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HL7 Interface Software Specifications Guide for Capacity IQ® and Capacity Management Suite®
HL7 Interface Software Specifications Guide for Capacity IQ® and Capacity Management Suite®
Joe Caffrey avatar
Written by Joe Caffrey
Updated over 5 months ago


Introduction to Specifications

Purpose of This Document:

This document explains the usage of the Health Level Seven (HL7) interface software and includes examples of HL7 message layouts and a discussion of the interface functionality. It is not intended to be a stand-alone technical reference. The HL7 specifications version 2.1 was released on June 30, 1990. Additional version 2.x specifications have been released and are incorporated in this document.

HL7 Acknowledgements:

When messages are sent from one system to another, the acknowledgment specifies that it has been received at the application level. The HL7 standard makes no functional interpretation of the requirement that a system commit the data in a message before acknowledging it. All that is required is that the receiving system accepts responsibility for the data.

Scope of TeleTracking Interface:

When messages are sent from one system to another, the acknowledgment specifies that it has been received at the application level. The receiving system accepts responsibility for the data at that time.


Special Considerations

  • The use of "" in any field will be used to clear any data within that field.

  • The HL7 application will only reference the first DG1 segment it receives; subsequent DG1 segments will be discarded.

  • The following character combinations are not supported in ADT transactions. However, the individual characters are supported when used individually:

    • •&#

    • <[A-z]

    • <!

    • </

    • <?

Note: If an HL7 message contains one of the designated encoding characters/delimiters as part of the message content, an escape sequence should be provided for proper processing of the data e.g., L&D should be sent as L\\T\\D in the message.

Character

Escape Sequence

&

\T\

^

\S\

|

\F\

~

\R\

\

\E\


Event Types Quick Reference

Y = Event Code Supported

Note: This is only intended to provide a list of ADT events supported by the system. It is not required that all events be used, and specific events sent will vary based on the capabilities of the source system. It is recommended that unsupported events be filtered and not sent to TeleTracking.

Trigger Event

Event Code

Event Name

Capacity IQ® Transport or TransportTracking™

Capacity IQ® EVS or BedTracking®

Capacity IQ® PreAdmit or PreAdmitTracking®

Admit a patient

A01

Admit

Y

Y

Y

Transfer a patient

A02

Transfer

Y

Y

Y

Discharge a patient

A03

Discharge

Y

Y

Y

Register Outpatient – In Bed

A04

Admit

Y

Y

Y

Pre-Admit

A05

PreAdmit

Y

Y

Y

Transfer outpatient to inpatient

A06

Admit

Y

Y

Y

Transfer inpatient to outpatient

A07

Admit/Discharge

Y

Y

Y

Update patient information

A08

Update

Y

Y

Y

Patient Departing

A09

Discharge

Y

Y

Y

Patient Arriving

A10

Admit

Y

Y

Y

Cancel Admit

A11

Delete

Y

Y

Y

Cancel Transfer

A12

Transfer

Y

Y

Y

Cancel Discharge

A13

Admit

Y

Y

Y

Pending Admit

A14

Pend Admit

Y

Y

Pending Transfer

A15

Pend Transfer

Y

Pending Discharge

A16

Pend Discharge

Y

Swap a patient

A17

2 Transfer

Y

Y

Y

Inbound Bed Status Change

A20

Dirty, InProgress, Clean, Blocked

Y

Y

Leave of absence – Out

A21

Discharge

Y

Y

Y

Leave of absence – In

A22

Admit

Y

Y

Y

Cancel Pending Discharge

A25

CancelDischReg

Y

Cancel Pending Transfer

A26

CancelTranReq

Y

Cancel Pending Admit

A27

CancelAdmitReq

Y

Y

Y

Add Person Info

A28

Add to MPI

Y

Y

Y

Update Person Info

A31

Update MPI

Y

Y

Y

Cancel – Place Outpatient in Bed

A32

Discharge

Y

Y

Y

Cancel – Release Outpatient from Bed

A33

Admit

Y

Y

Y

Merge Patient

A40

Update MPI (Merge Patient Medical Record Number

Y

Y

Y


HL7 message Segments Used

The following segments are needed for all clients that have Capacity IQ® EVS, Capacity IQ® Transport, Capacity IQ® PreAdmit within the Operations IQ® Platform or TransportTracking™, BedTracking®, or PreAdmitTracking® with Capacity Management Suite®:

  • MSH (Message Header)

  • EVN (Event)

  • PID (Patient Identification) — A17 (swap patient) messages require two PID and PV1 segments referencing each patient to be swapped.

  • PD1 (Patient Demographics)

  • PV1 (Patient Visit) — A17 (swap patient) messages require two PID and PV1 segments referencing each patient to be swapped.

  • PV2 (Additional Patient Visit)

  • DG1 (Diagnosis) — The HL7 application will only reference the first DG1 segment it receives; subsequent DG1 segments will be discarded.

  • MRG (Merge Patient Information)

  • ORC (Common Order Segment)

  • NPU (Outbound bed status)

  • OBR (Outbound Order Updates)

  • OBX (Inbound A20 Bed Status Change) Segment five

  • ZB1 (Outbound Order Updates)

  • ZB2 (Isolation Types)

  • ZB3 (Capacity IQ® PreAdmit or PreAdmitTracking™ transactions)

  • ZB4 (Capacity IQ® PreAdmit or PreAdmitTracking™ transactions)

  • ZB5 (Capacity IQ® Transport or TransportTracking™ order entry transactions)

  • ZB6 (Customer Portal Fields) Note that the ZB6 segment will be deprecated for release 3.1, but maintained for backward compatibility.

  • ZB8 (Custom Milestone Fields)

  • ZB9 (Custom interface fields for use with XT release 3.1)

All message segments other than those listed above will be ignored. For more information on these message segments, see the corresponding sections later in this guide.


Components of an Hl7 Message


Usage Column Key

The tables in the following sections show Usage columns. The following table provides the meaning and description of each usage code that could appear in the columns.

Usage

Meaning

Description

R

Required

Mandatory field required for basic processing.

O

Optional

Optional field. It can be captured if the value is in the source system. However, it is not required to process a message. It has subjective usage, which is conditional to workflow and customer environment.

For outbound messages this is sent if pre-existing record in the system contains this field

X

Not Required

Messages will not fail if the field is populated.

There is no inherent storage or processing logic for this field. While it is effectively ignored, it can be included for future use.

S

Standard

Can be entered in TC


Unique Column Key

The tables in the following sections show Unique columns. The following table provides the meaning and description of each usage code that could appear in the columns.

Unique

Meaning

Description

E

Unique across Enterprise

ID must be unique across entire enterprise

C

Unique across Campus

ID must be unique across entire campus


Admissions, Discharges, Transfers, and Payor (ADT) Interface - Message Segments Used

MSH Message Header

Seg

#

Description

Length

Usage

Unique

Details

MSH

~

Message Header Segment

3

R

~

Three character identifier for the Message Header segment.

MSH

1

Field Separator

1

R

~

The character, usually a pipe, immediately following the MSH segment identifier defines the character to be used as a separator for the rest of the message and, for the MSH segment only, is a field in and of itself.

MSH

2

Encoding Characters

4

R

~

The next four characters are other kinds of message separators occurring in the following order: a. Sub~field separator (^)b. Separator for repeating fields (~) c. Escape character (\) d. Sub-sub-field separator (&)The above examples represent the most common HL7 2.x encoding characters; however these specific values are not required. Encoding characters which are sent as string data within the message content should be properly escaped. See Special Considerations section for more detail

MSH

3

Sending Application

~

O

~

Name of the sending application. This field can be matched against the expected sending application.

MSH

4

Sending Facility

~

R

E

Name of the sending facility. This field can be matched against the expected sending facility.

MSH

5

Receiving Application

~

O

~

Name of the receiving application. This field can be matched against the expected receiving application.

MSH

6

Receiving Facility

~

O

~

Name of the receiving facility. This field can be matched against the expected receiving facility.

MSH

7

Date / Time of Message

14

O

~

Date/Time that the sending system created the message. YYYYMMDDHHMMSS

MSH

8

Security

~

X

~

Can be used to implement security features.

MSH

9

Message Type

3^3

R

~

Components: <message type> ^ <trigger event> Orders are ORM^001 or SCH^S12 Admission, Transfer, and Discharge message types will be ADT^ with the trigger event being A01, A02 etc. Orders are only ORM^001 or SCH^S12

MSH

10

Message Control ID

~

X

~

This field contains the message control ID of the message sent by the sending system.

MSH

11

Processing ID

1

X

~

This field is used to decide whether to process the message. It is matched against the expected Processing ID.

MSH

12

Version ID

3

X

~

Matched by receiving system to be sure the message will be interpreted correctly.

MSH

13

Sequence Number

*15

X

~

A non-null value will imply that sequence number protocol is in use.

MSH

14

Continuation Pointer

~

X

~

Can be used by specific applications.

