General Electric VIEWPOINT 5.6 HL7 INTERFACE TECHNICAL REFERENCE GUIDE_SM_VP56HL7_6 ViewPoint HL7 Interface Technical Reference Guide Version 6

GE Healthcare
ViewPoint
Technical Publication
ViewPoint
HL7 Interface
Technical Reference Guide
0124
ViewPoint Software Version 5.6
Copyright 1992 - 2009 General Electric Company
Imprint
Viewpoint Bildverarbeitung GmbH Argelsrieder Feld 12 82234 Wessling, Germany
Tel. +49 8153 9311-0 Fax +49 8153 9311-30 E-mail: vpinfo@med.ge.com Internet: www.gehealthcare.com/viewpoint
Table of Contents
1.
Introduction..................................................................................................................................................................3
2. Assumptions.................................................................................................................................................................3
3. Interface Workflow Overview ..............................................................................................................................4
Inbound Workflow Overview......................................................................................................................................4
Support of Movement Information ............................................................................................................4
Processing of Outcome messages.............................................................................................................5
Outbound Workflow Overview ..................................................................................................................................7
Processing of Acknowledge Messages
4.
HL7 Data Description...............................................................................................................................................7
Delimiter Definition .........................................................................................................................................................7
Data Types..........................................................................................................................................................................8
Data Type Definition.......................................................................................................................................................8
Inbound HL7 Interface ............................................................................................................................................... 12
Fields With Insufficient Length .........................................................................................................................12
Supported HL7 Events.......................................................................................................................................... 13
Structure of ADT Messages................................................................................................................................ 13
Structure of ADT^Z99 Event .............................................................................................................................. 14
...................................................................................................7
Structure of ADT^A40 Event.............................................................................................................................. 14
Structure of OMG^O19 Event............................................................................................................................ 15
Structure of ORM^O01 Event............................................................................................................................ 15
HL7 Segments and Fields Definition for Inbound Workflow............................................................... 16
Outbound HL7 Interface............................................................................................................................................ 29
HL7 Event Definition.............................................................................................................................................. 29
Structure of outbound HL7 events................................................................................................................. 29
HL7 Segment & Field Definitions ..................................................................................................................... 34
Export of discrete findings.................................................................................................................................. 54
Document Version History
Version Date Description Author
0.1 15.05.05 Initial Creation Juan de Hoyos
1 19.10.2005 M3 Gabriele Rieger
2 1. 12.2005 Movement table revised Gabriele Rieger
Bernhard Hornung Juan de Hoyos
2.1 19.1.2006 Outbound updated PV1-50 added
2.2 18.2.2006 Mapping for OBR-32 and 43 outbound added
2.3 27.2.2006 Mapping for OBR-14 and PR1-14 outbound added
2.4 24.4.2006 Update modus added Juan de Hoyos
2.5 2.5.2006 ZVP-8 mapping added Juan de Hoyos
3 31.8.2006 DG1 and PR1 mapping corrected Juan de Hoyos
3 31.8.2006 VKNR type changed to numeric Juan de Hoyos
3 31.8.2006 PDF export added Juan de Hoyos
3.1 18.10.2006 OBX-3 in MDM^T02 event set to ‚IMAGE_REF’
4 27.10.2006 BAR^P12 and discrete findings
added
5 2.11.2006 ORU^R01 message structure for
discrete findings added Made PV1 segment optional for all
export events
5.1 14.11.2006 NF and Lateral Ventricle marked as available in FDB_USA version, only.
5.2 9.1.2007 ZDD, ZOX segments added Juan de Hoyos
5.3 16.1.2007 SPR 84147 updates Juan de Hoyos
5.4 14.9.2007 PV1-21 mapping added OBR-46 mapping added PV1-8.13,PV1-8.14,PV1-9.13,PV1-
9.14 mapping added Coding of DG1-3 and PR1-3 added
for French version
5.5 19.11.2007 TXA-4 used to carry ref. Doctor information
ZEX, ZEP segments added
5.6 11.01.2008 2nd trim. Diagnosis added to discrete export list
5.8 30.4.2008 New fields 2.3, 5.1 and 5.2 in ZEX segment added
5.9 29.5.2008 New fields from 3.4 to 3.11 in ZEX segment added
5.10 5.5.2009 New fields 7 and 8 added to ZEX Juan de Hoyos
Juan de Hoyos
Juan de Hoyos
Juan de Hoyos
Juan de Hoyos
Juan de Hoyos
Bernhard Hornung
Juan de Hoyos
Juan de Hoyos Bernhard Hornung
Juan de Hoyos
Juan de Hoyos
Juan de Hoyos
Juan de Hoyos
ViewPoint 5.6 1 HL7 Interface Reference Manual Version 6
5.11 5. Nov. 2009 Typo corrected Manufacture’s address symbol
added
5.12 13.Nov.2009 Table 0005 updated Flag “C” added to OBX-11 in
MDM^T02 event
6 11. Dec. 2009 Version after review Gabriele Rieger
Gabriele Rieger
Juan de Hoyos
ViewPoint 5.6 2 HL7 Interface Reference Manual Version 6
1. Introduction
This document describes the HL7 interface, as it relates to the ViewPoint 5.5 application.
The ViewPoint (VP) HL7 Interface communicates with a Hospital Information System (HIS) or other third-party transcription systems via HL7 formatted messages that import relevant clinical information. This interface is designed to send and receive messages using the TCP/IP protocol, via a socket connection, and minimal layer protocol (MLP). These HL7 messages are created automatically, depending upon the event(s) within the ViewPoint application. The interface communication is at the server level, rather than at each individual client workstation, although a client is able to produce the necessary triggers. Successful implementation requires the assistance of a ViewPoint Interface Specialist, who can provide training, technical, and project management information.
2. Assumptions
a) It is assumed that the reader of this document is familiar with the HL7
standard. This document is not intended to be used standalone, but should be used in conjunction with the HL7 Specification Version 2.4*.
b) The HL7 interface can only be processed using the TCP/IP protocol.
c) The VP customer is responsible for ensuring that the receiving HIS or
transcription system is capable and ready to receive HL7 messages from VPHiscomServer for processing.
*HL7 standards committee members can acquire a free copy of the current HL7 specification from the Internet via the HL7 World Wide Web page (http://www.HL7.org). Non-members can order a copy from the same location or by contacting the appropriate representatives:
Health Level Seven 3300 Washtenaw Ave., Suite 227 Ann Arbor, MI 48104-4250 Phone: (313) 677-7777; Fax: (313) 677-6622
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3. Interface Workflow Overview
Inbound Workflow Overview
Supported incoming HL7 messages triggered from HIS systems are processed and their content saved into the local database.
Successfully processed messages are acknowledged. Messages, which for any reason were not processed, are rejected with a non-acknowledge ACK HL7 message (as defined in HL7 Specification 2.4). The VPHisComServer can log every incoming message and its internal processing.
Incoming streams that are not MLLP formatted are ignored.
Support of Movement Information
ViewPoint can receive and use information about patient movements. Since there is no HL7 standard yet, which describes how movement information should be transmitted, ViewPoint uses the ZBE segment. The chosen implementation should be compatible to the IHE standard and to the German extension of the HL7 2.4 standard.
The ZBE segment is optional and can be included in every ADT message. In order to be IHE compatible, ViewPoint also accepts the ADT^Z99 event for updating movement information.
ViewPoint requires that the Movement-ID sent in ZBE-1 is unique across all movements in the system.
For every message containing a ZBE segment, ViewPoint will use the field PV1-3 (Assigned Patient Location) for the Medical and Nursing ward.
Unless ZBE-3 specifies the Movement End Time, ViewPoint assumes Movement Start + 24h as Movement End Time for movements of type ‘visit’.
ViewPoint treats UPDATE or INSERT commands similarly; if a movement record exists in the ViewPoint database, it will be updated. If it doesn’t exist, it will be inserted.
ViewPoint uses the trigger event the value of PV1-2 and ZBE-4 to determine some additional information about the movement as shown in the following table:
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Trigger Event ZBE-4 PV1-2 Impact on Movement Information
ADT^A01 - Admit/visit notification ADT^A02 - Transfer a patient ADT^A05 - Pre-admit a patient ADT^A08 - Update patient inform. ADT^Z99 - Update movement inform.
ADT^A03 - Discharge/end visit
day visit)
ADT^A06 - outpatient to inpatient ADT^A07 - inpatient to outpatient ADT^A11 - Cancel admit/visit notification ADT^A29 - Delete person information ADT^A40 - Merge patient
ADT^A12 - Cancel transfer ADT^A13 - Cancel discharge/end visit
Processing of Outcome messages
DELETE or CANCEL
<all other>
DELETE or CANCEL
<all other>
DELETE or
<all other> <irrelevant> ‘visit’ movement will be created /
<irrelevant> <irrelevant> ZBE segment will be ignored.
INSERT or UPDATE
<all other> <irrelevant> Movement will be deleted.
<irrelevant> Movement will be deleted.
out patient ‘visit’ movement will be created /
<all other> ‘stay’ movement will be created /
<irrelevant> Movement will be deleted.
<all other> ‘discharge’ movement will be created /
<irrelevant> Movement will be deleted. ADT^A04 - Register patient (one
<all other> ‘stay’ movement will be created /
updated.
updated.
updated.
ViewPoint 5.5 offers an interface to populate outcome information through HL7 AD^A08 events containing the non-standard segment ZDD. The association between incoming outcomes and existing medical cases in ViewPoint follows the algorithm described in the diagram below. It shows all the preconditions and filters that have been taken into consideration in order to avoid a wrong assignation of outcomes.
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Outbound Workflow Overview
Processing of Acknowledge Messages
ViewPoint expects to receive an acknowledge message for each message sent. ViewPoint waits a configurable time period for such a message (10 – 120 seconds).
If no acknowledge is received within the configured time frame, ViewPoint tries to re­send the message after some time. No other messages are sent by ViewPoint unless an acknowledgment is received (or the message was removed from the queue by an administrator).
ViewPoint uses the field MSA-1 to check whether the acknowledgment was positive or negative (AA: accepted, AE: error). ViewPoint checks the field MSA-2 to ensure that the acknowledge message belongs to the message that was just sent by ViewPoint. If MSA­2 is empty, ViewPoint always assumes, that the ACK message belongs to the message that was just sent.
ViewPoint ignores any acknowledge message which is not related to the last message sent by ViewPoint.
If ViewPoint does not receive an acknowledge message within the configured time frame, it will terminate the connection to the socket of the receiving system, wait for 60 seconds and re-connect to the socket.
In rare circumstances, ViewPoint will send a message twice. These duplicates can be identified by the receiving system by means of the Message Control ID. This can happen e.g. when:
Network problems prevented the reception of an acknowledge message.
The VPHISComServer process was killed during a send operation.
4. HL7 Data Description
The VPHiscomServer HL7 interface uses a socket connection. For the import, the HL7 interface process is a server on a configurable port. The message itself has got a HL7 MLLP frame, i.e. a leading \x0B and trailing \x1C\x0D. Acknowledge messages can be returned after a message is received.
Delimiter Definition
ViewPoint supports the standard HL7 encoding rules. Other encodings are not supported.
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Data Types
Delimiter Value Encoding Character
Segment Terminat or
Field Separator | - Separates two adjacent data fields within a segment. It
Component Separator
Subcomponent Separator
Repetition Separator
Escape Character
hex 0D
Position
<cr>
^ 1 Separates adjacent components of data fields where
& 4 Separates adjacent subcomponents of data fields where
~ 2 Separates multiple occurrences of a field where allowed.
\ 3 Escape character for use with any field represented by an
- Terminates a segment record. This value cannot be
Usage
changed by implementors.
also separates the segment ID from the first data field in each segment.
allowed.
allowed. If there are no subcomponents, this character may be omitted.
ST, TX or FT data type, or for use with the data (fourth) component of the ED data type. If no escape characters are used in a message, this character may be omitted. However, it must be present if subcomponents are used in the message.
The data types in this section are listed in alphabetical order.
Note
The examples given in this section do not specify the choice of the component or subcomponents for data types which contain multiple components or subcomponents. This must be specified in the field definitions that follow the formal segment attribute tables to a maximum length of 64K.
Except for the TS data type and the maximum or minimum lengths for several other data types (CE, PN, TX, FT), the field length of HL7 attributes is specified in the segment attribute tables, and any specific length of the components or subcomponents of those attributes must be specified in the field definitions that follow the formal segment attribute tables. In general, HL7 does not specify the lengths of components and/or subcomponents.
In certain data type definitions, square brackets, “[ ]”, are used to specify optional parts of a data type (or of a data type component or subcomponent).
Data Type Definition
Data Type Category/ Data Type
Alphanumeric
ST String
TX Text data
FT Formatted text
Numerical
Data Type Name Notes/Format
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Data Type Category/ Data Type
MO Money <quantity (NM)> ^ <denomination (ID)>
SN Structured numeric <comparator> ^ <num1 (NM)> ^
Identifier
ID Coded values for HL7 tables
IS Coded value for user-defined
HD Hierarchic designator <namespace ID (IS)> ^ <universal ID (ST)> ^
EI Entity identifier <entity identifier (ST)> ^ <namespace ID
RP Reference pointer <pointer (ST) > ^ < application ID (HD)> ^
PL Person location <point of care (IS )> ^ <room (IS )> ^ <bed
PT Processing type <processing ID (ID)> ^ <processing mode
Date/Time
DT Date YYYY[MM[DD]]
TM Time HH[MM[SS[.S[S[S[S]]]]]][+/-ZZZZ]
TS Time stamp YYYY[MM[DD[HHMM[SS[.S[S[S[S]]]]]]]][+/-
Code Values
CE Coded element <identifier (ST)> ^ <text (ST)> ^ <name of
CK Composite ID with check digit <ID number (NM)> ^ <check digit (NM)> ^
Data Type Name Notes/Format
Composite quantity with units <quantity (NM)> ^ <units (CE)>
Numeric
Sequence ID
<separator/suffix> ^ <num2 (NM)>
tables
<universal ID type (ID)> Used only as part of EI and other data
types.
