0. INTRODUCTION
This specification provides the definition of the Medical
service report message (MEDRPT) 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 Report message is sent from a service
provider to the service requester to report new results on
performed investigations, to modify a previous result item or a
complete result report or to cancel a previous result report.
1.2 Field of Application
The Medical service report 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 fulfils 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
met.
The CEN prENV New Laboratory Service Report message and the CEN
prENV Laboratory Service Report Cancellation message may be
considered as special cases of the CEN prENV Laboratory Service
Report Modification message. The Laboratory Service Report
Modification message may contain a mixture of new, change,
cancel and other service types for the report itself and for
the various result items whereas the New Laboratory Service
Report message only contains the new service type for the
report itself and the various result items and the Laboratory
Service Report Cancellation message only contains the cancel
service type for a complete report.
The overall structure of the message is:
- One message may include one or more service reports.
- Every report may relate to zero, one or more service orders.
- Every service report may contain one or more result items for
the subject of investigation, each result item may be composed
of zero, one or more other result items.
- Every service report is related to one main subject of
investigation (patient, animal or material), but may also
include information about related subjects of investigation.
- One message may report on one or more samples (from the same
subject of investigation) or the subject of investigation
itself.
- An investigation may be connected to one or more samples or
to the subject of investigation itself.
- Every investigation may have one result.
- Every result item may have zero, one or more related service
providers.
Most of the information sent from the requester to the
receiving service provider may be returned to the requester in
this message.
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 report message is
MEDRPT.
Note: Medical service report messages conforming to this
document must contain the following data in segment UNH,
composite S009:
Data element 0065 MEDRPT
0052 D
0054 97B
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 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 identification
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 speciality 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 speciality and
the position or military rank of a healthcare professional.
0160 Segment group 2: IRQ-GIS-RFF-DTM-STS-PTY-LAN-FTX-TEM-SG3-SG4-
SG6
A group of segments giving information concerning a medical
service report.
0170 IRQ, Information required
A segment for specifying the requirements concerning
acknowledgment of the report.
0180 GIS, General indicator
A segment for specifying the service type of the actual
report, i.e. whether this is a new report, a modification to
a previously issued report, etc.
0190 RFF, Reference
A segment for specifying the identification of the service
report as provided by the service provider.
This segment also keeps a reference to a healthcare party
related to this service report which is specified in segment
group 1.
0200 DTM, Date/time/period
A segment for specifying the issue date and/or time of the
report and/or other dates and/or times relevant to the
report.
0210 STS, Status
A segment for specifying the status of the service report,
i.e. whether it is a partial report, a complete report, etc.
0220 PTY, Priority
A segment for specifying the reporting priority of the
service report.
0230 LAN, Language
A segment specifying the language of the actual report.
0240 FTX, Free text
A segment with free text information, in coded or clear
form, for specifying the comments of the service provider
concerning the complete report and/or the reason for
cancellation.
0250 TEM, Test method
A segment for specifying the reason for cancellation of the
complete report.
0260 Segment group 3: RFF-DTM
A group of segments for specifying a reference to another
service report.
0270 RFF, Reference
A segment for specifying the identification number of the
referenced service report.
0280 DTM, Date/time/period
A segment specifying the issue date and/or time of the
referenced service report.
0290 Segment group 4: FCA-RFF-GIS-DTM-PTY-CIN-FTX-TEM-SG5
A group of segments specifying a service order related to
the actual service report.
0300 FCA, Financial charges allocation
A segment giving information concerning payment category
for this order.
0310 RFF, Reference
A segment for specifying the identification number of the
order allocated by various healthcare parties, such as
service requester, service provider, etc.
The segment is also used for referencing a related
healthcare party specified in segment group 1.
0320 GIS, General indicator
A segment to provide the service type of the service
order, i.e. new order, order modification, etc.
0330 DTM, Date/time/period
A segment specifying the dates and/or times concerning
the order such as issue date of order, date of receipt,
due date of report, etc.
0340 PTY, Priority
A segment specifying the requested reporting priority for
the whole order.
0350 CIN, Clinical information
A segment for specifying the reason for request as well
as comments from the requester as a diagnosis concerning
this order.
0360 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.
0370 TEM, Test method
A segment for specifying the reason for the request.
0380 Segment group 5: DOC-RFF-DTM
A group of segments for specifying a reference to another
service order.
0390 DOC, Document/message details
A segment for specifying the document name.
0400 RFF, Reference
A segment for specifying the identification number of
the referenced order.
0410 DTM, Date/time/period
A segment for specifying the issue date and/or time of
the referenced order.
0420 Segment group 6: ATT-RFF-ADR-COM-REL-IMD-FTX-PNA-DTM-PDI-
NAT-LAN-HAN-CCI-SG7-SG8-SG14-SG16
A group of segments specifying the subject of investigation.
