Date/Time
                                                                      OBR-7 Observation
                                                                           Date/Time
                                                                    OBR-8 Observation End
                                                                           Date/Time


            R                                                                  R
DTM
ID          X                                                                  X
            R
            R
            R
            R
            R
            R
            O
                         Condition Predicate: If an occurrence of
                         MSH.21 is valued
            C(R/O)
                         2.16.840.1.113883.9.22
                         (LRI_TO_Component)
                                                                      MSH-7 Date/Time of
                                                                            Message
                                                                    PID-7 Date/Time of Birth
                                                                    IN1-18 Insured's Date of
LRI Comp.         LRI                                                         Birth
                                     LRI Comments
Data Type        Usage                                               TQ1-7 Start Date/Time
                                                                      OBR-7 Observation
                                                                           Date/Time
                                                                    OBR-8 Observation End
                                                                           Date/Time

            R                                                                  R
DTM
ID          X                                                                  X
            R
            RE
            RE
            O
            O
            O
                         Condition Predicate: If an occurrence of
                         MSH.21 is valued
            C(RE/O)
                         2.16.840.1.113883.9.22
                         (LRI_TO_Component)
                                                                      MSH-7 Date/Time of
                                                                            Message
                                                                    PID-7 Date/Time of Birth
                                                                    IN1-18 Insured's Date of
LRI Comp.         LRI                                                         Birth
                                     LRI Comments
Data Type        Usage                                               TQ1-7 Start Date/Time
                                                                      OBR-7 Observation
                                                                           Date/Time
                                                                    OBR-8 Observation End
                                                                           Date/Time

            R                                                                  R
DTM
ID          X                                                                  X
            R
            RE
            RE
            RE
            RE
            O
                         Condition Predicate: If an occurrence of
                         MSH.21 is valued
            C(RE/O)
                         2.16.840.1.113883.9.22
                         (LRI_TO_Component)

                                                                      MSH-7 Date/Time of
                                                                            Message
                                                                    PID-7 Date/Time of Birth
                                                                    IN1-18 Insured's Date of
LRI Comp.         LRI                                                         Birth
                                     LRI Comments
Data Type        Usage                                               TQ1-7 Start Date/Time
                                                                      OBR-7 Observation
                                                                           Date/Time
                                                                    OBR-8 Observation End
                                                                           Date/Time


            R                                                                  R
DTM
ID          X                                                                  X
            R
                         Condition Predicate: If TS.3 (YYYY) is
            C(R/X)
                         not valued ‘0000’
                         Condition Predicate: If TS.3 (YYYY) is
            C(R/X)
                         not valued ‘0000’
                         Condition Predicate: If TS.3 (YYYY) is
            C(RE/X)
                         not valued ‘0000’
                         Condition Predicate: If TS.3 (YYYY) is
            C(RE/X)
                         not valued ‘0000’
                         Condition Predicate: If TS.3 (YYYY) is
            C(O/X)
                         not valued ‘0000’
                            Condition Predicate: If an occurrence of
                            MSH.21 is valued
                C(RE/O)
                            2.16.840.1.113883.9.22
                            (LRI_TO_Component)
                                                                         MSH-7 Date/Time of
                                                                               Message
                                                                       PID-7 Date/Time of Birth
                                                                       IN1-18 Insured's Date of
    LRI Comp.        LRI                                                         Birth
                                        LRI Comments
    Data Type       Usage                                               TQ1-7 Start Date/Time
                                                                         OBR-7 Observation
                                                                              Date/Time
                                                                       OBR-8 Observation End
                                                                              Date/Time

                                                                                  R
                DTM
                ID                                                                X


DD




                                                                         MSH-7 Date/Time of
                                                                               Message
                                                                       PID-7 Date/Time of Birth
                                                                       IN1-18 Insured's Date of
    LRI Comp.        LRI                                                         Birth
                                        LRI Comments
    Data Type       Usage                                               TQ1-7 Start Date/Time
                                                                         OBR-7 Observation
                                                                              Date/Time
                                                                       OBR-8 Observation End
                                                                              Date/Time

                                                                                  R
                DTM
                ID                                                                X


DD




    LRI Comp.        LRI
                                        LRI Comments
    Data Type       Usage
-               R
    LRI Comp.        LRI
                                        LRI Comments                     MSH-12 Version ID
    Data Type       Usage
            R                                                                R
ID
CE          O                                                                X
CE          O                                                                X


                                                                    PID-11 Patient Address
                                                                        NK1-4 Address
                                                                  IN1-5 Insurance Company
                                                                            Address
LRI Comp.         LRI                                              IN1-19 Insured's Address
                                     LRI Comments
Data Type        Usage                                            GT1-5 Guarantor Address
                                                                       ORC-24 Ordering
                                                                       Provider Address
                                                                     PRT-14 Participation
                                                                            Address



            RE                                                               R
SAD
ST          RE                                                               X
ST          RE                                                               R
ST          RE                                                               R
ST          RE           .                                                   R
                         Use 3-character (alphabetic) form of
                         ISO 3166 for HL7 Table 0399 as
            RE                                                               X
                         defined in HL7 Chapter 2, Section
ID                       2.15.9.17
ID          RE                                                              X
ST          O                                                               X
IS          RE                                                              X
IS          O                                                               X
ID          O                                                               X
DR          X            Deprecated as of HL7 Version 2.5 .                 X
TS          O                                                               X
TS          O                                                               X
LRI Comp.         LRI                                                 ORC-12 Ordering
                                     LRI Comments
Data Type        Usage                                                   Provider
                         The ID Number component combined
                         with the Assigning Authority
                         (XCN_GU.9) must uniquely identify the
                         associated person. Note: despite the
ST          RE                                                               R
                         component being named “ID Number”
                         this component is an ST string data
                         type, not numeric, so the component is
                         not limited to just numbers.
FN           RE                                                             R
ST           RE           I.e., first name.                                 R
             RE                                                             O
ST
ST           RE                                                             O
ST           RE                                                             O
IS           X                                                              X
IS           O                                                              O
                          Condition Predicate: If XCN_GU.1 (ID
                          Number) is valued The Assigning
                          Authority component is used to identify
HD_GU        C(R/X)                                                         O
                          the system, application, organization,
                          etc. that assigned the ID Number in
                          component 1.
ID           RE                                                             X
ST           O                                                              X
                          Note that the condition predicate will be
ID           C(O/X)       established when this profile is                  X
                          constrained further.
                          Condition Predicate: If XCN_GU.1 (ID
             C(R/X)                                                         R
ID                        Number) is valued
HD           O                                                              O
ID           O                                                              X
CE           O                                                              X
                          Deprecated as of HL7 Version 2.5 . See
             X            XCN-19 Effective Date and XCN-20                  X
DR                        Expiration Date components.
ID           O                                                              X
TS           O                                                              X
TS           O                                                              X
ST           O                                                              O
CWE          O                                                              X
CWE          O                                                              X
 LRI Comp.         LRI                                                ORC-12 Ordering
                                       LRI Comments
 Data Type        Usage                                                  Provider
                          Note: despite the component being
                          named “ID Number” this component is
ST           RE           an ST string data type, not numeric, so           R
                          the component is not limited to just
                          numbers.
FN           RE                                                             R
ST           RE           I.e., first name.                                 R
             RE                                                             O
ST
ST           RE                                                             O
ST           RE                                                             O
IS           X                                                              X
IS           O                                                              O
                          Condition Predicate: If XCN_NG.1 (ID
                          Number) is valued The Assigning
                          Authority component is used to identify
HD_NG        C(RE/X)                                                              O
                          the system, application, organization,
                          etc. that assigned the ID Number in
                          component 1.
ID           RE                                                                   X
ST           O                                                                    X
ID           C(O/X)                                                               X
                          Condition Predicate: If XCN_GU.1 (ID
             C(R/X)                                                               R
ID                        Number) is valued
HD           O                                                                    O
ID           O                                                                    X
CE           O                                                                    X
                          Deprecated as of HL7 Version 2.5 . See
             X            XCN-19 Effective Date and XCN-20                        X
DR                        Expiration Date components.
ID           O                                                                    X
TS           O                                                                    X
TS           O                                                                    X
ST           O                                                                    O
CWE          O                                                                    X
CWE          O                                                                    X

                                                                       IN1-4 Insurance Company
                                                                                  Name
 LRI Comp.         LRI                                                   IN1-11 Insured's Group
                                      LRI Comments
 Data Type        Usage                                                        Emp Name
                                                                           GT1-21 Guarantor
                                                                           Organization Name




             RE                                                                   R


ST
IS           O                                                                    X
                          Deprecated as of HL7 Version 2.5 . Use
             X                                                                    X
NM                        XON-10 Organization Identifier.
NM           O                                                                    X
                          Note that the condition predicate will be
             C(O/X)       established when this profile is                        X
ID                        constrained further.
                          Condition Predicate: If XON_GU.10
HD_GU        C(R/X)                                                               X
                          (Organization Identifier) is valued
                          The Assigning Authority component is
                          used to identify the system, application,
                                                                                  X
                          organization, etc. that assigned the ID in
                          component 10.
                          Condition Predicate: If XON_GU.10
             C(R/X)                                                               X
ID                        (Organization Identifier) is valued
HD           O                                                                    X
ID           O                                                                    X
                          Condition Predicate: If XON_GU.1
             C(R/RE)                                                              X
ST                        (Organization Name) is not valued
                                                                       IN1-4 Insurance Company
                                                                                  Name
 LRI Comp.         LRI                                                   IN1-11 Insured's Group
                                       LRI Comments
 Data Type        Usage                                                        Emp Name
                                                                           GT1-21 Guarantor
                                                                           Organization Name



             RE                                                                   R


ST
IS           O                                                                    X
                          (Deprecated as of HL7 Version 2.5 .)
             X                                                                    X
NM                        Use XON-10 Organization Identifier.
NM           O                                                                    X
                          Note that the condition predicate will be
             C(O/X)       established when this profile is                        X
ID                        constrained further.
                          Condition Predicate: If XON_NG.10
                          (Organization Identifier) is valued. The
                          Assigning Authority component is used
HD_NG        C(RE/X)                                                              X
                          to identify the system, application,
                          organization, etc. that assigned the ID in
                          component 10.
                          Condition Predicate: If XON_NG.10
             C(R/X)                                                               X
ID                        (Organization Identifier) is valued
HD           O                                                                    X
ID           O                                                                    X
                          Condition Predicate: If XON_NG.1
             C(R/RE)                                                              X
ST                        (Organization Name) is not valued


 LRI Comp.         LRI
                                       LRI Comments                       PID-5 Patient Name
 Data Type        Usage



             RE                                                                  RE
FN
ST           RE           I.e., first name.                                      RE
             RE                                                                   O
ST
ST           RE                                                                   O
ST           O                                                              O
IS           X                                                               X
ID           RE                                                             RE
ID           O                                                               X
CE           O                                                               X
                          Deprecated as of HL7 Version 2.5 . See
             X            XPN-12 Effective Date and XPN-13                  X
DR                        Expiration Date components.
ID           O                                                              X
TS           O
TS           O
ST           O

 LRI Comp.         LRI                                             PID-13 Phone Number -
                                     LRI Comments
 Data Type        Usage                                                    Home

                                                                            X
                                                                            X
                                                                            X
                                                                            O
                                                                             X
                                                                            RE
                                                                            RE
                                                                            O
                                                                             X
                                                                             X
                                                                             X
                                                                             X
ers IG

                                   NK1-3 Relationship
                                     IN1-17 Insured's
         PID-16 Marital Status*
                                  Relationship to Parent   IN1-2 (Ins. Plan ID)
             OBX-6 Units*
                                  DG1-3 Diagnosis Code
                                  OBX-3 Observation ID

                   O                        R                       R




                   O                        R                       O




                   O                        R                       O




                   O                        X                       X




                   O                        X                       X




                   O                        X                       X
                                                    SPM-7 Specimen
                                                   Collection Method*
                                                 SPM-8 Specimen Source
OBR-13 (Rel. Clin. Info)   SPM-4 Specimen Type
                                                          Site*
                                                 SPM-9 Specimen Source
                                                     Site Modifier*
R   R    O




O   R    O




X   R    O



X   O    O




X   O    O



X   O    O
X   X   C (?)
X   X    O



X   X    O



X   X    O
X   X    O
X   X    O

X   X    O
X   X    O
X   X    O
X   X    O
X   X    O
X   X    O
X   X    O
            X                       X                      O
            X                       X                      O
            X                       X                      O

                                                     SPM-7 Specimen
                                                    Collection Method*
                                                  SPM-8 Specimen Source
 OBR-13 (Rel. Clin. Info)   SPM-4 Specimen Type
                                                           Site*
                                                  SPM-9 Specimen Source
                                                      Site Modifier*


            R                       R                      O



            O                       R                      O
            X                       R                      O


            X                       O                      O



            X                       O                      O


            X                       O                      O
            X                       X                     C (?)
            X                       X                      O

            X                       X                      O
            X                       X                      O
            X                       X                      O
            X                       X                      O

            X                       X                      O
            X                       X                      O
            X                       X                      O
            X                       X                      O
            X                       X                      O
            X                       X                      O
            X                       X                      O
            X                       X                      O
            X                       X                      O
            X                       X                      O
IN1-3 Insurance Company
            ID
          R


          X

          X



          O


          O
          X
          X
          X
          X
          X
IN1-3 Insurance Company
            ID


          R


          X

          X

          O
          O
          X
          X
          X
          X
          X
ORC-2 Placer Order
     Number          OBR-2 Placer Order
ORC-4 Placer Group       Number
     Number



        R                    R

        O                   O
        C                   CE
        C                   CE

ORC-2 Placer Order
     Number          OBR-2 Placer Order
ORC-4 Placer Group       Number
     Number



