UN/EDIFACT Message Type : Batch : MEDREQ

__ United Nations Directories for Electronic Data Interchange for Administration, Commerce and Transport __UN/EDIFACT

Message Type : MEDREQ Version : D Release : 08A Contr. Agency: UN Revision : 2 Date : 2008-05-30 SOURCE: TBG10 Healthcare CONTENTS Medical service request message 0. INTRODUCTION 1. SCOPE 1.1 Functional definition 1.2 Field of application 1.3 Principles 2. REFERENCES 3. TERMS AND DEFINITIONS 3.1 Standard terms and definitions 4. MESSAGE DEFINITION 4.1 Segment clarification 4.2 Segment index (alphabetical sequence by tag) 4.3 Message structure 4.3.1 Segment table ---------------------------------------------------------------------- For general information on UN standard message types see UN Trade Data Interchange Directory, UNTDID, Part 4, Section 2.3, UN/ECE UNSM General Introduction ---------------------------------------------------------------------- 0. INTRODUCTION This specification provides the definition of the Medical service request message (MEDREQ) to be used in Electronic Data Interchange (EDI) between trading partners involved in administration, commerce and transport. 1. SCOPE 1.1 Functional definition A Medical Service Request message is sent from a service requester to the service provider to order investigations, to modify a previous order or ordered investigation or to cancel a previous order. 1.2 Field of application The Medical service request message may be used for both national and international applications. It is based on universal practice related to administration, commerce and transport, and is not dependent on the type of business or industry. 1.3 Principles The message fulfills the requirements of the European pre- standard concerning messages for exchange of laboratory information within clinical chemistry, clinical biochemistry, toxicology, clinical immunology, immunohaematology, haematology and clinical microbiology. The message may, however, also be used for other purposes as long as the user requirements are meet. The CEN prENV New Laboratory Service Order message and the CEN prENV Laboratory Service Order Cancellation message may be considered as special cases of the CEN prENV Laboratory Service Order Modification message. The Laboratory Service Order Modification message may contain a mixture of new, change, cancel and other service types for the order itself and for the various requested investigations whereas the New Laboratory Service Order message only contains the new service type for the order itself and the various requested investigations and the Laboratory Service Order Cancellation message only contains the cancel service type for a complete order. The overall structure of the message is: - One message may include one or more service orders. - The service order is connected to one service provider, one service requester and optionally one or more parties to receive copies of the order and/or subsequent result message(s). - Every service order is related to one main subject of investigation (patient, animal or material), but may also include information about several related subjects of investigation. - Every service order may request services concerning one or more samples (from the same subject of investigation) or the subject of investigation itself. - Every sample may have one collection site. - A requested investigation may be connected to one or more samples or to the subject of investigation itself. With the exception of information in FTX segments, all information should primarily be expressed as codes. 2. REFERENCES See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General Introduction, Section 1. 3. TERMS AND DEFINITIONS 3.1 Standard terms and definitions See UNTDID, Part 4, Chapter 2.3 UN/ECE UNSM - General Introduction, Section 2. 4. MESSAGE DEFINITION 4.1 Segment clarification This section should be read in conjunction with the segment table which indicates mandatory, conditional and repeating requirements. 0010UNH, Message header A service segment starting and uniquely identifying a message. The message type code for the Medical service request message is MEDREQ. Note: Medical service request messages conforming to this document must contain the following data in segment UNH, composite S009: Data element 0065 MEDREQ 0052 D 0054 08A 0051 UN 0020BGM, Beginning of message A segment for unique identification of the message and specification of its function. 0030DTM, Date/time/period A segment identifying the date and/or time of message generation and/or other dates and/or times concerning the whole message. 0040FTX, Free text A segment giving free text information, in coded or clear form, for specifying information concerning the whole message. 