0430 ATT, Attribute
A segment for specifying the type of subject of
investigation.
0440 RFF, Reference
A segment for specifying the identification numbers of
the actual subject of investigation.
0450 ADR, Address
A segment for specifying the address details of the
subject of investigation.
0460 COM, Communication contact
A segment providing a telecommunication number of the
subject or investigation.
0470 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.
0480 IMD, Item description
A segment for specifying the description of the material
being investigated if the subject of investigation is a
material.
0490 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.
0500 PNA, Party identification
A segment for identifying the patient and related person
or name by specifying various patient name details and
official patient ID.
0510 DTM, Date/time/period
A segment for specifying relevant date and/or times for
the patient such as date of birth, date of death, etc.
0520 PDI, Person demographic information
A segment for specifying demographic information such as
sex, marital status and religion.
0530 NAT, Nationality
A segment for specifying the nationality of a person.
0540 LAN, Language
A segment for specifying the language used by the person.
0550 HAN, Handling instructions
A segment for specifying the confidentiality constraints
on patient data.
0560 CCI, Characteristic/class id
A segment for specifying the species or breed of an
animal.
0570 Segment group 7: PAS-LOC-DTM-RFF
A group of segments for specifying healthcare
administrative information concerning the actual subject
of investigation.
0580 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.
0590 LOC, Place/location identification
A segment for specifying the physical patient care
location in terms of ward, room, bed, etc.
0600 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.
0610 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.
0620 Segment group 8: CAV-CIN-LAN-DTM-FTX-RFF-SG9-SG12
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.
0630 CAV, Characteristic value
A segment for specifying the type of clinical
information.
0640 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.
0650 LAN, Language
A segment for specifying the language related to the
clinical observation.
0660 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.
0670 FTX, Free text
A segment with free text information, in coded or
clear form, for description of the clinical
information.
0680 RFF, Reference
This segment keeps a reference to a healthcare party
for specifying origin of clinical information.
0690 Segment group 9: STS-SEQ-GIS-RSL-CCI-CIN-DTM-FTX-RFF-
SG10-SG11
A group of segments for specifying a clinical
investigation result item and the clinical
investigation itself.
0700 STS, Status
A segment for specifying the status of the clinical
investigation, e.g. preliminary results, final
results, etc.
0710 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.
0720 GIS, General indicator
A segment for specifying the service type of the
clinical investigation result item, e.g. new result
item.
0730 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.
0740 CCI, Characteristic/class id
A segment for identifying the clinical
investigation and to describe specifications to the
clinical investigation.
0750 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.
0760 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.
0770 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.
0780 RFF, Reference
This segment keeps a reference to the "parent"
clinical investigation result item if needed.
0790 Segment group 10:RSL-FTX-CCI
A group of segments giving the reference limits of
a clinical investigation result item.
0800 RSL, Result
A segment for specifying the numerical reference
interval of an investigation result item and the
type of reference interval.
0810 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.
0820 CCI, Characteristic/class id
A segment for specifying a reference population,
e.g. age, sex, smokers, etc.
0830 Segment group 11:REL-RFF
A group of segments for identifying the persons
and/or organisations involved in producing an
investigation result.
0840 REL, Relationship
A segment for specifying the type of
relationship of a related healthcare service
provider to the clinical investigation result
item.
0850 RFF, Reference
A segment for specifying a reference to
healthcare parties in segment group 1 where the
related healthcare professional or organisation
is identified.
0860 Segment group 12:CLI-SG13
A group of segments for specifying a clinical
intervention.
0870 CLI, Clinical intervention
A segment for specifying the type of intervention
and the intervention itself.
0880 Segment group 13:IMD-DSG-FTX-INP
A group of segments to describe interventions
involving drugs.
0890 IMD, Item description
A segment for identifying a drug.
0900 DSG, Dosage administration
A segment for specifying the dosage and
administration specifications of a drug.
0910 FTX, Free text
A segment with free text information, in coded
or clear form, for specifying dosage and
administration specification of a drug.
0920 INP, Parties and instruction
A segment for specifying the dosage regime.
0930 Segment group 14:SEQ-IMD-PRC-RFF-QTY-DTM-PAC-FTX-TDT-HAN-
LOC-ADR-SG15
A group of segments containing information about the
samples collected or to be collected concerning the
requested investigation.
0940 SEQ, Sequence details
A segment for allocating a sequence number to the
sample to allow referencing from within this message
to a specific sample.
0950 IMD, Item description
A segment for specifying the characteristics of a
sample like type of sample, anatomical origin and
sample preservation material.
0960 PRC, Process identification
A segment for specifying information about type of
collection procedure and subsequent handling of the
sample.
0970 RFF, Reference
A segment for specifying the identification numbers of
the actual sample allocated by service requester and
service provider.
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.
0980 QTY, Quantity
A segment for specifying information about sample
volume or weight.
0990 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, sample
receipt date and time, etc.