MSH

15

Accept Acknowledgement Type

~

X

~

Can be used for an advanced acknowledgement mode.

MSH

16

Application Acknowledgement Type

~

X

~

Required when the advanced acknowledgement mode is in use.

MSH

17

Country Code

~

X

~

Defines the country of origin for the message.


EVN Message Header

Seg

#

Description

Length

Usage

Unique

Details

EVN

~

Event Type Segment

3

R

~

Three character identifier for the Event segment.

EVN1

1

Transaction Code

3

O

~

Code must correspond to the trigger event on the message header.

EVN2

2

Date/Time of Event

14

O

~

This contains the date and time of the event. YYYYMMDDHHMMSS

EVN3

3

Date/Time of Planned Event*

14

O

~

This contains the date and time of the planned event. YYYYMMDDHHMMSS

EVN4

4

Event Reason Code

~

X

~

Describes the reason for this event.

EVN5

5

Operator ID

15

O

~

Identifies the individual responsible for triggering the event. This is passed to Capacity IQ® PreAdmit or PreadmitTracking™ as the User ID field.

EVN6

6

Event Occurred

14

R

E

Outbound only, contains transfer date/time. For more information see the Transfer Update – Outbound section on page 58.


PID Patient Identification

Seg

#

Description

Length

Usage

Unique

Details

PID

~

Patient ID Segment

3

R

~

Three character identifier for the Patient Identification segment.

PID

1

Set ID – Patient ID

~

X

~

For messages that permit multiple segments to repeat, the set ID is used to identify repetitions.

PID

2

Patient ID (External ID)

~

X

~

Patients for another institution can have their identified here.

PID

3

Patient ID (Internal ID)

30

R

~

ID subfield only. Components: <patient ID> ^ <check digit> ^ <check digit scheme> Only the first subfield, first repeat is used.

PID

4

Alternate Patient ID

~

X

~

Third number used to identify a patient.

PID

5

Patient Name

50^30^30^10^50

R

~

Components: <family name> ^ <given name> ^ <middle initial or name> ^ <suffix> ^ <prefix> ^ <degree> Patient Name In Standard Format.

PID

6

Mother’s Maiden Name

~

X

~

Family name under which mother was born.

PID

7

Birth Date

8

R

~

Patient's birth date. YYYYMMDD

PID

8

Sex

1

R

~

Patient's sex.

PID

9

Patient Alias

50

O

~

Name under which patients have been known.

PID

10

Race

~

X

~

Patient's race has a list of the published ethnic classifications.

PID

11

Patient Address

100

O

~

Mailing address of the patient.

PID

12

Country Code

~

X

~

Patient's country code.

PID

13

Phone Number – Home

25

O

~

Up to 3 repetitions of patient's home phone number.

PID

14

Phone Number – Business

25

O

~

Up to 3 repetitions of patient's business phone number.

PID

15

Language – Patient

~

X

~

The patient's primary language.

PID

16

Marital Status

~

X

~

Patient's marital status.

PID

17

Religion

~

X

~

Patient's religion.

PID

18

Visit ID Number

30

R

~

(ID subfield only) Components: <patient ID> ^ < check digit> ^ <check digit scheme> ^ <assigning facility ID> Only the first subfield, first repeat is used.

PID

19

SSN Number –

15

O

~

Patient's social security number.

PID

20

Driver’s Lic Number

~

X

~

Patient's driver’s license number.

PID

21

Mother’s Identifier

~

X

~

Components: <patient ID> ^ < check digit> ^ <check digit scheme> ^ <assigning facility ID> Used to link newborns with their mothers’ accounts.

PID

22

Ethnic Group

~

X

~

Further definition of patient's ancestry.

PID

23

Birth Place

~

X

~

Location of the patient's birth.

PID

24

Multiple Birth Indicator

~

X

~

Indicates if the patient was part of a multiple birth.

PID

25

Birth Order

~

X

~

Indicates the order of birth when patient was part of a multiple birth.

PID

26

Citizenship

~

X

~

Indicates the patient's country of citizenship.

PID

27

Veterans Military Status

~

X

~

Indicates the military status assigned to a veteran.


PD1 Patient Demographics

Seg

#

Description

Length

Usage

Unique

Details

PD1

~

Patient Demographics Segment

3

R

~

Three character identifier for the Patient Demographics segment.

PD1

2

Living Dependency

2

X

~

Living dependency.

PD1

3

Living Arrangement

2

X

~

Living arrangements.

PD1

4

Patient Primary Facility

90

X

~

Facility of primary care.

PD1

5

Patient Primary Care Provider Name & ID No.

50^50^30^10^50

O E

~

ID subfield only This field is not required but when it is sent it must be in the following format: ID^Last Name^First Name^MI^Suffix


PV1 Patient Visit

Seg

#

Description

Length

Usage

Unique

Details

PV1

~

Patient Visit Segment

3

R

~

Three character identifier for the Patient Visit segment.

PV1

1

Set ID – Patient Visit

~

X

~

Number that uniquely identifies the transaction. For transactions that support multiple segments like the swap transaction, the Set ID would contain values of 1 and 2.

PV1

2

Patient Class

~

O E

E

A common field used by systems to categorize patients by site. It does not have a consistent industry-wide definition.

PV1

3

Patient Location

50^50^50^50

O

~

This indicates the admitted location of the patient. NS^Room^Bed^Facility

PV1

4

Admission Type

50

O

E

Indicate the circumstance under which the patient was or will be admitted. This value must be defined in the system.

PV1

5

Preadmission Number

~

X

~

Uniquely identifies the patients pre-admit account. Some systems will continue to use this number as the billing number after the patient has been admitted.

PV1

6

Prior Loc/Room/Bed

50^50^50^50

O

~

For transferred patients, this field contains the prior patient location.

PV1

7

Attending Doctor

50^50^30^10^50

O

E - ID subfield only

ID subfield onlyThis field is not required but when it is sent we must have it in the following format:ID^Last Name^First Name^MI^Suffix

PV1

8

Referring Doctor

50^50^30^10^50

O

E - ID subfield only

ID subfield onlyThis field is not required but when it is sent we must have it in the following format:ID^Last Name^First Name^MI^Suffix

PV1

9

Consulting Doctor (repeating field)

50^50^30^10^50~50^50^30^10^50~50^50^30^10^50

O

E - ID subfield only

ID subfield onlyThis field is not required but when it is sent we must have it in the following format:ID^Last Name^First Name^MI^Suffix

PV1

10

Hospital Service

50

O

E

The treatment or type of surgery that the patient is scheduled to receive. This value must be defined in the sytem dictionary.

PV1

11

Temporary Location

~

X

~

Location other than the assigned location required for a temporary period of time.

PV1

12

Pre-admit Test Indicator

~

X

~

Indicated the patient must have pre-admission testing done in order to be admitted.

PV1

13

Readmission Indicator

~

X

~

Indicates that the patient is being re-admitted

PV1

14

Admit Source

50

O

E

Indicates where the patient was admitted. This value must be defined in the system dictionary.

PV1

15

Ambulatory Status

~

X

~

This is a user-defined status.

PV1

16

VIP Indicator

~

X

~

User-defined code to identify the type of VIP.

PV1

17

Admitting Doctor

50^50^30^10^50

O

E - ID subfield only

ID subfield onlyThis field is not required but when it is sent we must have it in the following format: ID^Last Name^First Name^MI^Suffix

PV1

18

Patient Type

50

O

E

User-defined site-specific values. This value must be defined in the system dictionary.

PV1

19

Visit Number

~

X

~

Unique number assigned to each patient visit. This value will match the PID Visit Number.

PV1

20

Financial Class

~

X

~

Primary financial class assigned to the patient for the purpose of identifying sources of reimbursement.

PV1

21

Charge Price Indicator

~

X

~

Code used to determine which schedule is to be used for room and bed charges.

PV1

22

Courtesy Code

~

X

~

Code that indicates whether the patient will be extended special courtesies.

PV1

23

Credit Rating

~

X

~

User-defined code to determine past credit experience.

PV1

24

Contract Code

~

X

~

Identifies the type of contract entered into by the facility and the guarantor.

PV1

25

Contract Effective Date

~

X

~

Date the contract is to start.

PV1

26

Contract Amount

~

X

~

Amount to be paid by the guarantor each period as per the contract.

PV1

27

Contract Period

~

X

~

Specifies the duration of the contract for user-defined periods.

PV1

28

Interest Code

~

X

~

Indicates the amount of interest that will be charged for outstanding amounts.

PV1

29

Transfer To Bad Debt Code

~

X

~

Indicates the account was transferred to bed debts.

PV1

30

Transfer To Bad Debt Date

~

X

~

Date the account was transferred to bad debts.

PV1

31

Bad Debt Agency Code

~

X

~

Uniquely identifies the bad debt agency that the account was transferred to.

PV1

32

Bad Debt Transfer Amount

~

X

~

Amount that was transferred to a bed debt status.

PV1

33

Bad Debt Recovery Amount

~

X

~

Amount recovered from the guarantor on the account.

