...
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OBX|2|CE|728301000168101^Patient consent to upload healthcare document^SCT|1.1|728321000168105^Patient consent not withdrawn^SCT||||||O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|8859/1P000001 P000002 P000003 P000004 P000005
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
Date:29
29/06/13 30
13 30/06/13 01
13 01/07/13 16
13 16/07/13 10
13 10/04/15\.br\Time
Time:07:37 08:23 08:20 19:20 23:30 Units Ref Range
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
Hb 138 141 139 135 145 g/L 130-180\.br\WCC 7.9 7.5 7.5 9.5 12.1H x10
WCC 7.9 7.5 7.5 9.5 12.1H x10\S\9/L 4
L 4.0-11.0\.br\Plat 280 299 272 186 198 x10
Plat 280 299 272 186 198 x10\S\9/L 150
L 150-400\.br\MCV 87 88 86 86 81 fL 80
MCV 87 88 86 86 81 fL 80-96\.br\RCC 4.87 5.02 4.97 4.79 5.30 x10
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
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
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
MCHC 327 320 326 328 338 g/L 320-360\.br\RDW 13.8 13.9 14.0 14.3H 15.5H % 11
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
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
Neut 3.9 3.6 3.7 4.6 9.3H x10\S\9/L 2
L 2.0-7.5\.br\Lymph 2.9 2.9 2.7 3.6 2.1 x10
Lymph 2.9 2.9 2.7 3.6 2.1 x10\S\9/L 1
L 1.0-4.0\.br\Mono 0.7 0.5 0.6 0.7 0.7 x10
Mono 0.7 0.5 0.6 0.7 0.7 x10\S\9/L 0
L 0.1-0.8\.br\Eos 0.5H 0.4 0.4 0.6H 0.0 x10
Eos 0.5H 0.4 0.4 0.6H 0.0 x10\S\9/L 0
L 0.0-0.4\.br\Baso 0.0 0.0 0.0 0.0 0.0 x10
Baso 0.0 0.0 0.0 0.0 0.0 x10\S\9/L 0
L 0.0-0.2\.br\\.br\------------------------- Microbiology Report ---------------------------------\.br\\.br\SPECIMEN Lab
SPECIMEN Lab No :P000005
P000005 \.br\Specimen Type :Urine
Urine \.br\
\.br\MICROSCOPY
MICROSCOPY \.br\LeucocyteRange >500 x10E6
Range >500 x10E6/L (<10)
\.br\ErythrocyteRange >500 x10E6
Range >500 x10E6/L (<10)
\.br\EpithelialCells not seen
Cells not seen \.br\Bacteria moderate
Bacteria moderate \.br\
\.br\AntibacterialActivity Not Detected
Activity Not Detected \.br\
\.br\CULTURE
CULTURE \.br\
\.br\1. Enterobactercloacae >
cloacae >=10E8 cfu/L
L \.br\2. Escherichia coliO112 150
O112 150 \.br\
\.br\SENSITIVITIES:1
1 \.br\
\.br\Amox/Clavulanate R
Clavulanate R \.br\Gentamicin S
Gentamicin S \.br\Meropenem S
Meropenem S \.br\Nitrofurantoin R
Nitrofurantoin R \.br\Norfloxacin S
Norfloxacin S \.br\Trimethoprim S
Trimethoprim S \.br\
\.br\COMMENT
COMMENT \.br\Organism1
1 \.br\ESCAPPM organisms include Enterobacter, Serratia, Citrobacter,
\.br\Aeromonas, Hafnia, Providencia and Morganella.
\.br\These bacteria possess inducible beta-lactamases andresistance
resistance \.br\may arise during treatment with the Penicillins (Amoxycillin,
\.br\Augmentin, Timentin, Piperacillin and Tazobactam) andthe
the \.br\Cephalosporins (Cephalothin, Cephazolin, Ceftriaxone, Cefotaxime,
\.br\Ceftazidime and Aztreonam).
\.br\
\.br\INTERPRETATION OF MIDSTREAM/CLEAN-CATCH URINE CULTURERESULTS
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 UrinaryTract
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 raisedleucocyte
leucocyte \.br\count, may reflect overflow from a bacteraemia or lack ofspecimen
specimen \.br\refrigeration with bacterial overgrowth prior to culture.
