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Interface Mapping Specification

IBE IECG ORU to <HIS>

<Customer>

IBE IECG ORU Specs Page 1 of 13

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Interface Name: IBE/IECG to <HIS>- Results Interface

Message Schematic:

[ ] = Optional { } = Repeatable

Message Schematic – IBE/IECG

ORU^R01
ID Name Comments
MSH Message Header
PID Patient Identification
[PV1] Patient Visit
[ORC] Order Common
OBR Observations Report ID
[{NTE}] Notes and Comments
{OBX} Observation / Result

The sending and receiving optional values are defined as:

Sending System Optional values

R – Always. This field is always sent.

RE – May be sent. This field will be sent if possible. It may be empty.
NS – Never. This field will never be populated.

Receiving System Optional values

R – Required
RE – Optional. This may or may not be sent.
NS – Ignored.

IBE IECG ORU Specs Page 2 of 13

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Message Mapping

MSH Segment

Data <HIS> Example

ID Name IBE Length IBE Opt <HIS> Opt Notes
Type Length IBE
MSH-1 Field Separator ST 1 R 1 R | | = Field Separator
MSH-2 Encoding Characters ST 4 R 4 R ^~\& ^ = Component Separator
~ = Repetition Separator
\ = Escape
& = Sub-component separator
MSH-3 Sending Application HD 180 RE 250
MSH-4 Sending Facility HD 180 R
MSH-5 Receiving Application HD 180 RE
MSH-6 Receiving Facility HD 180 RE
MSH-7 Date/Time of Message TS 26 RE 20131014092547 IBE: YYYYMMDDhhmmss

MSH-8 Security ST 40 RE
MSH-9 Message Type MSG 9 R 7 R ORU^R01
MSH-9.01 Message Code ID 3 R 3 R ORU
MSH-9.02 Trigger Event ID 3 R 3 R R01 An ORU message will be triggered each
time:
1) ECG is downloaded from cart to
server.
2)A report is confirmed
3)A report is corrected
MSH-9.03 Message Structure ID 8 RE
MSH-10 Message Control ID ST 20 R R ORU113020120112R0
1123456

MSH-11 Processing ID PT 3 R 1 R P P = Production

D=Debugging
T=Training
MSH-12 Version ID VID 60 R R Ex: 2.6 HL7=2.6
MSH-13 Sequence Number NM 15 RE
MSH-14 Continuation Pointer ST 180 RE

IBE IECG ORU Specs Page 3 of 13

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PID Segment

Data <HIS> Example

ID Name IBE Length IBE Opt <HIS> Opt Notes
Type Length IBE
PID-1 Set ID SI 4 RE RE 1
PID-2 Patient ID External CX 20 RE IECG does not use this value

PID-3 Patient Identifier List CX 27 R R 1234567 IBE will echo back MRN
PID-3.01 ID ST 18 R 7 R 1234567 Medical Record Number

PID-5 Patient Name XPN 48 R R SMITH^JOSEPH^K IBE will echo back value sent in the Order
message.
PID-5.01 Family Name ST R R SMITH
PID-5.02 GivenName ST RE R JOSEPH
PID-5.03 Middle Name or ST RE RE K
Initial
PID-5.04 Suffix ST RE
PID-5.05 Prefix ST
PID-6 Mother’s Maiden XPN 48 RE
Name
PID-7 Date/Time of Birth TS 26 R NS 19640212 YYYYMMDD
IBE will echo back value sent in the Order
message. Cart uses this value to convert
to age. Date of Birth is only supported

PID-8 Administrative Sex IS 1 R NS M IBE/IECG:

F = Female
M = Male
U = Unknown
PID-18 Account Number RE 123456 IBE will echo back what is sent

PV1 Segment

Data <HIS> Example

ID Name IBE Length IBE Opt <HIS> Opt Notes
Type Length IBE
PV1-1 Set ID SI 4 RE RE 1

IBE IECG ORU Specs Page 4 of 13

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Data <HIS> Example
ID Name IBE Length IBE Opt <HIS> Opt Notes
Type Length IBE
PV1-2 Patient Class CX 20 RE

PV1-3 Assigned Patient CX 27 R R 7A^^^Main Campus

Location
PV1-3.01 Nurse Unit Location ST 18 R 7 R 7A Nursing Unit location
PV1-3.04 Facility ST R ECG
PV1-8 Referring Doctor XCN 48 R R 1004^^DR. DAVID M.
JOHNSON
PV1-8.01 ID Number ST R R 1004
PV1-8.02 Full Name ST RE R DR. DAVID M. JOHNSON Full Name is populated
PV1-19 Visit Number CX 48 R CSN000052

OBR Segment

Data <HIS>
ID Name IBE Length IBE Opt <HIS> Length Example IBE Notes
Type Opt
OBR-1 Set ID – SI 4 R 1 Only one OBR is supported.
Observation
Request
OBR-2 Placer Order EI 22 R 123456^ Order Number
Number Same as ORC-2.
IBE will echo back the value sent in the
Order message.
OBR-2.01 Entity Identifier ST R R 123456 Order Number is an echo of OBR 2
OBR-3.01 Filler Number ST 22 R R 123456 Echo back what is sent in ORM
OBR-4 Universal Service CE 200 R EKG101^ECG - EKG 12 Ordered Procedure
LEAD^CCEAP IBE will echo back the values sent in the
Order message
OBR-4.01 Identifier ST R EX: EKG101 Procedure ID

