HB 2622008

HB 2622008

Handbook
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Guidelines for pathology messaging between pathology providers and health service providers

This Handbook was prepared by Committee IT-014, Health Informatics. It was approved on behalf of the Council of Standards Australia on 26 February 2008. This Handbook was published on 5 May 2008. The following are represented on Committee IT-014: Australian Association of Pathology Practices Australian Department of Health and Ageing Australian Electrical and Electronic Manufacturers Association Australian Information Industry Association Australian Institute of Health & Welfare Australian Institute of Radiography Australian Medical Association Australian Private Hospitals Association Central Queensland University Consumers Federation of Australia Consumers Health Forum of Australia CSIRO e-Health Research Centre Department of Health (South Australia) Department of Health Western Australia Department of Human Services, Victoria Engineers Australia Health Informatics Society of Australia Health Information Management Association of Australia HL7 Australia Medical Industry Association of Australia Medical Software Industry Association National Health Information Management Principal Committee NSW Health Department Pharmacy Guild of Australia Pharmaceutical Society of Australia Queensland Health Royal Australian and New Zealand College of Radiologists Royal Australian College of General Practitioners Royal Australian College of Medical Administrators Royal College of Nursing, Australia Royal College of Pathologists of Australasia Society of Hospital Pharmacists of Australia University of Sydney

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Additional Interests: Cerner Corporation Collaborative Centre for eHealth DH4 eClinic Frankel Informatics HL7 Systems and services McCauley Software Medical Communications Associates Medical Objects Michael Legg & Associates Montage Systems Ocean Informatics Queensland Medical Laboratory

Standards Australia wishes to acknowledge the participation of the expert individuals that contributed to the development of this Handbook through their representation on the Committee.

Keeping Standards up-to-date

Australian Standards are living documents that reflect progress in science, technology and systems. To maintain their currency, all Standards are periodically reviewed, and new editions are published. Between editions, amendments may be issued. Standards may also be withdrawn. It is important that readers assure themselves they are using a current Standard, which should include any amendments that may have been published since the Standard was published. Detailed information about Australian Standards, drafts, amendments and new projects can be found by visiting www.standards.org.au Standards Australia welcomes suggestions for improvements, and encourages readers to notify us immediately of any apparent inaccuracies or ambiguities. Contact us via email at mail@standards.org.au, or write to Standards Australia, GPO Box 476, Sydney, NSW 2001.

HB 2622008

Handbook
This is a free 6 page sample. Access the full version at http://infostore.saiglobal.com.

Guidelines for pathology messaging between pathology providers and health service providers

Originated as HB 2622002. Second edition 2008.

COPYRIGHT Standards Australia All rights are reserved. No part of this work may be reproduced or copied in any form or by any means, electronic or mechanical, including photocopying, without the written permission of the publisher. Published by Standards Australia GPO Box 476, Sydney, NSW 2001, Australia ISBN 0 7337 8643 X

HB 2622008

PREFACE
This Handbook was prepared by the IT-014-06-05, Diagnostics Messaging Working Group under direction from Standards Australia Committee IT-014, Health Informatics, in response to requests from the health informatics community. This Handbook is a guide for implementing HL7 pathology messaging between pathology providers and health service providers in Australia, using the HL7 Version 2.3.1 protocol. It is not an HL7 Version 2.3.1 reference manual. It conforms to Australian Standard AS 4700.22004. The guide describes the content, context, sequences and detailed structure of the messages that comprise the HL7 system in a practical and useable manner for the Australian situation.
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Parts of the standard HL7 Version 2.3.1 protocol are not relevant to the Australian model for Pathology Messaging. Only necessary content has been included in this guide. Where the use case does not match, refer to HL7 Version 2.3.1. Many of the areas that could be open to different interpretations are either removed or clarified with regard to the Australian situation. Where appropriate, segment and field content have been fixed (set values) or refined (reduced to an appropriate set). Also, this document does not provide descriptions or implementation advice for all Order and Result HL7 message types. When implementing a message type not discussed in this document, the reader is referred to the HL7 Version 2.3.1 Standard. It should be noted that the standardization process is still evolving and that the Health Informatics Working Group IT-014-06-05 Diagnostics messaging will in the future deliberate on those areas not addressed in this implementation guide. Where an implementation requires the use of the HL7 standard in a situation that is not described in this document then it is requested that there be communication with the Working Group. The information contained herein has been extracted from the HL7 Version 2.3.1 protocol, published by Health Level Seven, Inc. on 14 April 1999. It has generally been taken from Chapters 2/3/4/6/7 of HL7 Version 2.3.1. Appendix A includes information on controls and Appendix B provides a form for feedback on this Handbook (if required). This Handbook is derived from a joint development project between Queensland Medical Laboratory and Sullivan Nicolaides Pathology from 1998 to 2000 and was first published in 2002. It was subsequently tested in Australian Government supported trialsthe PaGSIP projects in 2003. It also encompasses the experience from message testing at the Australian Healthcare Messaging Laboratory since 2002 (www.ahml.com.au). Standards Australia wishes to thank the Department of Health and Ageing for their continued financial support in helping us to develop this Handbook.

