...
Participant | Organisation |
Ted Anderson | Commonwealth Department of Health |
Paul Carr | Genie Solutions |
Jeremy Crawford | Medical Director |
Russel Duncan | Emerging Systems |
Alan O’Keefe | SDS Pathology |
Mike Penny | Sonic Healthcare |
George Varsamis | i-Med |
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Indication of Consent Messaging Example
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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1.1 | Request for Diagnostic Services | A request for Diagnostic Services is made noting that PCEHR consent has been withdrawn.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
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