PV1

34

Delete Account Indicator

~

X

~

Indicates the account was deleted from the file and the reason.

PV1

35

Delete Account Date

~

X

~

Date the account was deleted from the file.

PV1

36

Discharge Disposition

~

O

E

Disposition of the patient at the time of the discharge. Used for analytics.

PV1

37

Discharged To Location

~

X

~

Indicates a facility to which a patient was discharged.

PV1

38

Diet Type

~

X

~

Indicates a special diet type for a patient.

PV1

39

Servicing Facility

~

R

E

This field indicates the facility with which the visit is associated. It is a required field for a multi-facility environment; otherwise, it is an accepted field. When the field is used, it must be unique across the enterprise.

PV1

40

Bed Status

~

X

~

User defined table identifying the current bed status. This may be sent as an optional fifth component of the current location and previous location fields instead of here.

PV1

41

Account Status

~

X

~

User defined status field.

PV1

42

Pending Location

~

O

~

Indicates the nursing station, room, bed, facility and bed status to which the patient may be moved.

PV1

43

Prior Temporary Location

~

X

~

Can be used when a patient is arriving or departing.

PV1

44

Admit Date/Time

14

R

~

To be used if the admit date and time is different from the event date and time. YYYYMMDDHHMM

PV1

45

Discharge Date/Time

14

O

~

To be used if the discharge date and time is different from the event date and time. YYYYMMDDHHMM

PV1

46

Current Patient Balance

~

X

~

Visit balance due.

PV1

47

Total Charges

~

X

~

Total visit charges.

PV1

48

Total Adjustments

~

X

~

Total visit adjustments.

PV1

49

Total Payments

~

X

~

Total visit payments.

PV1

50

Alternate Visit ID

~

X

~

Optional visit ID to be used if needed.


PV2 Additional Patient Visit

Seg

#

Description

Length

Usage

Unique

Details

PV2

~

Additional Patient Visit Info Segment

3

R

~

Three character identifier for the Additional Patient Visit segment.

PV2

1

Prior Pending Location

~

X

~

Prior pending assigned location. At this point, only the first three fields are referenced. Required only for the Cancel Pending Transfer (A26).

PV2

2

Accommodation Code

~

X

~

Indicates the specific patient accommodation for this visit.

PV2

3

Admit Reason

255

O

~

Short description of the patient admission reason. Only the first subfield is captured.

PV2

4

Transfer Reason

~

X

~

Short description of the patient change reason.

PV2

5

Patient Valuables

~

X

~

Short description of patient valuables checked in during admission.

PV2

6

Patient Valuables Location

~

X

~

Indicates the location of the patient valuables.

PV2

7

Visit User Code

~

X

~

Further categorizes a patient’s visit with respect to an individual institution’s needs.

PV2

8

Expected Admit Date

14

O

~

Date the patient is expected to be admitted Required for relevant transactions such as Pre-admits and Updates.

PV2

9

Expected Discharge Date

14

O

~

Date or Date/Time the patient is expected to be discharged. Required for pending discharges. The date sent must be the current date or in the future.


DG1 Diagnosis

The HL7 application will only reference the first DG1 segment it receives; subsequent DG1 segments will be discarded

Seg

#

Description

Length

Usage

Unique

Details

DG1

1

Diagnosis HeaderSegment

~

R

~

Three character identifier for the Diagnosis segment.

DG1*

2

SetID – Diagnosis

~

X

~

Diagnosis Sequence number that uniquely identifies the individual transaction for adding, deleting, and updating the diagnosis in the patient’s record.

DG1

3

Coding Method

~

X

~

ICD9 is recommended coding methodology

DG1

4

Diagnosis Code

~

O

~

Diagnosis code assigned to this diagnosis. Used for analytics.

DG1

5

Description

255

O

~

Description that best describes the diagnosis. Only the first subfield is captured


MRG Merge Patient Information

Seg

#

Description

Length

Usage

Unique

Details

MRG

~

Diagnosis Header Segment

~

R

~

Three character identifier for the Merge Patient segment.

MRG

1

Prior Patient Identifier

30

R

E

Prior Patient Medical Record Number to be updated or removed. This is required for merge patient processing.

MRG

2

Prior Alternate Patient ID

~

X

~

This has been withdrawn from HL7 as of version 2.7, and is maintained for backward compatibility only. It is recommended to use MRG.1 - Prior Patient Identifier.

MRG

3

Prior Patient Account Number

~

X

~

Prior Patient Account Number – Note that account number merges are not supported at this time.

MRG

4

Prior Patient ID

~

X

~

This has been withdrawn from HL7 as of version 2.7, and is maintained for backward compatibility only. It is recommended to use MRG.1 - Prior Patient Identifier.


ZB1 Custom Bed Info

Seg

#

Description

Length

Usage

Unique

Details

ZB1

~

Custom Bed Info Segment

3

~

~

Three character identifier for the Custom Bed Information segment.

ZB1

1

Bed Status Result

15

O

~

This field is only used for Outbound Orders Results for BedRequests.

ZB1

2

Bed Size

50

O

E

Desired attributes for placements, matching ADT ID of entity (bed size, room accommodation, unit)

ZB1

3

Room Accommodation

50

O

E

Desired attributes for placements, matching ADT ID of entity (bed size, room accommodation, unit)

ZB1

4

Unit Requested

15

O

~

Desired attributes for placements, matching ADT ID of entity (bed size, room accommodation, unit)


ZB2 Custom Patient Specific Information

Seg

#

Description

Length

Usage

Unique

Details

ZB2

~

Custom Patient Specific Info Seg

3

~

~

Three character identifier for the Custom Patient Specific Information segment.

ZB2

1

Isolation

50

O

E

Isolation matching ADT ID Under Isolation Types. This value must be defined in the system dictionary.

ZB2

2

Comments

255

O

~

Comment updates append to existing comments with the most recent ones displayed first. Free text data is accepted.

ZB2

3

Confidential

~

O

~

"TRUE" flags confidential status, "FALSE" removes confidential status

ZB2

4

Organism

~

O

~

Not being used presently but can be used in Custom Attributes

ZB2

5

Procedures/Precautions

255

O

~

Precautions. This is a free text field. Overwrite update behavior

ZB2

6

Observation Indicator

1

O

~

V to Start and I to stop. Can be custom triggered

ZB2

7

Observation Start

~

O

~

Send Date and time Observation started [if not send indicator decides]

ZB2

8

Observation Stop

~

O

~

Send date and time Observation stopped [if not send indicator decides]

ZB2

9

Observation Duration

~

O

~

Allowable duration for the observation

ZB2

10

Level of Care

50

O

E

Desired attributes for placements, matching ADT ID of entity (bed size, room accommodation, unit)

ZB2

11

Discipline

50

O

E

Desired attributes for placements, matching ADT ID of entity (bed size, room accommodation, unit)

ZB2

12

Location IQ® Tag ID

50

O

E

Patient Location IQ® or Real-Time Locating System tag ID.

ZB2

13

Intercept ADT ID

~

O

~

"TRUE" allows message to be processed even when patient is on ADT Intercept. "FALSE" does not allow message to be processed on ADT Intercept.


ZB3 Custom User-Definable Information

Seg

#

Description

Length

Usage

Unique

Details

ZB3

~

Custom User-Definable Info Seg

3

~

~

Three character identifier for the Custom User-Definable Information segment.

ZB3

1

UD1-UD20

50

O

E

Defined by Patient and Bed Attributes/Indicators. "" will clear fields. This value must be defined in the system dictionary. Custom attributes are designed to append the patient record by default. If you want custom attributes to overwrite the patient information, contact TeleTracking Technical Support for additional information.


ZB4 Custom Miscellaneous

Seg

#

Description

Length

Usage

Unique

Details

ZB4

~

Custom Miscellaneous

3

~

~

Three character identifier for the Custom Miscellaneous segment.

ZB4

1

Miscellaneous

100

O

~

Free Text field for adding additional information. Overwrites with new data each time.


ZB6 Custom Portal Fields

Seg

#

Description

Length

Usage

Unique

Details

ZB6

~

Custom Portal Segment

3

~

~

Three character identifier for the segment containing customized Patient Tracking Portal fields.

ZB6

1

Custom Portal Fields

500

O

~

Custom column on the Patient Tracking Portal Application view. This is a free text field. Custom portal comments can be configured to append or overwrite existing comments. Contact technical support for additional information.


ZB8 Custom Milestone Fields

Seg

#

Description

Length

Usage

Unique

Details

ZB8

~

Custom Milestone Segment

3

~

~

Three character identifier for the Custom milestone information segment.