HB 2622008

CONTENTS
Page SCOPE........................................................................................................................ 4 IMPORTANT NOTES FOR PATHOLOGY MESSAGING ....................................... 4 OVERVIEW OF HL7 MESSAGING.......................................................................... 6 HL7 MESSAGING STRUCTURES ........................................................................... 7 MESSAGING FILE STRUCTURE .......................................................................... 12 ACKNOWLEDGING MESSAGES .......................................................................... 13 NOTES ON TERMS AND FORMATS .................................................................... 14 TERMS AND DEFINITIONS .................................................................................. 18 UNITS OF MEASURE ............................................................................................. 20 DATA TYPES .......................................................................................................... 20 MESSAGE IDENTIFIERS ....................................................................................... 31 SITE SEQUENCE NUMBER AND FILE NAMING ............................................... 36 IMPORTANT INFORMATION AND CONCEPTS ................................................. 37 IDENTIFIED TABLES AND OCCURRENCES ...................................................... 68 MESSAGE STRUCTURE ........................................................................................ 75 SEGMENT FIELDS AND REFERENCES............................................................... 77 HL7 SEGMENTS ..................................................................................................... 86 SAMPLE FORMAT ................................................................................................. 91

1 2 3 4 5 6 7
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8 9 10 11 12 13 14 15 16 17 18

APPENDICES A REFERENCED DOCUMENTS .............................................................................. 101 B RECOMMENDED CHANGES TO THE HANDBOOK ......................................... 102

HB 2622008

STANDARDS AUSTRALIA Handbook Guidelines for pathology messaging between pathology providers and health service providers
1 SCOPE This Handbook provides sufficient detail and discussion for the implementation of an HL7 based system for pathology messaging. It is intended that it be used as an implementation guide in conjunction with HL7 Version 2.3.1 and AS 4700.22004.
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Pathology messaging implementation comprises both orders and results. The guidelines are presented in three stages: (a) (b) (c) Overview of HL7 structure and operation. Discussions on issues relating to pathology messaging in Australia. Detailed definition of HL7 message structures and segments.

The guidelines clarify the way a particular situation should be interpreted or handled. Implementers must adhere to the field definitions of AS 4700.22004. However, this guide describes methodologies and field structures and ways in which the content can be developed. With regard to the actual content of some fields it is not mandatory to use the methods shown herein. They are suggestions and are used in the examples. Individuals or businesses wishing to use or develop their own proprietary methods should ensure that they meet the reasoning outlined in the relevant section. That is, they are not at cross-purposes with methods implemented by others with whom they are communicating. The information included in this guide includes recommended actions, structures, content and values that are the preferred options. Using them increases the likelihood that conflicts can be avoided. One aspect included in this guide and not covered by the HL7 protocol relates to the transfer of messages between the pathology providers and healthcare providers where the HL7 lower layer protocol is not appropriate (see HL7 Implementation Guide www.hl7.org.au/downloads). In many cases this will occur between private surgeries and private pathology laboratories. Relevant issues relating to file processing, and data encryption are discussed in some sections. Where this is not applicable to a real-time installation these sections can be ignored. The processes of signing, encryption and transmission are not defined nor discussed in this guide. 2 IMPORTANT NOTES FOR PATHOLOGY MESSAGING The reader should be aware of the following aspects of previous pathology messaging in Australia and the content of this publication. Detailed information relating to content, context and structure relevant to Australia is provided in Clause 13, Important information and concepts, which is an important reference section for pathology messaging in Australia, using HL7.

Standards Australia

www.standards.org.au

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HB 262-2008, Guidelines for pathology messaging between pathology providers and health service providers

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