        R                    R


        O                    O

        C                   CE

        C                   CE
OBR-28 Result Copies TO




          R
          R
          R
          O
          O
          O
          X
          O



          X



          X
          X

          X


          R
          X
          X
          X

          X

          X
          X
          X
          O
          X
          X

OBR-28 Result Copies TO



          R



          R
          R
          O
          O
          O
          X
          O
X



X
X
X
R
X
X
X

X

X
X
X
O
X
X
PID-6 Mother's Maiden   IN1-16 Name of Insured
       Name*            GT1-3 Guarantor Name



         O                        R

         O                        R
         O                        0
         O                        X
          O                       X
          B                       X
          O                       X
          O                       X
          O                       X

          B                       X

          O                       X
          O                       X
          O                       X
          O                       X
 NK1-5 Phone Number      PRT-15 Participation
ORC-14 Call Back Phone   Telecommunication
       Number                 Address
          X                       X
          X                       R
          X                       R
          O                      X
          X                      X
          R                      C
          R                      C
          O                      CE
          X                      C
          X                      X
          X                      X
          X                      X
   SPM-4     SPM-7 (Spc. SPM-8 (Spc.
(Spec. Type) Coll. Meth)* Src Site)*
SPM-9 (Src.
Site Mod.)*
                                                                   LRI IG v38
                    LRI                                        LRI Comp.              LRI
                                    LRI Component Name
                 Sequence                                      Data Type             Usage

                    1       Identifier                        ST                RE




                    2       Text                              ST                C(R/RE)




                    3       Name of Coding System             ID                C(R/X)
2.1 CE - Coded
    Element
                    4       Alternate Identifier              ST                RE




                    5       Alternate Text                    ST                RE




                    6       Name of Alternate Coding System   ID                C(R/X)




                    LRI                                        LRI Comp.              LRI
                                    LRI Component Name
                 Sequence                                      Data Type             Usage
     CQ

                            Quantity
                            Units


                    LRI                                        LRI Comp.              LRI
                                    LRI Component Name
                 Sequence                                      Data Type             Usage
                1    Identifier                        ST    RE




                2    Text                              ST    C(RE/X)




                3    Name of Coding System             ID    C(R/X)



                4    Alternate Identifier              ST    C(RE/X)


2.2 CWE_CRE
 Coded with
 Exceptions -
Code Required   5    Alternate Text                    ST    C(RE/X)
 But May Be
    Empty
                6    Name of Alternate Coding System   ID    C(R/X)
                7    Coding System Version ID          ST    O
                     Alternate Coding System Version
                8                                      ST    O
                     ID



                9    Original Text                     ST    C(R/RE)



                10   Second Alternate Identifier       ST    O
                11   Second Alternate Text             ST    O
                     Second Name of Alternate Coding
                12                                     ID    O
                     System
                     Second Alternate Coding System
                13                                     ST    O
                     Version ID
                14   Coding System OID                 ST    O
                15   Value Set OID                     ST    O
                16   Value Set Version ID              DTM   O
                17   Alternate Coding System OID       ST    O
                18   Alternate Value Set OID           ST    O
                19   Alternate Value Set Version ID    DTM   O
                           Second Alternate Coding System
                   20                                        ST           O
                           OID
                   21      Second Alternate Value Set OID    ST           O
                           Second Alternate Value Set
                   22                                        DTM          O
                           Version ID

                   LRI                                        LRI Comp.         LRI
                                  LRI Component Name
                Sequence                                      Data Type        Usage



                   1       Identifier                        ST           R



                   2       Text                              ST           RE
                   3       Name of Coding System             ID           R


                   4       Alternate Identifier              ST           RE



                   5       Alternate Text                    ST           RE

 2-3 CWE_CR        6       Name of Alternate Coding System   ID           C(R/X)
 Coded With
                   7       Coding System Version ID          ST           O
 Exceptions -
                           Alternate Coding System Version
Code Required      8                                         ST           O
                           ID
                   9       Original Text                     ST           R
                   10      Second Alternate Identifier       ST           O
                   11      Second Alternate Text             ST           O
                           Second Name of Alternate Coding
                   12                                        ID           O
                           System
                           Second Alternate Coding System
                   13                                        ST           O
                           Version ID
                   14      Coding System OID                 ST           O
                   15      Value Set OID                     ST           O
                   16      Value Set Version ID              DTM          O
                   17      Alternate Coding System OID       ST           O
                   18      Alternate Value Set OID           ST           O
                   19      Alternate Value Set Version ID    DTM          O
                           Second Alternate Coding System
                   20                                        ST           O
                           OID
                   21      Second Alternate Value Set OID    ST           O
                           Second Alternate Value Set
                   22                                        DTM          O
                           Version ID
                   LRI                                        LRI Comp.         LRI
                                  LRI Component Name
                Sequence                                      Data Type        Usage




 2-4 CX_GU
                      1       ID Number                        ST           R


                      2       Check Digit                      ST           O

   2-4 CX_GU          3       Check Digit Scheme               ID           C(O/X)
    Extended
 Composite ID
with Check Digit
                      4       Assigning Authority              HD_GU        R


                      5       Identifier Type Code             ID           R
                      6       Assigning Facility               HD           O
                      7       Effective Date                   DT           O
                      8       Expiration Date                  DT           O
                      9       Assigning Jurisdiction           CWE          O
                      10      Assigning Agency or Department   CWE          O
                      LRI                                       LRI Comp.         LRI
                                     LRI Component Name
                   Sequence                                     Data Type        Usage


                      1       ID Number                        ST           R



   2-5 CX_NG          2       Check Digit                      ST           O
    Extended
                      3       Check Digit Scheme               ID           C(O/X)
 Composite ID
with Check Digit
                      4       Assigning Authority              HD_NG        RE
                      5       Identifier Type Code             ID           R
                      6       Assigning Facility               HD           O
                      7       Effective Date                   DT           O
                      8       Expiration Date                  DT           O
                      9       Assigning Jurisdiction           CWE          O
                      10      Assigning Agency or Department   CWE          O
                      LRI                                       LRI Comp.         LRI
                                     LRI Component Name
    2-6 DR         Sequence                                     Data Type        Usage
   Date/Time
                      1       Range Start Date/Time            TS_5         RE
    Range
                       2      Range End Date/Time              TS_5        RE
                      LRI                                        LRI Comp.     LRI
                                     LRI Component Name
  2-7 DT Date      Sequence                                      Data Type    Usage
                       1      Date                             -           R
                      LRI                                        LRI Comp.     LRI
                                     LRI Component Name
    2-8 DTM        Sequence                                      Data Type    Usage
   Date/Time
    2-8 DTM
   Date/Time
                       1       Date/Time                    -               R

                       LRI                                      LRI Comp.         LRI
                                     LRI Component Name
                    Sequence                                    Data Type        Usage

2-9 EI_GU Entity       1       Entity Identifier            ST              R
    Identifier
                        2      Namespace ID                 IS          RE
                        3      Universal ID                 ST          R
                        4      Universal ID Type            ID          R
                       LRI                                   LRI Comp.      LRI
                                     LRI Component Name
                    Sequence                                  Data Type    Usage

                       1       Entity Identifier            ST              R
2-9 EI_NG Entity
    Identifier         2       Namespace ID                 IS              C(R/O)

                       3       Universal ID                 ST              C(R/O)

                       4       Universal ID Type            ID              C(R/X)
                       LRI                                      LRI Comp.         LRI
                                     LRI Component Name
                    Sequence                                    Data Type        Usage
 2-10 EIP_GU
Entity Identifier      1       Placer Assigned Identifier   EI_GU           RE
      Pair
                       2       Filler Assigned Identifier   EI_GU           C(R/RE)
                       LRI                                      LRI Comp.         LRI
                                     LRI Component Name
                    Sequence                                    Data Type        Usage
 2-11 EIP_NG
Entity Identifier      1       Placer Assigned Identifier   EI_NG           RE
      Pair
                       2       Filler Assigned Identifier   EI_NG           C(R/RE)
                       LRI                                      LRI Comp.         LRI
                                     LRI Component Name
                    Sequence                                    Data Type        Usage
                       1       Segment ID                   ST              R
2-12 ERL Error
                        2      Segment Sequence             NM              R
   Location
                        3      Field Position               NM              O
                        4      Field Repetition             NM              O
                        5      Component Number             NM              O
                        6      Sub-component Number         NM              O
                       LRI                                   LRI Comp.            LRI
                                     LRI Component Name
      FC            Sequence                                 Data Type           Usage
                        1      Financial Class Code
                        2      Effective Date
                       LRI                                      LRI Comp.         LRI
                                     LRI Component Name
                    Sequence                                    Data Type        Usage

2-13 FN Family
     Name
                     1       Surname                             ST              R
2-13 FN Family
                     2       Own Surname Prefix                  ST              O
     Name
                     3       Own Surname                         ST              O
                             Surname Prefix From
                     4                                           ST              O
                             Partner/Spouse
                      5      Surname From Partner/Spouse         ST          O
   2-14 FT           LRI                                           LRI Comp.    LRI
                                  LRI Component Name
Formatted Text    Sequence                                         Data Type   Usage
    Data                     Formatted Text Data                 -           R
                     LRI                                           LRI Comp.    LRI
                                  LRI Component Name
                  Sequence                                         Data Type   Usage
 2-15 HD_GU
  Hierarchic         1       Namespace ID                        IS              RE
 Designator
                      2      Universal ID                        ST          R
                      3      Universal ID Type                   ID          R
                     LRI                                          LRI Comp.     LRI
                                  LRI Component Name
                  Sequence                                         Data Type   Usage
 2-16 HD_NG
                     1       Namespace ID                        IS              C(R/O)
  Hierarchic
 Designator
                     2       Universal ID                        ST              C(R/O)
                     3       Universal ID Type                   ID              C(R/X)
                     LRI                                             LRI Comp.         LRI
2-17 ID Coded                     LRI Component Name
                  Sequence                                           Data Type        Usage
Value for HL7-
Defined Tables               Coded Value for HL7-Defined
                     1                                           -               R
                             Tables
2-18 IS Coded        LRI                                             LRI Comp.         LRI
                                  LRI Component Name
Value for User-   Sequence                                           Data Type        Usage
                             Coded Value for User-Defined
Defined Tables       1                                           -               R
                             Tables
                     LRI                                             LRI Comp.         LRI
                                  LRI Component Name
                  Sequence                                           Data Type        Usage
  2-19 MSG           1       Message Code                        ID              R
Message Type
                     2       Trigger Event                       ID              R
                     3       Message Structure                   ID              R
                     LRI                                             LRI Comp.         LRI
   2-20 NM                        LRI Component Name
                  Sequence                                           Data Type        Usage
   Numeric
                      1      Numeric                             -               R
                     LRI                                          LRI Comp.    LRI
                                  LRI Component Name
                  Sequence                                        Data Type   Usage
                      1      Parent Observation Identifier       CWE_CR     R
2-21 PRL Parent
  Result Link        2       Parent Observation Sub-Identifier   ST              RE
                             Parent Observation Value
                     3                                           TX              O
                             Descriptor
                     LRI                                     LRI Comp.         LRI
                                    LRI Component Name
                  Sequence                                   Data Type        Usage
    2-22 PT
  Processing
                     1       Processing ID                               R
     Type                                                ID
                      2      Processing Mode             ID              O
                     LRI                                     LRI Comp.         LRI
                                    LRI Component Name
                  Sequence                                   Data Type        Usage
2-23 SAD Street
                     1       Street or Mailing Address   ST              R
    Address
                      2      Street Name                 ST          O
                      3      Dwelling Number             ST          O
                     LRI                                   LRI Comp.    LRI
   2-24 SI                          LRI Component Name
                  Sequence                                 Data Type   Usage
 Sequence ID
                      1      Sequence ID                 -           R
                     LRI                                   LRI Comp.    LRI
                                    LRI Component Name
                  Sequence                                 Data Type   Usage
   2-25 SN           1       Comparator                                  RE
  Structured                                             ST
   Numeric            2      Num1                        NM              RE
                      3      Separator/Suffix            ST              RE
                      4      Num2                        NM              RE
                     LRI                                     LRI Comp.         LRI
2-26 ST String                      LRI Component Name
                  Sequence                                   Data Type        Usage
     Data
                      1      String Data                 -               R
                     LRI                                     LRI Comp.         LRI
                                    LRI Component Name
 2-27 TM Time     Sequence                                   Data Type        Usage
                      1      Time                        -               R
                     LRI                                     LRI Comp.         LRI
                                    LRI Component Name
                  Sequence                                   Data Type        Usage
                     1       Time                                        R
                                                         DTM
                     2       Degree of Precision         ID              X
                    3.1      YYYY                                        R
                    3.2      MM                                          R
2-28 TS_1 Time      3.3      DD                                          R
    Stamp           3.4      HH                                          R
                    3.5      MM                                          R
                    3.6      SS                                          R
                    3.7      [S[S[S]]]                                   O


                    3.8      +/- ZZZZ                                    C(R/O)


                     LRI                                     LRI Comp.         LRI
                                    LRI Component Name
                  Sequence                                   Data Type        Usage
                     1       Time                                        R
                                                         DTM
                     2       Degree of Precision         ID              X


2-29 TS_2 Time
    Stamp
                   3.1      YYYY                                    R
2-29 TS_2 Time     3.2      MM                                      RE
    Stamp          3.3      DD                                      RE
                   3.4      HH                                      O
                   3.5      MM                                      O
                   3.6      [SS[.S[S[S]]]]                          O


                   3.7      +/- ZZZZ                                C(RE/O)