ZB8

1

Required to update Discharge Milestones with the MileStone-OrderUpdate transaction(repeating field)

50^-^50^255~50^-^50^255

O

E

Milestone ADT ID (required) = matching ADT ID of milestone Milestone Complete = ‘TRUE’ or ‘FALSE’ Milestone Delay Reason ADT ID = matching delay reason ADT ID Milestone Notes = Free Text

ZB8

2

Required to update Care Progression Milestones with the MileStone-OrderUpdate transaction(repeating field)

50^50^50^50^50^255

O

~

Milestone Parent ADT ID (required) = matching ADT ID of milestone Milestone ADT ID (required) = matching ADT ID of milestone Care Progression Milestone Status = matching ADT ID of milestone status Milestone Delay Reason ADT ID = matching delay reason ADT ID Milestone Notes = Free Text


ZB9 Custom Patient Information Fields

Seg

#

Description

Length

Usage

Unique

Details

ZB9

~

Custom Column Segment

3

~

~

Three character identifier for the Custom Column segment.

ZB9

1

User-defined patient information(repeating field)

50^255

O

E

ADT ID for patient comment^patient information ADT ID for patient comment (required) = matching ADT ID Patient information = free text


IN1 Payor Information

*IN1 segment is optional. But certain fields are required when implemented

Seg

#

Description

Length

Usage

Unique

Details

IN1

1

Head Segment

~

~

~

Creates segment for each payor.

IN1

3

Payor ID

50

R*

E

ADT ID for a payor.

IN1

4

Payor Name

50

R*

~

Payor name, For updates to an existing entry, this not required If two names are used for 1 ID. The name will be appended with NAME-CONFLICT-XYZ, where xyz is a random three-letter name.

IN1

22

Priority ID

~

~

E

Determines the preference for a payor for a particular patient. Priority of 1 is assumed when there is only one IN1 segment without any priority. If two payors are sent with the same priority. The first one will be accepted, and the other will be disregarded.


Sample Messages - ADT Interface

A01 — Admit a Patient

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A01||||EVN|A01|20050314110346
EVN|A01|20050314110346
PID|||4535||TEST^ADMIT||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM1^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A02 — Transfer a Patient

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A02||||EVN|A02|20050314110346
EVN|A02|20050314110346
PID|||4535||TEST^TRANSFER||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE||NS1^ROOM1^BEDA|12345^JOHNSON^AttendingDOCTOR||| HOSPSERV||||ADMITSOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A03 — Discharge a Patient

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A03||||EVN|A03|20050314110346
EVN|A03|20050314110346
PID|||4535||TEST^DISCHARGE||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A04 — Register Outpatient – In Bed

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A04||||EVN|A04|20050314110346
EVN|A04|20050314110346
PID|||4535||TEST^OUTPATIENT||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1||E|EDLOC^^|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||20050314
DG1||||DIAGNOSIS

A05 — Pre-Admit

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A05||||EVN|A05|20050314110346
EVN|A05|20050314110346
PID|||4535||TEST^PREADMIT||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PD1||||56789^PRENTIS^PAUL^P^PrimaryCareDOCTOR||||||||||||||||PV1||||ADMIT TYPE|||12345^ADAMS^ALEX^A^AttendingDOCTOR1|11223^ROBERTSON^RONALD^R^ReferringDOCTOR|44556^CHASE^CHARLES^C^ConsultingDOCTOR1~77889^CONNORS^CALVIN^C^ConsultingDOCTOR2| HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE|||||||||||||||||||||ServicingFacility||||||
PV2|||DIAGNOSIS|||||20070512|20070515|
DG1||||DIAGNOSIS
ZB1|NULL|NULL|RoomAccomodation|UnitRequested|
ZB2|isolation|Comments|Confidential| |procedure|ObservationIndicator|ObsStop|ObsStart| |Level of Care|Discipline
ZB3|udef01|udef02|udef03|udef04|udef05|udef06|udef07|udef08|udef09|udef10 ZB4|miscellaneous1|
ZB6|com1|com2|com3|com4|com5|com6|com7|com8

A06 — Transfer Outpatient to Inpatient

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A06||||EVN|A06|20050314110346
EVN|A06|20050314110346
PID|||4535||TEST^INPATIENT||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||DG1||||DIAGNOSIS

A07 — Transfer Inpatient to Outpatient

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A07||||EVN|A07|20050314110346
EVN|A07|20050314110346
PID|||4535||TEST^OUTPATIENT||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1||||ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A08 — Update Patient Information

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A08||||EVN|A08|20050314110346
EVN|A08|20050314110346
PID|||4535||TEST^UPDATE||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS
ZB1|NULL|NULL|RoomAccomodation|UnitRequested
ZB2|isolation|Comments|Confidential| |procedure|ObservationIndicator|ObsStop|ObsStart
ZB3|udef01|udef02|udef03|udef04|udef05|udef06|udef07|udef08|udef09|udef10
ZB4|miscellaneous1
ZB6|comment1|comment2|comment3|comment4|comment5|comment6|comment7|comment8

A09 — Patient Departing

MSH|^~ \&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A09||||EVN|A09|20050314110346
EVN|A09|20050314110346
PID|||4535||TEST^DEPARTURE||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A10 — Patient Arriving

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A10||||EVN|A10|20050314110346
EVN|A10|20050314110346
PID|||4535||TEST^ARRIVAL||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A11 — Cancel Admit

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A11||||EVN|A11|20050314110346
EVN|A11|20050314110346
PID|||4535||ADMIT^CANCEL||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A12 — Cancel Transfer

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A12||||EVN|A12|20050314110346
EVN|A12|20050314110346
PID|||4535||TRANSFER^CANCEL||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE||NS1^ROOM1^BEDA|12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A13 — Cancel Discharge

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A13||||EVN|A13|20050314110346
EVN|A13|20050314110346
PID|||4535||DISCHARGE^CANCEL||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A14 — Pending Admit

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A14||||EVN|A14|20050314110346
EVN|A14|20050314110346
PID|||4535||ADMIT^PENDING||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1||||ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346
PV2|||DIAGNOSIS|||||20070512|20070510|
DG1||||DIAGNOSIS

A15 — Pending Transfer

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A15||||EVN|A15|20050314110346
EVN|A15|20050314110346
PID|||4535||TRANSFER^PENDING||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||NS1^ROOM1^BEDA||20050314110346
PV2|||DIAGNOSIS|||||
DG1||||DIAGNOSIS

A16 — Pending Discharge

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A16||||EVN|A16|20050314110346
EVN|A16|20050314110346
PID|||4535||DISCHARGE^PENDING||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||A||20050314110346
PV2|||DIAGNOSIS|||||20070511|20070512|
DG1||||DIAGNOSIS

A17 — Swap a Patient

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A17||||
EVN|A17|20050314110346PID|||6464564||TEST^SWAP1||19800314|F|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||54875678|123456789|
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE||NS1^ROOM1^BEDA|12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346|
PID|||345353||TEST^SWAP2||19800314|F|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||6756757|123456789|

A20 — Inbound Bed Status Change

MSH|^~\&|VIP|SendingFacility|
|ReceivingFacility|20030205134820||ADT^A20|200302051348204|P|2.2|
EVN|A20|20030205134820||03|
NPU|H.IMIS^H.7110^A|C678|
OBX|||||ReasonCode||

A21 — Leave of Absence – Out

MSH|^~\&|PM3.0|HOSP.MED.UMICH.EDU|HUB|HOSP.MED.UMICH.EDU|20030610084528||ADT^A21|0042930433|P|2.2||||
EVN|A21|200306100841|200306090800|LOA|A670
PID|01||045424686^||BARTLETT^ZEBIDIAH^J||20030201|M||W|25060 ROAN AVE^^DETROIT^MI^48089-1310^US^^50|50|(586)757-1000||AME^^HQ 2000|S|NON|0454246863369|94 5424686|
PV1||I|5E3^""^""^B|S||^^|010841^OHYE^RICHARD|585163^PETERSON^STEPHANIE^M||CHC||||C|||010841^OHYE^RICHARD|I|3369|6|||||||||||||||||||U|||||200306091427|||||

A22 — Leave of Absence – In

MSH|^~\&|PM3.0|HOSP.MED.UMICH.EDU|HUB|HOSP.MED.UMICH.EDU|20030610102831||ADT^A22|1440955393|P|2.2||||
EVN|A22|200306101024|200306090800|LOAR|A247
PID|01||045424686^||BARTLETT^ZEBIDIAH^J||20030201|M||W|25060 ROAN AVE^^DETROIT^MI^48089-1310^US^^50|50|(586)757-1000||AME^^HQ 2000|S|NON|0454246863369|945424686|
PV1||I|5E3^5543^02^B|S||^^|010841^OHYE^RICHARD|585163^PETERSON^STEPHANIE^M||CHC||||C|||010841^OHYE^RICHARD|I|3369|6|||||||||||||||||||U|||||200306091427||||||

A25 — Cancel Pending Discharge

MSH|^~\&|PROVSMSADT|PHMC|HNAM|HNAM|200210220718||ADT^A25|CHPFAE03|P|2.3||||
EVN|A25|200210220718
PID|||4535||ADMIT^CANCEL||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789|
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346|

