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 2.6 UN/ECE UNSM - General Introduction,
Section 1.
3. TERMS AND DEFINITIONS
3.1 Standard terms and definitions
See UNTDID, Part 4, Chapter 2.6 UN/ECE UNSM - General Introduction,
Section 2.
4. MESSAGE DEFINITION
4.1 Data Segment Clarification
This section should be read in conjunction with the Segment
Table which indicate mandatory, conditional and repeating
requirements.
0010 UNH, 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 97A
0051 UN
0020 BGM, Beginning of message
A segment for unique identification of the message and
specification of its function.
0030 DTM, 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.
0040 FTX, 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.
0060 PNA, Party name
A segment for specifying the identification, name and
address of involved healthcare organisations or
professionals.
0070 ADR, Address
A segment for specifying the address of the actual
healthcare party.
0080 COM, Communication contact
A segment giving communication numbers for the actual
healthcare party.
0090 FTX, 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.
0100 RFF, 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.
0110 SEQ, 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.
0120 LAN, Language
A segment for specifying the language used by the actual
healthcare party.
0130 SPR, Organisation classification details
A segment for specifying the type and medical specialty of a
healthcare organisation.
0140 QUA, Qualification
A segment for specifying the professional medical
qualifications of a person.
0150 EMP, Employment details
A segment for specifying the type, medical specialty and the
position or military rank of a healthcare professional.
0160 Segment group 2: FCA-GIS-RFF-DTM-PTY-CIN-FTX-LAN-PAC-IRQ-TEM-
HAN-SG3-SG4-SG5
A group of segments for specifying a service order.
0170 FCA, Financial charges allocation
A segment giving information concerning payment category for
this order.
0180 GIS, General indicator
A segment to provide the service type of the service order,
i.e. new order, order modification etc.
0190 RFF, 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.
0200 DTM, 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.
0210 PTY, Priority
A segment for specifying the requested reporting priority
for the whole order.
0220 CIN, Clinical information
A segment for specifying the reason for request as well as
comments from the requester as a diagnosis concerning this
order.
0230 FTX, 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.
0240 LAN, Language
A segment for specifying the language of the service order
and the requested reporting language.
0250 PAC, Package
A segment for specifying the number of sample containers
accompanying a service order.
0260 IRQ, Information required
A segment for specifying the requirements concerning
acknowledgment of the service order.
0270 TEM, Test method
A segment for specifying the reason for the request.
0280 HAN, 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.
0300 SCC, Scheduling conditions
A segment for specifying the delivery plan.
0310 QTY, Quantity
A segment for specifying the number of times per time
interval a standing order should be performed.
0320 DTM, 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.
0330 FTX, 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.
0350 DOC, Document/message details
A segment for specifying the document name.
0360 RFF, Reference
A segment for specifying the identification number of the
referenced order.
0370 DTM, 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.
0390 ATT, Attribute
A segment for specifying the type of the subject of
investigation.
0400 RFF, 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.
0410 ADR, Address
A segment for specifying the address details of the
subject of investigation.
0420 COM, Communication contact
A segment providing a telecommunication number for the
subject of investigation.
0430 HAN, Handling instructions
A segment for specifying a collection warning concerning
the subject of investigation.
0440 REL, 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.
0450 IMD, Item description
A segment for specifying the description of the material
being investigated if the subject of investigation is a
material.
0460 FTX, 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.
0470 PNA, Party name
A segment for identifying the patient and related person
or name by specifying various patient name details and
official patient ID.
0480 DTM, Date/time/period
A segment for specifying relevant dates and/or times for
the patient such as date of birth, date of death, etc.
0490 PDI, Person demographic information
A segment for specifying demographic information such as
sex, marital status and religion.
0500 NAT, Nationality
A segment for specifying the nationality of a person.
0510 LAN, Language
A segment for specifying the language used by the person.
0520 CCI, 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.
0540 PAS, 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.
0550 LOC, Place/location identification
A segment for specifying the physical patient care
location in terms of ward, room, bed, etc.
0560 DTM, 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.
0570 RFF, 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.
0590 CAV, Characteristic value
A segment for specifying the type of clinical
information.
0600 CIN, 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.
0610 LAN, Language
A segment for specifying the language related to the
clinical observation.
0620 DTM, 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.
0630 FTX, Free text
A segment with free text information, in coded or
clear form, for description of the clinical
information.
0640 RFF, Reference
This segment keeps a reference to a healthcare party
for specifying origin of clinical information.
0650 Segment group 8: STS-SEQ-GIS-RSL-CCI-CIN-DTM-FTX-RFF-
SG9-SG10
A group of segments for specifying a clinical
investigation result item and the clinical
investigation itself.