                    LRI                                 LRI Comp.         LRI
                                   LRI Component Name
                 Sequence                               Data Type        Usage
                    1       Time                                    R
                                                        DTM
                    2       Degree of Precision         ID          X
                   3.1      YYYY                                    R
2-30 TS_3 Time     3.2      MM                                      RE
    Stamp          3.3      DD                                      RE
                   3.4      HH                                      RE
                   3.5      MM                                      RE
                   3.6      [SS[.S[S[S]]]]                          O


                   3.7      +/- ZZZZ                                C(RE/O)


                    LRI                                 LRI Comp.         LRI
                                   LRI Component Name
                 Sequence                               Data Type        Usage
                    1       Time                                    R
                                                        DTM
                    2       Degree of Precision         ID          X
                   3.1      YYYY                                    R
                   3.2      MM                                      C(R/X)

2-31 TS_4 Time     3.3      DD                                      C(R/X)
    Stamp
                   3.4      HH                                      C(RE/X)

                   3.5      MM                                      C(RE/X)

                   3.6      [SS[.S[S[S]]]]                          C(O/X)


                   3.7      +/- ZZZZ                                C(RE/O)


                    LRI                                 LRI Comp.         LRI
                                   LRI Component Name
                 Sequence                               Data Type        Usage
                    1       Time
                                                                    DTM
                    2       Degree of Precision                     ID
2-32 TS_5 Time     3.1      YYYY
    Stamp          3.2      MM
2-32 TS_5 Time
    Stamp
                      3.3                                    DD
                      3.4     HH
                      3.5     MM
                      3.6     [SS[.S[S[S]]]]
                      3.7     +/- ZZZZ
                      LRI                                        LRI Comp.         LRI
                                     LRI Component Name
                   Sequence                                      Data Type        Usage
                      1       Time
                                                                             DTM
                       2      Degree of Precision                            ID
2-33 TS_6 Time        3.1     YYYY
    Stamp             3.2     MM
                      3.3                                    DD
                      3.4     HH
                      3.5     MM
                      3.6     SS
                      3.7     [.S[S[S]]]
                      3.8     +/- ZZZZ
                      LRI                                        LRI Comp.         LRI
 2-34 TX Text                        LRI Component Name
                   Sequence                                      Data Type        Usage
     Data
                       1      Text Data                      -               R
                      LRI                                        LRI Comp.         LRI
                                     LRI Component Name
                   Sequence                                      Data Type        Usage
2-35 VID Version      1       Version ID                                     R
    Identifier                                               ID
                       2      Internationalization Code      CE              O
                       3      International Version ID       CE              O
                      LRI                                        LRI Comp.         LRI
                                     LRI Component Name
                   Sequence                                      Data Type        Usage

                      1       Street Address                                 RE
                                                             SAD
                      2       Other Designation              ST              RE
                      3       City                           ST              RE
                      4       State or Province              ST              RE
                      5       Zip or Postal Code             ST              RE
   2-36 XAD
   Extended           6       Country                                        RE
   Address
                                                             ID
                       7      Address Type                   ID              RE
                       8      Other Geographic Designation   ST              O
                       9      County/Parish Code             IS              RE
                      10      Census Tract                   IS              O
                      11      Address Representation Code    ID              O
                      12      Address Validity Range         DR              X
                      13      Effective Date                 TS              O
                      14      Expiration Date                TS              O
                  LRI                                       LRI Comp.         LRI
                                LRI Component Name
               Sequence                                     Data Type        Usage




                  1       ID Number                        ST           RE




                  2       Family Name                      FN           RE
                  3       Given Name                       ST           RE
                          Second and Further Given Names
                  4                                                     RE
                          or Initials Thereof              ST
                  5       Suffix (e.g., JR or III)         ST           RE
                  6       Prefix (e.g., DR)                ST           RE
                  7       Degree (e.g., MD)                IS           X
                  8       Source Table                     IS           O

2-37 XCN_GU
  Extended
Composite ID      9       Assigning Authority              HD_GU        C(R/X)
 Number and
  Name for
   Persons        10      Name Type Code                   ID           RE
                  11      Identifier Check Digit           ST           O

                  12      Check Digit Scheme               ID           C(O/X)


                  13      Identifier Type Code                          C(R/X)
                                                           ID
                  14      Assigning Facility               HD           O
                  15      Name Representation Code         ID           O
                  16      Name Context                     CE           O

                  17      Name Validity Range                           X
                                                           DR
                  18      Name Assembly Order              ID           O
                  19      Effective Date                   TS           O
                  20      Expiration Date                  TS           O
                  21      Professional Suffix              ST           O
                  22      Assigning Jurisdiction           CWE          O
                  23      Assigning Agency or Department   CWE          O
                  LRI                                       LRI Comp.         LRI
                                LRI Component Name
               Sequence                                     Data Type        Usage
                    1       ID Number                        ST           RE



                    2       Family Name                      FN           RE
                    3       Given Name                       ST           RE
                            Second and Further Given Names
                    4                                                     RE
                            or Initials Thereof              ST
                    5       Suffix (e.g., JR or III)         ST           RE
                    6       Prefix (e.g., DR)                ST           RE
                    7       Degree (e.g., MD)                IS           X
                    8       Source Table                     IS           O

2-38 XCN_NG
  Extended          9       Assigning Authority              HD_NG        C(RE/X)
Composite ID
 Number and
  Name for
   Persons          10      Name Type Code                   ID           RE
                    11      Identifier Check Digit           ST           O
                    12      Check Digit Scheme               ID           C(O/X)
                    13      Identifier Type Code                          C(R/X)
                                                             ID
                    14      Assigning Facility               HD           O
                    15      Name Representation Code         ID           O
                    16      Name Context                     CE           O

                    17      Name Validity Range                           X
                                                             DR
                    18      Name Assembly Order              ID           O
                    19      Effective Date                   TS           O
                    20      Expiration Date                  TS           O
                    21      Professional Suffix              ST           O
                    22      Assigning Jurisdiction           CWE          O
                    23      Assigning Agency or Department   CWE          O
                    LRI                                       LRI Comp.         LRI
                                  LRI Component Name
                 Sequence                                     Data Type        Usage



                    1       Organization Name                             RE


                                                             ST
                    2       Organization Name Type Code      IS           O
2-39 XON_GU         3       ID Number                                     X
                                                             NM
  Extended
 Composite
  Name and
Identification
 Number for
Organizations
2-39 XON_GU
  Extended
                    4       Check Digit                   NM           O
 Composite
  Name and
                    5       Check Digit Scheme                         C(O/X)
Identification
                                                          ID
 Number for
Organizations       6       Assigning Authority           HD_GU        C(R/X)




                    7       Identifier Type Code                       C(R/X)
                                                          ID
                    8       Assigning Facility            HD           O
                    9       Name Representation Code      ID           O
                    10      Organization Identifier                    C(R/RE)
                                                          ST
                    LRI                                    LRI Comp.         LRI
                                  LRI Component Name
                 Sequence                                  Data Type        Usage



                    1       Organization Name                          RE


                                                          ST
                    2       Organization Name Type Code   IS           O
2-40 XON_NG         3       ID Number                                  X
                                                          NM
  Extended
                    4       Check Digit                   NM           O
 Composite
  Name and
                    5       Check Digit Scheme                         C(O/X)
Identification
                                                          ID
 Number for
Organizations

                    6       Assigning Authority           HD_NG        C(RE/X)



                    7       Identifier Type Code                       C(R/X)
                                                          ID
                    8       Assigning Facility            HD           O
                    9       Name Representation Code      ID           O
                    10      Organization Identifier                    C(R/RE)
                                                          ST
                    LRI                                    LRI Comp.         LRI
                                  LRI Component Name
                 Sequence                                  Data Type        Usage

                    1       Family Name                                RE
                                                          FN
                    2       Given Name                    ST           RE




  2-41 XPN
  Extended
Person Name
                         Second and Further Given Names
                 3                                                     RE
                         or Initials Thereof              ST
                 4       Suffix (e.g., JR or III)         ST           RE
  2-41 XPN       5       Prefix (e.g., DR)                ST           O
  Extended       6       Degree (e.g., MD)                IS           X
Person Name      7       Name Type Code                   ID           RE
                 8       Name Representation Code         ID           O
                 9       Name Context                     CE           O

                 10      Name Validity Range                           X
                                                          DR
                 11      Name Assembly Order              ID           O
                 12      Effective Date                   TS           O
                 13      Expiration Date                  TS           O
                 14      Professional Suffix              ST           O
                 LRI                                       LRI Comp.         LRI
                              LRI Component Name
              Sequence                                     Data Type        Usage
                 1       Telephone Number
                 2       Telecommunication Use Code
                         Telecommunication Equipment
                 3
                         Type
                  4      Email Address
   XTN            5      Country Code
                  6      Area/City Code
                  7      Local Number
                  8      Extension
                  9      Any Text
                 10      Extension prefix
                 11      Speed Dial Code
                 12      Unformatted Telephone Number
                                             ELINCS Orders IG

            LRI Comments                        PID-10 (Race)      PID-16 (Marital Status)*


                                                       R                      O

Condition Predicate: If CE.1 (Identifier)
is not valued. It is strongly
recommended that text be sent to
accompany any identifier. When a
coded value is not known, text can still
                                                       R                      O
be sent, in which case no coding
system should be identified.
It is strongly recommended that text be
sent to accompany any identifier. When
a coded value is not known, text can still
be sent, inPredicate: If no coding
Condition which case CE.1 (Identifier)
                                                       R                      O
is valued
The alternate identifier (from the
alternate coding system) should be the
                                                       O                      O
closest match for the identifier found in
component 1.



It is strongly recommended that
alternate text be sent to accompany any                O                      O
alternate identifier.




Condition Predicate: If CE.4 (Alternate
                                                       O                      O
Identifier) is valued




                                              SPM-12 Specimen
            LRI Comments
                                              Collection Amount*


                                                       O
                                                       O



            LRI Comments                        TQ1-9 (Priority)   OBR-13 (Rel. Clin. Info)
                                               R   R




Condition Predicate: If CWE_CRE.1
(Identifier) is valued. It is strongly
recommended that text be sent to
accompany any identifier. When a
                                               R   O
coded value is not known, the original
text element (CWE_CRE.9) is used to
carry the text, not the text
(CWE_CRE.2) element.
Condition Predicate: If CWE_CRE.1              R   X
(Identifier) is valued
Condition Predicate: If CWE_CRE.1
(Identifier) is valued The alternate
identifier (from the alternate coding          X   X
system) should be the closest match for
the identifier found in CWE_CRE.1.
Condition Predicate: If CWE_CRE.4
(Alternate Identifier) is valued. It is
strongly recommended that alternate            X   X
text be sent to accompany any alternate
identifier.
Condition Predicate: If CWE_CRE.4
                                               X   X
(Alternate Identifier) is valued
                                               X   X
                                               X   X
Condition Predicate: If CWE_CRE.1
(Identifier) is not valued. Original Text is
used to convey the text that was the
                                               X   X
basis for coding. If neither the first or
second triplet has values, this contains
the text of the field.
                                               X   X
                                               X   X
                                               X   X

                                               X   X
                                               X   X
                                               X   X
                                               X   X
                                               X   X
                                               X   X
                                               X   X
                                                       X                           X
                                                       X                           X
                                                       X                           X


            LRI Comments                       TQ1-9 (Priority)         OBR-13 (Rel. Clin. Info)




                                                       R                           R


It is strongly recommended that text be
                                                       R                           O
sent to accompany any identifier.
                                                       R                           X
The alternate identifier (from the
alternate coding system) should be the
                                                       X                           X
closest match for the identifier found in
CWE_CR.1.
It is strongly recommended that
alternate text be sent to accompany any                X                           X
alternate identifier.
Condition Predicate: If CWE_CR.4
                                                       X                           X
(Alternate Identifier) is valued
                                                       X                           X
                                                       X                           X
Original Text is used to convey the text
                                                       X                           X
that was the basis for coding.
                                                       X                           X
                                                       X                           X
                                                       X                           X

                                                       X                           X
                                                       X                           X
                                                       X                           X
                                                       X                           X
                                                       X                           X
                                                       X                           X
                                                       X                           X
                                                       X                           X
                                                       X                           X
                                                       X                           X
                                            PID-3 Patient Identifier   IN1-3 Insurance Company
            LRI Comments
                                                     List                          ID
                                                       R                         R


                                                       X                         X
Note that the condition predicate will be
established when this profile is                       X                         X
constrained further.
The Assigning Authority component is
used to identify the system, application,
                                                       O                         O
organization, etc. that assigned the ID
Number in component 1.
                                                       R                         O
                                                       O                         X
                                                       O                         X
                                                       O                         X
                                                                                 X
                                                                                 X
                                            PID-3 Patient Identifier   IN1-3 Insurance Company
            LRI Comments
                                                     List                          ID


                                                       R                         R


                                                       X                         X
Note that the condition predicate will be
established when this profile is                       X                         X
constrained further.
                                                       O                         O
                                                       R                         O
                                                       O                         X
                                                       O                         X
                                                       O                         X
                                                                                 X
                                                                                 X
                                             SPM-17 Specimen
            LRI Comments
                                            Collection Date/Time*

                                                       O

                                                      O
                                            IN1-13 Plan Expiration
            LRI Comments
                                                    Date*
Format: YYYY[MM[DD]]                                  R
            LRI Comments
Format:
YYYY[MM[DD[HH[MM[SS[.S[S[S[S]]]]]]]]
][+/-ZZZZ]
                                          MSH-21 Message Profile   ORC-2 Placer Order
            LRI Comments
                                                Identifier*            Number

                                                    O                      R

.                                                  O                       O
                                                   C                       C
Fixed to “ISO”                                     C                       C
                                          MSH-21 Message Profile   ORC-2 Placer Order
            LRI Comments
                                                Identifier             Number