(IS)> ^ <universal ID (ST)> ^ <universal ID type (ID)>
<type of data (ID)> ^ <subtype (ID)>
(IS)> ^ <facility (HD)> ^ < location status (IS )> ^ <person location type (IS)> ^ <building (IS )> ^ <floor (IS )> ^ <location description (ST)>
(ID)>
ZZZZ] ^ <degree of precision>
coding system (ST)> ^ <alternate identifier (ST)> ^ <alternate text (ST)> ^ <name of alternate coding system (ST)>
<code identifying the check digit scheme employed (ID)> ^ < assigning authority (HD)>
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Data Type Category/ Data Type
CN Composite ID number and name <ID number (ST)> ^ <family name (ST)> ^
CX Extended composite ID with
XCN Extended composite ID number
Generic
CM Composite No new CM’s are allowed after HL7 Version
Demographics
AD Address <street address (ST)> ^ < other designation
PN Person name <family name (ST)> ^ <given name (ST)> ^
TN Telephone number [NN] [(999)]999-9999[X99999][B99999][C
XAD Extended address In Version 2.3, replaces the AD data type.
XPN Extended person name In Version 2.3, replaces the PN data type.
Data Type Name Notes/Format
<given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)>
check digit
and name
<ID (ST)> ^ <check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ < assigning authority (HD) )> ^ <identifier type code (IS)> ^ < assigning facility (HD)
In Version 2.3, use instead of the CN data type. <ID number (ST)> ^ <family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code (ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID)> ^ <identifier type code (IS)> ^ <assigning facility (HD)>
2.2. Hence there are no new CM’s in Version 2.3.
(ST)> ^ <city (ST)> ^ <state or province (ST)> ^ <zip or postal code (ST)> ^ <country (ID)> ^ <address type (ID)> ^ <other geographic designation (ST)>
<middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)>
any text]
<street address (ST)> ^ <other designation (ST)> ^ <city (ST)> ^ <state or province (ST)> ^ <zip or postal code (ST)> ^ <country (ID)> ^ < address type (ID)> ^ <other geographic designation (ST)> ^ <county/parish code (IS)> ^ <census tract (IS)>
<family name (ST)> ^ <given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <name type code (ID) >
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Data Type Category/ Data Type
XON Extended composite name and ID
XTN Extended telecommunications
Specialty/Chapter Specific
Waveform
CD Channel def inition For waveform data only, see Chapter 7,
Specialty/Chapter Specific
NA Numeric array For waveform data only, see Chapter 7,
ED Encapsulated data Supports ASCII MIME-encoding of binary
Price data
CP Composite price In Version 2.3, replaces the MO data type.
Patient Administration/Financial Information
FC Financial class <f inancial class (ID)> ^ <effective date (TS)>
Extended Queries
QSC
QIP
RCD Row column definition: <HL7 item number (ST)> ^ <HL7 data type
Master Files
Data Type Name Notes/Format
number for organizations
number
Query selection criteria <name of field (ST)> ^ <relational operator
Query input parameter list: <field name (ST) > ^ <value1 (ST) & value2
<organization name (ST)> ^ <organization name type code (IS)> ^ <ID number (NM)> ^ <check digit (NM)> ^ <code identifying the check digit scheme employed (ID)> ^ <assigning authority (HD)> ^ <identifier type code (IS)> ^ <assigning facility ID (HD)>
In Version 2.3, replaces the TN data type. [NNN] [(999)]999-9999 [X99999] [B99999] [C any text] ^ <telecommunication use code (ID)> ^ <telecommunication equipment type (ID)> ^ <email address (ST)> ^ <country code (NM)> ^ <area/city code (NM)> ^ <phone number (NM)> ^ <extension (NM)> ^ <any text (ST)>
Section 7.15.3. <channel identifier (*)> ^ <channel number (NM)> & <channel name (ST)>> ^ <electrode names (*) > ^ <channel sensitivity/units (*) > ^ <calibration parameters (*)> ^ <sampling frequency (NM)> ^ <minimum/maximum data values (*)>
Section 7.15.1. <value1 (NM)> ^ <value2 (NM)> ^ <value3 (NM)> ^ <value4 (NM)> ^ ...
data. <source application (HD) > ^ <main type of data (ID)> ^ <data subtype (ID)> ^ <encoding (ID)> ^ <data (ST)>
<price (MO)> ^ <price type (ID)> ^ <from value (NM)> ^ <to value (NM)> ^ <range units (CE)> ^ <range type (ID)>
(ID)> ^ <value (ST)> ^ <relational conjunction (ID)>
(ST) & value3 (ST) ...>
(ST)> ^ <maximum column width (NM)>
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Data Type Category/ Data Type
DLN Driver’s license number <license number (ST)> ^ <issuing state,
JCC
VH Visiting hours <start day range (ID)> ^ <end day range
Medical Records/Information Management
PPN
Time Series:
DR
RI Repeat interval Scheduling Chapter Only:
SCV Scheduling class value pair Scheduling Chapter Only:
TQ Timing/quantity For timing/quantity specifications for
Data Type Name Notes/Format
province, country (IS)> ^ <expiration date (DT)
Job code/class <job code (IS)> ^ <job class (IS)>
(ID)> ^ <start hour range (TM)> ^ <end hour range (TM)>
Performing person time stamp: <ID number (ST)> ^ <family name (ST)> ^
<given name (ST)> ^ <middle initial or name (ST)> ^ <suffix (e.g., JR or III) (ST)> ^ <prefix (e.g., DR) (ST)> ^ <degree (e.g., MD) (ST)> ^ <source table (IS)> ^ <assigning authority (HD)> ^ <name type code(ID)> ^ <identifier check digit (ST)> ^ <code identifying the check digit scheme employed (ID )> ^ <identifier type code (IS)> ^ <assigning facility (HD)> ^ < date/time action performed (TS)>
Date/time range Scheduling Chapter Only:
<range start date/time (TS)> ^ <range end date/time (TS)>
<repeat pattern (IS)> ^ <explicit time interval (ST)>
<parameter class (IS)> ^ <parameter value (IS)>
orders, see Chapter 4, Section 4.4. <quantity (CQ)> ^ <interval (*)> ^ <duration (*)> ^ <start date/time (TS)> ^ <end date/time (TS)> ^ <priority (ID)> ^ <condition (ST)> ^ <text (TX)> ^ <conjunction (ID)> ^ <order sequencing (*)>
for subcomponents of these elements please refer to the definition in the text.
for additional data types please refer to the HL7 standard documentation
Inbound HL7 Interface
Fields With Insufficient Length
Note
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Danger of Data Falsification!
The length of certain fields in ViewPoint is shorter than recommended by the HL7 standard. You must not use the ViewPoint HL7 interface if your HL7 implementation uses fields that exceed the max. length supported by ViewPoint.
The table below shows the maximum field lengths supported by ViewPoint .
Field Max. Length
PID-3 (or PID-2, if empty) 30 Patient ID (External ID)
PV1-19 15 Visit Number
PV1-8.1 40 Referring Doctor ID
PV1-9.1 40 Consulting Doctor ID
ORC-2 30 Placer Order Number
Supported HL7 Events
Message Type Event Usage
ADT A01 Admit/visit notification
ADT A02 Transfer a patient
ADT A03 Discharge/end visit
ADT A04 Register a patient (one day visit)
ADT A05 Pre-admit a patient
ADT A06 Change an outpatient to an inpatient
(characters)
Element Name
ADT A07 Change an inpatient to an outpatient
ADT A08 Update patient information
ADT A11 Cancel admit/visit notification
ADT A12 Cancel transfer
ADT A13 Cancel discharge/end visit
ADT A29 Delete person information
ADT A40 Merge patient
OMG O19 Submit a clinical order
ORM O01 Submit a clinical order
ADT Z99 Update Patient Movement Information
Structure of ADT Messages
ADT^A(*) ADT Message
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MSH Message Header
[EVN] Event
PID Patient Identification
[PV1] Patient Visit
[ZBE] Patient Movement Information
[IN1] Insurance information
[ZDD] Outcome information
ACK^A(*) Acknowledgment
MSH Message Header
MSA Message Acknowledgment
(*): The message structure is identical for the following ADT events:
ADT^A01,ADT^A02,ADT^A03,ADT^A04,ADT^A05,ADT^A06,ADT^A07,ADT^A08,ADT^A11 ,ADT^A12,ADT^A13 and ADT^A29.
Structure of ADT^Z99 Event
ADT^Z99 ADT Message
MSH Message Header
[EVN] Event
PID Patient Identification
[PV1] Patient Visit
[ZBE] Patient Movement Information
ACK^Z99 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
Structure of ADT^A40 Event
ADT^A40 ADT Message
MSH Message Header
[EVN] Event
PID Patient Identification
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[PV1] Patient Visit
MGR Merge information
ACK^A40 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
Note: Multiple PID/MGR pairs are not supported.
Structure of OMG^O19 Event
OMG^O19 General Clinical Order Message
MSH Message Header
[EVN] Event
PID Patient Identification
[PV1] Patient Visit
ORC Common Order
OBR Observation
ACK^O19 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
Structure of ORM^O01 Event
ORM^O01 General Clinical Order Message
MSH Message Header
[EVN] Event
PID Patient Identification
[PV1] Patient Visit
ORC Common Order
[OBR] Observation
ACK^OO1 Acknowledgment
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MSH Message Header
MSA Message Acknowledgment
HL7 Segments and Fields Definition for Inbound Workflow
MSH - Message Header Segment
The MSH segment defines the intent, source, destination, and some specifics of the syntax of a message.
A sample MSH segment
:
MSH|^\&~|Viewpoint|Orders||||20040330144907||ORM^O01|116|P|2.4.1|||||
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 1 ST R Field Separator |
2 4 ST R Encoding Characters ^~\&
3 180 HD O Sending Application Sending Application
4 180 HD O Sending Facility NOT USED
5 180 HD O Receiving Application Name of the receiving
6 180 HD O Receiving Facility NOT USED
7 26 TS O Date/Time Of Message Time of the Message
8 40 ST O Security NOT USED
9 7 CM R Message Type HL7 Message Type
10 20 ST R Message Control ID MESSAGE IDENTIFIER
11 3 PT R Processing ID NOT USED
12 8 ID R Version ID NOT USED
13 15 NM O Sequence Number NOT USED
14 180 ST O Continuation Pointer NOT USED
15 2 ID O Accept Acknowledgment
Type
16 2 ID O Application
Acknowledgment Type
17 2 ID O Country Code NOT USED
18 6 ID O Y/3 Character Set NOT USED
19 60 CE O Principal Language Of
Message
application as defined in the configuration of the VP HL7 interface.
Values Comparison: “AL” or not “AL”
Values Comparison: “AL” or not “AL”
NOT USED
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MSA – Message acknowledgement segment
The MSA segment contains acknowledge information.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 2 ID R
2 20 ST R
3 80 ST O
4 15 NM O
5 1 ID B
6 250 CE O
Acknowledgment Code
Message Control ID
Text Message
Expected Sequence Number
Delayed Acknowledgment Type Error Condition
Acknowledgment Code: AA: accepted AE: error
Message Control ID
Error message if any
NOT USED
NOT USED
NOT USED
EVN – Event type segment
The EVN segment is used to communicate necessary trigger event information to receiving applications. This information is used only for HL7 definitions and is not used specifically for any field(s) within the ViewPoint application. This segment is required.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 3 ID B Event type code Type of the event (e.g. P12)
2 26 TS R Recorded date/time YYYYMMDDHHmmss
3 26 TS O Date/time planned event NOT USED
4 3 IS O Event reason code NOT USED
5 60 XCN O Operator ID NOT USED
6 26 TS O Event occurred NOT USED
PID – Patient Identification Segment
The PID segment is used by the VP HL7 interface for receiving patient identification information. This segment contains permanent patient identifying and demographic information that, for the most part, is not likely to change frequently.
The Patient ID is expected in PID-3. Only if PID-3 is empty the patient ID is assumed to be in PID-2.
A sample PID segment
:
PID||1234567890111111|000011|123456789011|ULTRASOUND^P1^APPLE||19700101|M
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SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI O Set ID - Patient ID NOT USED
2 20 CX O Patient ID (External ID) Patient ID
3 20 CX R Patient ID (Internal ID) Patient ID
4 20 CX O Y Alternate Patient ID - PID NOT USED
5 48 XPN O Y Patient Name Patient Name
6 48 XPN O Mother’s Maiden Name Patient’s Maiden Name
7 26 TS O Date/Time of Birth DOB
8 1 IS O Sex Patient Sex
9 48 XPN O Y Patient Alias NOT USED
10 1 IS O Race NOT USED
11 106 XAD O Y Patient Address
12 4 IS B County Code NOT USED
13 40 XTN O Y Phone Number - Home Private Phone
14 40 XTN O Y Phone Number - Business Work Phone
15 60 CE O Primary Language NOT USED
16 1 IS O Marital Status NOT USED
17 3 IS O Religion NOT USED
18 20 CX O Patient Account Number NOT USED
19 16 ST O SSN Number - Patient SSN (USA version only)
20 25 DLN O Driver's License Number -
Patient
21 20 CX O Y Mother's Identifier NOT USED
22 3 IS O Ethnic Group Patient Ethnic Group
23 60 ST O Birth Place NOT USED
24 2 ID O Multiple Birth Indicator NOT USED
25 2 NM O Birth Order NOT USED
26 4 IS O Y Citizenship NOT USED
27 60 CE O Veterans Military Status NOT USED
28 80 CE O Nationality NOT USED
29 26 TS O Patient Death Date and
Time
30 1 ID O Patient Death Indicator NOT USED
Address/City/State/Zip/Count ry
NOT USED
NOT USED
PV1 – Patient Visit Segment
The PV1 segment is used by Registration/Patient Administration applications to communicate information on a visit-specific basis.