0660 STS, Status
A segment for specifying the status of the clinical
investigation, e.g. preliminary results, final
results, etc.
0670 SEQ, 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.
0680 GIS, General indicator
A segment for specifying the service type of the
clinical investigation result item, e.g. new result
item.
0690 RSL, 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.
0700 CCI, Characteristic/class id
A segment for identifying the clinical
investigation and to describe specifications to the
clinical investigation.
0710 CIN, 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.
0720 DTM, 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.
0730 FTX, 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.
0740 RFF, 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.
0760 RSL, Result
A segment for specifying the numerical reference
interval of an investigation result item and the
type of reference interval.
0770 FTX, Free text
A segment with free text information, in coded
or clear form, for specifying the textual
reference limits of an investigation result
item.
0780 CCI, 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.
0800 REL, Relationship
A segment for specifying the type of
relationship of a related healthcare service
provider to the clinical investigation result
item.
0810 RFF, 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.
0830 CLI, 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.
0850 IMD, Item description
A segment for identifying a drug.
0860 DSG, Dosage administration
A segment for specifying the dosage and
administration specifications of a drug.
0870 FTX, Free text
A segment with free text information, in coded
or clear form, for specifying dosage and
administration specification of a drug.
0880 INP, Parties to 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.
0900 SEQ, Sequence details
A segment for allocating a sequence number to the
sample to allow referencing from within this message
to a specific sample.
0910 IMD, Item description
A segment for specifying the characteristics of a
sample like type of sample, anatomical origin and
sample preservation material.
0920 PRC, Process identification
A segment for specifying information about type of
collection procedure and subsequent handling of the
sample.
0930 RFF, 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.
0940 QTY, Quantity
A segment for specifying information about sample
volume or weight.
0950 DTM, 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.
0960 PAC, Package
A segment specifying the number of sample containers
this sample consists of.
0970 PTY, Priority
A segment for specifying the sampling priority.
0980 FTX, 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.
0990 TDT, Details of transport
A segment for specifying the transport logistics of
the collected sample.
1000 HAN, Handling instructions
A segment for specifying sample handling warning.
1010 LOC, Place/location identification
A segment for specifying the location for sample
collection in terms of hospital ward, room and bed
number.
1020 ADR, 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.
1040 CLI, Clinical intervention
A segment for describing the pre-treatment
administered.
1050 IMD, Item description
A segment for specifying the substance administered
for pre-treatment.
1060 DSG, Dosage administration
A segment for specifying the route of
administration of the pre-treatment.
1070 DTM, Date/time/period
A segment for specifying relevant date and times
for the pre-treatment like start, end or duration
of administration.
1080 FTX, Free text
A segment with free text information, in coded or
clear form, for describing the pre-treatment.
1090 QTY, Quantity
A segment for specifying amount of substance
administered.
1100 INP, Parties to instruction
A segment for specifying dosage regime.
1110 Segment group 15:GIS-CCI-PTY-QTY-CIN-DTM-FTX-TEM-MOA-RFF-
HAN-SG16
A group of segments for specifying a requested
investigation.
1120 GIS, General indicator
A segment for specifying the service type of the
requested investigation, e.g. new investigation,
changes to a previous requested investigation, etc.
1130 CCI, Characteristic/class id
A segment for specifying the characteristics of the
investigation. The characteristics may concern system,
component or property examined, etc.
1140 PTY, Priority
A segment for specifying the performing and reporting
priority of the requested investigation.
1150 QTY, Quantity
A segment for specifying the number of times to
perform a requested investigation.
1160 CIN, Clinical information
A segment for specifying the reason for request as a
diagnosis.
1170 DTM, 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.
1180 FTX, 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.
1190 TEM, Test method
A segment for specifying the reason for the requested
investigation.
1200 MOA, Monetary amount
A segment for specifying the type of cost, the amount
of cost and possibly currency unit used concerning the
investigation.
1210 RFF, 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.
1220 HAN, 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.
1240 SCC, Scheduling conditions
A segment for specifying the delivery plan.
1250 QTY, Quantity
A segment for specifying the number of times per
time interval a requested investigation should be
performed.
1260 DTM, 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.
1270 FTX, 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.
1290 AUT, Authentication result
A segment for specifying results of an authentication
procedure.
1300 DTM, Date/time/period
A segment for specifying the date and time for the validity
of the authentication.
1310 UNT, Message trailer
A service segment ending a message, giving the total number of
segments in the message and the control reference number of the
message.
4.2 Data 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
GIS General indicator
HAN Handling instructions
IMD Item description
INP Parties to 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 name
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 Details of transport
TEM Test method
UNH Message header
UNT Message trailer
Contents of MEDREQ