A26 — Cancel Pending Transfer

MSH|^~\@|PROVSMSADT|PHMC|HNAM|HNAM|200210220718||ADT^A26|CHPFAE03|P|2.3||||
EVN|A26|200210220718
PID|||4535||TRANSFER^CANCEL||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789|
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346|

A27 — Cancel Pending Admit

MSH|^~\@|PROVSMSADT|PHMC|HNAM|HNAM|200210220718||ADT^A27|CHPFAE03|P|2.3||||
EVN|A27|200210220718
PID|||4535||ADMIT^CANCEL||19800314|M|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||||53455|123456789|
PV1|||NS1^ROOM2^BEDA|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE||||||||||||||||||||||||||20050314110346|

A28 — Add Person Info (Add to MPI)

MSH|^~\@|||||<NOW>||ADT^A28
EVN|A28|<NOW>
PID|||<MRN>||<LastName^FirstName^MI^Suffix>||<DOB>|<Gender>|<Alias>||<StreetAddress Line1^StreetAddress Line2^City^State^ZipCode>||<HomePhone>|<WorkPhone>|||||<SSN>|
PV1|||||||||||||||||||||||||||||||||||||||<Campus ADTID>||||||

A31 — Update Person Info (Update MPI)

MSH|^~\@|||||<NOW>||ADT^A31
EVN|A31|<NOW>
PID|||<MRN>||<LastName^FirstName^MI^Suffix>||<DOB>|<Gender>|<Alias>||<StreetAddress Line1^StreetAddress Line2^City^State^ZipCode>||<HomePhone>|<WorkPhone>|||||<SSN>|
PV1|||||||||||||||||||||||||||||||||||||||<Campus ADTID>||||||

A32 — Cancel – Place Outpatient in Bed

MSH|^~\&|PMS|B70|||200201081612||ADT^A32|CHPFOPCP||2.3
EVN|A32|200201081612
TMC
PID|||4170903^0^M11^B70^PN~380856^^^B70^MR~041821167^^^US GOVT^SS~669852^^^B70^PI|669852^^^B70^PI~4170903^0^M11^B70^PN~380856^^^B70^MR~041821167^^^USGOVT^SS
ONEAL^RYAN^^^^^L||19860819|M||W|12175 FRANKLIN DIXON CT^^GREENY^WI^36541 ||(251)865-9345N^^^^251^8659345M|CAT|4170903^0^M11|041821167
PV1||O|PAC^PAC-^08|R|||027014^PIKE. P. III, MD|027014||ORT||||RP|||027014^PIKE. P. III, MD|K|000001899628|C^20020107||N||||||||||||||||Y|O/P|||||200201070732

A33 — Cancel – Release Outpatient from Bed

MSH|^~\&|PMS|B70|||200201081609||ADT^A33|CHPFOPCR||2.3
EVN|A33|200201081609
TMC
PID|||4169732^6^M11^B70^PN~322851^^^B70^MR~424176637^^^US GOVT^SS~605348^^^B70^PI~002203294^^^CORP^EE|605348^^^B70^PI~4169732^6^M11^B70^PN~322851^^^B70^MR~424176637^^^US GOVT^SS
SCOTT^MONTGOMERY700309|F|MCCARLEY|W|2759 WILLEDEE CIR S^^SIMEON^ME^||(334)645-7531^^^^334^6457IIIM|*NO|4169732^6^M11|424176637
PV1||O|07E^0736^||||026336^REAGAN, RONALD W. MD|026336^REAGAN, RONALD W. MD||MED||||RP|||026336^REAGAN, RONALD W. MD|K|000001899639|B^20020107||Y||||||||||||||||Y|OBV|||||200201070753

A40 — Merge Patient

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20120709092500||ADT^A40|00011313|P|2.3|||AL|NE
EVN|A40|20120709092400
PID|1|Z00026570|00019788||MERGE^MRN||19640717|F|||336 FOURTH AVENUE^PITTSBURGH^PA^15232||877-570-6903|||2|C/E|||||A||||||||||||||
MRG|00019798


Messages from Other Interfaces

The interfaces outlined in this section may be subject to additional licensure and/or installation costs. For more information on adding these interfaces, please contact your Inside Sales Coordinator.

Bed Status - Outbound

Sample layout of entire message:

MSH|^~\&|VIP|SendingFacility| | ReceivingFacility|20030205134820||ADT^A20|200302051348204|P|2.2|
EVN|A20|20030205134820||03|
NPU|3TC^3901^01|C|Notes

Segment

#

Description

Usage

Unique

Details

MSH

~

Message Header Segment

3

R

Three character identifier for the Message Header segment.

MSH

1

Field Separator

R

~

|

MSH

2

Encoding Characters

R

~

^~\&

MSH

3

Sending Application

O

~

VIP

MSH

4

Sending Facility

R

E

~

MSH

5

Receiving Application

O

~

~

MSH

6

Receiving Facility

O

~

~

MSH

7

Date / Time of Message

O

~

20030205134820

MSH

8

Security

X

~

~

MSH

9

Message Type

R

~

ADT^A20 (Bed Status – Outbound message)

MSH

10

Message Control ID

X

~

~

MSH

11

Processing ID

X

~

P

MSH

12

Version ID

X

~

2.2

MSH

13

Sequence Number

X

~

~

MSH

14

Continuation Pointer

X

~

~

MSH

15

Accept Acknowledgement Type

X

~

~

MSH

16

Application Acknowledgement Type

X

~

~

MSH

17

Country Code

X

~

~

EVN

~

Event Type Segment

R

~

Three character identifier for the Event Type segment.

EVN

1

Transaction Code

O

~

A20 (Bed Status – Outbound)

EVN

2

Date/Time of Event

O

~

200302051348204

EVN

4

Event Reason Code

X

~

03

NPU

~

Bed Status Update Segment

R

~

Three character identifier for the Bed Status Update segment.

NPU

1

Location/Room/Bed

O

~

3TC^3901^012

NPU

2

Bed Status

O

E

Statuses: Clean, Comprehensive Two Way interface send the clean status plus the statuses below: InProgress, Dirty, Stat, Clean Next, Occupied, Blocked, Delayed, Suspended, Udef8, Udef9


Orders for Transport - Inbound

HL7 Message Segments Used – Order

The MSH (Message Header), EVN (Event), PID (Patient Identification), and PV1 (Patient Visit) have the same fields that are referenced in a standard ADT transaction.

In addition to these segments, the Z, ORC (Common Order), and OBR (Observation) segments will be used when sending Orders for Transport. More information about these segments follows below.

Sample O01 – Transport Message

MSH|^~\&|HCM|01|TT||199903031013|TER|ORM^O01|ESCIF0203|P|2.1
EVN|O01|199903031013|||
PID|||112532697685^0100099941^00003||SEGELSTEIN,GERALD||||||||||
PV1||I|3WST^3101^1||||168^SMITH MD^JOHN^||||||||||168^SMITH MD^JOHN^|||||||||||||||||||HOM|||ServicingFacility|||||200002241832
ORC|NW|123456|||||||||||||201011220630|TransportOrderZB5|NU^ROOM^1|XRAY^^|Wheelchair|Oxygen

ORC Common Order Segment

Seg

#

Description

Length

Usage

Unique

Details

ORC

~

Common Order Segment

3

R

~

Three character identifier for the Common Order segment.

ORC

1

Order Control

2

R

~

NW = New Work, CA = Cancel, XX = Update

ORC

2

Place Order Number

50

R

E

Unique order number

ORC

3

Filler Order Number

~

X

~

~

ORC

4

Placer Group Number

~

X

~

~

ORC

5

Order Status Equipment Name

~

X

~

~

ORC

6

Response Flag

~

X

~

~

ORC

7

Quantity / Timing

~

X

~

~

ORC

8

Parent

~

X

~

~

ORC

9

Date / Time of Transaction

~

X

~

~

ORC

10

Entered By

~

O

~

Match Requestors ADTID

ORC

11

Verified By

~

X

~

~

ORC

12

Ordering Provider

50^50^30^10^50

O

~

This field is required when Discharge or Transfer Milestones are in use. When the field is sent, it must be in the following format:ID^Last Name^First Name^MI^Suffix

ORC

13

Enterer's Location

~

X

~

~

ORC

14

Call Back Phone Number

~

X

~

~

ORC

15

Order Effective Date/Time

14

O

~

Date\time patient is requested. A future date in this field will post an appointment in Transport Tracking. A null or current date time will post a pending job.

ORC

16

Order Control Code Reason

30

R

~

Use “TransportOrder” in this field for patient transport jobs. Use “ItemTransportOrder” for equipment and item transfer jobs.


ZB5 Custom Transport Order Entry Data

Seg

#

Description

Length

Usage

Unique

Details

ZB5

~

Custom Transport Order Entry Data Segment

3

~

~

Three character identifier for the Custom Transport Order Entry Data segment.

