...
These headings are for guidance only and some may not be relevant.
1.1 Purpose
The purpose should include both the “what” and the “why”. The “why” is what you hope the document will achieve i.e. the desired outcome. It might be to inform a particular decision, persuade the audience of something or be used as a reference point for other artefacts.
This document provides example HL7 V2™ messages within use cases which may be sent as a part of workflows between Healthcare Providers, Patients and Diagnostic Services Providers.
1.2 Intended audience
You should be very clear about your audience before drafting the document, since this directly affects the scope of the document and the way that it is written. The audience may include a primary audience (the most important readers who may make decisions based on the document) and a secondary audience who only need some of the content, or may read it for information only.
This document is intended for:
- Commonwealth Department of Health
- Jurisdictional Health Departments
- Diagnostic Imaging Providers
- Pathology Providers
- Healthcare Providers
- Healthcare Provider Software Vendors
1.3 Scope
No document covers everything, so you should state the boundaries of this document here. It is often helpful to clarify your scope by additionally stating what the document does not cover.
This document is only concerned with the sequence and flow of information between parties (such as healthcare providers, patients, diagnostic services providers and national infrastructure) that results in the posting and management of reports from a third party provider (such as Pathology and Diagnostic Imaging) in the PCEHR System.
2 Indication of Consent
2.1 Participants
Item | Description |
Patient | A PCEHR Participating Healthcare Consumer/Patient who the Result Report is about. |
Requesting Healthcare Provider | A Provider who makes the Request for Diagnostic Imaging or Pathology Services. |
Reviewing Healthcare Provider | A Provider who is a PCEHR Participant and reviews the Result Report and is able to discuss the result with the patient. In most cases this will be the same healthcare provider as the requesting healthcare provider. |
Diagnostic Services Provider | A Healthcare Provider who provides Diagnostic Services such as Pathology or Diagnostic Imaging. |
Healthcare Identifier Service | The Healthcare Identifier Service (HI Service). |
PCEHR System | The Personally Controlled Electronic Health Record System (PCEHR System). |
2.2 Standard Pre-consent
This sequence will be the de facto sequence flow for uploaded results to the PCEHR. This sequence starts with the patient presenting to their Healthcare Provider. In this scenario (as with all scenarios in this paper) the consultation results in a diagnostic service being required.
...
Figure 1: Standard Pre-consent
2.2.1 Messages/Calls
# | Name | Description | Sample HL7 v2™ Message |
1.0 | Patient Presents | Patient Presents to Healthcare Provider with a health complaint. | N/A |
1.1 | Request for Diagnostic Services | A request for Diagnostic Services is made. | See Message 1: Order message – with no withdrawal of consent. |
1.2 | Diagnostic Service Investigation | The Diagnostic Service Provider performs the test or examination. | N/A |
1.3 | Return Diagnostic Service Report | The Diagnostic Services Provider returns the report. | See Message 3: Standard Result Message. |
1.4 | Follow up Consultation | The Healthcare Provider has a follow up consultation with the Patient. | N/A |
1.5 | Search IHI | If the Diagnostic Service Provider has not been provided an IHI then the provider must perform an IHI search to the HI service to obtain an IHI. | N/A |
1.6 | Return IHI | The HI Service returns a valid IHI back to the Diagnostic Service Provider. | N/A |
1.7 | Check if patient has PCEHR | If it has not been indicated on the diagnostic services request that a patient has a PCEHR then a query to the PCEHR will confirm whether a patient has a visible PCEHR record. | N/A |
1.8 | Visible PCEHR Exists | The PCEHR returns a flag to indicate whether a patient has a visible PCEHR. | N/A |
1.9 | Submit Diagnostic Service Report | If the patient has a PCEHR and the patient has not withdrawn consent the report is uploaded to PCEHR. | N/A |
1.10 | Submit Diagnostic Service Response | The PCEHR System returns with a success message or failure message. | N/A |
2.3 Standard Withdrawal of Consent
This sequence starts with the patient presenting to their Healthcare Provider. In this scenario (as with all scenarios in this paper) the consultation results in a diagnostic service being requested. The patient indicates to their Healthcare Provider that they withdraw their consent for the report to be uploaded to the PCEHR.
A request for diagnostic services is sent to a diagnostic service provider with the patient consent for the report being sent to PCEHR being explicitly withdrawn.
After the report is completed, the report is sent to its typical recipients without being uploaded to the PCEHR.
Figure 2: Standard Withdrawal of Consent
2.3.1 Messages/Calls
# | Name | Description | Sample HL7 v2® Message |
1.0 | Patient Presents | A patient presents to a Healthcare Provider and withdraws consent for any Diagnostic Service Report to be sent to PCEHR. | N/A |
1.1 | Request for Diagnostic Services | A request for Diagnostic Services is made noting that PCEHR consent has been withdrawn. | See Message 2: Order message – with withdrawal of consent. |
1.2 | Diagnostic Service Investigation | The Diagnostic Service Provider performs the test or examination. | N/A |
1.3 | Return Diagnostic Service Report | The Diagnostic Services Provider returns the report. | See Message 3: Standard Result Message. |
1.4 | Follow up Consultation | The Healthcare Provider has a follow up consultation with the Patient. | N/A |
2.4 Post-Review Consent
This sequence starts with the patient presenting to their Healthcare Provider. In this scenario (as with all scenarios in this paper) the consultation results in a diagnostic service being requested. The patient indicates to their Healthcare Provider that they withdraw their consent for the report to be uploaded to the PCEHR.