A sample PV1 segment
ViewPoint 5.6 18 HL7 Interface Reference Manual Version 6
:
PV1||E|Trauma room|A||||1234567894^MATHER^JOANNE^W.^DR.^|||In the hall||||||1234567898^TIESSEN^YEVES^ANDREW.^DR.^||000000001||||||||||||||||||||PA|||||2004 0630060709|20040703060709
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI O Set ID - PV1 NOT USED
2 1 IS O Patient Class Patient Class (see user defined
3 80 PL O Assigned Patient
Location
4 2 IS O Admission Type NOT USED
5 20 CX O Preadmit Number NOT USED
6 80 PL O Prior Patient Location Prior Patient Location
7 60 XCN O Y Attending Doctor NOT USED
8 60 XCN O Y Referring Doctor Referring Doctor
9 60 XCN O Y Consulting Doctor Consulting Doctor
10 3 IS O Hospital Service NOT USED
11 80 PL O Temporary Location NOT USED
12 2 IS O Preadmit Test Indicator NOT USED
13 2 IS O Readmission Indicator NOT USED
14 3 IS O Admit Source NOT USED
15 2 IS O Y Ambulatory Status NOT USED
16 2 IS O VIP Indicator VIP Indicator
17 60 XCN O Y Admitting Doctor NOT USED
18 2 IS O Patient Type NOT USED
19 20 CX R Visit Number Hospital Case ID
20 50 FC O Y Financial Class NOT USED
21 2 IS O Charge Price Indicator Private patient(see user def ined
22 2 IS O Courtesy Code NOT USED
23 2 IS O Credit Rating NOT USED
24 2 IS O Y Contract Code Contract Code
25 8 DT O Y Contract Effective Date NOT USED
26 12 NM O Y Contract Amount NOT USED
27 3 NM O Y Contract Period NOT USED
28 2 IS O Interest Code NOT USED
29 1 IS O Transfer to Bad Debt Code NOT USED
30 8 DT O Transfer to Bad Debt Date NOT USED
31 10 IS O Bad Debt Agency Code NOT USED
32 12 NM O Bad Debt Transfer Amount NOT USED
33 12 NM O Bad Debt Recovery
Amount
table 0004 below for values)
Assigned Patient Location
1)
1)
table 0005 below for values)
NOT USED
ViewPoint 5.6 19 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
34 1 IS O Delete Account Indicator NOT USED
35 8 DT O Delete Account Date NOT USED
36 3 IS O Discharge Disposition NOT USED
37 25 CM O Discharged to Location NOT USED
38 2 IS O Diet Type NOT USED
39 2 IS O Servicing Facility Servicing Facility
40 1 IS B Bed Status NOT USED
41 2 IS O Account Status NOT USED
42 80 PL O Pending Location NOT USED
43 80 PL O Prior Temporary Location NOT USED
44 26 TS O Admit Date/Time Admit Date/Time
45 26 TS O Discharge Date/Time Discharge Date/Time
46 12 NM O Current Patient Balance NOT USED
47 12 NM O Total Charges NOT USED
48 12 NM O Total Adjustments NOT USED
49 12 NM O Total Payments NOT USED
50 20 CX O Alternate Visit ID NOT USED
51 1 IS O Visit Indicator NOT USED
52 60 XCN O Y Other Healthcare Provider NOT USED
Note 1: Sequence of sub-fields for
Referring and Consulting Doctor
(PV1-8 and PV1-9): ID^lastname^firstname^^^title^country^postcode^town^address^^phone^fax greeting Example: 4711^Meier^Anton^^^Dr.^D^69152^Heidelberg^Example Avenue 7^^06221884733^06221884734^^ Dear Anton,
User-defined Table 0004 – Patient class (inbound)
Value Description (English) Description (German)
E Outpatient ambulant
O Outpatient ambulant
A Outpatient ambulant
I Inpatient stationär
S Inpatient stationär
V Preadmit vorstationär
P Preadmit vorstationär
R Recurring patient nachstationär
ViewPoint 5.6 20 HL7 Interface Reference Manual Version 6
Value Description (English) Description (German)
N Recurring patient nachstationär
T teilstationär
User-defined Table 0005 – Private Patient (inbound)
Value Description
P Private patient
PA Private patient
otherwise Non private patient
ORC – Common Order Segment
The Common Order segment (ORC) is used to transmit fields that are common to all orders.
A sample ORC segment
:
ORC|CA|DMS_10074|||||^1^INDEF^20040330142522^||20040330142522||||||||||
SEQ LEN DT OPT RP/# SEQ USAGE
1 2 ID R Order Control Order Control
2 22 EI R Placer Order Number Order Number
3 22 EI C Sequence ID NOT USED
4 22 EI O Placer Group Number NOT USED
5 2 ID O Order Status NOT USED
6 1 ID O Response Flag NOT USED
7 200 TQ O Quantity/Timing Priority, Quantity, Frequency,
8 200 CM O Parent NOT USED
9 26 TS O Date/Time of
Transaction
10 120 XCN O Entered By NOT USED
11 120 XCN O Verified By NOT USED
and Timing of an Atomic Service.
Date/Time of Transaction
12 120 XCN O Ordering Provider Identity of the person who is
13 80 PL O Enterer’s Location NOT USED
responsible for creating the request
ViewPoint 5.6 21 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# SEQ USAGE
14 40 XTN O Y/2 Call Back Phone Number Telephone number to call for
15 26 TS O Order Effective Date/T ime NOT USED
16 200 CE O Order Control Code
Reason
17 60 CE O Entering Organization NOT USED
18 60 CE O Entering Device NOT USED
19 120 XC O Action By NOT USED
20 - N - NOT USED (Reserved) NOT USED (Reserved for future
21 60 CE O Ordering Facility Ordering Facility
clarification of a request or other information regarding the order.
Indication
use)
OBR – Observation Request Segment
The Observation Request (OBR) segment is used to transmit information specific to an order for a diagnostic study or observation, physical exam, or assessment.
A sample OBR segment
OBR||DMS_10074||DEFAULT_CATH^Default CATH Emergency Universal Service ID^^^^||||||||||||||DMS_10094|92||||||||^1^INDEF^20040330142522^||||^^^^^||||||||||||||||
:
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI C Set ID - OBR NOT USED
2 75 EI C Placer Order Number identical to ORC-2-placer order
3 75 EI C Filler Order Number NOT USED
4 200 CE O Universal Service ID identifier code for the
5 2 ID B Priority NOT USED
6 26 TS B Requested Date/time NOT USED
7 26 TS C Observation Date/Time # NOT USED
8 26 TS O Observation End
Date/Time #
9 20 CQ O Collection Volume * NOT USED
10 60 XCN O Y Collector Identifier * NOT USED
11 1 ID O Specimen Action Code * NOT USED
12 60 CE O Danger Code NOT USED
13 300 ST O Relevant Clinical Info. NOT USED
number.
requested observation/test/battery
NOT USED
ViewPoint 5.6 22 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
14 26 TS C Specimen Received
Date/Time *
15 300 CM O Specimen Source * NOT USED
16 80 XCN O Y Ordering Provider provider who ordered the test.
17 40 XTN O Y/2 Order Callback Phone
Number
18 60 ST O Placer f ield 1 Placer field 1 (diagnosis)
19 60 ST O Placer field 2 Placer f ield 2
20 60 ST O Filler Field 1 + NOT USED
21 60 ST O Filler Field 2 + NOT USED
22 26 TS C Rpt/Status Chng -
Date/Time
23 40 CM O Charge to Practice + NOT USED
24 10 ID O Diagnostic Serv Sect ID NOT USED
25 1 ID C Result Status + NOT USED
26 400 CM O Parent Result + NOT USED
27 200 TQ O Y Quantity/Timing information about how many
28 150 XCN O Y/5 Result Copies To NOT USED
NOT USED
telephone number for reporting a status or a result using the standard format with extension and/or beeper number when applicable.
NOT USED
services to perform at one service time and how often the service times are repeated, and to fix duration of the request.
29 150 CM O Parent NOT USED
30 20 ID O Transportation Mode This f ield identif ies how (or
31 300 CE O Y Reason for Study code or text using the
32 200 CM O Principal Result
33 200 CM O Y Assistant Result
34 200 CM O Y Technician + NOT USED
35 200 CM O Y Transcriptionist + NOT USED
36 26 TS O Scheduled Date/T ime + NOT USED
37 4 NM O
38 250 CE O Y Transport Logistics of
39 250 CE O Y Collector's Comment NOT USED
40 250 CE O Transport Arrangement
Interpreter +
Interpreter +
Number of Sample Containers
Collected Sample
Responsibility
whether) to transport a patient, when applicable.
conventions for coded fields
NOT USED
NOT USED
NOT USED
NOT USED
NOT USED
ViewPoint 5.6 23 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
41 30 ID O Transport Arranged NOT USED
42 1 ID O Escort Required NOT USED
43 250 CE O Y Planned Patient Transport
Comment
44 250 Procedure Code NOT USED
45 250 Procedure Code Modifier NOT USED
46 250 CE O Y Placer Supplemental
Service Information
NOT USED
Filler Facility (provided by the placer) in field 2
MRG – Patient merge segment
The MRG segment provides the VP HL7 Interface with information necessary to initiate the merging of patient data.
A sample MRG segment
:
MRG|33498715||||||
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1
2 250 CX B Y Prior Alternate Patient ID NOT USED
3
4 250 CX B Prior Patient ID NOT USED
5 250 CX O Prior Visit Number NOT USED
6 250 CX O Prior Alternate Visit ID NOT USED
7 250 XPN O Y Prior Patient Name NOT USED
CX R Prior Patient Identifier
250
CX O Prior Patient Account
250
List
Number
Prior Patient Identifier List .No repetition allowed
NOT USED
IN1 – Insurance segment
The IN1 segment contains insurance policy coverage information necessary to produce properly pro-rated patient and insurance bills.
A Sample IN1 segment:
IN1||KK-3653|88566-OM|34465786||||||||||||||||||||||||||||||||ABC-5564|
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI R Set ID IN1 NOT USED
ViewPoint 5.6 24 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
2 250 NM R Insurance Plan ID Insurance_VKNR
3 250 CX R Y Insurance Company ID Insurance_CO_Number
4 250 XON O Y Insurance Company
Name
5 250 XAD O Y Insurance Company
Address
6 250 XPN O Y Insurance Co Contact
Person
7 250 XTN O Y Insurance Co Phone
Number
8 12 ST O Group Number NOT USED
9 250 XON O Y Group Name NOT USED
10 250 CX O Y Insured’s Group Emp ID NOT USED
11 250 XON O Y Insured’s Group Emp
Name
12 8 DT O Plan Effective Date NOT USED
13 8 DT O Plan Expiration Date NOT USED
14 250 CM O Authorization
Information
15 3 IS O Plan Type NOT USED
16 250 XPN O Y Name Of Insured NOT USED
17 250 CE O Insured’s Relationship To
Patient
18 26 TS O Insured’s Date Of Birth NOT USED
19 250 XAD O Y Insured’s Address NOT USED
20 2 IS O Assignment Of Benefits NOT USED
21 2 IS O Coordination Of Benefits NOT USED
22 2 ST O Coord Of Ben. Priority NOT USED
23 1 ID O Notice Of Admission Flag NOT USED
24 8 DT O Notice Of Admission Date NOT USED
25 1 ID O Report Of Eligibility Flag NOT USED
26 8 DT O Report Of Eligibility Date NOT USED
27 2 IS O Release Information
Code
28 15 ST O Pre-Admit Cert (PAC) NOT USED
29 26 TS O Verification Date/T ime NOT USED
30 250 XCN O Y Verification By NOT USED
31 2 IS O Type Of Agreement Code NOT USED
32 2 IS O Billing Status NOT USED
33 4 NM O Lifetime Reserve Days NOT USED
34 4 NM O Delay Before L.R. Day NOT USED
35 8 IS O Company Plan Code NOT USED
Insurance
NOT USED
NOT USED
NOT USED
NOT USED
NOT USED
NOT USED
NOT USED
ViewPoint 5.6 25 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
36 15 ST O Policy Number Insurance Number
37 12 CP O Policy Deductible NOT USED
38 12 CP B Policy Limit –Amount NOT USED
39 4 NM O Policy Limit – Days NOT USED
40 12 CP B Room Rate - Semi-
Private
41 12 CP B Room Rate - Private NOT USED
42 25 CE O Insured’s Employment
Status
43 1 IS O Insured’s Administrative
Sex
44 250 XAD O Y Insured’s Employer’s
Address
45 2 ST O Verification Status NOT USED
46 8 IS O Prior Insurance Plan ID NOT USED
47 3 IS O Coverage Type NOT USED
48 2 IS O Handicap NOT USED
49 250 CX O Y Insured’s ID Number NOT USED
NOT USED
NOT USED
NOT USED
NOT USED
ZBE– Movement Information
The ZBE segment contains information concerning the current or historical location of a patient within the clinic.
