HL7 Message Reports

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Opens a message report for the selected HL7 message. *NOTE: This button also exists in the message list as a print preview button.  When viewing a message report you can also see vendor definition reports.

 

 

The Message Report Window

Click here to see a sample 'Data Only' report for an HL7 message.

 

MSH-Message header segment  (20 fields)

 

MSH-03: Sending Application  (3 components)

       namespace id: SOMEAPP

MSH-04: Sending Facility  (3 components)

       namespace id: SOMEAPP

MSH-05: Receiving Application  (3 components)

       namespace id: YOURAPP

MSH-06: Receiving Facility  (3 components)

       namespace id: YOURAPP

MSH-07: Date/Time Of Message  (2 components)

       time stamp data: 20031111163831+0000

       degree of precision (optional): S

MSH-08: Security  (1 component)

       Value: NO SECURITY

MSH-09: Message Type  (4 components)

       component 1: ADT

       component 2: A08

MSH-10: Message Control ID  (1 component)

       Value: 153681279959711

MSH-11: Processing ID  (2 components)

       processing id: T

MSH-12: Version ID  (3 components)

       version id: 2.3

MSH-13: Sequence Number  (1 component)

       Value: 000000000611811

MSH-15: Accept Acknowledgment Type  (1 component)

       Value: AL

 

 

EVN-Event type segment  (6 fields)

 

EVN-01: Event Type Code  (1 component)

       Value: A08

EVN-02: Recorded Date/Time  (2 components)

       time stamp data: 20031111163831+0000

       degree of precision (optional): S

EVN-04: Event Reason Code  (1 component)

       Value: 00102

EVN-05: Operator ID  (7 components)

       id number: 00002

 

 

PID-Patient identification segment  (30 fields)

 

PID-02: Patient ID  (6 components)

       id: 1524321408

PID-03: Patient Identifier List  (6 components)

       id: 1524321408

PID-04: Alternate Patient ID - PID  (6 components)

       id: 234166342

PID-05: Patient Name  (7 components)

       family name (last name): Eriksson

       given name (first name): Elizabeth

       middle initial or name: M

PID-07: Date/Time of Birth  (2 components)

       time stamp data: 19760824

PID-08: Sex  (1 component)

       Value: F

PID-11: Patient Address  (9 components)

       street address: 5008 SOMEPLACE RD

       other designation: APT215

       city: FT WORTH

       state or province: TX

       zip or postal code: 76132-0000

PID-13: Phone Number - Home  (8 components)

       telecommunications use code: (817)555-1212

PID-14: Phone Number - Business  (8 components)

       telecommunications use code: (214)555-1212X00019

PID-18: Patient Account Number  (6 components)

       id: 234166342

PID-19: SSN Number - Patient  (1 component)

       Value: 234166342

 

 

PV1-Patient visit segment  (52 fields)

 

PV1-02: Patient Class  (1 component)

       Value: P

PV1-03: Assigned Patient Location  (9 components)

       point of care:

       room:

       bed:

       facility: 00002

PV1-04: Admission Type  (1 component)

       Value: R

PV1-06: Prior Patient Location  (9 components)

       point of care: 00019

PV1-07: Attending Doctor  (7 components)

       id number: 06543

       family name (last name): HOOPER

       given name (first name): DENNIS

       middle initial or name: L

PV1-20: Financial Class  (2 components)

       financial class: 00111

 

 

DG1-Diagnosis segment  (19 fields)

 

DG1-01: Set ID - DG1  (1 component)

       Value: 0001

DG1-02: Diagnosis Coding Method  (1 component)

       Value: I9

DG1-04: Diagnosis Description  (1 component)

       Value: NODX

DG1-06: Diagnosis Type  (1 component)

       Value: W

DG1-15: Diagnosis Priority  (1 component)

       Value: 01

DG1-16: Diagnosing Clinician  (7 components)

       id number: 06543

       family name (last name): HOOPER

       given name (first name): DENNIS

       middle initial or name: L

 

 

GT1-Guarantor segment  (55 fields)

 

GT1-01: Set ID - GT1  (1 component)

       Value: 0001

GT1-02: Guarantor Number  (6 components)

       id: 3322261701

GT1-03: Guarantor Name  (7 components)

       family name (last name): Harris

       given name (first name): Dominic

       middle initial or name: M

GT1-05: Guarantor Address  (9 components)

       street address: 5008 SOMEPLACE RD

       other designation: APT215

       city: FT WORTH

       state or province: TX

       zip or postal code: 76132-0000

GT1-06: Guarantor Ph Num-Home  (8 components)

       telecommunications use code: (817)555-1212

GT1-07: Guarantor Ph Num-Business  (8 components)

       telecommunications use code: (214)555-1212X00019

 

 

IN1-Insurance segment  (49 fields)

 

IN1-01: Set ID - IN1  (1 component)

       Value: 0001

IN1-02: Insurance Plan ID  (6 components)

       identifier: 0000008

IN1-03: Insurance Company ID  (6 components)

       id: 0000114

IN1-04: Insurance Company Name  (8 components)

       organization name: UNITED HEALTH  87726

IN1-05: Insurance Company Address  (9 components)

       street address: P O BOX 740800

       other designation:

       city: ATLANTA

       state or province: GA

       zip or postal code: 30374-0800

IN1-07: Insurance Co Phone Number  (8 components)

       telecommunications use code: (800)842-5724

IN1-12: Plan Effective Date  (1 component)

       Value: 20000401

IN1-15: Plan Type  (1 component)

       Value: P

IN1-16: Name Of Insured  (7 components)

       family name (last name): OYLE

       given name (first name): OLIVE

       middle initial or name: M

IN1-17: Insured's Relationship To Patient  (6 components)

       identifier: 00002

IN1-18: Insured's Date Of Birth  (2 components)

       time stamp data: 19760824

IN1-19: Insured's Address  (9 components)

       street address: 5008 SOMEPLACE RD

       other designation: APT215

       city: FT WORTH

       state or province: TX

       zip or postal code: 76132-0000

IN1-20: Assignment Of Benefits  (1 component)

       Value: Y

IN1-21: Coordination Of Benefits  (1 component)

       Value: Y

IN1-27: Release Information Code  (1 component)

       Value: A

IN1-36: Policy Number  (1 component)

       Value: 234166342

IN1-43: Insured's Sex  (1 component)

       Value: F

 

 

IN2-Insurance additional information segment  (72 fields)

 

IN2-02: Insured's Social Security Number  (1 component)

       Value: 234166342

IN2-03: Insured's Employer's Name and ID  (7 components)

       id number: 0009999

       family name (last name): UNKNOWN

IN2-05: Mail Claim Party  (1 component)

       Value: I