A request for diagnostic services is sent to a diagnostic service provider with the patient consent for the report being sent to PCEHR being explicitly withdrawn.
After the report is received by the reviewing providers, and a consultation with the patient is undertaken the decision to withdraw consent for the report to be sent to PCEHR is reversed. The Reviewing healthcare provider then indicates to the diagnostic service provider that consent has been now provided. The report is subsequently uploaded to the PCEHR.
Note: In this scenario the Reviewing Healthcare Provider must be a PCEHR participating provider.
Figure 3: Post-Review Consent
2.4.1 Messages/Calls
# | Name | Description | Sample HL7 v2™ Message |
1.0 | Patient Presents | A patient presents to a Healthcare Provider and withdraws consent for any Diagnostic Service Report to be sent to PCEHR. | N/A |
1.1 | Request for Diagnostic Services | A request for Diagnostic Services is made noting that PCEHR consent has been withdrawn. | See Message 2: Order message – with withdrawal of consent. |
1.2 | Diagnostic Service Investigation | The Diagnostic Service Provider performs the test or examination. | N/A |
1.3 | Return Diagnostic Service Report | The Diagnostic Services Provider returns the report. | See Message 3: Standard Result Message. |
1.4 | Follow up Consultation | The Healthcare Provider has a follow up consultation with the patient. During this consultation the patient reverses their consent decision and requests the report be uploaded to the PCEHR. | N/A |
1.5 | Indication of Consent | The patient indicates to their Healthcare Provider that they would like the report uploaded to the PCEHR. | N/A |
1.6 | Indication of Consent | The Healthcare Provider indicates to the Diagnostic Services Provider that consent has been provided. | See Message 4: Indication of Consent Message. |
1.7 | Search IHI | If the Diagnostic Service Provider has not been provided an IHI then the provider must perform an IHI search to the HI service to obtain an IHI. | N/A |
1.8 | Return IHI | The HI Service returns a valid IHI back to the Diagnostic Service Provider. | N/A |
1.9 | Submit Diagnostic Service Report | The report is uploaded to PCEHR. | N/A |
1.10 | Submit Diagnostic Service Response | The PCEHR System returns with a success message or failure message. | N/A |
3 Message examples
3.1 Message 1: Order message – with no withdrawal of consent
MSH|^~\&|Rhubarb-CPOE^2.16.840.1.113883.19.4.1^ISO|NEHTAHOSP^2.16.840.1.113883.19.5^ISO|SUPER-LIS^2.16.840.1.113883.19.1^ISO|NEHTAPATH^4321^AUSNATA|201504100802+1000||ORM^O01^ORM_O01|P0000051504102331072|P|2.4|||AL|NE|AUS|8859/1
PID|1||2142363^^^NEHTAHOSP^MR~61405230941^^^AUSHIC^MC~WA123456B^^^AUSDVA^DVG||PatientSurnameOne^FirstnameOne^MiddleNameOne^SufixOne^PrefixOne^^L~PatientSurnameTwo^FirstnameTwo^MiddleNameTwo^SufixTwo^PrefixTwo^^M||194506241031|M|||Unit 1^111 Nehta Street^Brisbane^^4000^AUS^H~Unit 2^222 NehtaTwo Street^Brisbane^^4000^AUS^B||^PRN^PH^^^^93235615|^WPN^CP^^^^0414778341
PV1|1|O|Ward1^RoomE8^Bed10^NEHTAHOSP&2.16.840.1.113883.19.5&ISO||||ABCB^DrASurname^DrAttending^^^^Dr^^SUPER-LIS~123456^DrASurname^DrAttending^^^^Dr^^NEHTAHOSP~2304227F^DrASurname^DrAttending^^^^Dr^^AUSHICPR|HIJK^DrASurname^DrReferring^^^^Dr^^SUPER-LIS~858595^DrASurname^DrReferring^^^^Dr^^NEHTAHOSP~2929016F^DrASurname^DrReferring^^^^Dr^^AUSHICPR
ORC|NW|112233^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO||44556677^RhubarbOrdersGroupID^2.16.840.1.113883.19.4.1.4^ISO|IP||||201504100800+1000|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrASurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR||^WPN^PH^^^^0893412041
OBR|1|112233^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO||FBE^Full Blood Count^RhubarbOrderCode^26604007^Complete blood count^SCT|||||||||Patient has a history of severe gout caused by rhubarb.|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrBSurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR~8003600000000000^DrBSurname^DrOrdering^^^^Dr^^AUSHIC^^^^^NPI|^WPN^PH^^^^0893412041|||||||HM|||^^^201504100800+1000^^RT|2304227F^DrCopyASurname^DrCopyToA^^^^Dr^^AUSHICPR~0813266H^DrCopyBSurname^DrCopyToB^^^^Dr^^AUSHICPR~4628361B^DrCopyCSurname^DrCopyToC^^^^Dr^^AUSHICPR