A sample ZBE segment
ZBE|4242|20051130060709||UPDATE
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1
15
2 8 TS R Movement Start Time Movement Start Time
3 8 TS O Movement End Time Movement End Time
4
10
5
:
EI R Movement – ID Movement ID (ViewPoint does not
ST O Movement Action Movement Action (INSERT /
ID O Historical movement
indicator ( values: Y/N)
support the repetition of this field and will always take the first repetition). Maximum 15 characters long.
UPDATE / CANCEL)
NOT USED
ViewPoint 5.6 26 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
6
7
ID O Original trigger event
CWE O Responsible Ward
code [in the case of an UPDATE of the movement (trigger A08), this field conveys the original trigger event that was sent with the INSERT]
(Medical or Nursing Ward, depending of the trigger event of the message)
NOT USED
NOT USED
ZDD - Outcome information
The non standard ZDD segment contains information about outcome(s). Each outcome is documented in one separate ZDD segment.
A sample ZDD segment:
ZDD|1|QM123456^^^MR^HNO|TestSurname^Baby^^^^^L|20061016||1|40^2|1|1|1|M|3 500|350|500|9|9|9|7.1|7.2|20061104|20060518
SEQ LEN DT O
1
2 CX O N Patient Identifier NOT USED
2.1 ST O N ID NOT USED
2.4 HD O N Assigning Authority NOT USED
2.5 ID O N Identifier Type Code NOT USED
3
3.1
3.2
3.5
3.7
4
5
6
SI O N ID / Birth Order
1
XPN O N Baby Patient Name
250
ST O N Family name Added as comments in outcome
250
ST O N Given Name Added as comments in outcome
250
ST O N Prefix NOT USED
ID O N Name Representation NOT USED
DT O N Date of delivery
8
DT O N Date of death (blank if
8
NM O N Number of births this
1
RP/# ELEMENT NAME USAGE
PT
Fetus number
Range 1-9 (unique ID for each segment)
mask
mask
Delivery date
(YYYYMMDD)
Date of death
alive) (YYYYMMDD)
NOT USED
confinement. Range 1-9
ViewPoint 5.6 27 HL7 Interface Reference Manual Version 6
SEQ LEN DT O
7
7.1
7.2
8
9
10
11
12
13
14
15
16
17
18
19
20
21
O N Gestation Age
NM O N Weeks - Range 0, 10 –
2
NM O N Days – Range 0-7 Outcome gestation age days
2
IS O N
1
IS O N Labour onset 1 – Spontaneous
1
IS O N Delivery 1 Vaginal
1
IS O N Sex of child M – Male
1
NM O N Birth Weight (grams) Outcome birth weight
4
NM O N Head Circumference
3
NM O N Length (mms)
3
NM O N Apgar Score – 1 Minute Apgar Score – 1 Minute
2
NM O N Apgar Score – 5 Minute Apgar Score – 5 Minute
2
NM O N Apgar Score – 10 Minute Apgar Score – 10 Minute
2
NM O N Venous Cord PH Outcome Cord PH-Vein
4
NM O N Arterial Cord PH Outcome Cord PH-Artery
4
DT R N Estimated day of
8
DT O N Last menstrual period
8
RP/# ELEMENT NAME USAGE
PT
49 (0 indicates unknown gestation length)
Outcome type
(mms)
Range 0 – 999 (0 indicates not measured)
delivery (YYYYMMDD)
(YYYYMMDD)
Outcome gestation age weeks
1 – Live Birth 2 – NND > 1 Week postpartal 3 – NND < 1 Week postpartal 4 – IUD 5 – SA 6 – Termination 7 – Missed Abortion 8 – No follow up 9 – Ongoing
2 – Induced 3 – No labour 4 – Not known
2 – Elective Section 3 – Emergency Section 4 – ERPC 5 – Forceps 6 – Not known
F – Female I – Indeterminate
Outcome HC
Outcome lenght
Added as comment in outcome mask
Added as comment in outcome mask
ViewPoint 5.6 28 HL7 Interface Reference Manual Version 6
Outbound HL7 Interface
HL7 Event Definition
Message Type Event Usage
ADT A01 Admit/Visit notification
BAR P01 Diagnosis / procedures
BAR P12 Diagnosis / procedures ( update modus )
DFT P03 Post detailed financial information (snapshot)
DFT VP1 ViewPoint 4.12 custom event
DFT VP2 ViewPoint 4.12 custom event (FetaDoc only)
ORU R01 Unsolicited observation message
MDM T02 Document management (export of examination in PDF format)
ACK General acknowledgment
Structure of outbound HL7 events
ADT^A01
MSH Message Header
EVN Event type
PID Patient Identification
ZOX Pregnancy information (non-standard segment)
ACK^A01 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
BAR^P01 Event
MSH Message Header
EVN Event type
ViewPoint 5.6 29 HL7 Interface Reference Manual Version 6
PID Patient Identification
[PV1] Patient Visit
[{DG1}] Diagnosis
[{PR1}] Procedures
ACK^P01 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
BAR^P12 Event
MSH Message Header
EVN Event type
PID Patient Identification
[PV1] Patient Visit
[{DG1}] Diagnosis
[{PR1}] Procedures
ACK^P12 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
DFT^P03 Event
MSH Message Header
EVN Event type
PID Patient Identification
[PV1] Patient Visit
[ORC] Common order segment
[{FT1}] Financial transaction
ACK^P03 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
ViewPoint 5.6 30 HL7 Interface Reference Manual Version 6
DFT^VP1 Event
This GE ViewPoint specific segment is used for backwards compatibility to PIA / ViewPACS 4.12. It’s use is depreciated.
MSH Message Header
EVN Event type
PID Patient Identification
[PV1] Patient Visit
ZVP Viewpoint specific segment
[ORC] Common order segment
[{FT1}] Financial transaction
[{PR1}] Procedures
[{DG1}] Diagnosis
OBR Observation request
OBX Observation segment
ACK^VP1 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
DFT^VP2 Event
This GE ViewPoint specific segment is used for backwards compatibility to PIA / ViewPACS 4.12. Its use is depreciated.
MSH Message Header
EVN Event type
PID Patient Identification
[PV1] Patient Visit
ZGB Viewpoint specific segment
[{PR1}] Procedures
[{DG1}] Diagnosis
OBR Observation request
OBX Observation segment
{ (Repeated for each child up to 4)
PID Patient Identification for the child
PV1 Patient visit for the child
PR1 Procedures for the child
{[DG1]} Diagnosis for the child
ViewPoint 5.6 31 HL7 Interface Reference Manual Version 6
}
ACK^VP2 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
ORU^R01 Event (for report text eport)
This event is used to export report information to the receiving system.
MSH Message Header
PID Patient Identification
[PV1] Patient Visit
[ORC] Common order segment
{ OBR Observation report
{OBX} } Observation result
ACK^R01 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
ORU^R01 Event (for discrete finding elements)
This event is used to export report information to the receiving system. It is much more detailed as the event described above.
There is one OBR segment and the according OBX segment(s) for the patient. If the report is about a pregnancy, then there are additional OBR segments with the according OBX segments for each child.
MSH Message Header
PID Patient Identification
[PV1] Patient Visit
[ORC] Common order segment
[
OBR Observation report for the patient
{OBX} Observation results
]
ViewPoint 5.6 32 HL7 Interface Reference Manual Version 6
[
OBR Observation report for fetus 1
{OBX} Observation results
]
[
OBR Observation report for fetus 2
{OBX} Observation results
]
[
OBR Observation report for fetus 3
{OBX} Observation results
]
[
OBR Observation report for fetus 4
{OBX} Observation results
]
ACK^R01 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
MDM^T02 Event
This event is used to export PDF formatted documents to the receiving system.
MSH Message Header
EVN Event
PID Patient Identification
[PV1] Patient Visit
TXA Document notification
OBX Observation result
ACK^T02 Acknowledgment
MSH Message Header
MSA Message Acknowledgment
ViewPoint 5.6 33 HL7 Interface Reference Manual Version 6
HL7 Segment & Field Definitions
MSH - message header segment
The MSH segment defines the intent, source, destination, and some specifics of the syntax of a message. This information is used only for HL7 definitions and is not used specifically for any field(s) within the GE ViewPoint application. This segment is required.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 1 ST R Field Separator |
2 4 ST R Encoding Characters ^~\&
3 180 HD O Sending Application GE
4 180 HD O Sending Facility ViewPoint
5 180 HD O Receiving Application Name of HL7 destination as
6 180 HD O Receiving Facility NOT USED
7 26 TS O Date/Time Of Message Date/Time of the Message
8 40 ST O Security NOT USED
9 7 CM R Message Type HL7 Message Type
10 20 ST R Message Control ID MESSAGE IDENTIFIER
11 3 PT R Processing ID P
12 8 ID R Version ID 2.4
13 15 NM O Sequence Number NOT USED
14 180 ST O Continuation Pointer NOT USED
15 2 ID O Accept Acknowledgment
16 2 ID O Application
17 2 ID O Country Code NOT USED
18 6 ID O Y/3 Character Set NOT USED
19 60 CE O Principal Language Of
configured in VPAdmin
AL = Always
Type
NE = Never
Acknowledgment Type
NOT USED
Message
EVN – Event type segment
The EVN segment is used to communicate necessary trigger event information to receiving applications. This information is used only for HL7 definitions and is not used specifically for any field(s) within the ViewPoint application. This segment is required.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
ViewPoint 5.6 34 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 3 ID B Event type code Type of the event (e.g. P12)
2 26 TS R Recorded date/time YYYYMMDDHHmmss
3 26 TS O Date/time planned event NOT USED
4 3 IS O Event reason code NOT USED
5 60 XCN O Operator ID NOT USED
6 26 TS O Event occurred NOT USED
PID – Patient Identification Segment
The PID segment is used by the VP HL7 interface for receiving patient identification information. This segment contains permanent patient identifying and demographic information that, for the most part, is not likely to change frequently.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI O Set ID - Patient ID NOT USED
2 20 CX B Patient ID (External ID) Patient ID external to the VP
3 20 CX R(*) Y Patient ID (Internal ID) Patient ID external to the VP
4 20 CX B Y Alternate Patient ID - PID VP internal Patient ID
5 48 XPN O Y Patient Name Patient Name
6 48 XPN O Mother’s Maiden Name Patient’s Maiden Name
7 26 TS O Date/Time of Birth DOB (YYYYMMDD)
8 1 IS O Sex Patient Sex
9 48 XPN O Y Patient Alias NOT USED
10 1 IS O Race NOT USED
11 106 XAD O N Patient Address
information
11.1 32000 ST O N Patient Address Address
11.3 40 ST O N Patient city Town
11.4 25 ST O N Patient state or province State
11.5 8 ST O N Patient zip code Post/Zip code
11.6 3 ID O N Patient country Country
12 4 IS B N County Code NOT USED
13 40 XTN O Y Phone Number - Home Private Phone
14 40 XTN O Y Phone Number - Business Work Phone
15 60 CE O Primary Language NOT USED
16 1 IS O Marital Status NOT USED
system as received from the HIS
system as received from the HIS
Patient’s address
ViewPoint 5.6 35 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
17 3 IS O Religion NOT USED
18 20 CX O Patient Account Number NOT USED
19 16 ST O SSN Number - Patient SSN (USA version only)
20 25 DLN O Driver's License Number -
Patient
21 20 CX O Y Mother's Identifier NOT USED
22 3 IS O Ethnic Group NOT USED
23 60 ST O Birth Place NOT USED
24 2 ID O Multiple Birth Indicator NOT USED
25 2 NM O Birth Order NOT USED
26 4 IS O Y Citizenship NOT USED
27 60 CE O Veterans Military Status NOT USED
28 80 CE O Nationality NOT USED
29 26 TS O Patient Death Date and
Time
30 1 ID O Patient Death Indicator NOT USED
NOT USED
NOT USED
(*) PID-3 optional in MDM^T02 event
PV1 – Patient Visit Segment
The PV1 segment is used by Registration/Patient Administration applications to communicate information on a visit-specific basis.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI O Set ID - PV1 NOT USED
2 1 IS O Patient Class Patient Class (see user defined
3 80 PL O Assigned Patient
Location
4 2 IS O Admission Type NOT USED
5 20 CX O Preadmit Number NOT USED
6 80 PL O Prior Patient Location Prior Patient Location
7 60 XCN O Y Attending Doctor NOT USED
8 60 XCN O Y Referring Doctor Referring Doctor
9 60 XCN O Y Consulting Doctor Consulting Doctor
10 3 IS O Hospital Service NOT USED
11 80 PL O Temporary Location NOT USED
12 2 IS O Preadmit Test Indicator NOT USED
13 2 IS O Readmission Indicator NOT USED
14 3 IS O Admit Source NOT USED
table 0004 below)
Assigned Patient Location
1)
1)
ViewPoint 5.6 36 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
15 2 IS O Y Ambulatory Status NOT USED
16 2 IS O VIP Indicator VIP Indicator
17 60 XCN O Y Admitting Doctor NOT USED
18 2 IS O Patient Type NOT USED
19 20 CX R Visit Number Hospital Case ID
20 50 FC O Y Financial Class NOT USED
21 2 IS O Charge Price Indicator NOT USED
22 2 IS O Courtesy Code NOT USED
23 2 IS O Credit Rating NOT USED
24 2 IS O Y Contract Code Contract Code
25 8 DT O Y Contract Effective Date NOT USED
26 12 NM O Y Contract Amount NOT USED
27 3 NM O Y Contract Period NOT USED
28 2 IS O Interest Code NOT USED
29 1 IS O Transfer to Bad Debt Code NOT USED
30 8 DT O Transfer to Bad Debt Date NOT USED
31 10 IS O Bad Debt Agency Code NOT USED
32 12 NM O Bad Debt Transfer Amount NOT USED
33 12 NM O Bad Debt Recovery
Amount
34 1 IS O Delete Account Indicator NOT USED
35 8 DT O Delete Account Date NOT USED
36 3 IS O Discharge Disposition NOT USED
37 25 CM O Discharged to Location NOT USED
38 2 IS O Diet Type NOT USED
39 2 IS O Servicing Facility Servicing Facility
40 1 IS B Bed Status NOT USED
41 2 IS O Account Status NOT USED
42 80 PL O Pending Location NOT USED
43 80 PL O Prior Temporary Location NOT USED
44 26 TS O Admit Date/Time Admit Date/Time
45 26 TS O Discharge Date/Time Discharge Date/Time
46 12 NM O Current Patient Balance NOT USED
47 12 NM O Total Charges NOT USED
48 12 NM O Total Adjustments NOT USED
49 12 NM O Total Payments NOT USED
NOT USED
ViewPoint 5.6 37 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
50 20 CX O Alternate Visit ID Field 1:
- one character specifying the table: e for exam, p for episode and o for outcome
- @Id from the specified table
Field 4: Assigning Authority is 'GE ViewPoint'
51 1 IS O Visit Indicator NOT USED
52 60 XCN O Y Other Healthcare Provider NOT USED
1) Sequence of sub-fields:
ID^lastname^firstname^^^title^country^postcode^town^address^^phone Example: 4711^Meier^Anton^^^Dr. med.^D^69152^Heidelberg^Im Hexenkotten^^06221884733 Mapping der db-Felder: doctor.matchid^doctor.name^doctor.other_names^^^doctor.title^doctor.country^doc tor.postcode^doctor.address^^doctor.telephone_1
User-defined Table 0004 – Patient class (outbound)
Value Description (English) Description (German)
O Outpatient ambulant
I Inpatient stationär
P Preadmit vorstationär
R Recurring patient nachstationär
T teilstationär
ORC – Common Order Segment
The Common Order segment (ORC) is used to transmit fields that are common to all orders. The ORC segment is used specifically by ViewPoint to communicate back to the HIS receiving system that generated the original order in the first place. This segment is optional and is non-repeating. Note: the customer must have purchased the “Order Management module” within ViewPoint for this segment to be available as an export. In addition, customer must follow the correct procedures to assign orders to examinations. Please refer to your ViewPoint user manual.
