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(Usage: Required Cardinality: 1..1)

Seq. Name Type Table Len. Opt. Card. Contents

1 Set ID - Observation Request

SI 4 RE 0..1

3 Filler Order Number EI 22 RE 0..1

3.1 entity identifier ST 55 R 1..1

3.2 namespace ID IS 44 R 1..1

4 Universal Service Identifier CE HL70270 200 R 1..1

4.1 identifier ST 15 R 1..1

4.2 text ST 60 R 1..1

4.3 name of coding system ST HL70396 10 R 1..1

4.4 alternate identifier ST 15 RE 0..1

4.5 alternate text ST 60 RE 0..1

4.6 name of alternate coding system ST 10 RE 0..1 7 Observation Date/Time TS 26 R 1..1 7.1 Date/Time NM 26 R 1..1 16 Ordering Provider XCN 120 RE 0..* 16.1 ID number (ST) ST 15 R 1..1 16.2 family name ST 50 R 1..1 16.3 given name ST 50 RE 0..1

16.4 middle initial or name ST 50 RE 0..1

20 Filler Field 1 ST HL70272 15 RE 0..1 21 Filler Field 2 ST HL70273 15 RE 0..1 25 Result Status ID HL70123 1 R 1..1 28 Result Copies To XCN 150 RE 0..* 28.1 ID number (ST) ST 15 R 1..1 28.2 family name ST 50 R 1..1 28.3 given name ST 50 RE 0..1

28.4 middle initial or name ST 50 RE 0..1

28.9 assigning authority HD 30 R 1..1

28.9.1 namespace ID IS 30 R 1..1

29 Parent Number CM_EIP 150 RE 0..1

29.2 parent's filler order number

EI 3 RE 0..1

29.2.1 entity identifier ST 55 R 1..1

29.2.2 namespace ID IS 44 R 1..1

32 Principal Result Interpreter CM_NDL 200 RE 0..1

32.1 name CN 3 R 1..1

32.1.1 ID number (ST) ST 15 R 1..1

32.1.2 family name ST 50 R 1..1

32.1.3 given name ST 50 RE 0..1

32.1.4 middle initial or name ST 50 RE 0..1

32.1.8 source table ID 3 R 1..1

32.2 start date/time TS 3 RE 0..1

32.2.1 Date/Time NM 26 R 1..1

34.1 name CN 3 R 1..1

34.1.1 ID number (ST) ST 15 R 1..1

34.1.2 family name ST 50 RE 0..1

34.1.3 given name ST 50 RE 0..1

34.1.4 middle initial or name ST 50 RE 0..1

34.1.8 source table ID 30 R 1..1 34.2 start date/time TS 3 RE 0..1 34.2.1 Date/Time NM 26 R 1..1 35 Transcriptionist CM_NDL 200 RE 0..* 35.1 name CN 3 R 1..1 35.1.1 ID number (ST) ST 15 R 1..1 35.1.2 family name ST 50 R 1..1 35.1.3 given name ST 50 RE 0..1

35.1.4 middle initial or name ST 50 RE 0..1

35.1.8 source table ID 30 R 1..1

35.2 start date/time TS 3 RE 0..1

35.2.1 Date/Time NM 26 R 1..1

3. Filler Order Number

Unique report identifier. The combination of the "entity identifier" and the "namespace ID" ensure uniqueness within the POSP.

4. Universal Service Identifier

Identifies the type of report being delivered. See HL7-0270 for report types. 7. Observation Date/Time

Contains the key clinical date, which could be the procedure date, discharge date or dictation date.

7.1. Date/Time

YYYYMMDD[HHMM[SS[.SSSS]]][+-ZZZ Z] 16. Ordering Provider

This field identifies the provider who ordered the test. Note: Table values must be obtained from the Integration Coordination Centre (ICC) at Alberta Health Services.

20. Filler Field 1

This field is definable for any use by the sending application. 21. Filler Field 2

This field is definable for any use by the sending application. 25. Result Status

Result Status for implementation of Diagnostic Imaging Text and Transcribed Reports represents the document status.

28. Result Copies To

This is repeatable field. It is used to provide a list of providers who are to receive copies of the report. Note: Table values must be obtained from the Integration Coordination Centre (ICC) at Alberta Health Services.

28.9. assigning authority

This field contains the identification of the organization responsible for assigning the copy to identifier(s). Note: Table values must be obtained from the Integration Coordination Centre (ICC) at Alberta Health Services.

29. Parent Number

29.2. parent's filler order number

The combination of the "entity identifier" and the "namespace ID" ensure uniqueness within the POSP.

32. Principal Result Interpreter

This field may contain the defined Provider ID and name of the result interpreter/authenticator if these elements are available. Parsing Resolution: For OBR 32, 34 and 35, EMR systems should confirm if an "&" is present as an encoding character. If so, parse the message according to the HL7 standard. If the "&" is not present, assume the family name, given name, middle initial or name, and source table are separated by the component separator "^".

32.1.8. source table

This field contains the identification of the organization responsible for assigning the principal result interpreter identifier. Note: Table values must be obtained from the Integration Coordination Centre (ICC) at Alberta Health Services.

32.2.1. Date/Time

YYYYMMDD[HHMM[SS[.SSSS]]][+-ZZZ Z] 34. Technician

This field may contain the defined Provider ID and name of the technician/report dictator if these elements are available. Note: Table values must be obtained from the Integration Coordination Centre (ICC) at Alberta Health Services. Parsing Resolution: For OBR 32, 34 and 35, EMR systems should confirm if an "&" is present as an encoding character. If so, parse the message according to the HL7 standard. If the "&" is not present, assume the family name, given name, middle initial or name, and source table are separated by the component separator "^". 34.1.8. source table

This field contains the identification of the organization responsible for assigning the

transcriptionist identifier. Note: Table values must be obtained from the Integration Coordination Centre (ICC) at Alberta Health Services.

34.2. start date/time

Report dictate date. 34.2.1. Date/Time

YYYYMMDD[HHMM[SS[.SSSS]]][+-ZZZ Z] 35. Transcriptionist

This field may contain the defined Provider ID and name of the transcriptionist if these elements are available. Note: Table values must be obtained from the Integration Coordination Centre (ICC) at Alberta Health Services. Parsing Resolution: For OBR 32, 34 and 35, EMR systems should confirm if an "&" is present as an encoding character. If so, parse the message according to the HL7 standard. If the "&" is not present, assume the family name, given name, middle initial or name, and source table are separated by the component separator "^".

35.1.8. source table

This field contains the identification of the organization responsible for assigning the

transcriptionist identifier. Note: Table values must be obtained from the Integration Coordination Centre (ICC) at Alberta Health Services.

35.2.1. Date/Time

<Report Content> Segment Group

(Usage: Required Cardinality: 1..*)