Use of OBX-11/OBR-25 in IHE LAB3 context. IHE-PaLM 13 Nov Filip Migom

Transcription

1 Use of OBX-11/OBR-25 in IHE LAB3 context. IHE-PaLM 13 Nov Filip Migom

2 Order Results Management [LAB-3] Shall we apply S or O? 20/12/ CliniSys Group Commercial in Confidence 2

3 OBX-11 : Observation Result Status IHE : LAB-3: uses Reference HL7 V2.5.1 Refer to HL7 table Observation result status codes interpretation for valid values (source HL7 V2.7) A record may have an empty OBX-5? Shall we apply S or O 20/12/ CliniSys Group Commercial in Confidence 3

4 IHE Pathology & Laboratory Medicine Technical Framework, Vol. 2x (PaLM TF-2x): Transactions Shall we apply S or O C Result still final and verified!!! 20/12/ CliniSys Group Commercial in Confidence 4

5 Shall we replace a diagram with a table view Can we agree on this Table view? 20/12/ CliniSys Group Commercial in Confidence 5

6 OBX-11 OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM CASE : A correction is required To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL? FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] 20/12/ CliniSys Group Commercial in Confidence 6

7 OBX-11 : Observation Result Status OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL? FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] OBX 8 NM 82310^CALCIUM^GH 8 MG/DL? FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL? FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL? FM A result is validated and verified as a final value for the report 20/12/ CliniSys Group Commercial in Confidence 7

8 OBX-11 : Observation Result Status OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL P FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL F FM A result is validated and verified as a final value for the report I is not allowed after F 20/12/ CliniSys Group Commercial in Confidence 8

9 OBX-11 : Observation Result Status OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL W FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL P FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL F FM A result is validated and verified as a final value for the report W Is not supported by IHE LAB-3 20/12/ CliniSys Group Commercial in Confidence 9

10 OBX-11 : Observation Result Status OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL W FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL P FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL C FM A result is validated and verified as a final value for the report W Is not supported by IHE LAB-3 20/12/ CliniSys Group Commercial in Confidence 10

11 OBX-11 : Observation Result Status OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL W FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL C FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL C FM A result is validated and verified as a final value for the report W Is not supported by IHE LAB-3 C? The result is not Final. What is best? 20/12/ CliniSys Group Commercial in Confidence 11

12 OBX-11 : Observation Result Status OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL W FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] OBX 8 NM 82310^CALCIUM^GH 8 MG/DL W FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL C FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL C FM A result is validated and verified as a final value for the report W Is not supported by IHE LAB-3 C? The result is not Final. What is best? 20/12/ CliniSys Group Commercial in Confidence 12

13 OBX-11 : Observation Result Status OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL W FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] OBX 8 NM 82310^CALCIUM^GH 8 MG/DL W FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL W FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL C FM A result is validated and verified as a final value for the report W Is not supported by IHE LAB-3 20/12/ CliniSys Group Commercial in Confidence 13

14 OBX-11 : Observation Result Status OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL C FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] OBX 8 NM 82310^CALCIUM^GH 8 MG/DL C FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL C FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL C FM A result is validated and verified as a final value for the report C? Shall we allow C when no result is available C? The result is not Final. What is best? 20/12/ CliniSys Group Commercial in Confidence 14

15 OBX-11 : Observation Result Status OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL D FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. What status should we report in? [W] or [I] or [C] or [D] OBX 8 NM 82310^CALCIUM^GH 8 MG/DL D FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL D FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL C FM A result is validated and verified as a final value for the report D Is supported by IHE LAB-3 D? The value should remain empty 20/12/ CliniSys Group Commercial in Confidence 15

16 Shall we replace a diagram with a table view Can we agree on this Table view? 20/12/ CliniSys Group Commercial in Confidence 16

17 Shall we replace a diagram with a table view Can we agree on this Table view? 20/12/ CliniSys Group Commercial in Confidence 17

18 What do we have to change in IHE-PaLM Technical Framework A NEW CP 20/12/ CliniSys Group Commercial in Confidence 18

19 CP : Agreed to the message OBX 8 NM 82310^CALCIUM^GH 8 MG/DL I FM OBX 8 NM 82310^CALCIUM^GH MG/DL P FM OBX 8 NM 82310^CALCIUM^GH MG/DL F FM To discuss a CORRECTION OBX 8 NM 82310^CALCIUM^GH 8 MG/DL C FM The result has been re-opened for examination. The result itself is initial. A new report can be triggered. OBX-11 = C OBX 8 NM 82310^CALCIUM^GH 8 MG/DL C FM A result is available but not yet confirmed OBX 8 NM 82310^CALCIUM^GH MG/DL <?> C FM A result is confirmed and available for the report, but it is not verified OBX 8 NM 82310^CALCIUM^GH MG/DL <?> C FM A result is validated and verified as a final value for the report OBR-25 = C ORC-5 = A OBX-5 = OBX-8 = clear the flag ORBX-11 = C OBR-25 = C ORC-5 = CM 20/12/ CliniSys Group Commercial in Confidence 19

20 CP Replace the meaning of C Old : New (as in HL7 2.7 definition): Check if OBX-5 can be when OBX-11 = C? Change the diagram to use Status O for the first message Replace S with O 20/12/ CliniSys Group Commercial in Confidence 20

21 CP Change the diagram (make it more comprehensive) 20/12/ CliniSys Group Commercial in Confidence 21

22 CP??? ORC-5 correlated to OBR-25 OBX-11 Add a row A / C / C : for none final corrected results Correct (CM) into CM 20/12/ CliniSys Group Commercial in Confidence 22