0050 Segment group 1: PNA-ADR-COM-FTX-RFF-SEQ-LAN-SPR-QUA-EMP A group of segments giving information about involved healthcare parties like the service requester, the service provider, parties to get copies of the request and/or the results, related service providers, origin of clinical information, supervising healthcare party, healthcare administrative information, sample collector, sample collector location and/or other parties related to the message. 0060PNA, Party identification A segment for specifying the identification, name and address of involved healthcare organisations or professionals. 0070ADR, Address A segment for specifying the address of the actual healthcare party. 0080COM, Communication contact A segment giving communication numbers for the actual healthcare party. 0090FTX, Free text A segment with free text information, in coded or clear form, for specifying unstructured telecommunication numbers of the actual healthcare party including electronic mail address. 0100RFF, Reference A segment for specifying alternative identification numbers of the actual healthcare party assigned by the involved healthcare parties. This segment also keeps a reference to another party if the current party is related to another party such as department in a hospital, a physician in a department, etc. 0110SEQ, Sequence details A segment for allocating a sequence number to the individual healthcare party allowing each healthcare party to be referenced from within the message. 0120LAN, Language A segment for specifying the language used by the actual healthcare party. 0130SPR, Organisation classification details A segment for specifying the type and medical speciality of a healthcare organisation. 0140QUA, Qualification A segment for specifying the professional medical qualifications of a person. 0150EMP, Employment details A segment for specifying the type, medical speciality and the position or military rank of a healthcare professional. 0160 Segment group 2: FCA-GEI-RFF-DTM-PTY-CIN-FTX-LAN-PAC-IRQ-TEM- HAN-SG3-SG4-SG5 A group of segments for specifying a service order. 0170FCA, Financial charges allocation A segment giving information concerning payment category for this order. 0180GEI, Processing information A segment to provide the service type of the service order, i.e. new order, order modification etc. 0190RFF, Reference A segment for specifying the identification number of the order allocated by various healthcare parties, such as service requester, etc. The segment is also used for referencing a related healthcare party specified in segment group 1. 0200DTM, Date/time/period A segment for specifying the date and/or time concerning the order such as issue date of order, due date of report, etc. 0210PTY, Priority A segment for specifying the requested reporting priority for the whole order. 0220CIN, Clinical information A segment for specifying the reason for request as well as comments from the requester as a diagnosis concerning this order. 0230FTX, Free text A segment with free text information, in coded or clear form, for specifying the reason for request as well as comments from the requester concerning this order. 0240LAN, Language A segment for specifying the language of the service order and the requested reporting language. 0250PAC, Package A segment for specifying the number of sample containers accompanying a service order. 0260IRQ, Information required A segment for specifying the requirements concerning acknowledgment of the service order. 0270TEM, Test method A segment for specifying the reason for the request. 0280HAN, Handling instructions A segment for specifying the requested commenting level of detail of the service report. 0290 Segment group 3: SCC-QTY-DTM-FTX A group of segments for specifying a standing service order. 0300SCC, Scheduling conditions A segment for specifying the delivery plan. 0310QTY, Quantity A segment for specifying the number of times per time interval a standing order should be performed. 0320DTM, Date/time/period A segment for specifying the start and end date and time for set of ordered investigations and the time interval between each repetition. 0330FTX, Free text A segment with free text information, in coded or clear form, for specifying the end condition and additional execution instruction of a standing service order. 0340 Segment group 4: DOC-RFF-DTM A group of segments for specifying a reference to another service order. 0350DOC, Document/message details A segment for specifying the document name. 0360RFF, Reference A segment for specifying the identification number of the referenced order. 0370DTM, Date/time/period A segment for specifying the issue date and/or time of the referenced order. 