OBX|1|RP|60572-5^^LN^ENTRY^^EN 13606|1|CEN-Repository-Consent.v1^Repository Consent&99A-9B6A27841D4552AB&L^TEXT^Octet-stream||||||F
OBX|2|CE|728301000168101^Patient consent to upload healthcare document^SCT|1.1|728321000168105^Patient consent not withdrawn^SCT||||||O
OBX|3|CE|728211000168106^eHealth record ownership^SCT|1.2|728221000168104^Patient has eHealth record^SCT||||||O
OBX|4|CE|74835-2^Health Data Repository (Identifier)^LN|1.3|8003640002000050^MyEHR Health Repository^GSO||||||O
ORC|NW|112234^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO||44556677^RhubarbOrdersGroupID^2.16.840.1.113883.19.4.1.4^ISO|IP||||201504100800+1000|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrASurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR||^WPN^PH^^^^0893412041
OBR|2|112234^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO||UrineMCS^URINE MC\T\S^RhubarbOrderCode^401324008^Urinary microscopy, culture and sensitivities^SCT|||||||||Patient has a history of severe gout caused by rhubarb.|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrBSurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR~8003600000000000^DrBSurname^DrOrdering^^^^Dr^^AUSHIC^^^^^NPI|^WPN^PH^^^^0893412041|||||||HM|||^^^201504100800+1000^^RT|2304227F^DrCopyASurname^DrCopyToA^^^^Dr^^AUSHICPR~0813266H^DrCopyBSurname^DrCopyToB^^^^Dr^^AUSHICPR~4628361B^DrCopyCSurname^DrCopyToC^^^^Dr^^AUSHICPR
OBX|1|RP|60572-5^^LN^ENTRY^^EN 13606|1|CEN-Repository-Consent.v1^Repository Consent&99A-9B6A27841D4552AB&L^TEXT^Octet-stream||||||F
OBX|2|CE|728301000168101^Patient consent to upload healthcare document^SCT|1.1|728321000168105^Patient consent not withdrawn^SCT||||||O
OBX|3|CE|728211000168106^eHealth record ownership^SCT|1.2|728221000168104^Patient has eHealth record^SCT||||||O
OBX|4|CE|74835-2^Health Data Repository (Identifier)^LN|1.3|8003640002000050^MyEHR Health Repository^GSO||||||O
3.2 Message 2: Order message – with withdrawal of consent
MSH|^~\&|Rhubarb-CPOE^2.16.840.1.113883.19.4.1^ISO|NEHTAHOSP^2.16.840.1.113883.19.5^ISO|SUPER-LIS^2.16.840.1.113883.19.1^ISO|NEHTAPATH^4321^AUSNATA|201504100802+1000||ORM^O01^ORM_O01|P5560801311070009432|P|2.4|||AL|NE|AUS|8859/1
PID|1||2142363^^^NEHTAHOSP^MR~61405230941^^^AUSHIC^MC~WA123456B^^^AUSDVA^DVG||PatientSurnameOne^FirstnameOne^MiddleNameOne^SufixOne^PrefixOne^^L~PatientSurnameTwo^FirstnameTwo^MiddleNameTwo^SufixTwo^PrefixTwo^^M||194506241031|M|||Unit 1^111 Nehta Street^Brisbane^^4000^AUS^H~Unit 2^222 NehtaTwo Street^Brisbane^^4000^AUS^B||^PRN^PH^^^^93235615|^WPN^CP^^^^0414778341
PV1|1|O|Ward1^RoomE8^Bed10^NEHTAHOSP&2.16.840.1.113883.19.5&ISO||||ABCB^DrASurname^DrAttending^^^^Dr^^SUPER-LIS~123456^DrASurname^DrAttending^^^^Dr^^NEHTAHOSP~2304227F^DrASurname^DrAttending^^^^Dr^^AUSHICPR|HIJK^DrASurname^DrReferring^^^^Dr^^SUPER-LIS~858595^DrASurname^DrReferring^^^^Dr^^NEHTAHOSP~2929016F^DrASurname^DrReferring^^^^Dr^^AUSHICPR
ORC|NW|112233^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO||44556677^RhubarbOrdersGroupID^2.16.840.1.113883.19.4.1.4^ISO|IP||||201504100800+1000|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrASurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR||^WPN^PH^^^^0893412041
OBR|1|112233^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO||FBE^Full Blood Count^RhubarbOrderCode^26604007^Complete blood count^SCT|||||||||Patient has a history of severe gout caused by rhubarb.|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrBSurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR~8003600000000000^DrBSurname^DrOrdering^^^^Dr^^AUSHIC^^^^^NPI|^WPN^PH^^^^0893412041|||||||HM|||^^^201504100800+1000^^RT|2304227F^DrCopyASurname^DrCopyToA^^^^Dr^^AUSHICPR~0813266H^DrCopyBSurname^DrCopyToB^^^^Dr^^AUSHICPR~4628361B^DrCopyCSurname^DrCopyToC^^^^Dr^^AUSHICPR
OBX|1|RP|60572-5^^LN^ENTRY^^EN 13606|1|CEN-Repository-Consent.v1^Repository Consent&99A-9B6A27841D4552AB&L^TEXT^Octet-stream||||||F
OBX|2|CE|728301000168101^Patient consent to upload healthcare document^SCT|1.1|728311000168103^Patient consent withdrawn^SCT||||||O
OBX|3|CE|728211000168106^eHealth record ownership^SCT|1.2|728221000168104^Patient has eHealth record^SCT||||||O
OBX|4|CE|74835-2^Health Data Repository (Identifier)^LN|1.3|8003640002000050^MyEHR Health Repository^GSO||||||O