ZB5

1

Origin Location

50^50^50^50

R

~

Origin Location

ZB5

2

Destination Location

50^50^50^50

R

~

Destination Location

ZB5

3

Mode Of Travel

50

O

C

Mode of Travel

ZB5

4

Travel Requirements

50

O

C

Travel Requirements are comma (,) separated(Requirement1,Requirement,2,Requirement3).For example: Agitated,IV,Oxygen

ZB5

5

Transport Job Status

50

O

C

Outbound – Sends Job Status

ZB5

6

Transport Job Number

50

O

~

Outbound – Sends Internal Job Number

ZB5

7

Job Reason Code

50

O

~

Outbound – Sends Job Reason Code

ZB5

8

Transporters

50^50^50~50^50^50

O

~

When the job has more than one transporter, the information for each is separated by the “~” and is in the message in the following format: Transporter1ID^ LastName1^ FirstName1~Transporter2ID2^ LastName2^ FirstName2

ZB5

9

Job Status

50

O

~

Placing the text “Possible” in this field during an Inbound TransportOrder Request will create a Possible Job rather than a Pending or Appointment. Dispatch

ZB5

10

Item ADT ID

50

O

C

When ORC:16 contains “ItemTransportOrder,” ZB5:10 is required. Otherwise, the field is not required. When the field is used, its value must be unique across the campus.


Transport Job Status Update - Outbound

HL7 Message Segments Used - Order Result

The MSH (Message Header), EVN (Event), PID (Patient Identification) and PV1 (Patient Visit) have the same segments that are referenced in a standard ADT transaction.

In addition to these segments the ORC (Common Order) and Z segments will be used when sending Orders for Transport. More information about these segments follows below.

Sample R01 – Transport - Outbound

MSH|^~\&|VIP||||20040130211426||ORU^R01|200401302114261|P|2.3|
EVN|R01|20040130211426|
PID|||||DEMARIO^JOSEPH|||||||||||||52040110|
PV1||IP|NULL|||||||||||||||IP||||||||||||||||||||||ServicingFacility|ORC|OK|3|||||||20040130211426||||||20040130211426|XX|ZB1|NULL|NULL|NULL|NULL|
ZB2|isolation|Comments|Confidential| |procedure|ObservationIndicator|ObsStop|ObsStart|| LevelOfCare|Discipline
ZB3|udef01|udef02|udef03|udef04|udef05|udef06|udef07|udef08|udef09|udef10 ZB4|miscellaneous1|
ZB5|OriginationLocation|DestinationLocation|ModeOfTravel|TravelRequirements|TransportJobStatus|TransportJobNumber|TransportJobReasonCode|Transporter1ID^Transporter1LastName^TTransporter1FirstName~ Transporter2ID^Transporter2LastName^Transporter2FirstName| |ItemIDfromADT

ORC Common Order Segment

Seg

#

Description

Length

Usage

Unique

Details

ORC

~

Common Order Segment

3

R

~

Three character identifier for the Common Order segment.

ORC

1

Order Control

2

O

~

NW = New Work, CA = Cancel, XX = Update

ORC

2

Place Order Number

50

O

E

Unique order number

ORC

3

Filler Order Number

~

X

~

~

ORC

4

Placer Group Number

~

X

~

~

ORC

5

Order Status Equipment Name

~

X

~

~

ORC

6

Response Flag

~

X

~

~

ORC

7

Quantity / Timing

~

X

~

~

ORC

8

Parent

~

X

~

~

ORC

9

Date / Time of Transaction

~

X

~

~

ORC

10

Entered By

~

O

~

Match Requestors ADTID

ORC

11

Verified By

~

X

~

~

ORC

12

Ordering Provider

50^50^30^10^50

O

~

This field is required when Discharge or Transfer Milestones are in use. When the field is sent, it must be in the following format:ID^Last Name^First Name^MI^Suffix

ORC

13

Enterer's Location

~

X

~

~

ORC

14

Call Back Phone Number

~

X

~

~

ORC

15

Order Effective Date/Time

14

O

~

Date\time patient is requested. A future date in this field will post an appointment in Transport Tracking. A null or current date time will post a pending job.

ORC

16

Order Control Code Reason

30

O

~

Use “TransportOrder” in this field for patient transport jobs. Use “ItemTransportOrder” for equipment and item transfer jobs.

There are some custom fields that are specific to the Transport Orders. They can be sent in the following fields; ZB1,ZB2,ZB3,ZB4,ZB5, and ZB6. ZB5 data for these types of message should reference the form below.

ZB5 Custom Transport Job Status Entry Data

Seg

#

Description

Length

Usage

Unique

Details

ZB5

~

Custom Transport Order Entry Data Segment

3

~

~

Three character identifier for the Custom Transport Order Entry Data segment.

ZB5

1

Origin Location

50^50^50^50

O

~

Origin Location

ZB5

2

Destination Location

50^50^50^50

R

~

Destination Location

ZB5

3

Mode Of Travel

50

O

C

Mode of Travel

ZB5

4

Travel Requirements

50

O

C

Travel Requirements are comma (,) separated(Requirement1,Requirement,2,Requirement3).For example: Agitated,IV,Oxygen

ZB5

5

Transport Job Status

50

O

C

Outbound – Sends Job Status

ZB5

6

Transport Job Number

50

O

~

Outbound – Sends Internal Job Number

ZB5

7

Job Reason Code

50

O

~

Outbound – Sends Job Reason Code

ZB5

8

Transporters

50^50^50~50^50^50

O

~

When the job has more than one transporter, the information for each is separated by the “~” and is in the message in the following format: Transporter1ID^ LastName1^ FirstName1~Transporter2ID2^ LastName2^ FirstName2

ZB5

9

Job Status

50

O

~

Placing the text “Possible” in this field during an Inbound TransportOrder Request will create a Possible Job rather than a Pending or Appointment. Dispatch

ZB5

10

Item ADT ID

50

O

C

When ORC:16 contains “ItemTransportOrder,” ZB5:10 is required. Otherwise, the field is not required. When the field is used, its value must be unique across the campus.


Orders for BedRequests - Pending Admits and Transfers

HL7 Message Segments Used - Order

The MSH (Message Header), EVN (Event), PID (Patient Identification), PV1 (Patient Visit) and PV2 (Additional Patient Visit) have the same segments that are referenced in a standard ADT transaction.

In addition to these segments the ORC (Common Order) and Z segments can be used when sending order requests. More information about these segments follows below.

Sample O01 - Bed Request

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ORM^O01||||
EVN|O01|20050314110346PID|||4535||TEST^ORDER||19800314|M|||336 FOURTH AVENUE^PGH^PA^15232||877-570-6903|||||53455|1234567|
PV1|||^^|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTOR|PATIENT TYPE|||||||||||||||||||||ServicingFacility|||||20050314110346|
PV2||I|^^||||168^SMITH MD^JOHN^||||||||||168^SMITH MD^JOHN^|| |||||||||||||||||HOM||||||||200002241832
ORC|NW|123456|||||||||||||201011220630|BedRequestOrder
ZB1|NULL|NULL|RoomAccomodation|UnitRequested|
ZB2|isolation|Comments|Confidential| |procedure|ObservationIndicator|ObsStop|ObsStart| |LevelOfCare|Discipline
ZB3|udef01|udef02|udef03|udef04|udef05|udef06|udef07|udef08|udef09|udef10
ZB4|miscellaneous1

ORC Common Order Segment

Seg

#

Description

Length

Usage

Unique

Details

ORC

~

Common Order Segment

3

R

~

Three character identifier for the Common Order segment.

ORC

1

Order Control

2

A

~

NW = New Work, CA = Cancel, XX = Update

ORC

2

Place Order Number

50

R

E

Unique order number

ORC

3

Filler Order Number

~

X

~

~

ORC

4

Placer Group Number

~

X

~

~

ORC

5

Order Status Equipment Name

~

X

~

~

ORC

6

Response Flag

~

X

~

~

ORC

7

Quantity / Timing

~

X

~

~

ORC

8

Parent

~

X

~

~

ORC

9

Date / Time of Transaction

~

X

~

~

ORC

10

Entered By

~

X

~

~

ORC

11

Verified By

~

X

~

~

ORC

12

Ordering Provider

50^50^30^10^50

O

~

This field is required when Discharge or Transfer Milestones are in use. When the field is sent, it must be in the following format:ID^Last Name^First Name^MI^Suffix

ORC

13

Enterer's Location

~

X

~

~

ORC

14

Call Back Phone Number

~

X

~

~

ORC

15

Order Effective Date/Time

14

O

~

Date\time patient is requested. Bed Request Orders create an active bed request effective immediately

ORC

16

Order Control Code Reason

30

R

~

This field can contain one of the following values:

  • BedRequest Order

  • ReadyToMoveOrder

There are some custom fields that are specific to these orders. They can be sent in the following fields; ZB1,ZB2,ZB3,ZB4,ZB6 and ZB9


Pending Admit Message - Outbound

The TransferCenter™ Pending Admit outbound message (A05) is sent from the Capacity IQ® or Capacity Management Suite™ system to the hospital ADT system when the following conditions are both present:

  1. Both of the following are selected:

    • The Enable Outbound ADT Registrations box on Configuration > General tab selected

    • A bed request has been made either by selecting the Pre-admit Patient box on the Transfer page or by selecting the Create Bed Request box on the Bed Request page.