SEQ LEN DT OPT RP/# SEQ USAGE
1 2 ID R Order Control Constant value “OK”
2 22 EI C Placer Order Number Order Number
3 22 EI C Sequence ID Sequence ID
ViewPoint 5.6 38 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# SEQ USAGE
4 22 EI O Placer Group Number NOT USED
5 2 ID O Order Status NOT USED
6 1 ID O Response Flag NOT USED
7 200 TQ O Quantity/Timing NOT USED
8 200 CM O Parent NOT USED
9 26 TS O Date/T ime of Transaction NOT USED
10 120 XCN O Entered By NOT USED
11 120 XCN O Verified By NOT USED
12 120 XCN O Ordering Provider NOT USED
13 80 PL O Enterer ’s Location Enterer’s Location
14 40 XTN O Y/2 Call Back Phone Number NOT USED
15 26 TS O Order Effective Date/T ime NOT USED
16 200 CE O Order Control Code
Reason
17 60 CE O Entering Organization NOT USED
18 60 CE O Entering Device NOT USED
19 120 XC O Action By NOT USED
20 - N - NOT USED (Reserved) NOT USED
21 60 CE O Ordering Facility Ordering Facility
Indication for the Order
OBR – Observation Request Segment
The Observation Request (OBR) segment is used to transmit information specific to an order for a diagnostic study or observation, physical exam, or assessment. For ViewPoint, this single order corresponds to a single examination (or to a single pregnancy in case of FetaDoc). This segment is required and is non-repeating.
If the exam is not assigned to an order, than most of the fields of this segment remain empty. All those fields are marked with an asterisk (*).
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI C Set ID – OBR NOT USED
2 75 EI C
3 75 EI C
Placer Order Number identical to ORC-2-placer order
(*)
Filler Order Number VP internal order id
(*)
number.
(examorder.@id)
ViewPoint 5.6 39 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
4 200 CE O
5 2 ID B Priority NOT USED
6 26 TS B Requested Date/time NOT USED
7 26 TS C Observation Date/Time Observation Date/Time
8 26 TS O Observation End
9 20 CQ O Collection Volume * NOT USED
10 60 XCN O Y Collector Identifier * NOT USED
11 1 ID O Specimen Action Code * NOT USED
12 60 CE O Danger Code NOT USED
13 300 ST O Relevant Clinical Info. NOT USED
14 26 TS C Specimen Received
15 300 CM O Specimen Source * NOT USED
16 80 XCN O Y Ordering Provider NOT USED
17 40 XTN O Y/2 Order Callback Phone
18 60 ST O Placer field 1 Placer field 1
19 60 ST O Placer field 2 Placer f ield 2
20 60 ST O
21 60 ST O Filler Field 2 + NOT USED
22 26 TS C Rpt/Status Chng -
23 40 CM O Charge to Practice + NOT USED
24 10 ID O Diagnostic Serv Sect ID NOT USED
25 1 ID C Result Status +
26 400 CM O Parent Result + NOT USED
27 200 TQ O Y Quantity/Timing NOT USED
28 150 XCN O Y/5 Result Copies To NOT USED
Universal Service ID Ordered Procedure
(*)
(YYYYMMDDhhmmss)
Date/Time #
Date/Time *
Number
Filler Field 1 Filler comment
(*)
Date/Time
NOT USED
Observation Date/Time (YYYYMMDDhhmmss)
NOT USED
NOT USED
P=Preliminary, F=Final, U=Update to Final
29 150 CM O Parent NOT USED
30 20 ID O Transportation Mode NOT USED
31 300 CE O Y Reason for Study NOT USED
32 200 CM O Principal Result
Interpreter +
33 200 CM O Y Assistant Result
Interpreter +
34 200 CM O Y Technician + Assistant
First operator
Second operator
ViewPoint 5.6 40 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
35 200 CM O Y Transcriptionist + NOT USED
36 26 TS O Scheduled Date/T ime + NOT USED
37 4 NM O 01028 NOT USED
38 60 CE O Y 01029 NOT USED
39 200 CE O Y 01030 NOT USED
40 60 CE O 01031 NOT USED
41 30 ID O 01032 NOT USED
42 1 ID O 01033 NOT USED
43 200 CE O Y 01034 NOT USED
OBX – Observation segment
The OBX segment is used to transmit an entire observation result for a specific examination (one examination only). This segment is repeating.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 10 SI O Set ID - OBX Set ID – OBX
2 2 ID C Value Type Value Type
3 590 CE R Observation Identifier Observation Identifier
4 20 ST C Observation Sub-ID NOT USED
5 6553
6 60 CE O Units Observation units
7 10 ST O References Range NOT USED
8 5 ID O Y/5 Abnormal Flags NOT USED
9 5 NM O Probability NOT USED
10 2 ID O Y Nature of Abnormal Test NOT USED
11 1 ID R Observation Result
12 26 TS O Date Last Obs Normal
13 20 ST O User Defined Access
14 26 TS O Date/Time of the
15 60 CE O Producer's ID NOT USED
16 80 XCN O Responsible Observer Sonographer name
17 60 CE O Y Observation Method NOT USED
ST C Observation Value Observation value
6
Status
Values
Checks
Observation
NOT USED
NOT USED
NOT USED
Exam Date/Time (YYYYMMDDhhmmss)
The following table describes the possible values for the fields 2 to 6.
ViewPoint 5.6 41 HL7 Interface Reference Manual Version 6
Content
Value Type
Observation Value
Report text of an examination or pregnancy
NM
ST
Flat Result Text separated by line breaks \.br\ which designate “new line”.
FT1 – Financial Transaction Server
The FT1 segment contains the detail data necessary to post charges, payments, adjustments, etc. to patient accounting records. This segment is optional and repeating, where the number of repeating segments is dependent upon the number of “other codes” selected in the ViewPoint application, pertaining to a single exam. Please refer to your ViewPoint user manual.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI O
2 12 ST O
3 10 ST O
4 26 TS R
5
6 8 IS R
7 80 CE R
8 40 ST B
9 40 ST B
10 6 NM O
11 12 CP O
12 12 CP O
13 60 CE O
14 60 CE O
15 12 CP O
26
TS O
Set ID -FT1
Transaction ID
Transaction Batch ID
Transaction Date
Transaction Posting Date
Transaction Type
Transaction Code
Transaction Description
Transaction Description
- Alt
Transaction Quantity
Transaction Amount ­Extended
Transaction Amount ­Unit
Department Code
Insurance Plan ID
Insurance Amount
Set ID -FT1
NOT USED
NOT USED
Exam Date/Time (YYYYMMDDHHMMSS)
NOT USED
NOT USED
Field 1 : code Field 2 : description Field 3: catalog
NOT USED
NOT USED
Quantity (Default = 1)
NOT USED
NOT USED
NOT USED
NOT USED
NOT USED
ViewPoint 5.6 42 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
16 80 PL O
17 1 IS O
18 2 IS O
19 60 CE O
20 120 XCN O
21 120 XCN O
22 12 CP O
23 22 EI O
24 120 XCN O
25 80 CE O
Assigned Patient Location
Fee Schedule
Patient Type
Diagnosis Code
Performed By Code
Ordered By Code
Unit cost NOT USED
Filler Order Number
Entered By Code
Procedure Code
NOT USED
NOT USED
NOT USED
NOT USED
Performed By Code
Ordered By Code
NOT USED
NOT USED
NOT USED
PR1– Procedures segment
The PR1 segment contains information relative to various types of procedures that can be performed on a patient. The PR1 segment is used to send multiple procedures, for example, for medical records encoding or for billing systems. This segment is optional and repeating, where the number of repeating segments is dependent upon the number of “cpt codes” selected in the ViewPoint application, pertaining to a single exam. Please refer to your ViewPoint user manual.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI R Set ID – PR1 Set ID - PR1
2 2 IS B
3 80 CE R Procedure Code
4 40 ST B Procedure Description Procedure Description
5 26 TS R Procedure Date/Time
6 2 IS R
7 4 NM O Procedure Minutes NOT USED
8 120 XCN B Y Anesthesiologist NOT USED
9 2 IS O Anesthesia Code NOT USED
10 4 NM O Anesthesia Minutes NOT USED
11 120 XCN B Y Surgeon NOT USED
12 230 XCN B Y
Procedure Coding Method
Procedure Functional Type
Procedure Practitioner
Coding method ( only in DFT^VP1 and DFT^VP2
events )
Procedure Code (OPS or CPT Code) (see note 1)
Exam Date/Time (YYYYMMDDHHMMSS)
NOT USED
Performed By Code
ViewPoint 5.6 43 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
13 60 CE O Consent Code NOT USED
14 2 NM O Procedure Priority Priority
15 80 CE O
19 250 EI C Procedure Identifier
20 1 ID C Procedure Action Code
Associated Diagnosis Code
NOT USED
19-1:Unique ID for the Procedure 19-2: Unique ID for the sending
entity (see note 2)
Procedure Action Code: A – Add U – Update D - Delete
(see note 2)
Note 1:
For the French version of ViewPoint, the format of PR1-3 is as follows: CCAMCode_Thera^CCAMCode_Thera_activity^CCAMCode_Thera_phase^CCAMCode_T hera_modif
Note 2:
Fields 19 and 20 are present only in a BAR^P12 message. To assure the uniqueness of DG1-20/PR1-19, the following format was implemented:
<Key1>[E|O|P]<Key2><Short description>^<Product description><Installation UID>
Where:
Key1: unique number to refer an examination, perinatal or outcome. E: the diagnosis or procedure refers to an examination O: the diagnosis or procedure refers to an outcome P: the diagnosis or procedure refers to an perinatal Key2: Unique number to refer a diagnosis or procedure Short description: Short acronym to identify the diagnosis or procedure Product description: Short description about the ViewPoint product Installation UID: Unique number generated to identify a ViewPoint installation
Example:
301E1023MP^FDB_DE_DE000078369517633.1140527628 : Main procedure nr. 1023 belonging to examination nr. 301. Generated by an FDB_DE VPHisCom Server with Installation UID 000078369517633.1140527628.
203O188OD^FDB_DE_DE000078369517633.1140527628: Other diagnosis nr. 188 belonging to outcome nr. 203. Generated by an FDB_DE VPHisCom Server with Installation UID 000078369517633.1140527628.
ViewPoint 5.6 44 HL7 Interface Reference Manual Version 6
34P221MP^FDB_DE_DE000078369517633.1140527628: Main procedure nr. 221 belonging to perinatal nr. 34. Generated by an FDB_DE VPHisCom Server with Installation UID 000078369517633.1140527628.
If there is only one ViewPoint product in the system, the sub field 20-1 is enough to univocally identify a diagnosis/procedure.