ORC|NW|112234^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO||44556677^RhubarbOrdersGroupID^2.16.840.1.113883.19.4.1.4^ISO|IP||||201504100800+1000|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrASurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR||^WPN^PH^^^^0893412041
OBR|2|112234^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO||UrineMCS^URINE MC\T\S^RhubarbOrderCode^401324008^Urinary microscopy, culture and sensitivities^SCT|||||||||Patient has a history of severe gout caused by rhubarb.|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrASurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR~8003600000000000^DrBSurname^DrOrdering^^^^Dr^^AUSHIC^^^^^NPI|^WPN^PH^^^^0893412041|||||||HM|||^^^201504100800+1000^^RT|2304227F^DrCopyASurname^DrCopyToA^^^^Dr^^AUSHICPR~0813266H^DrCopyBSurname^DrCopyToB^^^^Dr^^AUSHICPR~4628361B^DrCopyCSurname^DrCopyToC^^^^Dr^^AUSHICPR
OBX|1|RP|60572-5^^LN^ENTRY^^EN 13606|1|CEN-Repository-Consent.v1^Repository Consent&99A-9B6A27841D4552AB&L^TEXT^Octet-stream||||||F
OBX|2|CE|728301000168101^Patient consent to upload healthcare document^SCT|1.1|728311000168103^Patient consent withdrawn^SCT||||||O
OBX|3|CE|728211000168106^eHealth record ownership^SCT|1.2|728221000168104^Patient has eHealth record^SCT||||||O
OBX|4|CE|74835-2^Health Data Repository (Identifier)^LN|1.3|8003640002000050^MyEHR Health Repository^GSO||||||O
3.3 Message 3: Standard Result Message
MSH|^~\&|SUPER-LIS^2.16.840.1.113883.19.1^ISO|NEHTAPATH^4321^AUSNATA|Rhubarb-EMR^2.16.840.1.113883.19.4.2^ISO|NEHTAHOSP^2.16.840.1.113883.19.5^ISO|201504111025+1000||ORU^R01^ORU_R01|P0000051504102331070|P|2.4|||AL|NE|AUS|8859/1
PID|1||2142363^^^NEHTAHOSP^MR~61405230941^^^AUSHIC^MC~WA123456B^^^AUSDVA^DVG~8003608833357361^^^AUSHIC^NI||PatientSurnameOne^FirstnameOne^MiddleNameOne^SufixOne^PrefixOne^^L~PatientSurnameTwo^FirstnameTwo^MiddleNameTwo^SufixTwo^PrefixTwo^^M||194506241031|M|||Unit 1^111 Nehta Street^Brisbane^^4000^AUS^H~Unit 2^222 NehtaTwo Street^Brisbane^^4000^AUS^B||^PRN^PH^^^^93235615|^WPN^CP^^^^0414778341
PV1|1|O|Ward1^RoomE8^Bed10^NEHTAHOSP&2.16.840.1.113883.19.5&ISO||||ABCB^DrASurname^DrAttending^^^^Dr^^SUPER-LIS~123456^DrASurname^DrAttending^^^^Dr^^NEHTAHOSP~2304227F^DrASurname^DrAttending^^^^Dr^^AUSHICPR|HIJK^DrASurname^DrReferring^^^^Dr^^SUPER-LIS~858595^DrASurname^DrReferring^^^^Dr^^NEHTAHOSP~2929016F^DrASurname^DrReferring^^^^Dr^^AUSHICPR
ORC|RE|112233^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO|15P000005-123456^SUPER-LIS^2.16.840.1.113883.19.1.2^ISO|44556677^RhubarbOrdersGroupID^2.16.840.1.113883.19.4.1.4^ISO|CM||||201504100800+1000|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrBSurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR||^WPN^PH^^^^0893412041|201504100730+1000
OBR|1|112233^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO|15P000005-123456^SUPER-LIS^2.16.840.1.113883.19.1.2^ISO|FBE^Full Blood Count^SUPER-LIS^26604007^Complete blood count^SCT|||201504100930+1000||||||Patient has a history of severe gout caused by rhubarb.|201504101100+1000||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrBSurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR~8003600000000000^DrBSurname^DrOrdering^^^^Dr^^AUSHIC^^^^^NPI|^WPN^PH^^^^0893412041|||CP=N,DR=4322581B||201504101115+1000||HM|F||^^^201504100800+1000^^RT|2304227F^DrCopyASurname^DrCopyToA^^^^Dr^^AUSHICPR~0813266H^DrCopyBSurname^DrCopyToB^^^^Dr^^AUSHICPR~4628361B^DrCopyCSurname^DrCopyToC^^^^Dr^^AUSHICPR||||DRPRIH&DrSurname&PrincipalResultInterpreterHaem&&&DR&&&SUPER-LIS
OBX|1|NM|718-7^Hemoglobin^LN^HB^Haemoglobin^NEHTAPATH||145|g/L^^ISO+|130-180||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|2|NM|789-8^Erythrocytes^LN^RCC^Red Cell Count^NEHTAPATH||5.30|x10\S\12/L^^ISO+|4.50-6.50||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|3|NM|4544-3^Hematocrit^LN^HCT^HCT^NEHTAPATH||0.43|L/L^^ISO+|0.40-0.54||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|4|NM|MCV^MCV^NEHTAPATH||81|fL^^ISO+|80-96||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|5|NM|MCH^MCH^NEHTAPATH||27.4|pg^^ISO+|24.0-32.0||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|6|NM|MCHC^MCHC^NEHTAPATH||338|g/L^^ISO+|320-360||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|7|NM|PLAT^Platelet^NEHTAPATH||198|x10\S\9/L^^ISO+|150-400||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|8|NM|WCC^White