Wiki Cystic Fibrosis Non-mapped Draft Test Messages v1

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12/07/11 LRI Validation Suite Wiki Cystic Fibrosis Draft Test Messages v1
HL7 Messages for CFTR (Cystic Fibrosis) Gene Mutation Analysis Lab Orders/Results
CFTR gene mutation analysis in Blood or Tissue by Molecular genetics method Nominal 21654-9
Example of reporting in A2 format
This draft test message has NOT been mapped to the LRI IG.
Timing Scenario:
The CFTR specimen was collected from patient on November 30, 2011, at 11:30P EST in Ann Arbor. The specimen
was analyzed on November 30, 2011, at 1:05P EST. The result report was composed on November 30, 2011, at
1:25P EST, and the result message was created/transmitted on November 30, 2011, at 1:25P EST.
MSH|^~\&|Lab1^1234^CLIA|Reliable^1234^CLIA|ELR^2.16.840.1.113883.19.3.2.3^ISO
|SPH^2.16.840.1.113883.19.3.2^ISO|201111301325540500||ORU^R01^ORU_R01|20111130132554000005|P^T|2.5.1|||NE|NE|USA||||USELR
1.0^^2.16.840.1.113883.19.9.7^ISO
SFT|1|Level Seven Healthcare Software,
Inc.^L^^^^&2.16.840.1.113883.19.4.6^ISO^XX^^^1234|1.2|An Lab
System|56734||20080817
PID|1||36363636^^^MPI&2.16.840.1.113883.19.3.2.1&ISO^MR^A&2.16.840.1.113883.1
9.3.2.1&ISO~444333333^^^&2.16.840.1.113883.4.1^ISO^SS||Everyman^Adam^A^^^
^L^^^^^^^BS|Mum^Martha^M^^^^M|19750602|M||21063^White^CDCREC^^^^04/24/2007|2222 Home Street^^Ann
Arbor^MI^99999^USA^H||^PRN^PH^^1^555^5552004|^WPN^PH^^1^955^5551009|eng^E
nglish^ISO6392^^^^3/29/2007|M^Married^HL70002^^^^2.5.1||||||N^Not
Hispanic or Latino^HL70189^^^^2.5.1||||||||N|||2008081510000700|Reliable^2.16.840.1.113883.19.3.1^ISO
ORC|RE|23456^EHR^2.16.840.1.113883.19.3.2.3^ISO|9700123^Lab^2.16.840.1.113883
.19.3.1.6^ISO|||||||||1234^Admit^Alan^A^III^Dr^^^&2.16.840.1.113883.19.4.
6^ISO^L^^^EI^&2.16.840.1.113883.19.4.6^ISO^^^^^^^^MD||^WPN^PH^^1^555^5551
005|||||||Level Seven Healthcare,
Inc.^L^^^^&2.16.840.1.113883.19.4.6^ISO^XX^^^1234|1005 Healthcare
Drive^^Ann Arbor^MI^99999^USA^B|^WPN^PH^^1^555^5553001|4444 Healthcare
Drive^Suite 123^Ann Arbor^MI^99999^USA^B
OBR|1|23456^EHR^2.16.840.1.113883.19.3.2.3^ISO|9700123^Lab^2.16.840.1.113883.
19.3.1.6^ISO|21654-9^CFTR gene mutation analysis in Blood or Tissue by
Molecular genetics method Nominal^LN^1244^CTFR gene Mutation
List^99RLI^2.36^1^Cystic Fibrosis Gene mutation List|||2011113011300500||||||fever|||1234^Admit^Alan^A^III^Dr^^^&2.16.840.1.113883.19.4.6^IS
O^L^^^EI^&2.16.840.1.113883.19.4.6^ISO^^^^^^^^MD|^WPN^PH^^1^555^5551005||
|||2011113013250500|||F||||||1235&Slide&Stan&S&&Dr&MD&&DOC&2.16.840.1.113883.19.4.6&ISO
OBX|1|CWE|21654-9^CFTR gene mutation analysis in Blood or Tissue by Molecular
genetics method Nominal^LN^1244^CTFR gene Mutation
List^99RLI^2.36^1^Cystic Fibrosis Gene mutation List
||260385009^Negative^SCT^NEG^negative^99RLI^20110731^1^negative||||||F|||
201111301130-0500|||||201111301305-0500||||Reliable Labs,
Inc^L^^^^CLIA&2.16.840.1.113883.19.4.6&ISO^XX^^^1236|3434 Industrial
Loop^^Ann
Arbor^MI^99999^USA^B|9876543^Slide^Stan^S^^^^^NPPES&2.16.840.1.113883.19.
4.6&ISO^L^^^NPI
NTE|1|L|Molecular analysis report has been mailed.
NTE|2|L|The assay provides information intended to be used for carrier
screening in adults of reproductive age, as an aid in newborn screening,
1
12/07/11 LRI Validation Suite Wiki Cystic Fibrosis Draft Test Messages v1
and as a confirmatory test for another medically established diagnosis in
newborns and children. The test is not indicated for use in fetal
diagnostic testing, pre-implantation screening, or for any stand-alone
diagnostic purposes without confirmation by another medically established
diagnostic product or procedure.
