Standard
UPDATE AVAILABLE
AS 4700.2-2007
[Superseded]Implementation of Health Level Seven (HL7) Version 2.4, Part 2: Pathology and medical imaging (diagnostics)
Provides requirements and guidance for the implementation of electronic messages for exchange of information on pathology and medical imaging orders and results using the Health Level Seven (HL7) Version 2.4 protocol. Primarily designed for use within and between Australian health care settings.
Published: 23/11/2007
Pages: 69
Table of contents
Cited references
Content history
Table of contents
Header
About this publication
Preface
1 Scope
2 Application
3 Document overview
4 Referenced and related documents
4.1 Referenced documents
4.1.1 Common
4.1.2 Pathology
4.1.3 Medical imaging
4.2 Related documents
4.2.1 Common
4.2.2 Pathology
4.2.3 Medical imaging
5 Definitions
6 Identification
6.1 Patient identification
6.2 Site identification
7 Order management
7.1 Introduction
7.2 General order management
7.2.1 Common
7.2.2 Use of group numbers and order numbers
7.2.2.1 General
7.2.2.2 Placer group number
7.2.2.3 Placer order number
7.2.2.4 Filler order number
7.2.3 Specimen or episode and result identifiers
7.3 Providing structured clinical information with an order
7.4 Pathology order management
7.4.1 Placer order management
7.4.1.1 General
7.4.1.2 Add on tests
7.4.1.3 Reflex tests
7.4.1.4 Order management—new order from order placer
7.4.1.4.1 General
7.4.1.4.2 Order control codes for specific trigger events
7.4.1.4.3 Message semantics
7.4.1.5 Order management— cancel order by placer
7.4.1.5.1 General
7.4.1.5.2 Order control codes for specific trigger events
7.4.2 Filler order management
7.4.2.1 Introduction
7.4.2.2 Order management—battery replaced or cancelled by filler
7.4.2.2.1 General
7.4.2.2.2 Order control codes for specific trigger events
7.4.2.3 Order management – Status changed by filler
7.4.2.3.1 General
7.4.2.3.2 Order control codes for specific trigger events
7.5 Medical imaging order management
7.5.1 Placer order management
7.5.1.1 Introduction
7.5.1.2 Self determined tests
7.5.1.3 Order management— new order from order placer
7.5.1.3.1 General
7.5.1.3.2 Order control codes for specific trigger events
7.5.1.3.3 Message semantics
7.5.1.4 Order management—order cancelled by order placer
7.5.1.4.1 General
7.5.1.4.2 Order control codes for specific trigger events
7.5.2 Filler order management
7.5.2.1 Introduction
7.5.2.2 Filler order management—new order from order filler
7.5.2.2.1 General
7.5.2.2.2 Order control codes for specific trigger events
7.5.2.3 Filler order management—order rejected by the order filler
7.5.2.3.1 General
7.5.2.3.2 Order control codes for specific trigger events
7.5.2.4 Filler order management—order status update
7.5.2.4.1 General
7.5.2.4.2 Order control codes for specific trigger events
7.5.2.5 Filler order management— order cancelled by the order filler
7.5.2.5.1 General
7.5.2.5.2 Order control codes for specific trigger events
8 Billing information
8.1 Funding source
8.2 Billing category
9 Reports
9.1 Correlation of order and observation messages
9.2 Associating comments with results
9.3 Numeric Results
9.4 Report structure
9.4.1 Pathology
9.4.1.1 Microbiology reports
9.4.1.2 Histopathology
9.4.1.3 Blood bank
9.4.1.4 Notifiable conditions
9.4.2 Medical imaging
9.5 Display format for results
9.6 Images as an observation (OBX)
9.7 Base64 encoding in an ED data type
9.8 Localized and specific information as an observation (OBX)
9.9 Headings in OBX with FT datatype
9.10 Special field items
10 Batching of transactions
10.1 Batch protocols
10.2 HL7 batch protocol
10.3 Use of batch header and trailer segments
10.4 Batch acknowledgement
11 Messages
11.1 Communication overview
11.1.1 Order
11.1.2 Observation report
11.1.3 Observation report—unsolicited mode
11.2 Message structural overview
11.3 Pathology messages
11.3.1 Introduction
11.3.2 Pathology order messages
11.3.2.1 General clinical order message (OMG^O19)
11.3.2.2 General clinical order acknowledgement message (ORG^O20)
11.3.2.3 Pathology order message (OML^O21)
11.3.2.4 Pathology order acknowledgement message (ORL^O22)
11.3.2.5 Observation query (OSQ)
11.3.2.6 Observation query response (OSR)
11.3.3 Pathology observational report messages
11.3.3.1 Pathology observational report message (OUL^R21)
11.3.3.2 Pathology observational report acknowledgement message (ACK)
11.4 Medical imaging messages
11.4.1 Medical imaging order messages
11.4.1.1 Medical imaging order message (ORM^O01)
11.4.1.2 Medical imaging order response message (ORR^O02)
11.4.2 Medical imaging result messages
11.4.2.1 Medical imaging observational report message (ORU)
11.4.2.2 Medical imaging observational report acknowledgement message (ACK)
12 Message segments
12.1 Message header segment (MSH)
12.2 Patient identification segment (PID)
12.3 Patient visit segment (PV1)
12.4 Guarantor segment (GT1)
12.5 Insurance segment (IN1)
12.6 Common order segment (ORC)
12.7 Observation request segment (OBR)
12.8 Observation result segment (OBX)
12.9 Specimen and container detail (SAC)
12.10 Test code detail (TCD)
12.11 Substance identifier (SID)
Appendix A
Appendix B
B1 OML^O21—Pathology order
B2 ORL^O22—Pathology order response
B3 OUL^R21—Unsolicited pathology observation
B4 ORM^O01—Medical imaging order
B5 ORR^O02—Medical imaging order response
B6 ORU^R01—Medical imaging unsolicited observation
Appendix C
Amendment control sheet
AS 4700.2—2007
Amendment No. 1 (2009)
Correction
Cited references in this standard
AS 4700.1—2005
Implementation of Health Level Seven (HL7) Version 2.4, Part 1: Patient administration
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