                                                    O                      R

Condition Predicate: If EI_NG.3
                                                    O                      O
(Universal ID) is not valued
Condition Predicate: If EI_NG.2
                                                    C                      C
(Namespace ID) is not valued
Condition Predicate: If EI_NG.3
                                                    C                      C
(Universal ID) is valued
            LRI Comments                    SPM-2 Specimen ID


                                                    O

Condition Predicate: If EIP_GU.1 is not
                                                    O
valued
            LRI Comments                    SPM-2 Specimen ID


                                                    O

Condition Predicate: if EIP_NG.1 is not
                                                    O
valued
            LRI Comments




            LRI Comments                  PV1-20 Financial Class
                                                    R
                                                    X
            LRI Comments
            LRI Comments              NTE-3 Comment
                                            R
                                      MSH-3 Sending
            LRI Comments                                     MSH-4 Sending Facility
                                       Application*

                                             O                         O

                                            C                          C
Fixed to “ISO”                              C                          C
                                      MSH-3 Sending
            LRI Comments                                     MSH-4 Sending Facility
                                       Application*
Condition Predicate: If HD_NG.2
                                             O                         O
(Universal ID) is not valued
Condition Predicate: If HD_NG.1
                                             C                         C
(Namespace ID) is not valued
Condition Predicate: If HD_NG.2              C                         C
(Universal ID) is valued
                                     MSH-15 Accept             MSH-16 Application
            LRI Comments
                                  Acknolwedgement Type       Acknowledgement Type

                                             R                         R

            LRI Comments          PID-8 Administrative Sex    PV1-2 Patient Class

                                             R                         R

            LRI Comments           MSH-9 Message Type*

                                             R
                                             R
                                             R

            LRI Comments


            LRI Comments
            LRI Comments                   MSH-11 Processing ID


                                                    R

                                                    O
            LRI Comments




            LRI Comments                     PID-1 Set ID-PID        NK1-1 Set ID - NK1
                                                    R                         R
            LRI Comments




                                                                      MSH-2 Encoding
            LRI Comments                   MSH-1 Field Separator
                                                                        Characters
                                                    R                       R
            LRI Comments


                                            MSH-7 Date/Time of
            LRI Comments                                           PID-7 Date/Time of Birth
                                                Message
                                                    R                         R
                                                    X                         X




Condition Predicate: If an occurrence of
MSH.21 is valued
2.16.840.1.113883.9.22
(LRI_TO_Component)
                                            MSH-7 Date/Time of
            LRI Comments                                           PID-7 Date/Time of Birth
                                                Message
                                                    R                         R
                                                    X                         X
Condition Predicate: If an occurrence of
MSH.21 is valued
2.16.840.1.113883.9.22
(LRI_TO_Component)
                                           MSH-7 Date/Time of
            LRI Comments                                        PID-7 Date/Time of Birth
                                               Message
                                                   R                       R
                                                   X                       X




Condition Predicate: If an occurrence of
MSH.21 is valued
2.16.840.1.113883.9.22
(LRI_TO_Component)
                                           MSH-7 Date/Time of
            LRI Comments                                        PID-7 Date/Time of Birth
                                               Message
                                                   R                       R
                                                   X                       X

Condition Predicate: If TS.3 (YYYY) is
not valued ‘0000’
Condition Predicate: If TS.3 (YYYY) is
not valued ‘0000’
Condition Predicate: If TS.3 (YYYY) is
not valued ‘0000’
Condition Predicate: If TS.3 (YYYY) is
not valued ‘0000’
Condition Predicate: If TS.3 (YYYY) is
not valued ‘0000’
Condition Predicate: If an occurrence of
MSH.21 is valued
2.16.840.1.113883.9.22
(LRI_TO_Component)
                                           MSH-7 Date/Time of
            LRI Comments                                        PID-7 Date/Time of Birth
                                               Message
                                                   R                       R
                                                   X                       X
                                        MSH-7 Date/Time of
            LRI Comments                                        PID-7 Date/Time of Birth
                                            Message
                                                 R                         R
                                                 X                         X




            LRI Comments


            LRI Comments                 MSH-12 Version ID


                                                 R

                                                 X
                                                 X
            LRI Comments               PID-11 Patient Address       NK1-4 Address


                                                 R                         R

                                                 X                         X
                                                 R                         R
                                                 R                         R
.                                                R                         R
Use 3-character (alphabetic) form of
ISO 3166 for HL7 Table 0399 as
                                                 X                         X
defined in HL7 Chapter 2, Section
2.15.9.17
                                                 X                         X
                                                 X                         X
                                                 X                         X
                                                 X                         X
                                                 X                         X
Deprecated as of HL7 Version 2.5 .               X                         X
                                                 X                         X
                                                 X                         X
                                            ORC-12 Ordering
             LRI Comments                                     OBR-28 Result Copies TO
                                               Provider
The ID Number component combined
with the Assigning Authority
(XCN_GU.9) must uniquely identify the
associated person. Note: despite the
                                                  R                     R
component being named “ID Number”
this component is an ST string data
type, not numeric, so the component is
not limited to just numbers.
                                                  R                     R
I.e., first name.                                 R                     R
                                                  O                     O
                                                  O                     O
                                                  O                     O
                                                  X                     X
                                                  O                     O
Condition Predicate: If XCN_GU.1 (ID
Number) is valued The Assigning
Authority component is used to identify
                                                  O                     X
the system, application, organization,
etc. that assigned the ID Number in
component 1.
                                                  X                     X
                                                  X                     X
Note that the condition predicate will be
established when this profile is                  X                     X
constrained further.
Condition Predicate: If XCN_GU.1 (ID
                                                  R                     R
Number) is valued
                                                  O                     X
                                                  X                     X
                                                  X                     X
Deprecated as of HL7 Version 2.5 . See
XCN-19 Effective Date and XCN-20                  X                     X
Expiration Date components.
                                                  X                     X
                                                  X                     X
                                                  X                     X
                                                  O                     O
                                                  X                     X
                                                  X                     X
                                            ORC-12 Ordering
             LRI Comments                                     OBR-28 Result Copies TO
                                               Provider
Note: despite the component being
named “ID Number” this component is
an ST string data type, not numeric, so             R                         R
the component is not limited to just
numbers.
                                                    R                         R
I.e., first name.                                   R                         R
                                                    O                         O
                                                    O                         O
                                                    O                         O
                                                    X                         X
                                                    O                         O
Condition Predicate: If XCN_NG.1 (ID
Number) is valued The Assigning
Authority component is used to identify
                                                    O                         X
the system, application, organization,
etc. that assigned the ID Number in
component 1.
                                                    X                         X
                                                    X                         X
                                                    X                         X
Condition Predicate: If XCN_GU.1 (ID
                                                    R                         R
Number) is valued
                                                    O                         X
                                                    X                         X
                                                    X                         X
Deprecated as of HL7 Version 2.5 . See
XCN-19 Effective Date and XCN-20                    X                         X
Expiration Date components.
                                                    X                         X
                                                    X                         X
                                                    X                         X
                                                    O                         O
                                                    X                         X
                                                    X                         X
                                          IN1-4 Insurance Company   IN1-11 Insured's Group
             LRI Comments
                                                    Name                  Emp Name



                                                    R                         R




                                                    X                         X
Deprecated as of HL7 Version 2.5 . Use
                                                    X                         X
XON-10 Organization Identifier.
                                                       X                         X
Note that the condition predicate will be
established when this profile is                       X                         X
constrained further.
Condition Predicate: If XON_GU.10
                                                       X                         X
(Organization Identifier) is valued
The Assigning Authority component is
used to identify the system, application,
                                                       X                         X
organization, etc. that assigned the ID in
component 10.
Condition Predicate: If XON_GU.10
                                                       X                         X
(Organization Identifier) is valued
                                                       X                         X
                                                       X                         X
Condition Predicate: If XON_GU.1
                                                       X                         X
(Organization Name) is not valued
                                             IN1-4 Insurance Company   IN1-11 Insured's Group
             LRI Comments
                                                       Name                  Emp Name



                                                       R                         R




                                                       X                         X
(Deprecated as of HL7 Version 2.5 .)
                                                       X                         X
Use XON-10 Organization Identifier.
                                                       X                         X
Note that the condition predicate will be
established when this profile is                       X                         X
constrained further.
Condition Predicate: If XON_NG.10
(Organization Identifier) is valued. The
Assigning Authority component is used
                                                       X                         X
to identify the system, application,
organization, etc. that assigned the ID in
component 10.
Condition Predicate: If XON_NG.10
                                                       X                         X
(Organization Identifier) is valued
                                                       X                         X
                                                       X                         X
Condition Predicate: If XON_NG.1
                                                       X                         X
(Organization Name) is not valued
                                                                       PID-6 Mother's Maiden
             LRI Comments                      PID-5 Patient Name
                                                                              Name*

                                                       RE                        O

I.e., first name.                                      RE                        O
                                                  O                      O
                                                  O                      O
                                                  O                      O
                                                   X                     B
                                                  RE                     O
                                                   X                     O
                                                   X                     O
Deprecated as of HL7 Version 2.5 . See
XPN-12 Effective Date and XPN-13                  X                      B
Expiration Date components.
                                                  X                      O
                                                                         O
                                                                         O
                                                                         O
                                         PID-13 Phone Number -
           LRI Comments                                          NK1-5 Phone Number
                                                 Home
                                                  X                      X
                                                  X                      X
                                                  X                      X
                                                  O                      O
                                                   X                     X
                                                  RE                     R
                                                  RE                     R
                                                  O                      O
                                                   X                     X
                                                   X                     X
                                                   X                     X
                                                   X                     X
PID-22 (Ethnic Group)     NK1-3 (Relship)     IN1-2 (Ins. Plan ID)


         R                      R                      R




         R                      R                      O




         R                      R                      O


         O                      X                      X




         O                      X                      X




         O                      X                      X




                                               SPM-7 Specimen
PRT-4 (Participation)   SPM-4 Specimen Type
                                              Collection Method*
R   R    O




R   R    O




R   R    O



X   O    O




X   O    O



X   O    O
X   X   C (?)
X   X    O



X   X    O



X   X    O
X   X    O
X   X    O

X   X    O
X   X    O
X   X    O
X   X    O
X   X    O
X   X    O
X   X    O
         X                      X                       O
         X                      X                       O
         X                      X                       O


PRT-4 (Participation)   SPM-4 (Spec. Type)   SPM-7 (Spc. Coll. Meth)*




         R                      R                       O



         R                      R                       O
         R                      R                       O


         X                      O                       O



         X                      O                       O


         X                      O                       O
         X                      X                     C (?)
         X                      X                       O

         X                      X                       O
         X                      X                       O
         X                      X                       O
         X                      X                       O

         X                      X                       O
         X                      X                       O
         X                      X                       O
         X                      X                       O
         X                      X                       O
         X                      X                       O
         X                      X                       O
         X                      X                       O
         X                      X                       O
         X                      X                       O
ORC-4 Placer Group   OBR-2 Placer Order   PRT-1 Participation
     Number              Number              Instance ID*

        R                    R                    O

        O                    O                    O
        C                   CE                    C
        C                   CE                    C
ORC-4 Placer Group   OBR-2 Placer Order   PRT-1 Participation
     Number              Number              Instance ID*

        R                    R                    O


        O                    O                    O

        C                   CE                    C

        C                   CE                    C
   MSH-5 Receiving
                        MSH-6 Receiving Facility*
    Application*

          O                        O

         C                         C
         C                         C
   MSH-5 Receiving
                        MSH-6 Receiving Facility*
    Application*

          O                        O


          C                        C
          C                        C
                        OBR-11 Specimen Action
  ORC-1 Order Control                          DG1-15 Diagnosis Priority
                                Code

          R                        R                         R
IN1-31 Type of Agreement
                         GT1-10 Guarantor Type      DG1-6 Diagnosis Type
          Code
          R                        R                         R
   PV1-1 Set ID - PV1        IN1-1 Set ID - IN1     GT1-1 Set ID - GT1
           R                         R                      R




MSH-10 Message Control
                           IN1-8 Group Number      IN1-36 Policy Number
         ID
          R                          R                      R



IN1-18 Insured's Date of                           OBR-7 Observation
                           TQ1-7 Start Date/Time
          Birth                                       Date/Time
           R                         R                      R
           X                         X                      X




IN1-18 Insured's Date of                           OBR-7 Observation
                           TQ1-7 Start Date/Time
          Birth                                       Date/Time
           R                         R                      R
           X                         X                      X
IN1-18 Insured's Date of                           OBR-7 Observation
                           TQ1-7 Start Date/Time
          Birth                                       Date/Time
           R                        R                     R
           X                        X                     X




IN1-18 Insured's Date of                           OBR-7 Observation
                           TQ1-7 Start Date/Time
          Birth                                       Date/Time
           R                        R                     R
           X                        X                     X




IN1-18 Insured's Date of                           OBR-7 Observation
                           TQ1-7 Start Date/Time
          Birth                                       Date/Time
           R                        R                     R
           X                        X                     X
IN1-18 Insured's Date of                           OBR-7 Observation
                           TQ1-7 Start Date/Time
          Birth                                       Date/Time
           R                        R                      R
           X                        X                      X




IN1-5 Insurance Company
                        IN1-19 Insured's Address GT1-5 Guarantor Address
         Address

           R                        R                      R

           X                        X                      X
           R                        R                      R
           R                        R                      R
           R                        R                      R


           X                        X                      X


           X                        X                      X
           X                        X                      X
           X                        X                      X
           X                        X                      X
           X                        X                      X
           X                        X                      X
           X                        X                      X
           X                        X                      X
GT1-21 Guarantor
Organization Name