  2. One of the following is true:

    • The transfer record does not have a match in the Capacity Management Suite® or Capacity IQ® system, or

    • The record matches in the Capacity Management Suite® or Capacity IQ® system but does not contain a visit number.

HL7 Message Segments Used – Order

The MSH (Message Header), EVN (Event), PID (Patient Identification), PV1 (Patient Visit), and PV2 (Additional Patient Visit) have the same segments that are referenced in a standard ADT transaction. More information on these message segments can be found on the following pages:

In addition to these segments, the ZB segments can be used when sending order requests. More information about these segments follows below.

A05 - Pre-admit

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ADT^A05||||
EVN|A05|20050314110346PID|||4535||Sally^Jones||19800314|M|||336FOURTHAVENUE^^PITTSBURGH^PA^15232||877-570-6903||||||123-45-6789|
PV1||||AdmitType|||12345^JOHNSON^DOCTOR1|||HospitalService||||AdmitSource|||56789^SMITH^DOCTOR2|PatientType||20||||||||||30||||||||||40||||20070512103000
PV2|||ReasonForAdmit|||||20070512103000||
ZB1||||UnitRequested|||||| LevelOfCare|
ZB2|isolation

There are some custom fields that are specific to these orders. They can be sent in the following fields; ZB1 and ZB2. ZB1 only has one change from the default.

ZB1 Custom Pending Admit Message Entry Data

Identical to Standard ZB1 except

Seg

#

Description

Length

Usage

Unique

Details

ZB1

4

Unit Requested

15

S

~

Three character identifier for the Common Order segment.


Orders for Confirmed Discharges

HL7 Message Segments Used – Order

The MSH (Message Header), EVN (Event), PID (Patient Identification) and PV1 (Patient Visit) have the same segments that are referenced in a standard ADT transaction.

In addition to these segments, the ORC (Common Order) and Z segments can be used when sending order requests. More information about these segments follows below.

O01 - Confirmed Discharge

MSH|^~\&|HCM|01|TT||199903031013|TER|ORM^O01|ESCIF0203|P|2.1
EVN|O01|199903031013|||
PID|||112532697685^0100099941^00003||SEGELSTEIN,GERALD||||||||||
PV1||I|^^||||168^SMITH MD^JOHN^||||||||||168^SMITH MD^JOHN^|| |||||||||||||||||HOM|||ServicingFacility|||||200002241832
PV2|||||||||201001011030
ORC|NW|123456|||||||||||||201011220630|ConfirmedDischargeOrder
ZB2|isolation|Comments|Confidential| |procedure|ObservationIndicator|ObsStop|ObsStart|| LevelOfCare|Discipline

ORC Common Order Segment

Identical to the ORC data for Inbound Transport Orders except:

Seg

#

Description

Length

Usage

Unique

Details

ORC

16

Order Control Code Reason

30

R

~

ConfirmedDischargeOrder, PendingDischarge, PatientUpdate, CancelPendingDischarge

There are some custom fields that are specific to these orders. They can be sent in the following fields; ZB1,ZB2,ZB3,ZB4,ZB6 and ZB9 There are no customizations for Confirmed Discharge Orders to these segments.


Milestone Order - Inbound

HL7 Message Segments Used – Order

The MSH (Message Header), EVN (Event), PID (Patient Identification) and PV1 (Patient Visit) have the same fields that are referenced in a standard ADT transaction.

In addition to these segments, and the ZB8 segment, some of the ORC (Common Order) and OBR (Observation) segments can be used when sending order requests.

O01 - Confirmed Discharge

MSH|^~\@|||||200910081411||ORM^O01||P|2.3|
PID|||160402||PORTALORDER02^Murphy||19500916|M|||||(412)555-1212|||||13242302
PV1|||0154^15484^02^2|N||^^||||01||||ED||||23ED|||||||||||||||||||||||||ServicingFacility|||||200910120601
ORC|NW|1243251|||LabOrdered|||||||70879^DOUGLAS^AACH|||200910120830|MilestoneOrder
ZB8|MilestoneADTID^MilestoneComplete^MilestoneDelayReasonADTID^MilestoneNotes

ORC Common Order Segment

Identical to the ORC data for Inbound Transport Orders except:

Seg

#

Description

Length

Usage

Unique

Details

ORC

16

Order Control Code Reason

30

R

~

Milestone Order

There are some custom fields that are specific to these Orders. They can be sent in the following fields; ZB8


Orders Results for BedRequests - Outbound

HL7 Message Segments Used – Order

The MSH (Message Header), EVN (Event), PID (Patient Identification) and PV1 (Patient Visit) have the same segments that are referenced in a standard ADT transaction

In addition to these segments, the ORC (Common Order) and Z segments can be used when sending order requests.

R01 - BedRequest Result

MSH|^~\&|VIP||||20061023142038||ORU^R01|200610231420381|P|2.2|
EVN|R01|20061023142038|
PID|||4535||TEST^ORDER||19800314|M|||336 FOURTH AVENUE^PGH^PA^15232||877-570-6903|||||53455|1234567|
PV1|||NS^ROOM^BED^FACILITY|ADMIT TYPE|||12345^JOHNSON^AttendingDOCTOR|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^AdmittingDOCTO2|PATIENT TYPE||||||||||||||||||||ServicingFacility||||||20050314110346|
ORC|NW|123456|||||||||||||201011220630|BedRequestOrder
ZB1|NULL|NULL|RoomAccomodation|UnitRequested|
ZB2|isolation|Comments|Confidential| |procedure|ObservationIndicator|ObsStop|ObsStart|| LevelOfCare|Discipline
ZB3|udef01|udef02|udef03|udef04|udef05|udef06|udef07|udef08|udef09|udef10
ZB4|miscellaneous1|

Note: Orders Results for BedRequests messages require an inbound BedRequest Order Entry Interface. The trigger to send the result message is the assignment of a bed to an open Bed Request. If the assigned bed is not clean, additional results will be sent for each status change until the bed reaches the clean/available status.

ORC Common Order Segment

Identical to the ORC data for Inbound Transport Orders except:

Seg

#

Description

Length

Usage

Unique

Details

ORC

16

Order Control Code Reason

30

R

~

BedRequestOrder

There are some custom fields that are specific to these Orders. They are returned in the fields; ZB1,ZB2,ZB3,ZB4, and ZB6. ZB3 Differs from the standard as stated below.

ZB3 Custom Outbound BedRequest Entry Data

Identical to the ORC data for Inbound Transport Orders except:

Seg

#

Description

Length

Usage

Unique

Details

ZB1

1

Bed Status Result

15

R

~

Outward Bed Status for Placements with an attached Order Number. Available Statuses are Blocked, Clean, CleanNext, Dirty, Stat, Udef8, Udef9, and Cancel.


Portal order Entry Interface

HL7 Message Segments Used – Order

The MSH (Message Header), EVN (Event), PID (Patient Identification) and PV1 (Patient Visit) have the same segments that are referenced in a standard ADT transaction

In addition to these segments, the ORC (Common Order) and Z segments can be used when sending order requests.

O01 - LabOrder

MSH|^~\@|||||200910081411||ORM^O01||P|2.3|
PID|||160402||PORTALORDER02^Murphy||19500916|M|||||(412)555-1212|||||13242302
PV1|||0154^15484^02^2|N||^^||||01||||ED||||23ED|||||||||||||||||||||||||ServicingFacility|||||200910120601
ORC|NW|1243251|||LabOrdered|||||||70879^DOUGLAS^AACH|||200910120830|LabOrder
OBR||||123^Blood|||||||O||||||||||||||||S|

ORC Common Order Segment

Identical to the ORC data for Inbound Transport Orders except:

Seg

#

Description

Length

Usage

Unique

Details

ORC

5

Order Status

50

R

C

Order Status Matching dictionary in the system.

ORC

16

Order Control Code Reason

30

R

~

LabOrder, RadiologyOrder, MedicationOrder, or OtherOrder

There are some custom fields that are specific to these Orders. They can be sent in the following fields; OBR

OBR Observation Request Segment

Seg

#

Description

Length

Usage

Unique

Details

OBR

~

Optional Fields Segment

~

R

~

Three character identifier for the Optional Fields segment.

OBR

4

Order Description

30^30

O

~

Put Order Description text in subfield 2 in the following format: OrderDescription^OrderDescriptionText

OBR

11

Specimen Action Code

50

O

C

Optional Code to indicate if Specimen to be acquired by source other than lab – requires matching ADT ID.

OBR

25

Order Status

50

R

C

Optional Order Status when ORC:5 is not used. Order Status Matching dictionary in the system.

OBR

27

Quantity/Timing

^^^^^^50

O

C

Subfield 6 contains optional code to indicate STAT priority for Orders – requires matching ADT ID.