\.br\
\.br\INTERPRETATION OF INDWELLING CATHETER URINE CULTURERESULTS
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, painand
and \.br\raised peripheral leucocyte count etc.\.br\|||A|||F|||201504100930+1000|""|RO56^SurnameResponsibleObserver^Givenname^^^^^^SUPER-LISP000001 P000002 P000003 P000004 P000005
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
Date:29
29/06/13 30
13 30/06/13 01
13 01/07/13 16
13 16/07/13 10
13 10/04/15\.br\Time
Time:07:37 08:23 08:20 19:20 23:30 Units Ref
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
Hb 138 141 139 135 145 g/L 130-180\.br\WCC 7.9 7.5 7.5 9.5 12.1H x10
WCC 7.9 7.5 7.5 9.5 12.1H x10\S\9/L 4
L 4.0-11.0\.br\Plat 280 299 272 186 198 x10
Plat 280 299 272 186 198 x10\S\9/L 150
L 150-400\.br\MCV 87 88 86 86 81 fL 80
MCV 87 88 86 86 81 fL 80-96\.br\RCC 4.87 5.02 4.97 4.79 5.30 x10
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
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
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
MCHC 327 320 326 328 338 g/L 320-360\.br\RDW 13.8 13.9 14.0 14.3H 15.5H % 11
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
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
Neut 3.9 3.6 3.7 4.6 9.3H x10\S\9/L 2
L 2.0-7.5\.br\Lymph 2.9 2.9 2.7 3.6 2.1 x10
Lymph 2.9 2.9 2.7 3.6 2.1 x10\S\9/L 1
L 1.0-4.0\.br\Mono 0.7 0.5 0.6 0.7 0.7 x10
Mono 0.7 0.5 0.6 0.7 0.7 x10\S\9/L 0
L 0.1-0.8\.br\Eos 0.5H 0.4 0.4 0.6H 0.0 x10
Eos 0.5H 0.4 0.4 0.6H 0.0 x10\S\9/L 0
L 0.0-0.4\.br\Baso 0.0 0.0 0.0 0.0 0.0 x10
Baso 0.0 0.0 0.0 0.0 0.0 x10\S\9/L 0
L 0.0-0.2\.br\\.br\------------------------- Microbiology Report ---------------------------------\.br\\.br\SPECIMEN Lab
SPECIMEN Lab No :P000005
P000005 \.br\Specimen Type :Urine
Urine \.br\
\.br\MICROSCOPY
MICROSCOPY \.br\LeucocyteRange >500 x10E6
Range >500 x10E6/L (<10)
\.br\ErythrocyteRange >500 x10E6
Range >500 x10E6/L (<10)
\.br\EpithelialCells not seen
Cells not seen \.br\Bacteria moderate
Bacteria moderate \.br\
\.br\AntibacterialActivity Not Detected
Activity Not Detected \.br\
\.br\CULTURE
CULTURE \.br\
\.br\1. Enterobactercloacae >
cloacae >=10E8 cfu/L
L \.br\2. Escherichia coliO112 150
O112 150 \.br\
\.br\SENSITIVITIES:1
1 \.br\
\.br\Amox/Clavulanate R
Clavulanate R \.br\Gentamicin S
Gentamicin S \.br\Meropenem S
Meropenem S \.br\Nitrofurantoin R
Nitrofurantoin R \.br\Norfloxacin S
Norfloxacin S \.br\Trimethoprim S
Trimethoprim S \.br\
\.br\COMMENT
COMMENT \.br\Organism1
1 \.br\ESCAPPM organisms include Enterobacter, Serratia, Citrobacter,
\.br\Aeromonas, Hafnia, Providencia and Morganella.
\.br\These bacteria possess inducible beta-lactamases andresistance
resistance \.br\may arise during treatment with the Penicillins (Amoxycillin,
\.br\Augmentin, Timentin, Piperacillin and Tazobactam) andthe
the \.br\Cephalosporins (Cephalothin, Cephazolin, Ceftriaxone, Cefotaxime,
\.br\Ceftazidime and Aztreonam).
\.br\
\.br\INTERPRETATION OF MIDSTREAM/CLEAN-CATCH URINE CULTURERESULTS
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 UrinaryTract
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 raisedleucocyte
leucocyte \.br\count, may reflect overflow from a bacteraemia or lack ofspecimen
specimen \.br\refrigeration with bacterial overgrowth prior to culture.
\.br\
\.br\INTERPRETATION OF INDWELLING CATHETER URINE CULTURERESULTS
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, painand
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
...