Event Type Event Description Segment Composition Product Product Option Trigger Event Notes ORM^O01 General Order Message MSH Order Entry Client Profile - Create New Order PID Client Profile - Renew/DC/Validate PV1 Client Profile - View/Change Order [{AL1}] Client Profile - Hold/Resume {ORC Activate Pre-Authorized Orders [OBR [{NTE}] [{OBX}] ] } MSH = Message Header PID = Patient Identification PV1 = Patient Visit AL1 = Allergy Information ORC = Common Order OBR = Observation Request NTE = Note OBX = Observation/Result [ ] = optional { } = repetative Field# Field Description ReqYN Length Product Field Description Product Field Mapping Notes 1 Order Control Y 2 Based on action taken in order entry and the order status the value for this field is computed as follows (please refer to tab 'Order Control Code Logic') There are three order specifc and two client/episode specific configuration settings that are used to determine whether or not an order should be sent out. These are congfigured on a per connection basis (please refer to tab 'order validation logic') 2 Placer Order Number 22 Order Unique Id 20049 3 Filler Order Number 22 N/A 4 Place Group Number 22 N/A 5 Order Status 2 N/A 6 Response Flag 1 N/A 7.1 Quantity Component 200 Quantity 20070 7.2.1 Interval Repeat Pattern Frequency Code 20072 We will be storing the contents of the order frequency table in ^ORDERH 7.2.2 Interval Explicit Time Hours Of Administration 20099 thru 20102 "military time - comma delimited (HHMM,HHMM)" 7.3 Duration Duration(Days) 20087 7.4 Start Date/Time Start Date And Time 20085 and 20086 "Take the Start Date/Time fields (as opposed to the Renew Effective Date), regardless of the action just performed." 7.5 End Date/Time Current Stop Date/Time or Order Discontinue Effective Date/Time 20088 (Current Stop Date) And 20089 (Current Stop Time) Or 20027 (Order Discontinue Effective Date) And 20028 (Order Discontinue Effective Time) "If an order is discontinued, the interface 'Stop Date/Time' should be the earlier of 'Current Stop Date/Time' or 'Discontinue Effective Date/Time'. The earlier of the two values represents when the order actually ended. In CSM, you cannot discontinue an order which has expired. However, you can discontinue an order and specify a 'Discontinue Effective Date/Time' that is later than the 'Current Stop Date'" 7.6 Priority Routine or PRN(As Needed) 20075 and 20093 If PRN selected then send 'PRN'. If 'one time only' indicated then send '1'. Default is 'R' (routine) 7.7 Condition N/A 7.8 Text N/A 7.9 Conjunction N/A 7.1 Order Sequencing N/A 8 Parent 200 N/A 9 Date/Time Of Transaction 26 Date/Time Of Entry 30000 And 30002 10.1 Entered By Data Entry By (Option) 30003 10.1 Name Type Code "if order requires validation (status-20011) then place a ""V"" here (status equals ""V"" or ""DV"")" 11 Verified By 120 N/A 12.1 Ordering Provider Id 120 Ordering Practitioner ID and Facility Number (as defined in option 'Facility Defaults) or 'Ordering Practitioner Who Is Not Enrolled' 20081 Or 20082 if no ordering practitioner then send 'Ordering Practitioner Who Is Not Enrolled'. In the case of the former this field would be valued with Practitioner ID and Facility Number (Example: 000004-42). In the case of the latter then only the practitioner name would be valued. 12.2 Ordering Provider Last Name 12.3 Ordering Provider First Name 12.4 Ordering Provider Middle Name 13 Enter's Location 80 N/A 14 Call Back Phone Number 40 N/A 15 Order Effective Date/Time 26 Based on the action taken in CSM the value would be as follows: - if create new then 'Start Date/Time' " - if discontinue then earlier of 'Stop Date/Time' and 'Discontinue Effective Date/Time' " - if hold then 'Hold Effective Date/Time' - if resume then 'Resume Effective Date/Time' - else date/time of file 16 Order Control Code Reason 200 N/A 17 Entering Organization 60 N/A 18 Entering Device 60 N/A 19 Action By 120 N/A 20 Advanced Beneficiary Notice Code 40 N/A Field# Field Description ReqYN Length Product Field Description Product Field Mapping Notes 1 Set ID 4 2 Place Order Number 22 Order Unique Id 20049 3 Filler Order Number 22 N/A 4.1 Universal