0380 Segment group 5: ATT-RFF-ADR-COM-HAN-REL-IMD-FTX-PNA-DTM- PDI-NAT-LAN-CCI-SG6-SG7-SG13-SG15 A group of segments specifying the subject of investigation. 0390ATT, Attribute A segment for specifying the type of the subject of investigation. 0400RFF, Reference A segment for specifying the identification numbers of the actual subject of investigation. This segment is also used for a reference to a healthcare party in segment group 1 specifying a supervising healthcare party. 0410ADR, Address A segment for specifying the address details of the subject of investigation. 0420COM, Communication contact A segment providing a telecommunication number for the subject of investigation. 0430HAN, Handling instructions A segment for specifying a collection warning concerning the subject of investigation. 0440REL, Relationship A segment for specifying the association between subjects of investigation such as donor, foetus, etc. as well as the relationship of a related person to the patient. 0450IMD, Item description A segment for specifying the description of the material being investigated if the subject of investigation is a material. 0460FTX, Free text A segment with free text information, in coded or clear form, for specifying additional information about the material as well as an unstructured telecommunication number of the subject of investigation. 0470PNA, Party identification A segment for identifying the patient and related person or name by specifying various patient name details and official patient ID. 0480DTM, Date/time/period A segment for specifying relevant dates and/or times for the patient such as date of birth, date of death, etc. 0490PDI, Person demographic information A segment for specifying demographic information such as sex, marital status and religion. 0500NAT, Nationality A segment for specifying the nationality of a person. 0510LAN, Language A segment for specifying the language used by the person. 0520CCI, Characteristic/class id A segment for specifying the species or breed of an animal. 0530 Segment group 6: PAS-LOC-DTM-RFF A group of segments for specifying healthcare administrative information concerning the actual subject of investigation. 0540PAS, Attendance A segment for specifying patient administrative information such as administrative status concerning actual hospital stay or out-patient visit or ward stay related to the subject of investigation. 0550LOC, Place/location identification A segment for specifying the physical patient care location in terms of ward, room, bed, etc. 0560DTM, Date/time/period A segment for specifying admission and/or discharge date and time or start and/or end date and time of a ward stay. 0570RFF, Reference This segment keeps a reference to a healthcare party for specifying healthcare administrative information such as hospital, department, etc. where patient is admitted, located, etc. 0580 Segment group 7: CAV-CIN-LAN-DTM-FTX-RFF-SG8-SG11 A group of segments giving information about a clinical observation including the origin of the clinical information. The clinical information may be a symptom, physical sign, anamnesis (medical history), clinical observation, diagnosis, etc. 0590CAV, Characteristic value A segment for specifying the type of clinical information. 0600CIN, Clinical information A segment for specifying the type of clinical observation, description of the clinical observation itself as well as the degree of certainty concerning the clinical observation. 0610LAN, Language A segment for specifying the language related to the clinical observation. 0620DTM, Date/time/period A segment for specifying date and times related to the clinical information, the clinical observation itself and the origin of clinical information. 0630FTX, Free text A segment with free text information, in coded or clear form, for description of the clinical information. 0640RFF, Reference This segment keeps a reference to a healthcare party for specifying origin of clinical information. 0650 Segment group 8: STS-SEQ-GEI-RSL-CCI-CIN-DTM-FTX-RFF- SG9-SG10 A group of segments for specifying a clinical investigation result item and the clinical investigation itself. 0660STS, Status A segment for specifying the status of the clinical investigation, e.g. preliminary results, final results, etc. 0670SEQ, Sequence details A segment for allocating a sequence number to a clinical investigation result item to allow referencing from within this message to a specific clinical investigation result item. 0680GEI, Processing information A segment for specifying the service type of the clinical investigation result item, e.g. new result item. 0690RSL, Result A segment for specifying the numerical value or a coded text value of a clinical investigation result item including unit of measurement, arithmetic comparator and the deviating result indicator. 