       R




       X
       X
          X

          X


          X


          X


          X
          X
          X
          X
 GT1-21 Guarantor
 Organization Name



          R




          X
          X
          X

          X




          X



          X
          X
          X
          X

IN1-16 Name of Insured   GT1-3 Guarantor Name


          R                       R

          R                       R
          0                       O
          X                       X
          X                       X
          X                       X
          X                       X
          X                       X
          X                       X

          X                       X

          X                      X
          X                      X
          X                      X
          X                      X
                         PRT-15 Participation
ORC-14 Call Back Phone
                         Telecommunication
       Number
                              Address
          X                      X
          X                      R
          X                       R
          O                      X
          X                      X
          R                      C
          R                      C
          O                      CE
          X                      C
          X                      X
          X                      X
          X                      X
   IN1-17 Insured's
                          OBR-4 (Univ. Svc. ID)   DG1-3 (Diagnosis Code)
Relationship to Patient

          R                        R                        R




          R                        R                        R




          R                        R                        R


          X                        O                        X




          X                        O                        X




          X                        O                        X




SPM-8 Specimen Source SPM-9 Specimen Source
        Site*             Site Modifier*
 O       O




 O       O




 O       O



 O       O




 O       O



 O       O
C (?)   C (?)
 O       O



 O       O



 O       O
 O       O
 O       O

 O       O
 O       O
 O       O
 O       O
 O       O
 O       O
 O       O
          O                        O
          O                        O
          O                        O


SPM-8 (Spc. Src Site)*   SPM-9 (Src. Site Mod.)*




          O                        O



          O                        O
          O                        O


          O                        O



          O                        O


          O                        O
        C (?)                     C (?)
          O                        O

          O                        O
          O                        O
          O                        O
          O                        O

          O                        O
          O                        O
          O                        O
          O                        O
          O                        O
          O                        O
          O                        O
          O                        O
          O                        O
          O                        O
PRT-2 Action Code*


        O

        O
        C
        C
PRT-2 Action Code*


        O


        O

        C

        C
                   OBX-11 Observation
OBX-2 Value Type
                     Result Status

       R                   R
  TQ1-1 Set ID - TQ1     OBR-1 Set ID - OBR     NTE-1 Set ID - NTE
          R                      R                       R




OBR-18 Placer Field 1   OBR-19 Placer Field 2   OBR-20 Filler Field 1
          R                      R                       R



OBR-8 Observation End
      Date/Time
          R
          X




OBR-8 Observation End
      Date/Time
          R
          X
OBR-8 Observation End
      Date/Time
         R
         X




OBR-8 Observation End
      Date/Time
         R
         X




OBR-8 Observation End
      Date/Time
         R
         X
OBR-8 Observation End
      Date/Time
         R
         X




  ORC-24 Ordering       PRT-14 Participation
  Provider Address           Address

         R                       R

         X                       X
         R                       R
         R                       R
         R                       R


         X                       X


         X                       X
         X                       X
         X                       X
         X                       X
         X                       X
         X                       X
         X                       X
         X                       X
OBX-3 (Observ. ID)   OBX-6 (Units)*


        R                  O




        R                  O




        R                  O


        X                  O




        X                  O




        X                  O
DG1-1 Set ID - DG1   OBX-1 Set ID - OBX   SPM-1 Set ID - SPM
        R                    R                    R




SPM-14 Specimen
  Description
       R
   SPM-4     SPM-7 (Spc. SPM-8 (Spc. SPM-9 (Src.
(Spec. Type) Coll. Meth)* Src Site)* Site Mod.)*
                                   Contraint ID




                               C163[DET1-1]



                               C163[DET1-2]


MSH21 - Message Header
       Segment                 C163[DET1-3]



                               C163[DET1-4]



                               C163[DET1-5]



                               C163[DET1-6]

                               C163[DET2-1]
                               C163[DET2-2]


                               C163[DET2-3]



                               C163[DET2-4]




PID - Patient Identification
         Segment




                               C163[DET2-5]


                               C163[DET2-6]
                              C163[DET2-7]

                              C163[DET2-8]


                              C163[DET3-1]


                              C163[DET3-2]
PV1 - Patient Visit Segment




                              C163[DET3-3]

                              C163[DET4-1]


                              C163[DET4-2]
 IN1 - Insurance Segment

                              C163[DET4-3]


                              C163[DET4-4]
IN2 - Insurance Additional
  Information Segment         C163[DET5-1]


                              C163[DET6-1]
                              C163[DET6-2]




                              C163[DET6-3]


  ORC - Common Order
        Segment




                              C163[DET6-4]

                              C163[DET6-5]
                              C163[DET6-6]
                              C163[DET6-7]
                           C163[DET6-9]



  TQ1 - Timing Quantity
                           C163[DET7-1]
        Segment


                           C163[DET7-2]


                           C163[DET8-1]




                           C163[DET8-2]




OBR - Observation Request C163[DET8-3]
        Segment           C163[DET8-4]
                          C163[DET8-5]



                           C163[DET8-6]




                           C163[DET8-7]




                           C163[DET9-1]


OBX - Observation/Result
       Segment
                           C163[DET9-2]
                           C163[DET9-3]
OBX - Observation/Result
       Segment




                           C163[DET9-4]
                           C163[DET9-5]
                           C163[DET10-1]
                           C163[DET10-2]


                           C163[DET10-3]



                           C163[DET10-4]




                           C163[DET10-5]

                           C163[DET10-6]


                           C163[DET10-7]
SPM - Specimen Segment


                           C163[DET10-8]

                           C163[DET10-9]




                           C163[DET10-10]


                           C163[DET10-11]



                           C163[DET10-12]

                           C163[DET10-13]
                                                  HITSP Data Element
                  HL7 V2.5.1 Data Element                                 Optionality
                                                  Identifier and Name



MSH.3 - Sending Application                 N/A                           R2



MSH.4 - Sending Facility                    N/A                           R2



MSH.5 - Receiving Application               N/A                           R2



MSH.6 - Receiving Facility                  N/A                           R2



MSH.15 - Accept Acknowledgement Type        N/A                           C



MSH16 - Application Acknowledgement Type    N/A                           C

PID.6 - Mother's Maiden Name                1.12 - Mother's Maiden Name   R2
PID.7 - Date/Time of Birth                  1.07 - Person Date of Birth   R2


PID.8 - Administrative Sex                  1.06 - Gender                 R2



PID.10 - Race                               1.10 - Race                   R2




PID.11 - Patient Address                    1.03 - Person Address         R2


PID.18 - Patient Account Number             1.18 - Patient Account Number C
PID.22 - Ethnic Group                 1.11 - Ethnicity               R2
                                      1.17 - Identity Unknown
PID.31 - Identity Unknown Indicator   Indicator                      R2


PV1.2 - Patient Class                 16.10 Patient Class            R


PV1.3 - Assigned Patient Location     16.11 - In Facility Location   C




PV1.4 - Admission Type                16.07 - Admission Type         C
                                      5.25 Insurance Company
IN1.4 - Insurance Company Name        Name                           R2


IN1.16 - Name of Insured              5.18 Subscriber Name           C


IN1.18 - Insured's Date of Birth      5.19 - Subscriber Date of Birth C


IN1.49 - Insured's ID Number          5.15 - Subscriber ID           C

IN2.61 - Patient Member Number        5.08 - Member ID               R2


ORC.1 - Order Control                 N/A                            R
ORC.4 - Placer Group Number           24.01 Order Group Number       R2




ORC.5 - Order Status                  24.02 Order Status             C




ORC.8 - Parent                        24.03 Parent Order Number      C
                                      24.04 Date/Time of
ORC.9 - Date/Time of Transaction      Transaction                    R
ORC.10 - Entered Vy                   24.05 Order Entered            R2
ORC.11 - Verified By                  24.06 Order Verified By        R2
ORC.29 - Order Type                    24.07 Order Setting Type          R2


                                       24.08 Requested Order Start
TQ1.7 - Start date/time                Date/Time                         C


TQ1.9 - Priority                       24.09 Order Priority              R


OBR.2 - Placer Order Number            24.10 Placer Order Number         R




OBR.3 - Filler Order Number            24.11 Filler Order Number         R2




OBR.4 - Universal Service Identifier   24.12 Order Code                  R
OBR.10 - Collector Identifier          24.16 Specimen Collector ID       R2
OBR.16 - Ordering Provider             24.14 Ordering Provider           R



OBR.28 - Result Copies To              24.15 Results Distribution List   R2




OBR.29 - Parent                        24.03 Parent Order Number         C




OBX.3 - Observation Identifier         15.03 Result Type                 R




OBX.6 - Units                          15.05 Result Value (units)        R2
OBX.7 - Reference Range                15.07 Result Reference            R2
OBX.8 - Abnormal Flags                   15.06 Results Interpretation   R2
OBX.14 - Date/Time of the Observation    15.02 Result Date/Time         R2
SPM.2 - Specimen ID                      25.01 Specimen ID              R2
SPM.3 - Specimen Parent IDS              25.02 Specimen Parent ID       R2


SPM.4 - Specimen Type                    25.03 Specimen Type            R


                                         25.04 Specimen Collection
SPM.7 - Specimen Collection Method       Method                         R2




SPM.8 - Specimen Source Site             25.05 Specimen Source Site     R2
                                         25.06 Specimen Source Site
SPM.9 - Specimen Source Site Modifier    Modifier                       R2


SPM.10 - Specimen Collection Site        17.06 - Body Site              O


SPM.16 - Specimen Risk Code              25.07 Specimen Risk            R2
                                         25.08 Specimen Collection
SPM.17 - Specimen Collection Date/Time   Date/Time                      R2



                                         25.09 Specimen Received
SPM.18 - Specimen Received Date/Time     Date/Time                      C


SPM.20 - Specimen Availability           25.10 Specimen Availability    C


                                         25.11 Specimen Rejection
SPM.21 - Specimen Rejection Reason       Reason                         C
                                         25.12 Number of Specimen
SPM.26 - Number of Specimen Containers   Containers                     R2
            Additional Specification
C163-[MC1-1] MSH-3 SHOULD contain an OID
that represents the sending application when it is
available and needed for routing or informational
purposes.

C163-[MC1-2] MSH-4 SHOULD contain an OID
that represents the sending facility when it is
available and needed for routing purposes

C163-[MC1-3] MSH-5 SHOULD contain an OID
that represents the receiving application when it
is available and needed for routing purposes

C163-[MC1-4] MSH-6 SHOULD contain an OID
that represents the receiving facility when it is
available and needed for routing purposes
C163-[MC1-5] MSH.15 SHALL contain the literal
value "AL" for order messages.
C163-[MC1-6] MSH.15 SHALL be empty for
Acknowledgment messages
C163-[MC1-7] MSH.16 SHALL contain the literal
value "AL" for order messages.
C163-[MC1-8] MSH.16 SHALL be empty for
Acknowledgment messages



C154-[DE-1.06-1] Gender SHALL be coded as
specified in HITSP/C80 Section 2.2.1.2.1.
Administrative Gender

C154-[DE-1.10-1] Race SHALL be coded as
specified in HITSP/C80 Section 2.2.1.2.7 Race



C154-[DE-1.03-1] The state part of an address in
the United States SHALL be recorded using
HITSP/C80 Section 2.2.1.1.1 State
C154-[DE-1.03-2] The postal code part of an
address in the United States SHALL be recorded
using HITSP/C80 Section 2.2.1.1.2 Postal Code
C154-[DE-1.03-3] The country part of an address
SHALL be recorded using HITSP/C80 Section
2.2.1.1.3 Country
C163-[DE-1.18-1] Patient Account Number
SHALL be specified when account numbers are
required for billing purposes
C154-[DE-1.11-1] Ethnicity SHALL be coded as
specified in HITSP/C80 Section 2.2.1.2.2
Ethnicity


C154-[DE-16.10-1] Patient Class SHALL be
coded as specified in HITSP/C80 Section
2.2.3.9.5 Patient Class
C163-[DE-16.11-1] SHALL be specified when
PV1-2 (Patient Class) is valued with “I” for
inpatient)
C163-[DE-16.17-1] SHALL be specified when
PV1-2 (Patient Class) is valued with “I” for
inpatient).
C154-[DE-16.07-1] The Admission Type SHALL
be coded as specified in HITSP/C80 Section
2.2.3.9.2 Admission Type



C163-[DE-5.18-1] SHALL be specified when IN2-
61 (Patient Member Number) is not specified

C163-[DE-5.19-1] SHALL be specified when IN2-
61 (Patient Member Number) is not specified

C163-[DE-5.15-1] SHALL be specified when IN2-
61 (Patient Member Number) is not specified


C163-[MC6-1] The Order Control SHALL be
coded as specified in HITSP/C80 Section
2.2.3.6.7 Order Control Code


C163-[DE-24.02-1] SHALL be specified in all
OML and ORL messages sent by the Order Filler
C163-[DE-24.02-2]The Order Status SHALL be
coded as specified in HITSP/C80 Section
2.2.3.6.8 Order Status

C163 [DE 24.03-1] If the order message refers to
a reflex order (when ORC.11 Specimen Action
Code is populated with “G”), this field SHALL be
the order number of the original order from which
the reflex order was triggered.
C163 [DE 24.03-2]If this field is specified, it
SHALL have the same value as OBR-29.
C163-[DE-24.07-1] The Order Type SHALL be
coded as specified in HITSP/C80 Section
2.2.3.6.9 Order Setting Type

C163-[DE-24.08-1] SHALL be specified when the
Order Placer wants to enforce a starting
date/time for the execution of the ordered tests
C163-[DE24.09-1] The Priority SHALL be coded
as specified in HITSP/C80 Section 2.2.3.6.10
Order Priority
C163-[DE-x24.10-1] The Placer Order Number
SHALL be unique across all orders for the order
placer.
C163-[DE-24.11-1] The Filler Order Number
SHALL be unique across all orders for the order
filler.
C163-[DE-x.xx-2] The Filler Order Number for a
particular order SHALL not relate to more than
one Placer Order Number.
C163-[DE-24.12-1] The Universal Service
Identifier SHOULD be coded as specified in
HITSP/C80 Section 2.2.3.6.2 Laboratory Order
Vocabulary when there is a corresponding code
in the value set



C163-[DE-24.15-1] when there are persons or
care units that need to receive a copy of the
results, the Order Placer SHALL provide a value

C163 [DE 24.03-1] If the order message refers to
a reflex order (when ORC.11 Specimen Action
Code is populated with “G”), this field SHALL be
the order number of the original order from which
the reflex order was triggered.
C163 [DE 24.03-2]If this field is specified, it
SHALL have the same value as ORC-8.