Service ID Y 100 Order Code 20063 If there is a value defined for field 'Interface Code' found on option 'Order Code Setup' then it will be sent in this field component instead of 'Order Code' 4.2 "OrderCodeDesc = ^OrderCode(%CC,OrderCode,10104)" 5 Priority N/A 6 Requested Date/Time N/A 7 Observation Date/Time N/A 8 Observation End Date/Time N/A 9 Collection Volume N/A 10 Collector Identifier N/A 11 Specimen Action Code N/A 12 Danger Code N/A 13 Relevant Clinical Info N/A 14 Specimen Received Date/Time N/A 15 Specimen Source N/A 16.1 Ordering Provider Id 120 Ordering Practitioner ID and Facility Number (as defined in option 'Facility Defaults) or 'Ordering Practitioner Who Is Not Enrolled' 20081 Or 20082 if no ordering practitioner then send 'Ordering Practitioner Who Is Not Enrolled'. In the case of the former this field would be valued with Practitioner ID and Facility Number (Example: 000004-42). In the case of the latter then only the practitioner name would be valued. 16.2 Ordering Provider Last Name 16.3 Ordering Provider First Name 16.4 Ordering Provider Middle Name 17 Order Callback Phone Number N/A 18 Placer Field 1 N/A 19 Placer Field 2 N/A 20 Filler Field 1 N/A 21 Filler Field 2 N/A 22 Results Rpt/Status Change Date/Time N/A 23 Charge To Practice N/A 24 Diagnostic Serv Sect ID N/A 25 Result Status N/A 26 Parent Result N/A 27.1 Quantity Component 200 Quantity 20070 27.2.1 Interval Repeat Pattern Frequency Code 20072 We will be storing the contents of the order frequency table in ^ORDERH 27.2.2 Interval Explicit Time Hours Of Administration 20099 thru 20102 "military time - comma delimited (HHMM,HHMM)" 27.3 Duration Duration(Days) 20087 27.4 Start Date/Time Start Date And Time 20085 and 20086 "Take the Start Date/Time fields (as opposed to the Renew Effective Date), regardless of the action just performed." 27.5 End Date/Time Current Stop Date/Time or Order Discontinue Effective Date/Time 20088 (Current Stop Date) And 20089 (Current Stop Time) Or 20027 (Order Discontinue Effective Date) And 20028 (Order Discontinue Effective Time) "If an order is discontinued, the interface 'Stop Date/Time' should be the earlier of 'Current Stop Date/Time' or 'Discontinue Effective Date/Time'. The earlier of the two values represents when the order actually ended. In CSM, you cannot discontinue an order which has expired. However, you can discontinue an order and specify a 'Discontinue Effective Date/Time' that is later than the 'Current Stop Date'" 27.6 Priority Routine or PRN(As Needed) 20075 and 20093 If PRN selected then send 'PRN'. If 'one time only' indicated then send '1'. Default is 'R' (routine) 27.7 Condition N/A 27.8 Text N/A 27.9 Conjunction N/A 28 Results Copied To N/A 29 Parent N/A 30 Transportation Mode N/A 31 Reason For Study N/A 32 Principal Result Interpreter N/A 33 Assistant Result Interpreter N/A 34 Technician N/A 35 Transcriptionist N/A 36 Scheduled Date/Time N/A 37 Number Of Sample Containers N/A 38 Transport Logistics Of Collected Sample N/A 39 Collector's Comment N/A 40 Transport Arrangement Responsibility N/A 41 Transport Arranged N/A 42 Escort Required N/A 43 Planned Patient Transport Comment N/A 44 Ordering Facility Name Facility Defaults - Provider Name "^BILL(%CC,1)" 45 Ordering Facility Address Facility Defaults - Provider Address 46 Ordering Facility Phone Number Facility Defaults - Provider Phone Number 47 Ordering Provider Address Provider Registration - Office Address Field# Field Description ReqYN Length Product Field Description Product Field Mapping Notes 1 Set ID 4 2 Source Of Comment 8 N/A 3 Comment 64k "Order Text, Special/Additional Instructions and Comments" "20064, 20087 and 20080" One iteration of segment per field (if data present) 4 Comment Type 60 N/A Three Order Specific Configuration Settings Exist That Are Used To Determine Whether Or Not An Order Should Be Sent 01) Send Validated Orders Only - this allows one to prevent orders from being sent that require validation choices are: (Y)es (N)o The system default is N 02) Valid Order Type Categories (extended dict off of Order Type) - this allows one to define which categories a particular connection will support choices are: (P)harmacy (L)ab (D)ietary (N)ot appicable There is no system default. This must be configured on a per interface connection basis. 