0700CCI, Characteristic/class id A segment for identifying the clinical investigation and to describe specifications to the clinical investigation. 0710CIN, Clinical information A segment giving a text value of a clinical investigation result item as well as a comment to the clinical investigation result item as a diagnosis. 0720DTM, Date/time/period A segment for specifying relevant date and times concerning the investigation such as date and time for investigation performed, last status change and a date value of a clinical observation. 0730FTX, Free text A segment with free text information, in coded or clear form, for specifying the text value of a clinical investigation as well as comments to the clinical investigation and the investigation result item. 0740RFF, Reference This segment keeps a reference to the 'parent' clinical investigation result item if needed. 0750 Segment group 9: RSL-FTX-CCI A group of segments giving the reference limits of a clinical investigation result item. 0760RSL, Result A segment for specifying the numerical reference interval of an investigation result item and the type of reference interval. 0770FTX, Free text A segment with free text information, in coded or clear form, for specifying the textual reference limits of an investigation result item. 0780CCI, Characteristic/class id A segment for specifying a reference population, e.g. age, sex, smokers, etc. 0790 Segment group 10: REL-RFF A group of segments for identifying the persons and/or organisations involved in producing an investigation result item. 0800REL, Relationship A segment for specifying the type of relationship of a related healthcare service provider to the clinical investigation result item. 0810RFF, Reference A segment for specifying a reference to healthcare parties in segment group 1 where the related healthcare professional or organisation is identified. 0820 Segment group 11: CLI-SG12 A group of segments for specifying a clinical intervention. 0830CLI, Clinical intervention A segment for specifying the type of intervention and the intervention itself. 0840 Segment group 12: IMD-DSG-FTX-INP A group of segments to describe interventions involving drugs. 0850IMD, Item description A segment for identifying a drug. 0860DSG, Dosage administration A segment for specifying the dosage and administration specifications of a drug. 0870FTX, Free text A segment with free text information, in coded or clear form, for specifying dosage and administration specification of a drug. 0880INP, Parties and instruction A segment for specifying the dosage regime. 0890 Segment group 13: SEQ-IMD-PRC-RFF-QTY-DTM-PAC-PTY-FTX- TDT-HAN-LOC-ADR-SG14 A group of segments containing information about the samples collected or to be collected concerning the requested investigation. 0900SEQ, Sequence details A segment for allocating a sequence number to the sample to allow referencing from within this message to a specific sample. 0910IMD, Item description A segment for specifying the characteristics of a sample like type of sample, anatomical origin and sample preservation material. 0920PRC, Process identification A segment for specifying information about type of collection procedure and subsequent handling of the sample. 0930RFF, Reference A segment for specifying the identification numbers of the actual sample allocated by service requester. This segment also keeps a reference to healthcare parties related to this actual sample such as the sample collector and sample collection location. This segment in addition keeps a reference to the "parent" sample if this sample is part of or derived from another sample. 0940QTY, Quantity A segment for specifying information about sample volume or weight. 0950DTM, Date/time/period A segment for specifying relevant dates and times concerning the sample such as start and/or end date and time or period for sample collection, etc. 0960PAC, Package A segment specifying the number of sample containers this sample consists of. 0970PTY, Priority A segment for specifying the sampling priority. 0980FTX, Free text A segment with free text information, in coded or clear form, expressing the comments of the sample collector, the comments of the requester to the sample, anatomical origin of sample, sample location description, etc. 0990TDT, Transport information A segment for specifying the transport logistics of the collected sample. 1000HAN, Handling instructions A segment for specifying sample handling warning. 1010LOC, Place/location identification A segment for specifying the location for sample collection in terms of hospital ward, room and bed number. 1020ADR, Address A segment for specifying the address for the sample collection. 