C163-[DE15.03-1] The Observation Identifier
SHOULD be coded as specified in HITSP/C80
Section 2.2.3.6.1.1 Laboratory Tests Result
Vocabulary for results in which there is a
corresponding code in the vocabulary.

C163-[DE15.05-1]The Units SHOULD be coded
as specified in HITSP/C80 Section 2.2.3.6.6
Units of Measure Vocabulary when the Value
Type (OBX-2) is populated with NM or SN
C154-[DE15.06-1]The Abnormal Flags SHALL
be coded as specified in HITSP/C80 Section
2.2.3.6.3.1 V2 Result Normalcy Status
Vocabulary



C163-[DE25.03-1] The Specimen Type SHALL
be coded as specified in HITSP/C80 Section
2.2.3.6.13 Specimen Type
C163-[DE25.04-1]The Specimen Collection
Method SHALL be coded as specified in
HITSP/C80 Section 2.2.3.6.14 Specimen
Collection Method

C163-[DE25.05-1]The Specimen Source Site
SHALL be coded as specified in HITSP/C80
Section 2.2.3.2.1 Body Site when the specimen
source site is included within the value set.


C163-[DE-17.06-1] The Site SHALL be coded as
specified in HITSP/C80 Section 2.2.3.2.1 Body
Site
C163-[DE25.07-1]The Specimen Risk Code
SHALL be coded as specified in HITSP/C80
Section 2.2.3.6.12 Specimen Risk Code


C163-[DE25.09-1] The Specimen Receive
Date/Time SHALL be populated in OML
messages sent by the Order Filler, if the
specimen has been received by the laboratory
known
C163-[DE25.10-1] The Specimen Receive
Date/Time SHALL be populated in messages
sent by the Order Filler
C163-[DE25.11-1] The Specimen Rejection
Reason SHALL be populated whenever the
laboratory rejects a specimen, in messages sent
by the Order Filler
                  LOI                                      ELINCS
OML^021
Segment ID usage cardinality segment name Segment ID usage cardinality segment name
                            Message                                   Message
MSH          R     [1..1]                 MSH          R     [1..1]
                            Header                                    Header
                            Software                                  Software
[{SFT}]      O                            [{SFT}]      X     [0..0]
                            Segment                                   Segment
                            Notes and                               Notes and
                            Comments                                Comments
[{NTE}]      X                            [{NTE}]      X     [0..0]
                            (for                                    (for
                            Header)                                 Header)

                            --- PATIENT                               --- PATIENT
             R     [1..1]                              R     [1..1]
                            begin                                     begin

                          Patient                                   Patient
    PID      R     [1..1] Identificat         PID      R     [1..1] Identificat
                          ion                                       ion

                            Additional                              Additional
    [ PD1                                 [ PD1
             O              Demographic                X     [0..0] Demographic
]                                       ]
                            s                                       s

                            Notes and                               Notes and
                            Comments                                Comments
             O                                         X     [0..0]
[{NTE}]                     (for          [{NTE}]                   (for
                            Patient)                                Patient)

                          Next of                                   Next of
[ NK1 ]      RE    [0..1] Kin/Associa [ NK1 ]          RE    [0..1] Kin/Associa
                          ted Parties                               ted Parties

                            --- VISIT                                 --- VISIT
             R     [1..1]                              R     [1..1]
                            begin                                     begin
                            Patient                                   Patient
    PV1      R     [1..1]                     PV1      R     [1..1]
                            Visit                                     Visit
                            Patient                                 Patient
    [ PV2                   Visit -           [ PV2                 Visit -
             O                                         X     [0..0]
]                           Additional    ]                         Additional
                            Info                                    Info
                            --- VISIT                                 --- VISIT
                            end                                       end
                  LOI                                      ELINCS
OML^021
Segment ID usage cardinality segment name Segment ID usage cardinality segment name


                        INSURANCE
                                                                    ---
           C(R/O        begin
  [{             [0..3]                     [{         C     [0..3] INSURANCE
             )          If PV1-20
                                                                    begin
                        valued T


     IN1     R     [1..1] Insurance            IN1     R     [1..1] Insurance
                            Insurance                               Insurance
    [                                         [
             O              Additional                 X     [0..0] Additional
IN2 ]                                     IN2 ]
                            Info                                    Info

                            Insurance                               Insurance
    [                                       [
             O              Add'l Info -               X     [0..0] Add'l Info -
IN3 ]                                   IN3 ]
                            Cert.                                   Cert.

                            ---                                       ---
  }]                        INSURANCE       }]                        INSURANCE
                            end                                       end
 GT1         R     [1..1] Guarantor         GT1        R     [1..1] Guarantor

                            Allergy                                   Allergy
             O                                         X     [0..0]
[{AL1}]                     Information [{AL1}]                       Information

                            --- PATIENT                               --- PATIENT
                            end                                       end

                            --- ORDER                                 --- ORDER
 {           R     [1..*]                  {           R     [1..*]
                            begin                                     begin
                            Order                                     Order
     ORC     R     [1..1]                      ORC     R     [1..1]
                            Common                                    Common
                          ---                                       ---
  [          RE    [0..1] TIMING_QTY        [          RE    [0..1] TIMING_QTY
                          begin                                     begin
                            Timing/Quan                               Timing/Quan
     TQ1     R     [1..1]                      TQ1     R     [1..1]
                            tity                                      tity

                            Timing/Quan                             Timing/Quan
    [                                       [
             O              tity Order                 X     [0..0] tity Order
TQ2 ]                                   TQ2 ]
                            Sequence                                Sequence

                            ---                                       ---
  ]                         TIMING_QTY      ]                         TIMING_QTY
                            end                                       end
                  LOI                                      ELINCS
OML^021
Segment ID usage cardinality segment name Segment ID usage cardinality segment name
                          OBSERVATION                               OBSERVATION
              R    [1..1] _REQUEST                      R    [1..1] _REQUEST
                          begin                                     begin

                            Observation                               Observation
  OBR         R    [1..1]                    OBR        R    [1..1]
                            s Request                                 s Request

    [                       Test Code         [                       Test Code
              O                                         X    [0..0]
TCD ]                       Details       TCD ]                       Details
                          Notes and                                 Notes and
                          comments                                  comments
 [{NTE}]      RE   [0..*]                   [{NTE}]     RE   [0..*]
                          (for                                      (for
                          Detail)                                   Detail)



                           Participati
                           on (for Obs
                           Request)
                           Required                                 Participati
             C(R/X [0..(5.
 [{PRT}]                   when OBR-28      [{PRT}]     C    [0..5] on (for Obs
               )    .15)]
                           valued, one                              Request)
                           PRT for
                           each repeat
                           of OBR-28



                          Contact                                   Contact
              O                                         X    [0..0]
[CTD]                     Data            [CTD]                     Data
 [{DG1}]      RE   [0..*] Diagnosis        [{DG1}]      RE   [0..*] Diagnosis
                          ---                                       ---
    [{        RE   [0..*] OBSERVATION          [{       RE   [0..*] OBSERVATION
                          begin                                     begin
                            Observation                               Observation
   OBX        R    [1..1]                     OBX       R    [1..1]
                            /Result                                   /Result
         [                  Test Code               [                 Test Code
              O                                         X    [0..0]
TCD ]                       Detail        TCD ]                       Detail
                            Notes and                               Notes and
                            comments                                comments
              O                                         X    [0..0]
[{NTE}]                     (for          [{NTE}]                   (for
                            Results)                                Results)
                  LOI                                      ELINCS
OML^021
Segment ID usage cardinality segment name Segment ID usage cardinality segment name
                            ---                                       ---
      }]                    OBSERVATION         }]                    OBSERVATION
                            end                                       end

                           SPECIMEN
                                                                    ---
             C(RE/        begin
      [{           [0..*]                       [{     O     [0..*] SPECIMEN
               O)         If OBR-11
                                                                    begin
                          value A, O

      SPM     R    [1..1] Specimen              SPM    R     [1..1] Specimen

                            Observation                             Observation
              O             Related to                 X     [0..0] Related to
[{OBX}]                                 [{OBX}]
                            Specimen                                Specimen

                          ---                                       ---
        [{    X    [0..0] CONTAINER               [{   X     [0..0] CONTAINER
                          begin                                     begin
                            Specimen                                  Specimen
              X    [0..0]                              X     [0..0]
SAC                         Container     SAC                         Container

                          Observation                               Observation
              X    [0..0] related to                   X     [0..0] related to
[{OBX}]                               [{OBX}]
                          container                                 container

                            ---                                       ---
        }]                  CONTAINER             }]                  CONTAINER
                            end                                       end
                            ---                                       ---
      }]                    SPECIMEN            }]                    SPECIMEN
                            end                                       end
                            ---                                     ---
      [{      O             PRIOR_RESUL         [{     X     [0..0] PRIOR_RESUL
                            T begin                                 T begin
                            Prior                                     Prior
                            Result                                    Result
...                         segments      ...                         segments
                            excluded                                  excluded
      }]                                        }]
                  LOI                                      ELINCS
OML^021
Segment ID usage cardinality segment name Segment ID usage cardinality segment name
                             ---                                      ---
                             OBSERVATION                              OBSERVATION
                             _REQUEST                                 _REQUEST
                             end                                      end

                             Financial                                Financial
                X                                      X     [0..0]
[{FT1}]                      Transaction [{FT1}]                      Transaction

                             Clinical                               Clinical
                             Trial                                  Trial
                O                                      X     [0..0]
[{CTI}]                      Identificat [{CTI}]                    Identificat
                             ion                                    ion
    [ BLG                    Billing           [ BLG                  Billing
                O                                      X     [0..0]
]                            Segment       ]                          Segment
                             --- ORDER                                --- ORDER
}                                          }
                             end                                      end

ACK
                             Message
MSH         R       [1..1]
                             header
                             Software
[{SFT}]     O
                             segment
                             Message
MSA         R       [1..1]   acknowledgm
                             ent
[{ERR}]     O                Error
New Order
                  LOI                                      ELINCS
OML^021
Segment ID usage cardinality segment name Segment ID usage cardinality segment name
                            Message                                   Message
MSH          R     [1..1]                 MSH          R     [1..1]
                            Header                                    Header
                            Software                                  Software
[{SFT}]      O                            [{SFT}]      X     [0..0]
                            Segment                                   Segment
                            Notes and                               Notes and
                            Comments                                Comments
[{NTE}]      O                            [{NTE}]      X     [0..0]
                            (for                                    (for
                            Header)                                 Header)

                            --- PATIENT                               --- PATIENT
             R     [1..1]                              R     [1..1]
                            begin                                     begin

                          Patient                                   Patient
    PID      R     [1..1] Identificat         PID      R     [1..1] Identificat
                          ion                                       ion

                            Additional                              Additional
    [ PD1                                 [ PD1
             O              Demographic                X     [0..0] Demographic
]                                       ]
                            s                                       s

                            Notes and                               Notes and
                            Comments                                Comments
             O                                         X     [0..0]
[{NTE}]                     (for          [{NTE}]                   (for
                            Patient)                                Patient)

                          Next of                                   Next of
[ NK1 ]      RE    [0..1] Kin/Associa [ NK1 ]          RE    [0..1] Kin/Associa
                          ted Parties                               ted Parties

                            --- VISIT                                 --- VISIT
             R     [1..1]                              R     [1..1]
                            begin                                     begin
                            Patient                                   Patient
    PV1      R     [1..1]                     PV1      R     [1..1]
                            Visit                                     Visit
                            Patient                                 Patient
    [ PV2                   Visit -           [ PV2                 Visit -
             O                                         X     [0..0]
]                           Additional    ]                         Additional
                            Info                                    Info
                            --- VISIT                                 --- VISIT
                            end                                       end
                       INSURANCE                             ---
          C(R/O
 [{             [0..3] begin            [{       C    [0..3] INSURANCE
            )          If PV1-20                             begin
                       valued T

    IN1    R    [1..1] Insurance           IN1   R    [1..1] Insurance
                       Insurance                             Insurance
    [                                      [
           O           Additional                X    [0..0] Additional
IN2 ]                                  IN2 ]
                       Info                                  Info

                         Insurance                           Insurance
    [                                    [
           O             Add'l Info -            X    [0..0] Add'l Info -
IN3 ]                                IN3 ]
                         Cert.                               Cert.