Cell Count^NEHTAPATH||12.1|x10\S\9/L^^ISO+|4.0-11.0|H|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|9|NM|NEUTS^Neutrophils^NEHTAPATH||9.3|x10\S\9/L^^ISO+|2.0-7.5|H|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|10|NM|LYMPHOS^Lymphocytes^NEHTAPATH||2.1|x10\S\9/L^^ISO+|1.0-4.0||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|11|NM|MONOS^Monocytes^NEHTAPATH||0.7|x10\S\9/L^^ISO+|0.1-0.8||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|12|NM|EOS^Eosinophils^NEHTAPATH||0.0|x10\S\9/L^^ISO+|0.0-0.4||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|13|NM|BASOS^Basophils^NEHTAPATH||0.0|x10\S\9/L^^ISO+|0.0-0.2||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|14|FT|TXT^Display format in text^AUSPDI||\.br\------------------------- Haematology Report ---------------------------------\.br\\.br\CUMULATIVE REPORT\.br\Req No: P000001 P000002 P000003 P000004 P000005\.br\ Date: 29/06/13 30/06/13 01/07/13 16/07/13 10/04/15\.br\ Time: 07:37 08:23 08:20 19:20 23:30 Units Ref Range\.br\------------------------------------------------------------------------------\.br\BLOOD COUNT\.br\Hb 138 141 139 135 145 g/L 130-180\.br\WCC 7.9 7.5 7.5 9.5 12.1H x10\S\9/L 4.0-11.0\.br\Plat 280 299 272 186 198 x10\S\9/L 150-400\.br\MCV 87 88 86 86 81 fL 80-96\.br\RCC 4.87 5.02 4.97 4.79 5.30 x10\S\12/L 4.50-6.50\.br\HCT 0.42 0.44 0.43 0.41 0.43 L/L 0.40-0.54\.br\MCH 28.3 28.1 28.0 28.2 27.4 pg 24.0-32.0\.br\MCHC 327 320 326 328 338 g/L 320-360\.br\RDW 13.8 13.9 14.0 14.3H 15.5H % 11.0-14.0\.br\MPV 10.7 10.8H 10.7 11.0H 11.2H fL 6.4-10.7\.br\Differential\.br\Neut 3.9 3.6 3.7 4.6 9.3H x10\S\9/L 2.0-7.5\.br\Lymph 2.9 2.9 2.7 3.6 2.1 x10\S\9/L 1.0-4.0\.br\Mono 0.7 0.5 0.6 0.7 0.7 x10\S\9/L 0.1-0.8\.br\Eos 0.5H 0.4 0.4 0.6H 0.0 x10\S\9/L 0.0-0.4\.br\Baso 0.0 0.0 0.0 0.0 0.0 x10\S\9/L 0.0-0.2\.br\\.br\------------------------- Microbiology Report ---------------------------------\.br\\.br\SPECIMEN Lab No : P000005 \.br\Specimen Type : Urine \.br\ \.br\MICROSCOPY \.br\Leucocyte Range >500 x10E6/L (<10) \.br\Erythrocyte Range >500 x10E6/L (<10) \.br\Epithelial Cells not seen \.br\Bacteria moderate \.br\ \.br\Antibacterial Activity Not Detected \.br\ \.br\CULTURE \.br\ \.br\1. Enterobacter cloacae >=10E8 cfu/L \.br\2. Escherichia coli O112 150 \.br\ \.br\SENSITIVITIES: 1 \.br\ \.br\Amox/Clavulanate R \.br\Gentamicin S \.br\Meropenem S \.br\Nitrofurantoin R \.br\Norfloxacin S \.br\Trimethoprim S \.br\ \.br\COMMENT \.br\Organism 1 \.br\ESCAPPM organisms include Enterobacter, Serratia, Citrobacter, \.br\Aeromonas, Hafnia, Providencia and Morganella. \.br\These bacteria possess inducible beta-lactamases and resistance \.br\may arise during treatment with the Penicillins (Amoxycillin, \.br\Augmentin, Timentin, Piperacillin and Tazobactam) and the \.br\Cephalosporins (Cephalothin, Cephazolin, Ceftriaxone, Cefotaxime, \.br\Ceftazidime and Aztreonam). \.br\ \.br\INTERPRETATION OF MIDSTREAM/CLEAN-CATCH URINE CULTURE RESULTS \.br\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\ \.br\A Bacterial Count of >=10e7 cfu/L is consistent with Urinary Tract \.br\Infection. There are no such quantitative ISOelines for Candida. \.br\A leucocyte count of >=10x10e6/L is abnormal. \.br\Epithelial cells, if present, may reflect urogenital contamination. \.br\An organism count >=10e7 cfu/L, in the absence of a raised leucocyte \.br\count, may reflect overflow from a bacteraemia or lack of specimen \.br\refrigeration with bacterial overgrowth prior to culture. \.br\ \.br\INTERPRETATION OF INDWELLING CATHETER URINE CULTURE RESULTS \.br\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\ \.br\If this urine was collected via an indwelling urinary catheter (IDC) \.br\results are consistent with either IDC colonisation or infection. \.br\Antibiotic therapy with the catheter in situ is seldom successful. \.br\IDC removal, if possible, or replacement is suggested. \.br\Treatment should be ISOed by clinical signs such as fever, pain and \.br\raised peripheral leucocyte count etc.\.br\|||A|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