1030 Segment group 14: CLI-IMD-DSG-DTM-FTX-QTY-INP A group of segments for specifying the pre-treatment performed relating to a sample. 1040CLI, Clinical intervention A segment for describing the pre-treatment administered. 1050IMD, Item description A segment for specifying the substance administered for pre-treatment. 1060DSG, Dosage administration A segment for specifying the route of administration of the pre-treatment. 1070DTM, Date/time/period A segment for specifying relevant date and times for the pre-treatment like start, end or duration of administration. 1080FTX, Free text A segment with free text information, in coded or clear form, for describing the pre-treatment. 1090QTY, Quantity A segment for specifying amount of substance administered. 1100INP, Parties and instruction A segment for specifying dosage regime. 1110 Segment group 15: GEI-CCI-PTY-QTY-CIN-DTM-FTX-TEM-MOA- RFF-HAN-SG16 A group of segments for specifying a requested investigation. 1120GEI, Processing information A segment for specifying the service type of the requested investigation, e.g. new investigation, changes to a previous requested investigation, etc. 1130CCI, Characteristic/class id A segment for specifying the characteristics of the investigation. The characteristics may concern system, component or property examined, etc. 1140PTY, Priority A segment for specifying the performing and reporting priority of the requested investigation. 1150QTY, Quantity A segment for specifying the number of times to perform a requested investigation. 1160CIN, Clinical information A segment for specifying the reason for request as a diagnosis. 1170DTM, Date/time/period A segment for specifying date and times relevant for this requested investigation such as date and time of investigation request issued, investigation result due date and time, etc. 1180FTX, Free text A segment with free text information, in coded or clear form, for specifying the reason for request, requester's comments as well as comments to the investigation itself. 1190TEM, Test method A segment for specifying the reason for the requested investigation. 1200MOA, Monetary amount A segment for specifying the type of cost, the amount of cost and possibly currency unit used concerning the investigation. 1210RFF, Reference This segment keeps a reference to one or more samples related to this requested investigation such as the sample(s) involved in this investigation. 1220HAN, Handling instructions A segment specifying the requested commenting level of detail concerning the requested investigation. 1230 Segment group 16: SCC-QTY-DTM-FTX A group of segments for specifying a standing requested investigation. 1240SCC, Scheduling conditions A segment for specifying the delivery plan. 1250QTY, Quantity A segment for specifying the number of times per time interval a requested investigation should be performed. 1260DTM, Date/time/period A segment for specifying the start and end date and time for a requested investigation and the time interval between each repetition. 1270FTX, Free text A segment with free text information, in coded or clear form, for specifying the end-condition and additional execution instructions of a standing requested investigation. 1280 Segment group 17: AUT-DTM A group of segments for specifying authentication details. 1290AUT, Authentication result A segment for specifying results of an authentication procedure. 1300DTM, Date/time/period A segment for specifying the date and time for the validity of the authentication. 1310UNT, Message trailer A service segment ending a message, giving the total number of segments in the message (including the UNH & UNT) and the control reference number of the message. 4.2 Segment index (alphabetical sequence by tag) ADR Address ATT Attribute AUT Authentication result BGM Beginning of message CAV Characteristic value CCI Characteristic/class id CIN Clinical information CLI Clinical intervention COM Communication contact DOC Document/message details DSG Dosage administration DTM Date/time/period EMP Employment details FCA Financial charges allocation FTX Free text GEI Processing information HAN Handling instructions IMD Item description INP Parties and instruction IRQ Information required LAN Language LOC Place/location identification MOA Monetary amount NAT Nationality PAC Package PAS Attendance PDI Person demographic information PNA Party identification PRC Process identification PTY Priority QTY Quantity QUA Qualification REL Relationship RFF Reference RSL Result SCC Scheduling conditions SEQ Sequence details SPR Organisation classification details STS Status TDT Transport information TEM Test method UNH Message header UNT Message trailer