                         ---                                   ---
 }]                      INSURANCE      }]                     INSURANCE
                         end                                   end
 GT1       R    [1..1] Guarantor        GT1      R    [1..1] Guarantor

                         Allergy                               Allergy
           O                                     X    [0..0]
[{AL1}]                  Information [{AL1}]                   Information

                         --- PATIENT                           --- PATIENT
                         end                                   end

                         --- ORDER                             --- ORDER
{          R    [1..*]                 {         R    [1..*]
                         begin                                 begin
                         Order                                 Order
    ORC    R    [1..1]                     ORC   R    [1..1]
                         Common                                Common
                       ---                                   ---
 [         RE   [0..1] TIMING_QTY       [        RE   [0..1] TIMING_QTY
                       begin                                 begin
                         Timing/Quan                           Timing/Quan
    TQ1    R    [1..1]                     TQ1   R    [1..1]
                         tity                                  tity

                         Timing/Quan                         Timing/Quan
    [                                    [
           O             tity Order              X    [0..0] tity Order
TQ2 ]                                TQ2 ]
                         Sequence                            Sequence

                         ---                                   ---
 ]                       TIMING_QTY     ]                      TIMING_QTY
                         end                                   end
                       OBSERVATION                           OBSERVATION
           R    [1..1] _REQUEST                  R    [1..1] _REQUEST
                       begin                                 begin
                            Observation                              Observation
  OBR         R    [1..1]                   OBR        R    [1..1]
                            s Request                                s Request

    [                       Test Code         [                      Test Code
              O                                        X    [0..0]
TCD ]                       Details       TCD ]                      Details
                          Notes and                                Notes and
                          comments                                 comments
 [{NTE}]      RE   [0..*]                  [{NTE}]     RE   [0..*]
                          (for                                     (for
                          Detail)                                  Detail)



                           Participati
                           on (for Obs
                           Request)
                           Required                                Participati
             C(R/X [0..(5.
 [{PRT}]                   when OBR-28     [{PRT}]     C    [0..5] on (for Obs
               )    .15)]
                           valued, one                             Request)
                           PRT for
                           each repeat
                           of OBR-28



                          Contact                                  Contact
              O                                        X    [0..0]
[CTD]                     Data            [CTD]                    Data
 [{DG1}]      RE   [0..*] Diagnosis        [{DG1}]     RE   [0..*] Diagnosis
                          ---                                      ---
    [{        RE   [0..*] OBSERVATION         [{       RE   [0..*] OBSERVATION
                          begin                                    begin
                            Observation                              Observation
   OBX        R    [1..1]                    OBX       R    [1..1]
                            /Result                                  /Result
         [                  Test Code              [                 Test Code
              O                                        X    [0..0]
TCD ]                       Detail        TCD ]                      Detail
                            Notes and                              Notes and
                            comments                               comments
              O                                        X    [0..0]
[{NTE}]                     (for          [{NTE}]                  (for
                            Results)                               Results)
                            ---                                      ---
    }]                      OBSERVATION       }]                     OBSERVATION
                            end                                      end
                          ---                                      ---
    [{        O    [0..*] SPECIMEN            [{       O    [0..*] SPECIMEN
                          begin                                    begin
   SPM        R    [1..1] Specimen           SPM       R    [1..1] Specimen
                         Observation                          Observation
            O            Related to                X   [0..0] Related to
[{OBX}]                              [{OBX}]
                         Specimen                             Specimen

                       ---                                    ---
       [{   O   [0..0] CONTAINER              [{   X   [0..0] CONTAINER
                       begin                                  begin
                         Specimen                               Specimen
            O   [0..0]                             X   [0..0]
SAC                      Container     SAC                      Container

                       Observation                            Observation
            O   [0..0] related to                  X   [0..0] related to
[{OBX}]                            [{OBX}]
                       container                              container

                         ---                                    ---
       }]                CONTAINER            }]                CONTAINER
                         end                                    end
                         ---                                    ---
      }]                 SPECIMEN            }]                 SPECIMEN
                         end                                    end
                         ---                                  ---
      [{    O            PRIOR_RESUL         [{    X   [0..0] PRIOR_RESUL
                         T begin                              T begin
                         Prior                                  Prior
                         Result                                 Result
...                      segments      ...                      segments
                         excluded                               excluded
      }]                                     }]
                         ---                                    ---
                         OBSERVATION                            OBSERVATION
                         _REQUEST                               _REQUEST
                         end                                    end

                         Financial                              Financial
            O                                      X   [0..0]
[{FT1}]                  Transaction [{FT1}]                    Transaction

                       Clinical                               Clinical
                       Trial                                  Trial
            O   [0..0]                             X   [0..0]
[{CTI}]                Identificat [{CTI}]                    Identificat
                       ion                                    ion
    [ BLG                Billing           [ BLG                Billing
            O   [0..0]                             X   [0..0]
]                        Segment       ]                        Segment
                         --- ORDER                              --- ORDER
}                                      }
                         end                                    end
ACK
                       Message
MSH       R   [1..1]
                       header
                       Software
[{SFT}]   O
                       segment
                       Message
MSA       R   [1..1]   acknowledgm
                       ent
[{ERR}]   O            Error
Add On

supported through message in Scenario 1
                  LOI                                      ELINCS
OML^021
Segment ID usage cardinality segment name Segment ID usage cardinality segment name

MSH
                            Message                                   Message
see attached R    [1..1]                  MSH        R      [1..1]
                            Header                                    Header
comment
                            Software                                  Software
[{SFT}]     O                             [{SFT}]    X      [0..0]
                            Segment                                   Segment
                            Notes and                                 Notes and
                            Comments                                  Comments
[{NTE}]     O     [0..0]                  [{NTE}]    X      [0..0]
                            (for                                      (for
                            Header)                                   Header)

                            --- PATIENT                               --- PATIENT
            R     [1..1]                             R      [1..1]
                            begin                                     begin

                            Patient                                   Patient
    PID     R     [1..1]    Identificat     PID      R      [1..1]    Identificat
                            ion                                       ion

                            Additional                                Additional
    [ PD1                                 [ PD1
            O               Demographic              X      [0..0]    Demographic
]                                       ]
                            s                                         s

                            Notes and                                 Notes and
                            Comments                                  Comments
            O                                        X      [0..0]
[{NTE}]                     (for          [{NTE}]                     (for
                            Patient)                                  Patient)

                            Next of                                   Next of
            RE    [0..1]    Kin/Associa              X      [0..0]    Kin/Associa
[{NK1}]                                 [{NK1}]
                            ted Parties                               ted Parties

                            --- VISIT                                 --- VISIT
    [       R     [1..1]                    [        X      [0..0]
                            begin                                     begin
                            Patient                                   Patient
            R     [1..1]                             X      [0..0]
PV1                         Visit         PV1                         Visit
                            Patient                                   Patient
    [                       Visit -           [                       Visit -
            O                                        X      [0..0]
PV2 ]                       Additional    PV2 ]                       Additional
                            Info                                      Info
                            --- VISIT                                 --- VISIT
    ]                                       ]
                            end                                       end
                           INSURANCE                              ---
            C(R/O
    [{            [0..3]   begin             [{      X   [0..0]   INSURANCE
            )
                           If PV1-20                              begin
                           valued T

            R    [1..1]    Insurance                 X   [0..0]   Insurance
IN1                                      IN1
                           Insurance                              Insurance
    [                                        [
            O              Additional                X   [0..0]   Additional
IN2 ]                                    IN2 ]
                           Info                                   Info

                           Insurance                              Insurance
    [                                      [
            O              Add'l Info -              X   [0..0]   Add'l Info -
IN3 ]                                  IN3 ]
                           Cert.                                  Cert.

                           ---                                    ---
    }]                     INSURANCE         }]                   INSURANCE
                           end                                    end
    [ GT1                                    [ GT1
            R    [1..1]    Guarantor                 X   [0..0]   Guarantor
]                                        ]

                           Allergy                                Allergy
            O                                        X   [0..0]
[{AL1}]                    Information [{AL1}]                    Information

                           --- PATIENT                            --- PATIENT
                           end                                    end

                           --- ORDER                              --- ORDER
{           R    [1..*]                  {           R   [1..*]
                           begin                                  begin
                           Order                                  Order
    ORC     R    [1..1]                      ORC     R   [1..1]
                           Common                                 Common
                           ---                                    ---
    [{      RE   [0..1]    TIMING_QTY        [{      X   [0..0]   TIMING_QTY
                           begin                                  begin
                           Timing/Quan                            Timing/Quan
            R    [1..1]                              X   [0..0]
TQ1                        tity        TQ1                        tity

                           Timing/Quan                            Timing/Quan
            O              tity Order                X   [0..0]   tity Order
[{TQ2}]                                [{TQ2}]
                           Sequence                               Sequence

                           ---                                    ---
    }]                     TIMING_QTY        }]                   TIMING_QTY
                           end                                    end
                           OBSERVATION                            OBSERVATION
            R    [1..1]    _REQUEST                  R   [1..1]   _REQUEST
                           begin                                  begin
                          Observation                            Observation
  OBR       R    [1..1]                   OBR      R    [1..1]
                          s Request                              s Request

    [                     Test Code         [                    Test Code
            O                                      X    [0..0]
TCD ]                     Details       TCD ]                    Details
                          Notes and                              Notes and
                          comments                               comments
 [{NTE}]    RE   [0..*]                  [{NTE}]   RE   [0..*]
                          (for                                   (for
                          Detail)                                Detail)

                          Contact
                          Data
                          Would this
                                                                 Contact
            O             be sent in               X    [0..0]
[CTD]                                 [CTD]                      Data
                          a status
                          request????
                          X?


                          Diagnosis
                          Would this
                          be sent in
            RE   [0..0]                            X    [0..0]   Diagnosis
[{DG1}]                   a status    [{DG1}]
                          request????
                          X?

                          ---                                    ---
      [{    X    [0..0]   OBSERVATION         [{   X    [0..0]   OBSERVATION
                          begin                                  begin
                          Observation                            Observation
            X    [0..0]                            X    [0..0]
OBX                       /Result     OBX                        /Result
        [                 Test Code         [                    Test Code
            X    [0..0]                            X    [0..0]
TCD ]                     Detail      TCD ]                      Detail
                          Notes and                              Notes and
                          comments                               comments
            X    [0..0]                            X    [0..0]
[{NTE}]                   (for          [{NTE}]                  (for
                          Results)                               Results)
                          ---                                    ---
      }]                  OBSERVATION         }]                 OBSERVATION
                          end                                    end
                          ---                                    ---
      [{    X    [0..0]   SPECIMEN            [{   X    [0..0]   SPECIMEN
                          begin                                  begin

            X    [0..0]   Specimen                 X    [0..0]   Specimen
SPM                                     SPM
                         Observation                            Observation
            X   [0..0]   Related to                X   [0..0]   Related to
[{OBX}]                              [{OBX}]
                         Specimen                               Specimen

                         ---                                    ---
       [{ X     [0..0]   CONTAINER            [{ X     [0..0]   CONTAINER
                         begin                                  begin
                         Specimen                               Specimen
            X   [0..0]                             X   [0..0]
SAC                      Container     SAC                      Container

                         Observation                            Observation
            X   [0..0]   related to                X   [0..0]   related to
[{OBX}]                              [{OBX}]
                         container                              container

                         ---                                    ---
       }]                CONTAINER            }]                CONTAINER
                         end                                    end
                         ---                                    ---
      }]                 SPECIMEN            }]                 SPECIMEN
                         end                                    end
                         ---                                    ---
      [{    X   [0..0]   PRIOR_RESUL         [{    X   [0..0]   PRIOR_RESUL
                         T begin                                T begin
                         Prior                                  Prior
                         Result                                 Result
...                      segments      ...                      segments
                         excluded                               excluded
      }]                                     }]
                         ---                                    ---
                         OBSERVATION                            OBSERVATION
                         _REQUEST                               _REQUEST
                         end                                    end

                         Financial                              Financial
            X   [0..0]                             X   [0..0]
[{FT1}]                  Transaction [{FT1}]                    Transaction

                         Clinical                               Clinical
                         Trial                                  Trial
            X   [0..0]                             X   [0..0]
[{CTI}]                  Identificat [{CTI}]                    Identificat
                         ion                                    ion
    [ BLG                Billing           [ BLG                Billing
            X   [0..0]                             X   [0..0]
]                        Segment       ]                        Segment

ACK
                       Message
MSH       R   [1..1]
                       header
                       Software
[{SFT}]   O
                       segment
                       Message
MSA       R   [1..1]   acknowledgm
                       ent
[{ERR}]   O            Error
Status request of previously
placed lab order
Not something we need to work
on now.
                  LOI                                      ELINCS
OML^021
Segment ID usage cardinality segment name Segment ID usage cardinality segment name
MSH
See
                            Message                                   Message
comment      R    [1..1]                  MSH        R      [1..1]
                            Header                                    Header
before
proceeding
                            Software                                  Software
[{SFT}]      O                            [{SFT}]    X      [0..0]
                            Segment                                   Segment
                            Notes and                                 Notes and
                            Comments                                  Comments
[{NTE}]      O                            [{NTE}]    X      [0..0]
                            (for                                      (for
                            Header)                                   Header)

                            --- PATIENT                               --- PATIENT
             R    [1..1]                             R      [1..1]
                            begin                                     begin

                            Patient                                   Patient
    PID      R    [1..1]    Identificat     PID      R      [1..1]    Identificat
                            ion                                       ion

                            Additional                                Additional
    [ PD1                                 [ PD1
             O              Demographic              X      [0..0]    Demographic
]                                       ]
                            s                                         s

                            Notes and                                 Notes and
                            Comments                                  Comments
             O                                       X      [0..0]
[{NTE}]                     (for          [{NTE}]                     (for
                            Patient)                                  Patient)

                            Next of                                   Next of
             X    [0..1}    Kin/Associa              X      [0..0]    Kin/Associa
[{NK1}]                                 [{NK1}]
                            ted Parties                               ted Parties

                            --- VISIT                                 --- VISIT
    [        X    [1..1]                    [        X      [0..0]
                            begin                                     begin
                            Patient                                   Patient
             X    [1..1]                             X      [0..0]
PV1                         Visit         PV1                         Visit
                            Patient                                   Patient
    [                       Visit -           [                       Visit -
             X                                       X      [0..0]
PV2 ]                       Additional    PV2 ]                       Additional
                            Info                                      Info
                            --- VISIT                                 --- VISIT
    ]                                       ]
                            end                                       end
                         ---                                    ---
    [{      X   [0..0]   INSURANCE         [{      X   [0..0]   INSURANCE
                         begin                                  begin

            X   [0..0]   Insurance                 X   [0..0]   Insurance
IN1                                    IN1
                         Insurance                              Insurance
    [                                      [
            X   [0..0]   Additional                X   [0..0]   Additional
IN2 ]                                  IN2 ]
                         Info                                   Info

                         Insurance                              Insurance
    [                                    [
            X   [0..0]   Add'l Info -              X   [0..0]   Add'l Info -
IN3 ]                                IN3 ]
                         Cert.                                  Cert.