ORC|RE|112234^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO|15P000005-123457^SUPER-LIS^2.16.840.1.113883.19.1.2^ISO|44556677^RhubarbOrdersGroupID^2.16.840.1.113883.19.4.1.4^ISO|CM||||201504100800+1000|||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrBSurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR||^WPN^PH^^^^0893412041|201504100730+1000
OBR|2|112234^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO|15P000005-123457^SUPER-LIS^2.16.840.1.113883.19.1.2^ISO|UrineMCS^URINE MC\T\S^SUPER-LIS^401324008^Urinary microscopy, culture and sensitivities^SCT|||201504100930+1000||||||Patient has a history of severe gout caused by rhubarb.|201504101100+1000||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrBSurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR~8003600000000000^DrBSurname^DrOrdering^^^^Dr^^AUSHIC^^^^^NPI|^WPN^PH^^^^0893412041|||CP=N,DR=4322581B||201504111020+1000||HM|F||^^^201504100800+1000^^RT|2304227F^DrCopyASurname^DrCopyToA^^^^Dr^^AUSHICPR~0813266H^DrCopyBSurname^DrCopyToB^^^^Dr^^AUSHICPR~4628361B^DrCopyCSurname^DrCopyToC^^^^Dr^^AUSHICPR||||DRPRIM&DrSurname&PrincipalResultInterpreterMicro&&&DR&&&SUPER-LIS
OBX|1|ST|53903-1^Specimen^LN^Spec^Specimen^NEHTAPATH||Urine||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|2|ST|Lab number^LabNo^LN^LabNo^LabNo^NEHTAPATH||M000001||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|3|SN|30405-5^Leucocyte Range^LN^Leuc Range^Leucocyte Range^NEHTAPATH||>^500|x10E6/L|<10|H|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|4|SN|30391-7^Erythrocyte Range^LN^Ery Range^Erythrocyte Range^NEHTAPATH||>^500|x10E6/L|<10|H|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|5|ST|20453-7^Epithelial Cells^LN^Epith^Epithelial Cells^NEHTAPATH||not seen||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|6|ST|50221-1^Bacteria^LN^Bac^Bacteria^NEHTAPATH||moderate||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|7|ST|30910-4^Antibacterial Activity^LN^ABS^Antibacterial Activity^NEHTAPATH||Not Detected||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|8|FT|8262-8^AutoComment^LN^UAutoCom^AutoComment^NEHTAPATH||\.br\Organism 1\.br\ESCAPPM organisms include Enterobacter, Serratia, Citrobacter,\.br\Aeromonas, Hafnia, Providencia and Morganella.\.br\These bacteria possess inducible beta-lactamases and resistance\.br\may arise during treatment with the Penicillins (Amoxycillin,\.br\Augmentin, Timentin, Piperacillin and Tazobactam) and the\.br\Cephalosporins (Cephalothin, Cephazolin, Ceftriaxone, Cefotaxime,\.br\Ceftazidime and Aztreonam).\.br\\.br\INTERPRETATION OF MIDSTREAM/CLEAN-CATCH URINE CULTURE RESULTS\.br\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\.br\A Bacterial Count of >=10e7 cfu/L is consistent with Urinary Tract\.br\Infection. There are no such quantitative ISOelines for Candida.\.br\A leucocyte count of >=10x10e6/L is abnormal.\.br\Epithelial cells, if present, may reflect urogenital contamination.\.br\An organism count >=10e7 cfu/L, in the absence of a raised leucocyte\.br\count, may reflect overflow from a bacteraemia or lack of specimen\.br\refrigeration with bacterial overgrowth prior to culture.\.br\\.br\INTERPRETATION OF INDWELLING CATHETER URINE CULTURE RESULTS\.br\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\.br\If this urine was collected via an indwelling urinary catheter (IDC)\.br\results are consistent with either IDC colonisation or infection.\.br\Antibiotic therapy with the catheter in situ is seldom successful.\.br\IDC removal, if possible, or replacement is suggested.\.br\Treatment should be ISOed by clinical signs such as fever, pain and\.br\raised peripheral leucocyte count etc.\.br\\.br\||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|9|ST|11475-1^Culture^LN|1|Enterobacter cloacae||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|10|ST|699-9^Culture Count^LN|1|>=10E8 cfu/L||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|11|ST|11475-1^Culture^LN|2|Escherichia coli O112||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|12|ST|699-9^Culture Count^LN|2|150||||||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|13|ST|18862-3^Amox/Clavulanate^LN^AMC^Amox/Clavulanate^NEHTAPATH|1|R|||R|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|14|ST|18928-2^Gentamicin^LN^GEN^Gentamicin^NEHTAPATH|1|S|||S|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|15|ST|18997-7^Trimethoprim^LN^TRI^Trimethoprim^NEHTAPATH|1|S|||S|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|16|ST|18955-5^Nitrofurantoin^LN^NIT^Nitrofurantoin^NEHTAPATH|1|R|||R|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|17|ST|18956-3^Norfloxacin^LN^NOR^Norfloxacin^NEHTAPATH|1|S|||S|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|18|ST|18943-1^Meropenem^LN^MER^Meropenem^NEHTAPATH|1|S|||S|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
