Standard
Track updates
AS 4700.2-2012
[Current]Implementation of Health Level Seven (HL7) Version 2.4, Part 2: Pathology and diagnostic imaging (diagnostics)
Provides requirements and guidance for the implementation of electronic messages for exchange of information on pathology and diagnostic imaging orders and results using the Health Level Seven (HL7) Version 2.4 protocol. Primarily designed for use within and between Australian healthcare settings.
Published: 10/12/2012
Pages: 55
Table of contents
Cited references
Content history
Table of contents
Header
About this publication
Preface
Foreword
1 Scope
2 Referenced and related documents
2.1 Referenced documents
2.1.1 General
2.1.2 Pathology
2.1.3 Diagnostic imaging
2.2 Related documents
2.2.1 General
2.2.2 Pathology
2.2.3 Diagnostic imaging
3 Definitions
4 Identification
4.1 Patient (subject of care) identification
4.2 Site identification
4.3 Representation of healthcare identifiers in HL7 Version 2 messaging
4.3.1 General
5 Order management
5.1 Introduction
5.2 General order management
5.2.1 General
5.2.2 Use of group numbers and order numbers
5.2.2.1 General
5.2.2.2 Placer Group Number
5.2.2.3 Placer Order Number
5.2.2.4 Filler Order Number
5.2.3 Specimen or episode and result identifiers
5.2.4 Message conformance
5.3 Providing structured clinical information with an order
5.4 Diagnostics order management
5.4.1 Placer order management
5.4.1.1 Introduction
5.4.1.2 Add-on tests/procedures
5.4.1.3 Reflex tests/procedures
5.4.1.4 Self-determined tests/procedures
5.4.1.5 Order management—New order from order placer
5.4.1.5.1 General
5.4.1.5.2 Order control codes for specific trigger events
5.4.1.5.3 Message semantics
5.4.1.6 Order management—Order cancelled by order placer
5.4.1.6.1 General
5.4.1.6.2 Order control codes for specific trigger events
5.4.2 Filler order management
5.4.2.1 Introduction
5.4.2.2 Filler order management—New order from order filler
5.4.2.2.1 General
5.4.2.2.2 Order control codes for specific trigger events
5.4.2.3 Order management—Status changed by filler
5.4.2.3.1 General
5.4.2.3.2 Order control codes for specific trigger events
5.4.2.4 Filler order management—Order rejected by the order filler
5.4.2.4.1 General
5.4.2.4.2 Order control codes for specific trigger events
5.4.2.5 Filler order management—Order status update
5.4.2.5.1 General
5.4.2.5.2 Order control codes for specific trigger events
5.4.2.6 Filler order management—Order cancelled by the order filler
5.4.2.6.1 General
5.4.2.6.2 Order control codes for specific trigger events
5.4.2.7 Order management—Battery replaced or cancelled by filler
5.4.2.7.1 General
5.4.2.7.2 Order control codes for specific trigger events
6 Billing information
6.1 Funding source
6.2 Billing category
7 Reports
7.1 Correlation of order and observation messages
7.1.1 General
7.1.2 A direct one-to-one correlation between orders and reports
7.1.3 More than one ordered test reported as a single report
7.1.4 Reflex type tests
7.1.5 Copies of results sent to parties other than the original requestor
7.1.6 Add-on or self-determined tests
7.1.7 Corrections to reports
7.2 Associating comments with results
7.3 Numeric results
7.4 Report structure
7.4.1 Pathology
7.4.1.1 Microbiology reports
7.4.1.2 Histopathology
7.4.1.3 Blood bank
7.4.1.4 Notifiable conditions
7.4.2 Diagnostic imaging
7.5 Display format for results
7.6 Images as an observation (OBX)
7.7 Base64 encoding in an ED data type
7.8 Localized and specific information as an observation (OBX)
7.9 Headings in OBX with formatted text (FT) data type
7.10 Special field items
8 Batching of transactions
8.1 Batch protocols
8.2 HL7 batch protocol
8.3 Use of batch header and trailer segments
8.4 Batch acknowledgement
9 Messages
9.1 Communication overview
9.1.1 Order
9.1.2 Observation report
9.1.3 Observation report—Unsolicited mode
9.2 Message structural overview
9.3 Pathology messages
9.3.1 Introduction
9.4 Diagnostics messages
9.4.1 Diagnostics order messages
9.4.1.1 Diagnostics order message (ORM^O01)
9.4.1.1.1 Trigger event
9.4.1.1.2 Required message header
9.4.1.1.3 Subject of care-related segments
9.4.1.1.4 Order-related segments
9.4.1.2 Diagnostics order response message (ORR^O02)
9.4.1.2.1 Function
9.4.1.2.2 Trigger event
9.4.1.2.3 Returned segments
9.4.1.3 Observation query (OSQ)
9.4.1.3.1 Function
9.4.1.3.2 Trigger event
9.4.1.3.3 Required segments
9.4.1.3.4 Optional acknowledgement-related segment
9.4.1.4 Observation query response (OSR)
9.4.1.4.1 Function
9.4.1.4.2 Trigger event
9.4.1.4.3 Required segments
9.4.1.4.4 Optional acknowledgement-related segment
9.4.1.4.5 Returned segments
9.4.1.4.6 Optional returned related segment
9.4.2 Diagnostics result messages
9.4.2.1 Diagnostics observational report message (ORU)
9.4.2.1.1 Function
9.4.2.1.2 Trigger event
9.4.2.1.3 Required message header
9.4.2.1.4 Subject of care-related segments
9.4.2.1.5 Optional segments
9.4.2.1.6 Order-related segments
9.4.2.2 Diagnostics observational report acknowledgement message (ACK)
9.4.2.2.1 Function
9.4.2.2.2 Trigger event
9.4.2.2.3 Required segments
9.4.2.2.4 Optional acknowledgement-related segment
10 Message segments
10.1 Message header (MSH) segment
10.1.1 Definitions
10.1.2 Function
10.2 Patient identification (PID) segment
10.2.1 Definitions
10.2.2 Function
10.3 Patient visit (PV1) segment
10.3.1 Definitions
10.3.2 Function
10.4 Guarantor (GT1) segment
10.4.1 Definitions
10.4.2 Function
10.5 Insurance (IN1) segment
10.5.1 Definitions
10.5.2 Function
10.6 Common order (ORC) segment
10.6.1 General
10.6.2 Function
10.6.3 Data elements and usage notes
10.7 Observation request (OBR) segment
10.7.1 General
10.7.2 Function
10.7.3 Data elements and usage notes
10.8 Observation result (OBX) segment
10.8.1 General
10.8.2 Function
10.8.3 Data elements and usage notes
Appendix A
Appendix B
B1 ORM^O01—Pathology order
B2 ORR^O02—Pathology order response
B3 ORU^R01—Unsolicited pathology observation
B4 ORM^O01—Diagnostic imaging order
B5 ORR^O02—Diagnostic imaging order response
B6 ORU^R01—Diagnostic imaging unsolicited observation
Appendix C
Cited references in this standard
AS 4700.1—2005
Implementation of Health Level Seven (HL7) Version 2.4, Part 1: Patient administration
AS 4846—2006
Health Care Provider Identification
AS 5017—2006
Health Care Client Identification
SA HB 234—2012
Healthcare identifier HL7 implementation guide
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