DG1 – Diagnosis segment
The DG1 segment contains patient diagnosis information of various types, for example, admitting, primary, etc. The DG1 segment is used to send multiple diagnosis (for example, for medical records encoding). This segment is optional and repeating, where the number of repeating segments is dependent upon the number of “icd9 codes” selected in the ViewPoint application, pertaining to a single exam. Please refer to your ViewPoint user manual.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 4 SI R Set ID - DG1 Set ID - DG1
2 2 ID R
3 60 CE O Diagnosis Code
4 40 ST B Diagnosis Description
5 26 TS O Diagnosis Date/Time
6 2 IS R Diagnosis Type Diagnosis Type (constant = W)
7 60 CE B
8 60 CE B
9 2 ID B DRG Approval Indicator NOT USED
10 2 IS B
11 60 CE B Outlier Type NOT USED
12 3 NM B Outlier Days NOT USED
13 12 CP B Outlier Cost NOT USED
14 4 ST B
15 2 NM B Diagnosis Priority NOT USED
16 60 XCN O Diagnosing Clinician Sonographer
17 3 IS O Diagnosis Classification NOT USED
18 1 ID O Confidential Indicator NOT USED NOT USED
Diagnosis Coding Method
Major Diagnostic Category Diagnostic Related Group
DRG Grouper Review Code
Grouper Version And Type
Diagnosis Coding Method ( only in DFT^VP1 and DFT^VP2
events ) Diagnosis Code (ICD9 or ICD10
Code) (see note 1) Diagnosis Description (ICD9 Description) Exam Date/Time (YYYYMMDDHHMMSS)
NOT USED
NOT USED
NOT USED
NOT USED
ViewPoint 5.6 45 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
19 26 TS O Attestation Date/Time NOT USED
20-1:Unique ID for the Diagnosis
20 250 EI C Diagnosis Identifier
21 1 ID C Diagnosis Action Code
20-2: Unique ID for the sending entity (see note 2)
Diagnosis Action Code: A – Add U – Update D – Delete
(see note 2)
Note 1:
For the French version of ViewPoint, the format of DG1-3 is as follows: CCAM_Code_Diag^CCAM_Code_Diag_activity^CCAM_Code_Diag_phase^CCAM_Code _Diag_modif
Note 2:
Fields 20 and 21 are present only in a BAR^P12 message. To assure the uniqueness of DG1-20/PR1-19, the following format was implemented:
<Key1>[E|O|P]<Key2><Short description>^<Product description><Installation UID>
Where:
Key1: unique number to refer an examination, perinatal or outcome. E: the diagnosis or procedure refers to an examination O: the diagnosis or procedure refers to an outcome P: the diagnosis or procedure refers to an perinatal Key2: Unique number to refer a diagnosis or procedure Short description: Short acronym to identify the diagnosis or procedure Product description: Short description about the ViewPoint product Installation UID: Unique number generated to identify a ViewPoint installation
Example:
301E1023MP^FDB_DE_DE000078369517633.1140527628 : Main procedure nr. 1023 belonging to examination nr. 301. Generated by an FDB_DE VPHisCom Server with Installation UID 000078369517633.1140527628.
203O188OD^FDB_DE_DE000078369517633.1140527628: Other diagnosis nr. 188 belonging to outcome nr. 203. Generated by an FDB_DE VPHisCom Server with Installation UID 000078369517633.1140527628.
34P221MP^FDB_DE_DE000078369517633.1140527628: Main procedure nr. 221 belonging to perinatal nr. 34. Generated by an FDB_DE VPHisCom Server with Installation UID 000078369517633.1140527628.
ViewPoint 5.6 46 HL7 Interface Reference Manual Version 6
If there is only one ViewPoint product in the system, the sub field 20-1 is enough to univocally identify a diagnosis/procedure.
TXA - transcription document header segment
The TXA segment contains information specific to a transcribed document but does not include the text of the document. The message is created as a result of a document status change. This information is used to update other healthcare systems to identify reports that are available in the transcription system. By maintaining the TXA message information in these systems, the information is available when constructing queries to the transcription system requesting the full document text.
A sample TXA segment:
TXA|26|DR||20060829102922|Dr. Albert^Dr. Fried|||20060829174903998|pia|||26||9999|4||DO
SEQ LEN DT OPT RP/# ELEMENT NAME ViewPoint Value
1 4 SI R Set ID- TXA Unique Number identifying the
2 30 IS R Document Type DR : Diagnostic Report Other
3 2 ID C Document Content
4 26 TS O Activity Date/Time Exam / Episode Date/Time
5 250 XCN C Y Primary Activity
6 26 TS O Origination Date/T ime Not Used 7 26 TS C Transcription
document (Document ID)
ViewPoint will not send any further messages referencing this number.
Presentation
Provider Code/Name
Date/Time
Not Used
Operator or Sonographer name. The names are transferred
completely in the second component of the field (Family Name <FN>).
Repetitions are used to transfer the different persons:
1. Operator 1 (US Version: Sonographer)
2. Operator 2 (US Version: Physician)
3. Risk Assessment Operator
4. Referring physician
1. ID
2. matchid
3. Family
4. First name
5. clinic
6. town
7. postcode
Not Used
name
ViewPoint 5.6 47 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME ViewPoint Value
8 26 TS O Y Edit Date/Time Date/time the document was
9 250 XCN O Y Originator
Code/Name
10 250 XCN O Y Assigned Document
Authenticator
11 250 XCN C Y Transcriptionist
Code/Name
12 30 EI R Unique Document
Number
13 30 EI C Parent Document
Number
14 22 EI O Y Placer Order Number Placer order number 15 22 EI O Filler Order Number VP internal order id
16 30 ST O Unique Document File
Name
17 2 ID R Document Completion
Status
18 2 ID O Document
Confidentiality Status
19 2 ID O Document Availability
Status
20 2 ID O Document Storage
Status
21 30 ST C Document Change
Reason
22 250 PPN C Y Authentication
Person(s)
23 250 XCN O Y Distributed Copies
(Code and Name of Recipients)
edited VP User
9.2 – Name
9.8 – Main user group
Not Used
Not Used
Document ID
Not Used
(examorder.@id)
Not Used
DO (documented): VP record not locked
AU (authenticated): VP record locked
Not Used
Not Used
Not Used
Not Used
Only if ‘Document Completion Status’ is set to ‘AU’, (otherwise field will be empty):
Operator or Sonographer name. The names are transferred
completely in the second component of the field (Family Name <FN>).
Repetitions are used to transfer the different persons:
1. Operator 1 (US Version: Sonographer)
2. Operator 2 (US Version: Physician)
3. Risk Assessment Operator
Not Used
ViewPoint 5.6 48 HL7 Interface Reference Manual Version 6
MSA – Message acknowledgement segment
The MSA segment contains acknowledge information.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 2 ID R
2 20 ST R
3 80 ST O
4 15 NM O
5 1 ID B
6 250 CE O
Acknowledgment Code
Message Control ID
Text Message
Expected Sequence Number
Delayed Acknowledgment Type Error Condition
Acknowledgment Code: AA: accepted AE: error
Message Control ID
Error message if any
NOT USED
NOT USED
NOT USED
OBX - observation/result segment
The OBX segment is used to transmit a single observation or observation fragment. It represents the smallest indivisible unit of a report. Its structure is summarized in Figure 7-5.
The following map applies to OBX segment only when used inside a MDM event
SEQ LEN DT OPT RP/# ELEMENT NAME ViewPoint value
1 4 SI O Set ID - OBX 1 2 2 ID C Value Type ST (String) 3 250 CE R Observation Identifier
4 20 ST C Observation Sub-ID Not Used
5 655
36
6 250 CE O Units Not Used 7 60 ST O References Range Not Used 8 5 IS O Y/5 Abnormal Flags Not Used 9 5 NM O Probability Not Used
10 2 ID O Y Nature of Abnormal Test Not Used
1
The length of the observation field is variable, depending upon value type. See OBX-2 value
type.
2
May repeat for multipart, single answer results with appropriate data types, e.g., CE, TX, and
* C Y
1
2
Observation Value UNC path to the PDF file to
Generated by VphiscomServer.
In MDM^T02 events, this field
contains the string
‘IMAGE_REF’
export.
FT data types.
ViewPoint 5.6 49 HL7 Interface Reference Manual Version 6
SEQ LEN DT OPT RP/# ELEMENT NAME ViewPoint value
11 1 ID R Observation Result Status P=Preliminary,
F=Final, U=Update to Final C=Corrected
12 26 TS O Date Last Observation
Normal Value
13 20 ST O User Defined Access
Checks
14 26 TS O Date/Time of the
Observation 15 250 CE O Producer's ID Not Used 16 250 XCN O Y Responsible Observer Not Used 17 250 CE O Y Observation Method Not Used 18 22 EI O Y Equipment Instance
Identifier 19 26 TS O Date/Time of the Analysis Not Used
Not Used
Not Used
Not Used
Not Used
ZVP – ViewPoint specific segment
The ZVP segment is used specifically by ViewPoint to communicate exam related information and the doctors/observers (resources) involved with the specified exam. This segment is required and is non-repeating.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 10 SI O SET ID – ZVP
2 26 TS R
3 - - -
4 60 XCN O Ordered by code Ordered by code
5 60 XCN O Performed by code Performed by code
6 60 XCN O Responsible observer Sonographer (operator 1)
7 60 XCN O Attending doctor Physician (operator 2)
8 30 ST O HL7ExamType
9 60 XCN O Ordered by facility name Facility name (Ordered by)
10 60 XCN O Performed by facility name Facility name (Performed by)
11 48 PPN R Message origin
12 60 XCN O Assistant Assistant
Date / Time of the observation
Date / Time of end of observation
SET ID – ZVP ^ ID of exam ^ record state
Exam date/time (YYYYMMDDHHmmss)
End of exam date/time (YYYYMMDDHHmmss), only for German USEndo
Examination type ( USEndo only)
User^Department^Computer Name which
generated the message
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ZOX – Pregnancy information (non-standard segment)
The ZOX segment is used specifically by ViewPoint to communicate pregnancy related information. This segment is non-repeating.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 32 SI R N Index Fixed to ‘1’
5
5.1 32 NM O N Gravida Gravida
5.2 32 NM O N Para Para
5.5 8 NM O N LMP Last menstrual period
Estimate date of delivery.
5.6 8 DT O N EDD_US
5.7 32 NM O N Case number Episode number
(according with ultrasound examination, if present, otherwise according with LMP)
ZEX – Additional examination information (non-standard segment)*
The ZEX segment is used specifically by ViewPoint to communicate additional examination information. This segment is non-repeating.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 32 SI R N Index Fixed to ‘1’
2
2.1 512 ST O N Locker user
2.2 512 ST C N Computer name
2.3 26 TS C N
3
3.1 32 NM O N Exam id Exam.@id
3.2 64 ST O N Exam description Exam.type
3.3 32 ST O N Dicom accession number Dicom accession number
3.4 32 ST O N Exam ordered by code Exam ordered by code
3.5 32 ST O N Exam ordered by facility Exam ordered by facility
3.6 32 ST O N Exam performed by code Exam performed by code
3.7 32 ST O N Exam performed by facility Exam performed by facility
3.8 26 TS O N
Date / Time when the exam was locked
Exam termination timestamp
Locker user long name.(User who locked the exam, if any)
Locker user’s computer name. Conditioned to 2.1
Locked date/time (YYYYMMDDHHmmss)
Exam termination timestamp
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SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
3.9 32 ST O N Operator 1 Operator 1
3.10 32 ST O N Operator 2 Operator 2
3.11 32 ST O N Operator 3 Operator 3 (Assistant)
4
4.1 32 NM O N Episode id Episode.@id
4.2 64 ST O N Episode description episode.type
5
5.1 1 NM R N Previous state Previous state
5.2 1 NM R N Actual state Actual state
6
6.1 32 ST O N Patient hospital number Patient hospital number
7 1st referring physician
7.1 32 NM O N id id
7.2 64 ST O N MatchID MatchID
7.3 64 ST O N Name Name
7.4 64 ST O N Other Names Other Names
7.5 64 ST O N Clinic Clinic
7.6 64 ST O N Town Town
7.7 64 ST O N Email Email
7.8 64 ST O N Communication provider Communication provider
8 2nd referring physician
8.1 32 NM O N id id
8.2 64 ST O N MatchID MatchID
8.3 64 ST O N Name Name
8.4 64 ST O N Other Names Other Names
8.5 64 ST O N Clinic Clinic
8.6 64 ST O N Town Town
8.7 64 ST O N Email Email
8.8 64 ST O N Communication provider Communication provider
The Segment ZEX is not available in ViewPoint installation by default. In order to allow ViewPoint to add the ZEX segment as part of the exam related outbound HL7 events, the following formula must be added to the file user_formula.dat, under user directory:
[HL7UseExamZSegement] /calc="1";
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This action will override the default implementation of HL7UseExamZSegment present in common_formula.dat, which returns 0 by default.
ZPE – Additional perinatal information (non-standard segment)*
The ZPE segment is used specifically by ViewPoint to communicate additional perinatal information. This segment is non-repeating.
SEQ LEN DT OPT RP/# ELEMENT NAME USAGE
1 32 SI R N Index Fixed to ‘1’
2
2.1 512 ST O N Locker user
2.2 512 ST C N Computer name
3
3.1 32 NM O N perinatal id Perinatal.@id
3.2 8 NM O N
3.3 8 NM 0 N Patien visit time perinatal. MutterAufenthalt
Patient visit Extimated time
Locker user long name.(User who locked the exam, if any)
Locker user’s computer name. Conditioned to 2.1
perinatal.KlinikLiegedauer
The Segment ZPE is not available in ViewPoint installation by default. In order to allow ViewPoint to add the ZPE segment as part of the perinatal related outbound HL7 events, the following formula must be added to the file user_formula.dat, under user directory:
[HL7UsePerinatalZSegement] /calc="1";
This action will override the default implementation of HL7UsePerinatalZSegment present in common_formula.dat, which returns 0 by default.
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Export of discrete findings
The ViewPoint HL7 interface offers the possibility to export finding values in an ORU^R01 HL7 event, where each finding value is transmitted in a separate OBX segment. The values exported depend on the different ViewPoint flavors and are described in the table below.