4.3 Message structure 4.3.1 Segment table Pos Tag Name S R 0010UNH Message header M 1 0020BGM Beginning of message M 1 0030DTM Date/time/period C 9 0040FTX Free text C 9 0050 ----- Segment group 1 ------------------ M 99----------+ 0060PNA Party identification M 1 | 0070ADR Address C 9 | 0080COM Communication contact C 9 | 0090FTX Free text C 9 | 0100RFF Reference C 9 | 0110SEQ Sequence details C 1 | 0120LAN Language C 9 | 0130SPR Organisation classification details C 1 | 0140QUA Qualification C 9 | 0150EMP Employment details C 9-----------+ 0160 ----- Segment group 2 ------------------ M 99----------+ 0170FCA Financial charges allocation M 1 | 0180GEI Processing information M 1 | 0190RFF Reference M 9 | 0200DTM Date/time/period M 9 | 0210PTY Priority C 1 | 0220CIN Clinical information C 9 | 0230FTX Free text C 9 | 0240LAN Language C 9 | 0250PAC Package C 1 | 0260IRQ Information required C 1 | 0270TEM Test method C 9 | 0280HAN Handling instructions C 1 | | 0290 ----- Segment group 3 ------------------ C 99---------+| 0300SCC Scheduling conditions M 1 || 0310QTY Quantity C 1 || 0320DTM Date/time/period C 9 || 0330FTX Free text C 9----------+| | 0340 ----- Segment group 4 ------------------ C 99---------+| 0350DOC Document/message details M 1 || 0360RFF Reference M 9 || 0370DTM Date/time/period C 1----------+| | 0380 ----- Segment group 5 ------------------ C 99---------+| 0390ATT Attribute M 1 || 0400RFF Reference C 9 || 0410ADR Address C 9 || 0420COM Communication contact C 9 || 0430HAN Handling instructions C 9 || 0440REL Relationship C 1 || 0450IMD Item description C 9 || 0460FTX Free text C 9 || 0470PNA Party identification C 9 || 0480DTM Date/time/period C 9 || 0490PDI Person demographic information C 1 || 0500NAT Nationality C 9 || 0510LAN Language C 9 || 0520CCI Characteristic/class id C 9 || || 0530 ----- Segment group 6 ------------------ C 9---------+|| 0540PAS Attendance M 1 ||| 0550LOC Place/location identification C 9 ||| 0560DTM Date/time/period C 9 ||| 0570RFF Reference C 1---------+|| || 0580 ----- Segment group 7 ------------------ C 999-------+|| 0590CAV Characteristic value M 1 ||| 0600CIN Clinical information C 9 ||| 0610LAN Language C 9 ||| 0620DTM Date/time/period C 9 ||| 0630FTX Free text C 99 ||| 0640RFF Reference C 9 ||| ||| 0650 ----- Segment group 8 ------------------ C 99-------+||| 0660STS Status M 1 |||| 0670SEQ Sequence details C 1 |||| 0680GEI Processing information C 1 |||| 0690RSL Result C 1 |||| 0700CCI Characteristic/class id M 9 |||| 0710CIN Clinical information C 9 |||| 0720DTM Date/time/period C 99 |||| 0730FTX Free text C 99 |||| 0740RFF Reference C 99 |||| |||| 0750 ----- Segment group 9 ------------------ C 99------+|||| 0760RSL Result M 1 ||||| 0770FTX Free text C 9 ||||| 0780CCI Characteristic/class id C 9-------+|||| |||| 0790 ----- Segment group 10 ------------------ C 99------+|||| 0800REL Relationship M 1 ||||| 0810RFF Reference C 99------++||| ||| 0820 ----- Segment group 11 ------------------ C 99-------+||| 0830CLI Clinical intervention M 1 |||| |||| 0840 ----- Segment group 12 ------------------ C 99------+|||| 0850IMD Item description M 1 ||||| 0860DSG Dosage administration C 9 ||||| 0870FTX Free text C 9 ||||| 0880INP Parties and instruction C 9-------+++|| || 0890 ----- Segment group 13 ------------------ C 99--------+|| 0900SEQ Sequence details M 1 ||| 0910IMD Item description M 9 ||| 0920PRC Process identification C 9 ||| 0930RFF Reference C 9 ||| 0940QTY Quantity C 1 ||| 0950DTM Date/time/period C 99 ||| 0960PAC Package C 1 ||| 0970PTY Priority C 1 ||| 0980FTX Free text C 9 ||| 0990TDT Transport information C 9 ||| 1000HAN Handling instructions C 9 ||| 1010LOC Place/location identification C 9 ||| 1020ADR Address C 9 ||| ||| 1030 ----- Segment group 14 ------------------ C 99-------+||| 1040CLI Clinical intervention M 1 |||| 1050IMD Item description C 1 |||| 1060DSG Dosage administration C 1 |||| 1070DTM Date/time/period C 9 |||| 1080FTX Free text C 9 |||| 1090QTY Quantity C 1 |||| 1100INP Parties and instruction C 9--------++|| || 1110 ----- Segment group 15 ------------------ C 99--------+|| 1120GEI Processing information M 1 ||| 1130CCI Characteristic/class id M 99 ||| 1140PTY Priority C 9 ||| 1150QTY Quantity C 1 ||| 1160CIN Clinical information C 9 ||| 1170DTM Date/time/period C 9 ||| 1180FTX Free text C 9 ||| 1190TEM Test method C 9 ||| 1200MOA Monetary amount C 9 ||| 1210RFF Reference C 99 ||| 1220HAN Handling instructions C 1 ||| ||| 1230 ----- Segment group 16 ------------------ C 99-------+||| 1240SCC Scheduling conditions M 1 |||| 1250QTY Quantity C 1 |||| 1260DTM Date/time/period C 9 |||| 1270FTX Free text C 9--------++++ 1280 ----- Segment group 17 ------------------ C 99----------+ 1290AUT Authentication result M 1 | 1300DTM Date/time/period C 9-----------+ 1310UNT Message trailer M 1