OBX|14|FT|TXT^Display format in text^AUSPDI^UrineMCS^URINE MC\T\S^NEHTAPATH||\.br\------------------------- Haematology Report ---------------------------------\.br\\.br\CUMULATIVE REPORT\.br\Req No: P000001 P000002 P000003 P000004 P000005\.br\ Date: 29/06/13 30/06/13 01/07/13 16/07/13 10/04/15\.br\ Time: 07:37 08:23 08:20 19:20 23:30 Units Ref Range\.br\------------------------------------------------------------------------------\.br\BLOOD COUNT\.br\Hb 138 141 139 135 145 g/L 130-180\.br\WCC 7.9 7.5 7.5 9.5 12.1H x10\S\9/L 4.0-11.0\.br\Plat 280 299 272 186 198 x10\S\9/L 150-400\.br\MCV 87 88 86 86 81 fL 80-96\.br\RCC 4.87 5.02 4.97 4.79 5.30 x10\S\12/L 4.50-6.50\.br\HCT 0.42 0.44 0.43 0.41 0.43 L/L 0.40-0.54\.br\MCH 28.3 28.1 28.0 28.2 27.4 pg 24.0-32.0\.br\MCHC 327 320 326 328 338 g/L 320-360\.br\RDW 13.8 13.9 14.0 14.3H 15.5H % 11.0-14.0\.br\MPV 10.7 10.8H 10.7 11.0H 11.2H fL 6.4-10.7\.br\Differential\.br\Neut 3.9 3.6 3.7 4.6 9.3H x10\S\9/L 2.0-7.5\.br\Lymph 2.9 2.9 2.7 3.6 2.1 x10\S\9/L 1.0-4.0\.br\Mono 0.7 0.5 0.6 0.7 0.7 x10\S\9/L 0.1-0.8\.br\Eos 0.5H 0.4 0.4 0.6H 0.0 x10\S\9/L 0.0-0.4\.br\Baso 0.0 0.0 0.0 0.0 0.0 x10\S\9/L 0.0-0.2\.br\\.br\------------------------- Microbiology Report ---------------------------------\.br\\.br\SPECIMEN Lab No : P000005 \.br\Specimen Type : Urine \.br\ \.br\MICROSCOPY \.br\Leucocyte Range >500 x10E6/L (<10) \.br\Erythrocyte Range >500 x10E6/L (<10) \.br\Epithelial Cells not seen \.br\Bacteria moderate \.br\ \.br\Antibacterial Activity Not Detected \.br\ \.br\CULTURE \.br\ \.br\1. Enterobacter cloacae >=10E8 cfu/L \.br\2. Escherichia coli O112 150 \.br\ \.br\SENSITIVITIES: 1 \.br\ \.br\Amox/Clavulanate R \.br\Gentamicin S \.br\Meropenem S \.br\Nitrofurantoin R \.br\Norfloxacin S \.br\Trimethoprim S \.br\ \.br\COMMENT \.br\Organism 1 \.br\ESCAPPM organisms include Enterobacter, Serratia, Citrobacter, \.br\Aeromonas, Hafnia, Providencia and Morganella. \.br\These bacteria possess inducible beta-lactamases and resistance \.br\may arise during treatment with the Penicillins (Amoxycillin, \.br\Augmentin, Timentin, Piperacillin and Tazobactam) and the \.br\Cephalosporins (Cephalothin, Cephazolin, Ceftriaxone, Cefotaxime, \.br\Ceftazidime and Aztreonam). \.br\ \.br\INTERPRETATION OF MIDSTREAM/CLEAN-CATCH URINE CULTURE RESULTS \.br\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\ \.br\A Bacterial Count of >=10e7 cfu/L is consistent with Urinary Tract \.br\Infection. There are no such quantitative ISOelines for Candida. \.br\A leucocyte count of >=10x10e6/L is abnormal. \.br\Epithelial cells, if present, may reflect urogenital contamination. \.br\An organism count >=10e7 cfu/L, in the absence of a raised leucocyte \.br\count, may reflect overflow from a bacteraemia or lack of specimen \.br\refrigeration with bacterial overgrowth prior to culture. \.br\ \.br\INTERPRETATION OF INDWELLING CATHETER URINE CULTURE RESULTS \.br\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\\R\ \.br\If this urine was collected via an indwelling urinary catheter (IDC) \.br\results are consistent with either IDC colonisation or infection. \.br\Antibiotic therapy with the catheter in situ is seldom successful. \.br\IDC removal, if possible, or replacement is suggested. \.br\Treatment should be ISOed by clinical signs such as fever, pain and \.br\raised peripheral leucocyte count etc.\.br\|||A|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LIS
3.4 Message 4: Indication of Consent Message
MSH|^~\&|Rhubarb-CPOE^2.16.840.1.113883.19.4.1^ISO|NEHTAHOSP^2.16.840.1.113883.19.5^ISO|SUPER-LIS^2.16.840.1.113883.19.1^ISO|NEHTAPATH^4321^AUSNATA|201504120933+1000||ORM^O01^ORM_O01|P5560801311070009864|P|2.4|||AL|NE|AUS|8859/1