Most of the values are coded according with the LOINC code system. However, some ViewPoint specific finding are not classified as LOINC topic, and, therefore, are exported with a proprietary identifier. The corresponding coding system for each finding value is also transmitted to the hospital information system as described in HL7 standard in OBX-3.3.
Name
Description
Gestational Age
LMP Last menstrual
CRL Crown-rump
BPD Biparietal
HC Head
AC Abdominal
FL_L Left Femur length Numeric mm. 11963-6 7 Yes Yes Yes Yes Yes Yes Yes No
Gestational age Time weeks
period
length
diameter
circumference
circumference
Type
Date Date 8665-2 2 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11957-8 3 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11820-8 4 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11984-2 5 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11979-2 6 Yes Yes Yes Yes Yes Yes Yes No
Units
/Days
LOINC Code
11884-4 1 Yes Yes Yes Yes Yes Yes Yes No
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_French
Present in FDB_Italian_DE
Present in USENDO_DE
ViewPoint 5.6 54 HL7 Interface Reference Manual Version 6
Name
Description
OFD Occipitofrontal
diameter
TCD Transcerebellar
diameter
GSD Gestational sac
diameter
NT Nuchal
translucency
NB Nasal bone
length
FHR Fetus heart rate Numeric bpm 11948-7 15 Yes Yes Yes Yes Yes Yes Yes No
TAD Abdomen
transverse
Type
Numeric mm. 8288-3 9 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11863-8 10 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11850-5 11 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 33069-6 12 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 13 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11862-0 16 Yes Yes Yes Yes Yes Yes Yes No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
APAD Abdominal
diameter AP
HUM_L Left Humerus
length
RAD_L Left Radius
length
Ulna_L Left Ulna Numeric mm. 11969-3 22 Yes Yes Yes Yes Yes Yes Yes No
5th Digit _L 5th Digit Left Numeric mm. None 24 Yes No No No No No No No
5th Digit _R 5th Digit Right Numeric mm. None 25 Yes No No No No No No No
Scapula_L Scapula Left Numeric mm. None 26 Yes No No No No No No No
Numeric mm. 11818-2 17 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11966-9 18 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11967-7 20 Yes Yes Yes Yes Yes Yes Yes No
ViewPoint 5.6 55 HL7 Interface Reference Manual Version 6
Name
Description
Scapula_R Scapula Right Numeric mm. None 27 Yes No No No No No No No
Clavicle_L Clavicle Left Numeric mm. 11962-8 28 Yes No No No No No No No
Iliac Crest_L Iliac Crest Left Numeric mm. None 30 Yes No No No No No No No
Iliac Crest
Right
TIB_L Left Tibia length Numeric mm. 11968-5 32 Yes Yes Yes Yes Yes Yes Yes No
FIB_L Left Fibula length Numeric mm. 11964-4 34 Yes Yes Yes Yes Yes Yes Yes No
CM Cisterna magna Numeric mm. 11860-4 36 Yes Yes Yes Yes Yes Yes Yes No
NF Nuchal fold Numeric mm. 12146-7 37 Yes No No No No No No No
LLV Left lateral
Iliac Crest Right Numeric mm. None 31 Yes No No No No No No No
ventricle
Type
Numeric mm. 12171-5 38 Yes No No No No No No No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Foot_L Left foot length Numeric mm. 11965-1 40 Yes Yes Yes Yes Yes Yes Yes No
3rd. Ventricle 3rd. Ventricle Numeric mm. 12067-5 42 Yes Yes Yes Yes Yes Yes Yes No
4th. Ventricle 4th. Ventricle Numeric mm. 12059-2 43 Yes Yes Yes Yes Yes Yes Yes No
Va Anterior ventricle Numeric mm. 33197-5 44 Yes Yes Yes Yes Yes Yes Yes No
Vp Posterior
ventricle
Hem Hemisphere Numeric mm. 12170-7 46 Yes Yes Yes Yes Yes Yes Yes No
Left ear Left ear Numeric mm. None 47 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 45 Yes Yes Yes Yes Yes Yes Yes No
ViewPoint 5.6 56 HL7 Interface Reference Manual Version 6
Name
Description
Right ear Right ear Numeric mm. None 48 Yes Yes Yes Yes Yes Yes Yes No
Left eye Left eye Numeric mm. 11792-9 49 Yes Yes Yes Yes Yes Yes Yes No
IOD Intra-orbital
diameter
EOD Extra-orbital
diameter
Mandible Mandible length Numeric mm. None 53 Yes Yes Yes Yes Yes Yes Yes No
Thorax transverse diameter
Thorax AP diameter
Thorax transverse diameter
Thorax AP Numeric mm. 11819-0 55 Yes Yes Yes Yes Yes Yes Yes No
Type
Numeric mm. 33070-4 51 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11629-3 52 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11864-6 54 Yes Yes Yes Yes Yes Yes Yes No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Thorax circumferenc e
Cardiac transverse diameter
Cardiac AP diameter
Cardiac circumferenc e
Left lung diameter
Thorax circumference
Cardiac transverse diameter
Cardiac AP diameter
Cardiac circumference
Left lung diameter
Numeric mm. 11988-3 56 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 57 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 58 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 59 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 60 Yes Yes Yes Yes Yes Yes Yes No
ViewPoint 5.6 57 HL7 Interface Reference Manual Version 6
Name
Description
Right lung diameter
Aorta diameter
Pulmonary A. Diameter
RVD (Diast) Right ventricular
RVD (Sys) Right ventricle
LVD (Diast) Left ventricular
LVD ( Sys) Left ventricle
Right lung diameter
Aorta diameter Numeric mm. 18025-7 62 Yes Yes Yes Yes Yes Yes Yes No
Pulmonary A. Diameter
width
diameter
width
diameter
Type
Numeric mm. None 61 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. 11806-7 63 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 64 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 65 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 66 Yes Yes Yes Yes Yes Yes Yes No
Numeric mm. None 67 Yes Yes Yes Yes Yes Yes Yes No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Umbilical artery PS
Umbilical artery ED
Umbilical artery S/D Ratio
Umbilical artery Peak Systolic velocity
Umbilical artery Enddiastolic velocity
Umbilical artery S/D ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
Numeric cm/s 11726-7 68 Yes Yes No No Yes Yes Yes No
Numeric cm/s 11662-4 69 Yes Yes No No No No No No
Numeric None 12141-8 70 Yes No Yes Yes No No Yes No
ViewPoint 5.6 58 HL7 Interface Reference Manual Version 6
Name
Description
Umbilical artery RI
Umbilical artery PI
Umbilical artery TAMX
MCA PS Middle cerebral
MCA ED Middle cerebral
Umbilical artery Resistivity index
Umbilical artery Pulsatility index
Umbilical artery time-averaged mean-maximum
artery Peak Systolic velocity
artery Enddiastolic velocity
Type
Numeric None 12020-4 71 Yes Yes Yes Yes Yes Yes Yes No
Numeric None 12005-5 72 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 11689-7 73 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 11701-0 74 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 11656-6 75 Yes No No No No No No No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
MCA S/R Ratio
MCA RI Middle cerebral
MCA PI Middle cerebral
Middle cerebral artery S/D Ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
artery Resistivity index
artery Pulsatility index
Numeric None 12135-0 76 Yes No No No No No No No
Numeric None 12014-7 77 Yes Yes Yes Yes Yes Yes Yes No
Numeric None 11999-0 78 Yes Yes Yes Yes Yes Yes Yes No
ViewPoint 5.6 59 HL7 Interface Reference Manual Version 6
Name
Description
MCA TAMX Middle cerebral
artery time­averaged mean­maximum
Left Uterine Artery PS
Left Uterine Artery ED
Left Uterine Artery S/D Ratio
Left Uterine Artery Peak Systolic velocity
Left Uterine Artery Enddiastolic velocity
Left Uterine Artery S/D ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
Type
Numeric cm/s 11672-3 79 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 11724-2 80 Yes No No No No No No No
Numeric cm/s 11663-2 81 Yes No No No No No No No
Numeric None 12142-6 82 Yes No No No No No Yes No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Left Uterine Artery RI
Left Uterine Artery PI
Right Uterine Artery PS
Left Uterine Artery Resistivity index
Left Uterine Artery Pulsatility index
Right Uterine Artery Peak Systolic velocity
Numeric None 12021-2 83 Yes Yes Yes Yes Yes Yes Yes No
Numeric None 12006-3 84 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 11725-9 85 Yes No No No Np Np No No
ViewPoint 5.6 60 HL7 Interface Reference Manual Version 6
Name
Right Uterine Artery ED
Right Uterine Artery S/D Ratio
Right Uterine Artery RI
Right Uterine Artery PI
Description
Right Uterine Artery Enddiastolic velocity
Right Uterine Artery S/D ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
Right Uterine Artery Resistivity index
Right Uterine Artery Pulsatility index
Type
Numeric cm/s 11664-0 86 Yes No No No No No No No
Numeric None 12143-4 87 Yes No No No No No Yes No
Numeric None 12022-0 88 Yes Yes Yes Yes Yes Yes Yes No
Numeric None 12007-1 89 Yes Yes Yes Yes Yes Yes Yes No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
ICA PS Internal Carotid
Artery Peak Systolic velocity
ICA ED Internal Carotid
Artery Enddiastolic velocity
Numeric cm/s None 90 Yes No Yes No No No Yes No
Numeric cm/s None 91 Yes No No No No No No No
ViewPoint 5.6 61 HL7 Interface Reference Manual Version 6
Name
Description
ICA S/D Ratio Internal Carotid
Artery S/D ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
ICA RI Internal Carotid
Artery Resistivity index
ICA PI Internal Carotid
Artery Pulsatility index
ICA TAMX Internal Carotid
Artery artery time-averaged mean-maximum
Type
Numeric None None 92 Yes No No No No No No No
Numeric None None 93 Yes No Yes Yes No No Yes No
Numeric None None 94 Yes No Yes Yes No No Yes No
Numeric cm/s None 95 Yes No Yes Yes No No Yes No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Fetal Aorta PS
Fetal Aorta ED
Fetal Aorta S/D Ratio
Fetal Aorta Artery Peak Systolic velocity
Fetal Aorta Artery Enddiastolic velocity
Fetal Aorta Artery S/D ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
Numeric cm/s 11695-4 96 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 97 Yes Yes No No No No Yes No
Numeric None None 98 Yes Yes No No No No No No
ViewPoint 5.6 62 HL7 Interface Reference Manual Version 6
Name
Description
Fetal Aorta RI Fetal Aorta Artery
Resistivity index
Fetal Aorta PI Fetal Aorta Artery
Pulsatility index
Fetal Aorta TAMX
MAC/Aorta PI Middle cerebral
Hepatic artery PS
Fetal Aorta Artery time-averaged mean-maximum
artery Pulsatility index / Fetal aorta artery pulsatility index
Hepatic artery Peak Systolic velocity
Type
Numeric None None 99 Yes Yes Yes Yes Yes Yes Yes No
Numeric None None 100 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 11668-1 101 Yes Yes Yes Yes Yes Yes Yes No
Numeric None None 102 Yes No No Yes Yes No Yes No
Numeric cm/s None 103 Yes No No No No No No No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Hepatic artery S/D Ratio
Hepatic artery RI
Hepatic artery PI
Hepatic artery Angle
Hepatic artery S/D ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
Hepatic artery Resistivity index
Hepatic artery Pulsatility index
Hepatic artery artery angle
Numeric None None 105 Yes No No No No No No No
Numeric None None 106 Yes No No No No No No No
Numeric None None 107 Yes No No No No No No No
Numeric ° None 108 Yes No No No No No No No
ViewPoint 5.6 63 HL7 Interface Reference Manual Version 6
Name
Splenic artery PS
Splenic artery S/D Ratio
Splenic artery RI
Splenic artery PI
Splenic artery Angle
Description
Splenic artery Peak Systolic velocity
Splenic artery S/D ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
Splenic artery Resistivity index
Splenic artery Pulsatility index
Splenic artery artery angle