                         ---                                    ---
    }]                   INSURANCE         }]                   INSURANCE
                         end                                    end
    [ GT1                                  [ GT1
            X   [0..0]   Guarantor                 X   [0..0]   Guarantor
]                                      ]

                         Allergy                                Allergy
            X   [0..0]                             X   [0..0]
[{AL1}]                  Information [{AL1}]                    Information

                         --- PATIENT                            --- PATIENT
                         end                                    end

                         --- ORDER                              --- ORDER
{           R   [1..*]                 {           R   [1..*]
                         begin                                  begin
                         Order                                  Order
    ORC     R   [1..1]                     ORC     R   [1..1]
                         Common                                 Common
                         ---                                    ---
    [{      O   [0..0]   TIMING_QTY        [{      X   [0..0]   TIMING_QTY
                         begin                                  begin
                         Timing/Quan                            Timing/Quan
            O   [0..0]                             X   [0..0]
TQ1                      tity        TQ1                        tity

                         Timing/Quan                            Timing/Quan
            O   [0..0]   tity Order                X   [0..0]   tity Order
[{TQ2}]                              [{TQ2}]
                         Sequence                               Sequence

                         ---                                    ---
    }]                   TIMING_QTY        }]                   TIMING_QTY
                         end                                    end
                         OBSERVATION                            OBSERVATION
            R   [1..1]   _REQUEST                  R   [1..1]   _REQUEST
                         begin                                  begin
                          Observation                            Observation
  OBR       R    [1..1]                   OBR      R    [1..1]
                          s Request                              s Request

    [                     Test Code         [                    Test Code
            X    [0..0]                            X    [0..0]
TCD ]                     Details       TCD ]                    Details
                          Notes and                              Notes and
                          comments                               comments
 [{NTE}]    RE   [0..*]                  [{NTE}]   RE   [0..*]
                          (for                                   (for
                          Detail)                                Detail)
                          Contact                                Contact
            X    [0..0]                            X    [0..0]
[CTD]                     Data          [CTD]                    Data

            X    [0..0]   Diagnosis                X    [0..0]   Diagnosis
[{DG1}]                                 [{DG1}]
                          ---                                    ---
      [{    X    [0..0]   OBSERVATION         [{   X    [0..0]   OBSERVATION
                          begin                                  begin
                          Observation                            Observation
            X    [0..0]                            X    [0..0]
OBX                       /Result     OBX                        /Result
        [                 Test Code         [                    Test Code
            X    [0..0]                            X    [0..0]
TCD ]                     Detail      TCD ]                      Detail
                          Notes and                              Notes and
                          comments                               comments
            X    [0..0]                            X    [0..0]
[{NTE}]                   (for          [{NTE}]                  (for
                          Results)                               Results)
                          ---                                    ---
      }]                  OBSERVATION         }]                 OBSERVATION
                          end                                    end
                          ---                                    ---
      [{    X    [0..0]   SPECIMEN            [{   X    [0..0]   SPECIMEN
                          begin                                  begin

            X    [0..0]   Specimen                 X    [0..0]   Specimen
SPM                                     SPM

                          Observation                            Observation
            X    [0..0]   Related to               X    [0..0]   Related to
[{OBX}]                               [{OBX}]
                          Specimen                               Specimen

                          ---                                    ---
        [{ X     [0..0]   CONTAINER             [{ X    [0..0]   CONTAINER
                          begin                                  begin
                          Specimen                               Specimen
            X    [0..0]                            X    [0..0]
SAC                       Container     SAC                      Container
                         Observation                            Observation
            X   [0..0]   related to                X   [0..0]   related to
[{OBX}]                              [{OBX}]
                         container                              container

                         ---                                    ---
       }]                CONTAINER            }]                CONTAINER
                         end                                    end
                         ---                                    ---
      }]                 SPECIMEN            }]                 SPECIMEN
                         end                                    end
                         ---                                    ---
      [{    X   [0..0]   PRIOR_RESUL         [{    X   [0..0]   PRIOR_RESUL
                         T begin                                T begin
                         Prior                                  Prior
                         Result                                 Result
...                      segments      ...                      segments
                         excluded                               excluded
      }]                                     }]
                         ---                                    ---
                         OBSERVATION                            OBSERVATION
                         _REQUEST                               _REQUEST
                         end                                    end

                         Financial                              Financial
            X   [0..0]                             X   [0..0]
[{FT1}]                  Transaction [{FT1}]                    Transaction

                         Clinical                               Clinical
                         Trial                                  Trial
            X   [0..0]                             X   [0..0]
[{CTI}]                  Identificat [{CTI}]                    Identificat
                         ion                                    ion
    [ BLG                Billing           [ BLG                Billing
            X   [0..0]                             X   [0..0]
]                        Segment       ]                        Segment

ACK
                         Message
MSH         R   [1..1]
                         header
                         Software
[{SFT}]     O
                         segment
                         Message
MSA         R   [1..1]   acknowledgm
                         ent
[{ERR}]     O            Error
Placer request cancel of Order
                  LOI                                        ELINCS
OML^021
Segment ID usage cardinality segment name Segment ID usage    cardinality segment name
                            Message                                     Message
MSH          R     [1..1]                 MSH           R      [1..1]
                            Header                                      Header
                            Software                                    Software
[{SFT}]      O                            [{SFT}]       X      [0..0]
                            Segment                                     Segment
                            Notes and                                 Notes and
                            Comments                                  Comments
[{NTE}]      O                            [{NTE}]       X      [0..0]
                            (for                                      (for
                            Header)                                   Header)

                            --- PATIENT                                 --- PATIENT
             R     [1..1]                               R      [1..1]
                            begin                                       begin

                          Patient                                     Patient
    PID      R     [1..1] Identificat      PID          R      [1..1] Identificat
                          ion                                         ion

                          Additional                                  Additional
    [ PD1                               [ PD1
             X     [0..0] Demographic                   X      [0..0] Demographic
]                                     ]
                          s                                           s

                          Notes and                                   Notes and
                          Comments                                    Comments
             X     [0..0]                               X      [0..0]
[{NTE}]                   (for            [{NTE}]                     (for
                          Patient)                                    Patient)

                          Next of                                     Next of
             X     [0..0] Kin/Associa                   X      [0..0] Kin/Associa
[{NK1}]                               [{NK1}]
                          ted Parties                                 ted Parties

                          --- VISIT                                   --- VISIT
    [        X     [0..0]                   [           X      [0..0]
                          begin                                       begin
                          Patient                                     Patient
             X     [0..0]                               X      [0..0]
PV1                       Visit           PV1                         Visit
                          Patient                                     Patient
    [                     Visit -             [                       Visit -
             X     [0..0]                               X      [0..0]
PV2 ]                     Additional      PV2 ]                       Additional
                          Info                                        Info
                            --- VISIT                                   --- VISIT
    ]                                       ]
                            end                                         end
                          ---                                         ---
    [{       X     [0..0] INSURANCE         [{          X      [0..0] INSURANCE
                          begin                                       begin

             X     [1..1] Insurance                     X      [1..1] Insurance
IN1                                       IN1
                       Insurance                              Insurance
    [                                      [
            X   [0..0] Additional                  X   [0..0] Additional
IN2 ]                                  IN2 ]
                       Info                                   Info

                       Insurance                              Insurance
    [                                  [
            X   [0..0] Add'l Info -                X   [0..0] Add'l Info -
IN3 ]                              IN3 ]
                       Cert.                                  Cert.

                         ---                                    ---
    }]                   INSURANCE         }]                   INSURANCE
                         end                                    end
    [ GT1                                  [ GT1
            X   [0..0] Guarantor                   X   [0..0] Guarantor
]                                      ]

                         Allergy                                Allergy
            X   [0..0]                             X   [0..0]
[{AL1}]                  Information [{AL1}]                    Information

                         --- PATIENT                            --- PATIENT
                         end                                    end

                         --- ORDER                              --- ORDER
{           R   [1..*]                 {           R   [1..*]
                         begin                                  begin
                         Order                                  Order
    ORC     R   [1..1]                     ORC     R   [1..1]
                         Common                                 Common
                       ---                                    ---
    [{      O   [0..0] TIMING_QTY          [{      X   [0..0] TIMING_QTY
                       begin                                  begin
                         Timing/Quan                            Timing/Quan
            O   [0..0]                             X   [0..0]
TQ1                      tity        TQ1                        tity

                       Timing/Quan                            Timing/Quan
            O   [0..0] tity Order                  X   [0..0] tity Order
[{TQ2}]                            [{TQ2}]
                       Sequence                               Sequence

                         ---                                    ---
    }]                   TIMING_QTY        }]                   TIMING_QTY
                         end                                    end
                       OBSERVATION                            OBSERVATION
            R   [1..1] _REQUEST                    R   [1..1] _REQUEST
                       begin                                  begin

                         Observation                            Observation
    OBR     R   [1..1]                     OBR     R   [1..1]
                         s Request                              s Request

                         Test Code                              Test Code
            X                                      X   [0..0]
[{TCD}]                  Details       [{TCD}]                  Details
                         Notes and                                Notes and
                         comments                                 comments
 [{NTE}]     RE   [0..*]                  [{NTE}]     RE   [0..*]
                         (for                                     (for
                         Detail)                                  Detail)
                           Contact                                  Contact
             X    [0..0]                              X    [0..0]
[CTD]                      Data          [CTD]                      Data

             X    [0..0] Diagnosis                    X    [0..0] Diagnosis
[{DG1}]                                  [{DG1}]
                         ---                                      ---
      [{     RE   [0..0] OBSERVATION           [{     X    [0..0] OBSERVATION
                         begin                                    begin
                         Observation                              Observation
             RE   [0..1]                              X    [0..0]
OBX                      /Result     OBX                          /Result
                         Test Code                                Test Code
             X    [0..0]                              X    [0..0]
[{TCD}]                  Detail      [{TCD}]                      Detail
                         Notes and                                Notes and
                         comments                                 comments
             RE   [0..*]                              X    [0..0]
[{NTE}]                  (for            [{NTE}]                  (for
                         Results)                                 Results)
                           ---                                      ---
      }]                   OBSERVATION         }]                   OBSERVATION
                           end                                      end
                         ---                                      ---
      [{     X    [0..0] SPECIMEN              [{     X    [0..0] SPECIMEN
                         begin                                    begin

             X    [0..0] Specimen                     X    [0..0] Specimen
SPM                                      SPM

                         Observation                              Observation
             X    [0..0] Related to                   X    [0..0] Related to
[{OBX}]                              [{OBX}]
                         Specimen                                 Specimen

                         ---                                      ---
        [{   X    [0..0] CONTAINER               [{   X    [0..0] CONTAINER
                         begin                                    begin
                           Specimen                                 Specimen
             X    [0..0]                              X    [0..0]
SAC                        Container     SAC                        Container

                         Observation                              Observation
             X    [0..0] related to                   X    [0..0] related to
[{OBX}]                              [{OBX}]
                         container                                container
                             ---                                    ---
       }]                    CONTAINER            }]                CONTAINER
                             end                                    end
                             ---                                    ---
      }]                     SPECIMEN            }]                 SPECIMEN
                             end                                    end
                           ---                                    ---
      [{        X   [0..0] PRIOR_RESUL           [{    X   [0..0] PRIOR_RESUL
                           T begin                                T begin
                             Prior                                  Prior
                             Result                                 Result
...                          segments      ...                      segments
                             excluded                               excluded
      }]                                         }]
                             ---                                    ---
                             OBSERVATION                            OBSERVATION
                             _REQUEST                               _REQUEST
                             end                                    end

                             Financial                              Financial
                X   [0..0]                             X   [0..0]
[{FT1}]                      Transaction [{FT1}]                    Transaction

                           Clinical                               Clinical
                           Trial                                  Trial
                X   [0..0]                             X   [0..0]
[{CTI}]                    Identificat [{CTI}]                    Identificat
                           ion                                    ion
    [ BLG                    Billing           [ BLG                Billing
                X   [0..0]                             X   [0..0]
]                            Segment       ]                        Segment

ACK
                             Message
MSH         R       [1..1]
                             header
                             Software
[{SFT}]     O
                             segment
                             Message
MSA         R       [1..1]   acknowledgm
                             ent
[{ERR}]     O                Error
Lab Cancel order

						
Related docs
Other docs by HC120831231224
Application form Bursaries 2012 26072012
Views: 3  |  Downloads: 0
Essential Documentation
Views: 0  |  Downloads: 0
NACC RECERTIFICATION PROCESS GUIDE
Views: 0  |  Downloads: 0
ARIZONA DEPARTMENT OF HEALTH SERVICES
Views: 5  |  Downloads: 0
september 2006 summary
Views: 1  |  Downloads: 0
Diapositiva 1
Views: 3  |  Downloads: 0
CHII Costs
Views: 1  |  Downloads: 0
2007 08 15 Protocol Deviation Form
Views: 2  |  Downloads: 0