SPM|1|23456&EHR&2.16.840.1.113883.19.3.2.3&ISO^9700122&Lab&2.16.840.1.113883.
19.3.1.6&ISO||119297000^BloodSpecimen^SCT^^^^20080131|||||||P^Patient^HL6
0369^^^^2.5.1||||||201111301130-0500|201111301130-0500
CFTR gene mutation analysis in Blood or Tissue by Molecular genetics method Narrative 38404-0
Example of reporting in A3 format (Per LabCorp and Quest, this format is not used often)
This draft test message has NOT been mapped to the LRI IG.
Timing Scenario:
The CFTR specimen was collected from patient on November 30, 2011, at 11:30P EST in Ann Arbor. The specimen
was analyzed on November 30, 2011, at 1:05P EST. The result report was composed on November 30, 2011, at
1:25P EST, and the result message was created/transmitted on November 30, 2011, at 1:25P EST.
MSH|^~\&|Lab1^1234^CLIA|Reliable^1234^CLIA|ELR^2.16.840.1.113883.19.3.2.3^ISO
|SPH^2.16.840.1.113883.19.3.2^ISO|201111301325540500||ORU^R01^ORU_R01|20111130132554000005|P^T|2.5.1|||NE|NE|USA||||USELR
1.0^^2.16.840.1.113883.19.9.7^ISO
SFT|1|Level Seven Healthcare Software,
Inc.^L^^^^&2.16.840.1.113883.19.4.6^ISO^XX^^^1234|1.2|An Lab
System|56734||20080817
PID|1||36363636^^^MPI&2.16.840.1.113883.19.3.2.1&ISO^MR^A&2.16.840.1.113883.1
9.3.2.1&ISO~444333333^^^&2.16.840.1.113883.4.1^ISO^SS||Everyman^Adam^A^^^
^L^^^^^^^BS|Mum^Martha^M^^^^M|19750602|M||21063^White^CDCREC^^^^04/24/2007|2222 Home Street^^Ann
Arbor^MI^99999^USA^H||^PRN^PH^^1^555^5552004|^WPN^PH^^1^955^5551009|eng^E
nglish^ISO6392^^^^3/29/2007|M^Married^HL70002^^^^2.5.1||||||N^Not
Hispanic or Latino^HL70189^^^^2.5.1||||||||N|||2008081510000700|Reliable^2.16.840.1.113883.19.3.1^ISO
ORC|RE|23456^EHR^2.16.840.1.113883.19.3.2.3^ISO|9700123^Lab^2.16.840.1.113883
.19.3.1.6^ISO|||||||||1234^Admit^Alan^A^III^Dr^^^&2.16.840.1.113883.19.4.
6^ISO^L^^^EI^&2.16.840.1.113883.19.4.6^ISO^^^^^^^^MD||^WPN^PH^^1^555^5551
005|||||||Level Seven Healthcare,
Inc.^L^^^^&2.16.840.1.113883.19.4.6^ISO^XX^^^1234|1005 Healthcare
Drive^^Ann Arbor^MI^99999^USA^B|^WPN^PH^^1^555^5553001|4444 Healthcare
Drive^Suite 123^Ann Arbor^MI^99999^USA^B
OBR|1|23456^EHR^2.16.840.1.113883.19.3.2.3^ISO|9700123^Lab^2.16.840.1.113883.
19.3.1.6^ISO|38404-0^CFTR gene mutation analysis in Blood or Tissue by
Molecular genetics method Narrative^LN1234^CTFR gene Analysis
Report^99RLI^2.36^1^Cystic Fibrosis Gene mutation Report|||2011113011300500||||||fever|||1234^Admit^Alan^A^III^Dr^^^&2.16.840.1.113883.19.4.6^IS
O^L^^^EI^&2.16.840.1.113883.19.4.6^ISO^^^^^^^^MD|^WPN^PH^^1^555^5551005||
|||20080818300700|||F||||||1235&Slide&Stan&S&&Dr&MD&&DOC&2.16.840.1.113883.19.4.6&ISO
OBX|1|TX|38404-0^CFTR gene mutation analysis in Blood or Tissue by Molecular
genetics method Narrative^LN^1234^CTFR gene Analysis
Report^99RLI^2.36^1^Cystic Fibrosis Gene mutation Report||Testing of the
submitted blood sample revealed presence of the ∆F508
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12/07/11 LRI Validation Suite Wiki Cystic Fibrosis Draft Test Messages v1
allele.|||A|||F|||201111301130-0500|||||201111301305-0500||||Reliable
Labs, Inc^L^^^^CLIA&2.16.840.1.113883.19.4.6&ISO^XX^^^1236|3434
Industrial Loop^^Ann
Arbor^MI^99999^USA^B|9876543^Slide^Stan^S^^^^^NPPES&2.16.840.1.113883.19.
4.6&ISO^L^^^NPI
SPM|1|23456&EHR&2.16.840.1.113883.19.3.2.3&ISO^9700122&Lab&2.16.840.1.113883.
19.3.1.6&ISO||119297000^BloodSpecimen^SCT^^^^20080131|||||||P^Patient^HL6
0369^^^^2.5.1||||||201111301130-0500|201111301130-0500
3
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