Type
Numeric cm/s None 109 Yes No No No No No No No
Numeric None None 111 Yes No No No No No No No
Numeric None None 112 Yes No No No No No No No
Numeric None None 113 Yes No No No No No No No
Numeric ° None 114 Yes No No No No No No No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Right Renal artery PS
Right Renal artery S/D Ratio
Right Renal artery RI
Right Renal artery Peak Systolic velocity
Right Renal artery S/D ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
Right Renal artery Resistivity index
Numeric cm/s None 115 Yes No No No No No No No
Numeric None None 117 Yes No No No No No No No
Numeric None None 118 Yes No No No No No No No
ViewPoint 5.6 64 HL7 Interface Reference Manual Version 6
Name
Right Renal artery PI
Right Renal artery Angle
Left Renal artery PS
Left Renal artery S/D Ratio
Description
Right Renal artery Pulsatility index
Right Renal artery artery angle
Left Renal artery Peak Systolic velocity
Left Renal artery S/D ratio (SD RATIO = BLOOD FLOW.SYSTOLIC. MAX / BLOOD FLOW.DIASTOLIC. MIN)
Type
Numeric None None 119 Yes No No No No No No No
Numeric ° None 120 Yes No No No No No No No
Numeric cm/s None 121 Yes No No No No No No No
Numeric None None 123 Yes No No No No No No No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Left Renal artery RI
Left Renal artery PI
Left Renal artery Angle
Ductus Venosus systole
Ductus Venosus diastole
Left Renal artery Resistivity index
Left Renal artery Pulsatility index
Left Renal artery artery angle
Ductus Venosus systole
Ductus Venosus diastole
Numeric None None 124 Yes No No No No No No No
Numeric None None 125 Yes No No No No No No No
Numeric ° None 126 Yes No No No No No No No
Numeric cm/s None 127 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 128 Yes Yes Yes Yes Yes Yes Yes No
ViewPoint 5.6 65 HL7 Interface Reference Manual Version 6
Name
Ductus Venosus Vm
Ductus Venosus TAMX
Ductus Venosus A­Wave
Ductus Venosus PVIV
Ductus Venosus PIV
Hepatic Vein systole
Description
Ductus Venosus Vm
Ductus Venosus TAMX
Ductus Venosus A-Wave
Ductus Venosus PVIV
Ductus Venosus PIV
Hepatic Vein systole
Type
Numeric cm/s None 129 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 130 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 131 Yes Yes Yes Yes Yes Yes Yes No
Numeric None None 132 Yes Yes Yes Yes Yes Yes Yes No
Numeric None None 133 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 29471-0 134 Yes Yes Yes Yes Yes Yes Yes No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Hepatic Vein diastole
Hepatic Vein Vm
Hepatic Vein TAMX
Hepatic Vein A-Wave
Hepatic Vein PVIV
Hepatic Vein PIV
Hepatic Vein diastole
Hepatic Vein Vm Numeric cm/s None 136 Yes Yes Yes Yes Yes Yes Yes No
Hepatic Vein TAMX
Hepatic Vein A­Wave
Hepatic Vein PVIV Numeric None None 139 Yes Yes Yes Yes Yes Yes Yes No
Hepatic Vein PIV Numeric None None 140 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 29472-8 135 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 137 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 29474-4 138 Yes Yes Yes Yes Yes Yes Yes No
ViewPoint 5.6 66 HL7 Interface Reference Manual Version 6
Name
Inferior Vena Cava systole
Inferior Vena Cava diastole
Inferior Vena Cava Vm
Inferior Vena Cava TAMX
Inferior Vena Cava A­Wave
Inferior Vena Cava PVIV
Description
Inferior Vena Cava systole
Inferior Vena Cava diastole
Inferior Vena Cava Vm
Inferior Vena Cava TAMX
Inferior Vena Cava A-Wave
Inferior Vena Cava PVIV
Type
Numeric cm/s None 141 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 142 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 143 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 144 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 145 Yes Yes Yes Yes Yes Yes Yes No
Numeric None None 146 Yes Yes Yes Yes Yes Yes Yes No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Inferior Vena Cava PIV
Umbilical Vein Vmax
Umbilical Vein Vm
Sinus transverse Vm
Sinus transverse PIV
Inferior Vena Cava PIV
Umbilical Vein Vmax
Umbilical Vein Vm
Sinus transverse Vm
Sinus transverse PIV
Numeric None None 147 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 148 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 149 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s None 150 Yes No Yes Yes No No Yes No
Numeric None None 151 Yes No Yes Yes No No Yes No
ViewPoint 5.6 67 HL7 Interface Reference Manual Version 6
Name
Sinus transverse dPIV
Tricuspid valve E­Wave
Tricuspid valve A­Wave
Tricuspid valve E/A
Mitral valve E-Wave
Mitral valve A-Wave
Description
Sinus transverse dPIV
Tricuspid valve E­Wave
Tricuspid valve A­Wave
Tricuspid valve E/A
Mitral valve E­Wave
Mitral valve A­Wave
Type
Numeric None None 152 Yes No Yes Yes No No Yes No
Numeric cm/s 11647-5 153 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 11643-4 154 Yes Yes Yes Yes Yes Yes Yes No
Numeric None 11651-7 155 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 11645-9 156 Yes Yes Yes Yes Yes Yes Yes No
Numeric cm/s 11641-8 157 Yes Yes Yes Yes Yes Yes Yes No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Mitral valve E/A
Head Head Text None 12070-9 159 Yes Yes Yes Yes Yes Yes Yes No
Brain Brain Text None None 160 Yes Yes Yes Yes Yes Yes Yes No
Face Face Text None 12056-8 161 Yes Yes Yes Yes Yes Yes Yes No
Spine Spine Text None 12111-1 162 Yes Yes Yes Yes Yes Yes Yes No
Neck/Skin Neck/Skin Text None None 163 Yes Yes Yes Yes Yes Yes Yes No
Thorax Thorax Text None 12115-2 164 Yes Yes Yes Yes Yes Yes Yes No
Mitral valve E/A Numeric None 11649-1 158 Yes Yes Yes Yes Yes Yes Yes No
ViewPoint 5.6 68 HL7 Interface Reference Manual Version 6
Name
Description
Heart Heart Text None 12076-6 165 Yes Yes Yes Yes Yes Yes Yes No
Abd. Wall Abd. Wall Text None 12031-1 166 Yes Yes Yes Yes Yes Yes Yes No
Gastroint. Track
Kidneys Kidneys Text None 12099-8 168 Yes Yes Yes Yes Yes Yes Yes No
Bladder Bladder Text None 12119-4 169 Yes No No No No No No No
Genitalia Genitalia Text None 11400-9 170 Yes Yes Yes Yes Yes Yes Yes No
Extremities Extremities Text None 10196-4 171 Yes Yes Yes Yes Yes Yes Yes No
Skeleton Skeleton Text None None 172 Yes Yes Yes Yes Yes Yes Yes No
Diagnosis Diagnosis Text None 30954-2 173 No No No No No No No Yes
Gastroint. Track Text None None 167 Yes Yes Yes Yes Yes Yes Yes No
Type
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
Procedere Procedere Text None None 175 No No No No No No No Yes
Histology Histology Text None None 176 No No No No No No No Yes
AFI Amniotic Fluid
Index
EFW Estimated Fetal
Weight
Growth Percentile
Cervical Length
Growth Percentile
Cervical Length Numeric Mm None 180 Yes Yes Yes Yes Yes Yes Yes No
Numeric Cm 11627-7 177 Yes Yes Yes Yes Yes Yes Yes No
Numeric G 11727-5 178 Yes Yes Yes Yes Yes Yes Yes No
Text None None 179 Yes No No No No No No No
ViewPoint 5.6 69 HL7 Interface Reference Manual Version 6
Name
Description
2nd Trim. Diagnosis
2nd Trim. Diagnosis text
Diagnosis Diagnosis
2nd Trim. Diagnosis
nd
2
Trim.
Diagnosis text
Type
Text None None 181 Yes No No No No No No No
Text None None 182 Yes No No No No No No No
Text None None 183 Yes No No No No No No No
Units
LOINC Code
ViewPoint Code
Present in FDB_USA
Present in FDB_UK
Present in FBD_German
Present in FDB_Spanish
Present in FDB_Italian_it
Present in FDB_Italian_DE
Present in FDB_French
Present in USENDO_DE
ViewPoint 5.6 70 HL7 Interface Reference Manual Version 6
Example of discrete finding export
MSH|^~\&|GE|ViewPoint|sap||20060926160345||ORU^R01|9|P|2.4|||AL|AL PID||TEMP0|TEMP0|1|IMAGE_D0^Test||19811212||||^^^^^0 PV1|||^^^WCC||||||||||||||||0|||||||||||||||||||||||||20050610123725|20050611214309|||||E1^^^GE ViewPoint ORC|1 OBR|1||||||20060925153842|||||||20060925153842||||||Observation patient||||||||||||A. Smi th|Dr. Williams OBX|1|NM|8665-2^Last period^L N||03/03/ 2006||||||F OBX|2|NM|11884-4^GA^LN||29W + 3D||||||F OBX|3|NM|11724-2^L. Uterine artery Vmax^LN||6.0|cm/s|||||F OBX|4|NM|11663-2^Enddiastolic velocity^LN||7.0|cm/s|||||F OBR|2^1|||||||||||||||||||Observation Fetus 1 OBX|5|NM|11820-8^BPD^LN||12.0|mm|||||F OBX|6|NM|11984-2^HC^LN||23.0|mm|||||F OBX|7|NM|11979-2^AC^LN||12.0|mm|||||F OBX|8|NM|11963-6^Femur^LN||89.0|mm|||||F OBX|9|NM|8288-3^OFD^LN||86.0|mm|||||F OBX|10|NM|11863-8^TCD^LN||23.0|mm|||||F OBX|11|NM|33069-6^Nuchal Translucency^LN||61.0|mm|||||F OBX|12|NM|11862-0^TAD^LN||98.0|mm|||||F OBX|13|NM|11818-2^APAD^LN||21.0|mm|||||F OBX|14|NM|11966-9^Humerus^LN||23.0|mm|||||F OBX|15|NM|11967-7^Radius^LN||23.0|mm|||||F OBX|16|NM|11968-5^Tibia^LN||55.0|mm|||||F OBX|17|NM|11964-4^Fibula^LN||23.0|mm|||||F OBX|18|NM|11860-4^CM^LN||13.0|mm|||||F OBX|19|NM|12146-7^Nuchal Fold^LN||1.8|mm|||||F OBX|20|NM|12171-5^Left Lat. Ventricle^LN||23.8|mm|||||F OBX|21|NM|11726-7^Umbilical artery Vmax^LN||21.0|cm/s|||||F OBX|22|NM|11662-4^Enddiastolic velocity^LN||23.0|cm/s|||||F OBX|23|NM|12141-8^Umbilical Artery SD^LN||33.0|cm/s|||||F OBX|24|NM|12020-4^Umbilical Artery RI^LN||2.0|cm/s|||||F OBX|25|NM|12005-5^Umbilical Artery PI^LN||34.0|cm/s|||||F OBX|26|NM|11689-7^Umbilical Artery TAMX^LN||45.0|cm/s|||||F OBX|27|NM|117 0 1-0^Middle cere br al V m ax ^ LN | | 56 . 0 |c m /s|||||F OBX|28|NM|12135-0^Middle cerebral S/D ratio^LN||65.000000||||||F OBX|29|NM|11999-0^Middle Cerebral PI^LN||98.000000||||||F OBX|30|NM|11672-3^Middle Cerebral Vm^LN||6.0|cm/s|||||F OBX|31|NM|9 0^Common Caro tid Vmax^Vi ewPoint||12.8|cm/s|||||F OBX|32|NM|91^Carotid Enddiastolic velocity^ViewPoint||89.0|cm/s |||||F OBX|33|NM|92^Carotid S/D ratio^ViewPoint||1.200000||||||F OBX|34|NM|93^Common Carotid RI^ViewPoint||1.700000||||||F OBX|35|NM|94^Common Carotid PI^ViewPoint||5.800000||||||F OBX|36|NM|95^Common Car otid Vm^ViewPoint||8.8|cm/s|||||F OBX|37|NM|97^Thoracic Aorta Vmax^ViewPoint||90.0|cm/s|||||F OBX|38|NM|98^Thoracic Aorta S/D Ratio^ViewPoint||7.800000||||||F OBX|39|NM|99^Thoracic Aorta RI^ViewPoint||1.200000||||||F OBX|40|NM|100^Thoracic Aorta PI^ViewPoint||1.600000||||||F OBX|41|NM|11695-4^Thoracic Aorta Vmax^LN||90.0|cm/s|||||F OBX|42|NM|127^DV Systole^ViewPoint||6.0|cm/s|||||F OBX|43|NM|128^DV Diasto le^ViewPoint||87.0|cm/s|||||F
ViewPoint 5.6 71 HL7 Interface Reference Manual Version 6
OBX|44|NM|129^DV Vm^ViewPoint||29.0|cm/s|||||F OBX|45|NM|130^DV TamX^V iewPoint||8.0|cm/s|||||F OBX|46|NM|131^DV A^Vi ewPoint||8.0|cm/s| ||||F OBX|47|NM|132^DV PVIV^ViewPoint||21.000000||||||F OBX|48|NM|133^DV PIV^ViewPoint||22.000000||||||F OBX|49|NM|136^HV Vm^ViewPoint||6.3|cm/s|||||F OBX|50|NM|137^HV TamX^ViewPoint||98.0|cm/s|||||F OBX|51|NM|141^IVC Systole^ViewPoint||3.0 |cm/s| ||||F OBX|52|NM|1 42^IVC Diastole^ViewPoint||675.0|cm /s|||||F OBX|53|NM|143^IVC Vm^ViewPoint||87.0|cm/s|||||F OBX|54|NM|144^IVC TamX^ViewPoint||8.0|cm/s|||||F OBX|55|NM|145^IVC A^ViewPoint||56.0|cm/s|||||F OBX|56|NM|146^IVC PVIV^ViewPoint||8.000000||||| |F OBX|57|NM|148^Umbilical Vein Vmax^ViewPoint||68.0|cm/s|||||F OBX|58|NM|149^Umbilical Vein Vm^ViewPoint||9.0|cm/s|||||F OBX|59|NM|11668-1^Thoracic Aorta Vm^LN||98.0|cm /s|||||F OBX|60|NM|29471-0^Hepatic Vein Systole^LN||7.0|cm/s|||||F OBX|61|NM|29472-8^Hepatic Vein Diastole^LN||8.0|cm/s|||||F OBX|62|NM|29474-4^HV A^LN||769.0|cm/s|||||F OBX|63|NM|11647-5^Tricuspid E-wave^LN|| 6.0|cm/s|||||F OBX|64|NM|11643-4^Tricuspid A-wave^LN|| 5.0|cm/s|||||F OBX|65|NM|11651-7^Tricuspid E/A^LN||1.200000||||||F OBX|66|NM|11645-9^Mitral E-wave^LN||9 .0|cm/s|||||F OBX|67|NM|11641-8^Mitral A-wave^LN||876.0|cm/s|||||F
ViewPoint 5.6 72 HL7 Interface Reference Manual Version 6
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