GMSIH, HPRIM and JAHIS Integrating the Healthcare Enterprise Laboratory Technical Framework 10 Volume 2 (LTF-2) Transactions 20 Revision 1.2 –Final Text February 27, 2005 Copyright © 2003: GMSIH, HPRIM, IHE-J, JAHIS IHE Laboratory Technical Framework, vol. 2: Transactions Contents 1 INTRODUCTION....................................................................................................................................... 4 1.1 RATIONALE FOR THE CHOICE OF THE STANDARD TO BE USED............................................................... 4 2 CONVENTIONS......................................................................................................................................... 5 2.1 THE GENERIC IHE TRANSACTION MODEL............................................................................................ 5 2.2 HL7 PROFILING CONVENTIONS............................................................................................................ 5 30 2.2.1 Static definition - message level...................................................................................................... 5 2.2.2 Static definition - segment level ...................................................................................................... 6 2.3 HL7 IMPLEMENTATION NOTES ............................................................................................................ 8 2.3.1 Network Guidelines......................................................................................................................... 8 2.3.2 Message Granularity ...................................................................................................................... 8 2.3.3 Acknowledgement Modes................................................................................................................ 8 2.3.4 ACK: General Acknowledgement Message .................................................................................... 8 2.3.5 IHE Laboratory Technical Framework acknowledgement policies................................................ 9 2.3.6 Identifier Data Types .................................................................................................................... 10 2.3.6.1 EI Data Type.......................................................................................................................................10 40 2.3.6.2 CX Data Type .....................................................................................................................................11 3 COMMON MESSAGE SEGMENTS FOR LABORATORY TECHNICAL FRAMEWORK ......... 12 3.1 MSH - MESSAGE HEADER SEGMENT ................................................................................................. 12 3.2 MSA - MESSAGE ACKNOWLEDGEMENT SEGMENT............................................................................. 15 3.3 ERR - ERROR SEGMENT ..................................................................................................................... 15 3.4 NTE - NOTES AND COMMENT SEGMENT ............................................................................................ 16 3.5 PID - PATIENT IDENTIFICATION SEGMENT ......................................................................................... 17 3.6 PV1 - PATIENT VISIT SEGMENT.......................................................................................................... 18 3.7 ORC COMMON ORDER SEGMENT ...................................................................................................... 19 3.8 TQ1 - TIMING QUANTITY SEGMENT .................................................................................................. 22 50 3.9 SPM - SPECIMEN SEGMENT ............................................................................................................... 23 3.10 SAC CONTAINER DETAIL SEGMENT .................................................................................................. 29 3.11 OBX - OBSERVATION/RESULT SEGMENT .......................................................................................... 30 3.12 CORRELATIONS OF STATUS BETWEEN ORC, OBR, OBX ................................................................... 34 3.12.1 Semantics of the main status code associations ....................................................................... 34 3.12.2 Status transition diagrams ....................................................................................................... 35 3.12.2.1 ORC-5: Order status ...........................................................................................................................35 3.12.2.2 OBR-25: Order Result status ..............................................................................................................35 3.12.2.3 OBX-11: Obsevation Result Status.....................................................................................................36 3.12.3 Relationship between the 3 status fields................................................................................... 36 60 4 TRANSACTION LAB-1 : PLACER ORDER MANAGEMENT......................................................... 37 4.1 SCOPE................................................................................................................................................. 37 4.2 USE CASE ROLES................................................................................................................................ 37 4.3 REFERENCED STANDARDS .................................................................................................................. 38 4.4 INTERACTION DIAGRAMS.................................................................................................................... 38 4.4.1 Normal process of a placer order................................................................................................. 39 4.4.2 Cancellation of an order by the Order Placer.............................................................................. 40 4.4.3 Cancellation of an order initiated by the Order Filler ................................................................. 40 4.5 MESSAGES STATIC DEFINITIONS ......................................................................................................... 41 4.5.1 Available HL7 2.5 structures for OML message........................................................................... 41 70 4.5.2 Restrictions on OML message for transaction LAB-1 .................................................................. 41 4.5.3 OML^O21 static definition............................................................................................................ 42 4.5.4 ORL^O22 static definition ............................................................................................................ 43 4.5.5 OML^O33 static definition............................................................................................................ 44 4.5.6 ORL^O34 static definition ............................................................................................................ 45 4.5.7 OML^O35 static definition............................................................................................................ 46 4.5.8 ORL^O36 static definition ............................................................................................................ 47 4.5.9 Specific segments description for transaction LAB-1 ................................................................... 48 4.5.9.1 OBR - Observation Request Segment.................................................................................................48 5 TRANSACTION LAB-2: FILLER ORDER MANAGEMENT ........................................................... 52 Rev. 1.1–Final Text 08/07/2004 1 Copyright © 2003: GMSIH, HPRIM, IHE-J, JAHIS IHE Laboratory Technical Framework, vol. 2: Transactions 80 5.1 SCOPE................................................................................................................................................. 52 5.2 USE CASE ROLES................................................................................................................................ 52 5.3 REFERENCED STANDARDS .................................................................................................................. 52 5.4 INTERACTION DIAGRAMS.................................................................................................................... 53 5.4.1 Process of a filler order ................................................................................................................ 53 5.5 MESSAGES STATIC DEFINITIONS ......................................................................................................... 54 5.5.1 Available HL7 2.5 structures for OML message........................................................................... 54 5.5.2 Restrictions on OML message for transaction LAB-2 .................................................................. 54 5.5.3 OML and ORL messages static definition..................................................................................... 54 5.5.4 Specific segments description for transaction LAB-2 ................................................................... 54 90 5.5.4.1 OBR - Observation Request Segment.................................................................................................54 6 TRANSACTION LAB-3: ORDER RESULTS MANAGEMENT.......................................................