Transfer Update - Outbound

The outbound transfer (A02) messages can be sent from Capacity IQ® or Capacity Management Suite® system if all of the following conditions are present:

  • The patient has a visit/spell number.

  • The patient is transferred within the system to a home, non-holding location in a different unit.

HL7 Message Segments Used – Transfer

The MSH (Message Header), EVN (Event), PID (Patient Identification) and PV1 (Patient Visit) have the same fields that are referenced in a standard ADT transaction. Changes to the standard ADT interface content are detailed below.

A02 - Transfer Update - Outbound

MSH|^~\&|VIP||||20040130211426||ADT^A02|200401302114261|P|2.3|
EVN|A02|20040130211426||||20121112211426|
PID|||MRN123124||DEMARIO^JOSEPH||DOB|Gender||Address||Phone|||||Account|SSN||
PV1||IP|NULL|ADMITTYPE|||AttendingPhysician|||HospitalSvc||||AdmitSource|||AdmittingPhysician|PatientType|11|||||||||||||||||||||||||AdmitDate

EVN Event

Seg

#

Description

Length

Usage

Unique

Details

EVN

6

Event occurred

14

R

E

Outbound only. This field contains the transfer date/time.


Discharge Update - Outbound

The outbound discharge (A03) messages can be sent from the Capacity IQ® or Capacity Management Suite® system if all of the following conditions are present:

  • The patient has a visit/spell number.

  • The patient’s status previous to discharge was not PreAdmit or Outpatient.

  • The patient is discharged within the system.

Note: If a patient is admitted or transferred to a bed that is currently occupied in the system, displacing the patient, an A03 outbound message will still be sent.

HL7 Message Segments Used – Order

The MSH (Message Header), PID (Patient Identification) and PV1 (Patient Visit) have the same fields that are referenced in a standard ADT transaction.

A03 - Discharge Update - Outbound

MSH|^~\&|VIP||||20040130211426||ADT^A03|200401302114261|P|2.3|
EVN|A03|20040130211426||||20121112211426|
PID|||MRN123124||SMITH^JOSEPH||DOB|Gender||Address||Phone|||||Account|SSN||
PV1||IP|NULL|ADMITTYPE|||AttendingPhysician|||HospitalSvc||||AdmitSource|||AdmittingPhysician|PatientType|11|||||||||||||||||||||||||AdmitDate|DischargeDate|


Sample Messages - Other Interfaces

Individual messages and the delimiters they contain will vary from one site to another, but the following are typical examples of HL7 transactions taken from a variety of sources. They do NOT include actual patient data.

O01 - Transport

MSH|^~\&|HCM|01|TT||199903031013|TER|ORM^O01|ESCIF0203|P|2.1
EVN|O01|199903031013|||
PID|||112532697685^0100099941^00003||SEGELSTEIN,GERALD||||||||||
PV1||I|3WST^3101^1||||168^SMITH MD^JOHN^||||||||||168^SMITH MD^JOHN^|| |||||||||||||||||HOM|||ServicingFacility|||||200002241832
ORC|NW|123456|||||||||||||201011220630|TransportOrder
ZB5|NU^ROOM^1|XRAY^^|Wheelchair|Oxygen

O01 – Transport – Outbound

MSH|^~\&|VIP||||20040130211426||ORU^R01|200401302114261|P|2.3
EVN|R01|20040130211426
PID|||||DEMARIO^JOSEPH|||||||||||||52040110|
PV1||IP|NULL|||||||||||||||IP||||||||||||||||||||||ServicingFacility||||||
ORC|OK|3|||||||20040130211426||||||20040130211426|XX|
ZB1|NULL|NULL|NULL|NULL|ZB3|udef01|udef02|udef03|udef04|udef05|udef06|udef07|udef08|udef09|udef10
ZB4|miscellaneous1|
ZB5|originationLocation|DestinationLocation|ModeOfTravel|TransportRemarkCode|TransportJobStatus|TransportJobNumber|TransportReasonCode|Transporter1ID^Transporter1LastName~Transporter2ID^Transporter2LastName^Transporter2FirstName

O01 – BedRequest — Pending Admits and Transfers

MSH|^~\&|ADT|PITCHER|TELE|CATCHER|20050314110346||ORM^O01||||
EVN|O01|20050314110346
PID|||4535||TEST^ORDER||19800314|M|||336 FOURTH AVENUE^PGH^PA^15232||877-570-6903|||||53455|1234567|
PV1|||^^|ADMIT TYPE|||12345^JOHNSON^DOCTOR1|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^DOCTOR2|PATIENT TYPE|||||||||||||||||||||ServicingFacility|||||20050314110346|
PV2||I|^^||||||||||168^SMITH MD^JOHN^||||||||||168^SMITH MD^JOHN^|| |||||||||||||||||HOM||||||||200002241832
ORC|NW|123456|||||||||||||201011220630|BedRequestOrder
ZB1|NULL|NULL|RoomAccomodation|UnitRequested|
ZB2|isolation|organism|telemetry|observation|procedure|comments|psychosocial|confidential||LevelOfCare|Discipline
ZB3|udef01|udef02|udef03|udef04|udef05|udef06|udef07|udef08|udef09|udef10
ZB4|miscellaneous1|

R01 - BedRequest Result - Outbound

MSH|^~\&|VIP||||20061023142038||ORU^R01|200610231420381|P|2.2
EVN|R01|20061023142038
PID|||4535||TEST^ORDER||19800314|M|||336 FOURTH AVENUE^PGH^PA^15232||877-570-6903|||||53455|1234567|
PV1|||NS^ROOM^BED^FACILITY|ADMIT TYPE|||12345^JOHNSON^DOCTOR1|||HOSP SERV||||ADMIT SOURCE|||56789^SMITH^DOCTOR2|PATIENT TYPE|||||||||||||||||||||
ServicingFacility|||||20050314110346|
ORC|NW|123456|||||||||||||201011220630|BedRequestOrder
ZB1|NULL|NULL|RoomAccomodation|UnitRequested|
ZB2|isolation|Comments|Confidential||procedure|ObservationIndicator|ObsStop|ObsStart||LevelOfCare|Discipline
ZB3|udef01|udef02|udef03|udef04|udef05|udef06|udef07|udef08|udef09|udef10
ZB4|miscellaneous1|

O01 – ConfirmedDischarge

MSH|^~\&|HCM|01|TT||199903031013|TER|ORM^O01|ESCIF0203|P|2.1
EVN|O01|199903031013|||
PID|||112532697685^0100099941^00003||SEGELSTEIN,GERALD||||||||||
PV1||I|^^||||168^SMITH MD^JOHN^||||||||||168^SMITH MD^JOHN^|| |||||||||||||||||HOM|||ServicingFacility|||||200002241832
PV2|||||||||201001011030
ORC|NW|123456|||||||||||||201011220630|ConfirmedDischargeOrder
ZB2|Isolation|

O01 – Milestone Order — Inbound

MSH|^~\@|||||200910081411||ORM^O01||P|2.3
PID|||160402||PORTALORDER02^Murphy||19500916|M|||||(412)555-1212|||||13242302
PV1|||0154^15484^02^2|N||^^||||01||||ED||||23ED|||||||||||||||||||||||||ServicingFacility|||||200910120601
ORC|NW|1243251||||||||||70879^DOUGLAS^AACH|||200910120830|MilestoneOrder
ZB8|MilestoneADTID^MilestoneComplete^MilestoneDelayReasonADTID^MilestoneNotes

O01 – LabOrder

MSH|^~\@|||||200910081411||ORM^O01||P|2.3
PID|||160402||PORTALORDER02^Murphy||19500916|M|||||(412)555-1212|||||13242302
PV1|||0154^15484^02^2|N||^^||||01||||ED||||23ED|||||||||||||||||||||||||ServicingFacility|||||200910120601
ORC|NW|1243251|||LabOrdered|||||||70879^DOUGLAS^AACH|||200910120830|LabOrder
OBR||||123^Blood|||||||O||||||||||||||||S|

A02 – Transfer Update – Outbound

MSH|^~\&|VIP||||20040130211426||ADT^A02|200401302114261|P|2.3
EVN|A02|20040130211426||||20121112211426|
PID|||MRN123124||DEMARIO^JOSEPH||DOB|Gender||Address||Phone|||||Account|SSN||
PV1||IP|NULL|ADMITTYPE|||AttendingPhysician|||HospitalSvc||||AdmitSource|||AdmittingPhysician|PatientType|11|||||||||||||||||||||||||AdmitDate

A03 – Discharge Update – Outbound

MSH|^~\&|VIP||||20040130211426||ADT^A03|200401302114261|P|2.3
EVN|A03|20040130211426||||20121112211426|
PID|||MRN123124||SMITH^JOSEPH||DOB|Gender||Address||Phone|||||Account|SSN||
PV1||IP|NULL|ADMITTYPE|||AttendingPhysician|||HospitalSvc||||AdmitSource|||AdmittingPhysician|PatientType|11|||||||||||||||||||||||||AdmitDate|DischargeDate|

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