03) Valid Order Categories (fld 20053) - this allows one to define the order categories that a particular connection will support choices are: (D)ischarge (H)istory Only (L)eave (N)other "the system default is D, L, and N" Two Client/Episode Specific Configuration Settings Exist That Are Used To Determine Whether Or Not An Order Should Be Sent 01) Exclude Treatment Settings - this allows one to prevent orders from being sent if the episode is not one of the valid treatment settings types choices are: (I)npatient (O)utpatient (P)artial There is no system default (all orders sent regardless of treatment setting) 02) Exclude Program Categories - this allows one to prevent orders from being sent if the episode is not associated with a valid program category choices are: (P)re-admit (A)dmit There is no system default (all orders sent regardless) Three Order Specific Configuration Settings Exist That Are Used To Determine Whether Or Not An Order Should Be Sent 01) Send Validated Orders Only - this allows one to prevent orders from being sent that require validation choices are: (Y)es (N)o The system default is N 02) Valid Order Type Categories (extended dict off of Order Type) - this allows one to define which categories a particular connection will support choices are: (P)harmacy (L)ab (D)ietary (N)ot appicable There is no system default. This must be configured on a per interface connection basis. 03) Valid Order Categories (fld 20053) - this allows one to define the order categories that a particular connection will support choices are: (D)ischarge (H)istory Only (L)eave (N)other "the system default is D, L, and N" Two Client/Episode Specific Configuration Settings Exist That Are Used To Determine Whether Or Not An Order Should Be Sent 01) Exclude Treatment Settings - this allows one to prevent orders from being sent if the episode is not one of the valid treatment settings types choices are: (I)npatient (O)utpatient (P)artial There is no system default (all orders sent regardless of treatment setting) 02) Exclude Program Categories - this allows one to prevent orders from being sent if the episode is not associated with a valid program category choices are: (P)re-admit (A)dmit There is no system default (all orders sent regardless) If system configured to send orders regardless of validation status then Order Control Code Is Determined As Follows: Last Action Taken Status Order Control Code Comments Create N/A NW Change N/A XO Discontinue N/A DC Renew N/A XO Validate N/A N/A message not generated as a result of validation Hold N/A HD Resume N/A RL If system configured to send only validated orders then Order Control Code Is Determined As Follows: Last Action Taken Status Order Control Code Comments Create A NW V Do not send Change A XO Cannot change orders that have been validated V Do not send Cannot change orders that have been renewed Cannot change orders that have been discontinued Discontinue D DC DV Do not send. Needs to be validated Sstatus of 'DV' indicates that order was discontinued and requires validation VD If there is no renew effective date (20173) then we can assume that it was never originally sent else send as DC Status 'VD' indicates that order was discontinued while requiring validation but that the act of discontinuing does not require validation itself. Renew A XO Cannot renew orders that require validation V Do not send Validate A If no renewal effective date (20173) then send NW else send XO Cannot validate orders that have been discontinued D DC Hold A HD V Do not send Resume A RL V Do not send # Note 1 OBX segment - height and weight information will be pulled from order entry regardless of whether or not it was previously being stored in some other application option prior to order entry install 2 AL1 segment - allergy information will be pulled from order entry option regardless of whether or not it was previously being stored through some other application option prior to order entry install