CWE_CR.3 : Name of Coding System Usage R C(R/X) YES Comment 2/ Comment 6 CWE_CR.5 : Alternate Text Usage RE C(RE/X) YES Comment 2/ Comment 6 CWE_CR.9 : Original Text Usage RE C(R/X) YES Comment 2/ Comment 6 CWE_CR.15 : Set OID Usage O X YES Comment 2/ Comment 6 CWE_CR.16 : Value Set Version ID Usage O X YES Comment 2/ Comment 6 CWE_CR.17 : Alternate Coding System OID Usage O X YES Comment 2/ Comment 6 CWE_CR.18 : Alternate Value Set OID Usage O X YES Comment 2/ Comment 6 CWE_CR.19 : Alternate Value Set Version ID Usage O X YES Comment 2/ Comment 6 CWE_CR.20 : Second Alternate Coding System OID Usage O X YES Comment 2/ Comment 6 CWE_CR.21 : Second Alternate Value Set OID O X YES Comment 2/ Comment 6 CWE_CRE.4 : Alternate Identifier Usage C(RE/X) RE NO Comment 3/ Comment 6. CWE_CRE.15 : Value Set Usage O X YES Comment 3/ Comment 6
OID CWE_CRE.16 : Value Set Version ID Usage O X YES Comment 3/ Comment 6 CWE_CRE.17 : Alternate Coding System OID Usage O X YES Comment 3/ Comment 6 CWE_CRE.18 : Alternate Value Set OID O X YES Comment 3/ Comment 6 CWE_CRE.19 : Alternate Set Version ID O X YES Comment 3/ Comment 6 CWE_CRE.20 : Second Alternate Coding System OID Usage O X YES Comment 3/ Comment 6 CWE_CRE.21 : Second Alternate Value Set OID O X YES Comment 3/ Comment 6 CWE_CRE.22 : Second Alternate Value Set Version ID O X YES Comment 3/ Comment 6 CWE_CRO.9 : Original Text Usage R RE NO Comment 4/Comment 6 CWE_CRO.15 : Value Set OID Usage O X YES Comment 4/ Comment 6 CWE_CRO.16 : Value Set Version ID Usage O X YES Comment 4/ Comment 6
MSH.15 : Accept Acknowledgment Type Usage R C(R/RE) NO Comment 9 MSH.15 : Accept Acknowledgment Type Statement ELR-nnn: MSH-15 (Accept Acknowledgment Type) SHALL contain the constant value ‘NE’ IF an occurrence of MSH-21.3 (Entity Identifier) is valued 2.16.840.1.113883.9.NNN ELSE SHALL contain the constant value 'AL'.PHReturnAck Component: ELR-019:MSH.15 (Accept Acknowledgment Type) SHALL contain the constant value 'AL' IF any occurrence of MSH.21.1 (Entity Identifier) is 'PHLabReport-Ack' , ELSE, if valued, SHALL contain the constant value 'NE'. NO Comment 9/Using OIDs instead of static and dynamic definitions in R1. Net result is same. AL or NE MSH.16 : Application Acknowledgment Type R C(R/RE) NO Comment 9 MSH.16 : Application Acknowledgment Type Statement ELR-nnn: MSH-16 (Application Acknowledgement Type) contain the constant value ‘NE’ IF an occurrence of MSH-21.3 (Entity Identifier) is valued 2.16.840.1.113883.9.NNN ELSE, if valued, SHALL contain the value '‘AL’, 'NE', 'ER', or ‘SU’ ELR-020:MSH.16 (Application Acknowledgement Type) contain the constant value 'AL', 'NE', 'ER', or 'SU' ,'SU',IF any occurrence of MSH.21.1 (Entity Identifier) is 'PHLabReport-Ack', ELSE, if valued, SHALL contain the constant value 'NE' . NO Comment 9/Using OIDs instead of static and dynamic definitions in R1. Net result is same.
OBR.8 : Observation End Date/Time Data type TS_5 OR contain the value "0000” when the collection date/time is unknown. NO Comment 9/Precision same but no condition predicate if collection end date unknown – technical correction OBR.8 : Observation End Date/Time C(R/X) ELR-NN : If present, OBR-8 (Observation End Date/Time) SHALL be equal or later than OBR-7 (Observation Date/Time). YES Comment 9/ Note the date format is part of datatype definition and this is a clarifying CS OBR.11 : Specimen Action Code Usage RE O YES Comment 9/Comment11 OBR.13 : Relevant Clinical Information Cardinality [0,*] [0,1] YES Comment 9 OBR.13 : Relevant Clinical Information Data type CWE_CRE ST NO Comment 9/ Structure of will need to change. OBR.16 : Ordering Provider R RE NO Comment 9 OBR.22 : Results Rpt/Status Chng - Date/Time Data type TS_6 Yes Precision same but Time Zone offset no longer required.
OBR.26 : Parent Result Usage C(R/RE) CE YES This a technical change the original Condition predicate is not testable from message. OBR.28 : Result Copies To C(R/X) O NO Comment 9/ Comment 11 OBR.29 : Parent C(R/RE) CE YES This a technical change since the original Condition predicate is not testable from message. OBR.30 : Transportation Mode Usage O X YES Comment 9 OBR.37 : Number of Sample Containers * Usage O X YES Comment 9 OBR.40 : Transport Arrangement Responsibility O X YES Comment 9 OBR.41 : Transport Arranged Usage O X YES Comment 9
OBR.42 : Escort Required Usage O X YES Comment 9 OBR.43 : Planned Patient Transport Comment Usage O X YES Comment 9 OBR.49 : Result Handling Usage RE O YES Comment 9/Comment11 OBX.3 : Observation Identifier Set LOINC OR “NAV” (See Description and Comments for further guidance.) Laboratory Observation Identifier Value Set YES Yes - Expansion to and CWE statuses with guidance to use RCMT for reportable laboratory results when available OBX.5 : Observation Value Statement ELR-ONN: If OBX-2 (Observation Type) is valued, then the data type format for SHALL conform to the corresponding constrained data type identified in the constrained HL7 Table 0125 found in this guide. Yes Designed to bind OBX.2 and OBX.5 OBX.6 : Units Condition Predicate If OBX-2 (Value Type) is valued "NM" or "SN" and OBX-11 is not valued "X" or "N" If OBX.2 (Value Type) is valued 'NM' , 'SN' AND OBX.11 is not valued 'X'. No – Errata correction
OBX.14 : Date/Time of the Observation Data type TS_4 OR contain the value "0000"" when the collection date/time is unknown. YES Precision same OBX.17 : Observation Method RE HL7 V3 Observation Method and SNOMED procedure hierarchy HL7 V3 Observation Method YES Expand to allow SNOMED OBX.19 : Date/Time of the Analysis Data type TS_5 NO Comment 9/ Comment 14 TQ1.1 : Set ID - TQ1 Usage R O NO Comment 9/ Comment 12 TQ1.7 : Start date/time RE O YES Comment 9/ Comment 12 TQ1.8 : End date/time Usage RE O YES Comment 9/ Comment 12 OBX.6 : Units C(R/RE) C(R/X) YES Comment 9/ Comment 12 OBX.14 : Date/Time of the Observation Usage RE CE YES? Comment 10/ The original Condition predicate is not testable from the message