PID|1||2142363^^^NEHTAHOSP^MR~61405230941^^^AUSHIC^MC~WA123456B^^^AUSDVA^DVG~2.16.840.1.113883.19.100^^^AUSHIC^NI||PatientSurnameOne^FirstnameOne^MiddleNameOne^SufixOne^PrefixOne^^L~PatientSurnameTwo^FirstnameTwo^MiddleNameTwo^SufixTwo^PrefixTwo^^M||194506241031|M|||Unit 1^111 Nehta Street^Brisbane^^4000^AUS^H~Unit 2^222 NehtaTwo Street^Brisbane^^4000^AUS^B||^PRN^PH^^^^93235615|^WPN^CP^^^^0414778341
PV1|1|O|Ward1^RoomE8^Bed10^NEHTAHOSP&2.16.840.1.113883.19.5&ISO||||ABCB^DrASurname^DrAttending^^^^Dr^^SUPER-LIS~123456^DrASurname^DrAttending^^^^Dr^^NEHTAHOSP~2304227F^DrASurname^DrAttending^^^^Dr^^AUSHICPR|HIJK^DrASurname^DrReferring^^^^Dr^^SUPER-LIS~858595^DrASurname^DrReferring^^^^Dr^^NEHTAHOSP~2929016F^DrASurname^DrReferring^^^^Dr^^AUSHICPR
ORC|SC|112233^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO|15P000005-123456^SUPER-LIS^2.16.840.1.113883.19.1.2^ISO|44556677^RhubarbOrdersGroupID^2.16.840.1.113883.19.4.1.4^ISO||||||||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrASurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR|||
OBR|1|112233^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO|15P000005-123456^SUPER-LIS^2.16.840.1.113883.19.1.2^ISO|FBE^Full Blood Count^SUPER-LIS^26604007^Complete blood count^SCT|||201504100930+1000|20131106233000+0800|||||Patient has a history of severe gout caused by rhubarb.|201504101100+1000||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrASurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR~8003600000000000^DrBSurname^DrOrdering^^^^Dr^^AUSHIC^^^^^NPI|^WPN^PH^^^^0893412041|||CP=N,DR=4322581B||201504101115+1000||HM|F||^^^201504100800+1000^^RT|2304227F^DrCopyASurname^DrCopyToA^^^^Dr^^AUSHICPR~0813266H^DrCopyBSurname^DrCopyToB^^^^Dr^^AUSHICPR~4628361B^DrCopyCSurname^DrCopyToC^^^^Dr^^AUSHICPR||||DRPRIH&DrSurname&PrincipalResultInterpreterHaem&&&DR&&&SUPER-LIS
OBX|1|RP|60572-5^^LN^ENTRY^^EN 13606|1|CEN-Repository-Consent.v1^Repository Consent&99A-9B6A27841D4552AB&L^TEXT^Octet-stream||||||F
OBX|2|CE|728301000168101^Patient consent to upload healthcare document^SCT|1.1|728321000168105^Patient consent not withdrawn^SCT||||||O
OBX|3|CE|728211000168106^eHealth record ownership^SCT|1.2|728221000168104^Patient has eHealth record^SCT||||||O
OBX|4|CE|74835-2^Health Data Repository (Identifier)^LN|1.3|8003640002000050^MyEHR Health Repository^GSO||||||O
ORC|SC|112234^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO|15P000005-123457^SUPER-LIS^2.16.840.1.113883.19.1.2^ISO|44556677^RhubarbOrdersGroupID^2.16.840.1.113883.19.4.1.4^ISO||||||||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrASurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR|||
OBR|2|112234^RhubarbOrders^2.16.840.1.113883.19.4.1.5^ISO|15P000005-123457^SUPER-LIS^2.16.840.1.113883.19.1.2^ISO|UrineMCS^URINE MC\T\S^SUPER-LIS^401324008^Urinary microscopy, culture and sensitivities^SCT|||201504100930+1000|20131106233000+0800|||||Patient has a history of severe gout caused by rhubarb.|201504101100+1000||DFTR^DrBSurname^DrOrdering^^^^Dr^^SUPER-LIS~958678^DrASurname^DrOrdering^^^^Dr^^NEHTAHOSP~4322581B^DrBSurname^DrOrdering^^^^Dr^^AUSHICPR~8003600000000000^DrBSurname^DrOrdering^^^^Dr^^AUSHIC^^^^^NPI|^WPN^PH^^^^0893412041|||CP=N,DR=4322581B||201504111020+1000||HM|F||^^^201504100800+1000^^RT|2304227F^DrCopyASurname^DrCopyToA^^^^Dr^^AUSHICPR~0813266H^DrCopyBSurname^DrCopyToB^^^^Dr^^AUSHICPR~4628361B^DrCopyCSurname^DrCopyToC^^^^Dr^^AUSHICPR||||DRPRIM&DrSurname&PrincipalResultInterpreterMicro&&&DR&&&SUPER-LIS
OBX|1|RP|60572-5^^LN^ENTRY^^EN 13606|1|CEN-Repository-Consent.v1^Repository Consent&99A-9B6A27841D4552AB&L^TEXT^Octet-stream||||||F
OBX|2|CE|728301000168101^Patient consent to upload healthcare document^SCT|1.1|728321000168105^Patient consent not withdrawn^SCT||||||O
OBX|3|CE|728211000168106^eHealth record ownership^SCT|1.2|728221000168104^Patient has eHealth record^SCT||||||O
OBX|4|CE|74835-2^Health Data Repository (Identifier)^LN|1.3|8003640002000050^MyEHR Health Repository^GSO||||||O
4 Acknowledgements
The following individuals were consulted on the development of these sample message. NEHTA thanks those involved for the time and effort involved in developing and reviewing this document.
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