1000 PAC, Package
A segment specifying the number of sample containers
this sample consists of.
1010 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 or service
provider to the sample, anatomical origin of sample,
sample location description, etc.
1020 TDT, Details of transport
A segment for specifying the transport logistics of
the collected sample.
1030 HAN, Handling instructions
A segment for specifying sample handling warning.
1040 LOC, Place/location identification
A segment for specifying the location for sample
collection in terms of hospital ward, room and bed
number.
1050 ADR, Address
A segment for specifying the address for the sample
collection.
1060 Segment group 15:CLI-IMD-DSG-DTM-FTX-QTY-INP
A group of segments for specifying the pre-treatment
performed relating to a sample.
1070 CLI, Clinical intervention
A segment for describing the pre-treatment
administered.
1080 IMD, Item description
A segment for specifying the substance administered
for pre-treatment.
1090 DSG, Dosage administration
A segment for specifying the route of
administration of the pre-treatment.
1100 DTM, Date/time/period
A segment for specifying relevant date and times
for the pre-treatment like start, end or duration
of administration.
1110 FTX, Free text
A segment with free text information, in coded or
clear form, for describing the pre-treatment.
1120 QTY, Quantity
A segment for specifying amount of substance
administered.
1130 INP, Parties and instruction
A segment for specifying the dosage regime.
1140 Segment group 16:LIN-GIS-RSL-CCI-CIN-SEQ-STS-DTM-FTX-MOA-
RFF-EQD-SG17-SG18
A group of segments for specifying a requested
investigation and the result of this investigation.
1150 LIN, Line item
A segment for specifying the line number of the
laboratory investigation result item.
1160 GIS, General indicator
A segment for specifying the service type of the
result of this investigation, e.g. new result,
corrected result, etc.
1170 RSL, Result
A segment for specifying the numerical value or a
coded text value of an investigation result item
including unit of measurement, arithmetic comparator
and the deviating result indicator.
1180 CCI, Characteristic/class id
A segment for specifying the characteristics of the
investigation. The characteristics may concern system,
component or property examined as well as method of
measurement, etc.
1190 CIN, Clinical information
A segment for specifying the result of an
investigation or comments to a result item as a
diagnosis.
1200 SEQ, Sequence details
A segment for allocating a sequence number to this
result item to allow for referencing from within this
message to a specific result item.
1210 STS, Status
A segment for specifying the status of an
investigation or investigation result item, e.g.
unverified result, preliminary result, etc.
1220 DTM, Date/time/period
A segment for specifying date and times relevant for
this investigation result item such as date and time
of investigation performed, status change, etc.
The segment may also carry the result of an
investigation if this is expressed as a date or period
such as clinical dates.
1230 FTX, Free text
A segment with free text information, in coded or
clear form, for specifying a result item as a text
value as well as comments to the result item or the
investigation itself.
1240 MOA, Monetary amount
A segment for specifying the type of cost, the amount
of cost and possibly currency unit used concerning the
investigation.
1250 RFF, Reference
This segment keeps a reference to one or more samples
related to this actual result item such as the
sample(s) involved in obtaining this result item.
This segment also keeps a reference to another
investigation result item related to this actual
investigation result item such as the investigation
result item which this investigation result item is
part of.
1260 EQD, Equipment details
A segment for specifying the measuring equipment used
for obtaining this investigation result item.
1270 Segment group 17:REL-RFF
A group of segments for specifying a related
laboratory service provider involved in producing this
investigation result item.
1280 REL, Relationship
A segment for specifying the type of relationship a
service provider has to the produced investigation
result item.
1290 RFF, Reference
This segment keeps a reference to a healthcare
party (healthcare professional or healthcare
organisation) which is identified in segment group
1 for specifying a related person or organisation.
1300 Segment group 18:RSL-FTX-CCI
A group of segments for specifying the reference
limits of an investigation result item.
1310 RSL, Result
A segment for specifying the reference interval for
the investigation and the type of reference
interval such as physiological, therapeutical, etc.
1320 FTX, Free text
A segment with free text information, in coded or
clear form, for specifying textual reference limits
concerning the investigation.
1330 CCI, Characteristic/class id
A segment for specifying the reference population.
1340 Segment group 19:AUT-DTM
A group of segments for specifying authentication details.
1350 AUT, Authentication result
A segment for specifying results of an authentication
procedure.
1360 DTM, Date/time/period
A segment for specifying the date and time for the validity
of the authentication.
1370 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
EQD Equipment details
FCA Financial charges allocation
FTX Free text
GIS General indicator
HAN Handling instructions
IMD Item description
INP Parties and instruction
IRQ Information required
LAN Language
LIN Line item
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
SEQ Sequence details
SPR Organisation classification details
STS Status
TDT Details of transport
TEM Test method
UNH Message header
UNT Message trailer
Contents of MEDRPT