OBR-4.02 Text ST R ECG-EKG 12 LEAD Procedure Name

OBR-4.03 Name of Coding ST RE Ex: CCEAP ECG Procedure Code (optional field sent
System back)

OBR-5 Priority ID 2 RE

IBE IECG ORU Specs Page 5 of 13

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Data <HIS>
ID Name IBE Length IBE Opt <HIS> Length Example IBE Notes
Type Opt
OBR-6 Requested Date TS 26 RE
Time
OBR-7 Observation TS 26 R 20110614083500 The date and time when the ECG
Date/Time waveform data was obtained.

OBR-16 Ordering Provider XCN 120 RE 1234^DR. DAVID M. Authorizing Provider

JOHNSON IBE will echo back the Authorizing
Provider sent in the Order message.
OBR-16.01 ID Number ST RE RE 1234 Local Provider ID
OBR-16.02 Full Name ST RE RE DR. DAVID M. Full name populated
JOHNSON

OBR-21 Filler Field 2 ST RE RE Example: 02e5c520- IBE to send ECG GUID also called ECG
0e41-11d8-4823- Document Name.
004288fa0029
OBR-22 Results Rpt/Status TS R RE 20110614083500 YYYYMMDDHHMMSS
Chng - Date/Time Resulting date and time
If Preliminary ECG: Observation
Date/Time (Same as OBR-7)
If Confirmed ECG: Date/Time of the latest
confirmation
OBR-25 Result Status ID 2 R 1 P Supported Codes:
F P=Preliminary
C F=Final
C=Corrected
OBR-32 Principal Result CM 200 Preliminary RE 1234&Training&Test&T In Preliminary Results this field will be
Interpreter results: NS &Dr&"" blank (specified as “” when blank).

Final Reading Cardiologist ID and/or Full Name

results: R in final results.

IBE will map AD display name from IECG

to Interpreter ID number

Datatype uses & rather than ^

OBR-32.1.1 Principal Result ST RE RE 1234 Local Provider ID
Interpreter ID
Number
IBE IECG ORU Specs Page 6 of 13
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Data <HIS>
ID Name IBE Length IBE Opt <HIS> Length Example IBE Notes
Type Opt
OBR-32.1.2 Principal Result ST RE Training Last Name populated
Interpreter Family
Name
OBR-32.1.3 Principal Result ST RE Test First Name
Interpreter Given
Name
OBR-32.1.4 Principal Result ST RE T Middle Initial
Interpreter Middle
Initial
OBR-32.1.5 Principal Result IS RE Dr Degree
Interpreter Degree
OBR-34 Technician CM 200 RE 9 RE
OBR-36 Scheduled Date DTTM R
Time

OBX Segment for Measurements

Data <HIS>
ID Name IBE Length IBE Opt <HIS> Opt Example IBE Notes
Type Length
OBX-1 Set ID - 1- OBX SI R RE 1 OBX Repeats
OBX-2 Value Type NM 2 R 2 R ST Supported Types:
NM = Numeric

OBX-3 Observation NM 80 R
Identifier 93000.1^HEART RATE ECG Report Type

OBX-3.01 Identifier ST R EX: 93000.1 ECG Report Type ID

OBX-3.02 Text ST R EX: HEART RATE ECG Report Type Name

OBX-5 Observation Value ST 20 RE 65536 RE EX: 44 ECG Measurement Value or Interpretation

Statement
OBX-6 Observation Unit ST 12 RE bpm Measurement unit
OBX-11 Observation Result ID 1 R 1 RE F IBE Support Values:
Status P=Preliminary
F=Final
C=Corrected
IBE IECG ORU Specs Page 7 of 13
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Data <HIS>
ID Name IBE Length IBE Opt <HIS> Opt Example IBE Notes
Type Length

OBX Segment for Interpretation Statement

Data <HIS>
ID Name IBE Length IBE Opt <HIS> Opt Example IBE Notes
Type Length
OBX-1 Set ID - 2- OBX SI R RE 2 OBX Repeats
OBX-2 Value Type ST 2 R 2 R Supported Types:
NM = Numeric
ST=String Text
OBX-3 Observation ST 80 R 93000.IMP^ECG ECG Report Type
Identifier Impression

OBX-3.01 Identifier ST R EX:93000.IMP ECG Report Type ID

OBX-3.02 Text ST R EX:ECG Impression ECG Report Type Name

OBX-3.03 Name of Coding ST RE

System
OBX-5 Observation Value ST 20 RE RE EX: Right Bundle Branch ECG Measurement Value or Interpretation
Block Statement
OBX-6 Observation Unit CE 12 RE Measurement unit
OBX-11 Observation Result ID 1 R 1 RE F IBE Support Values:
Status P=Preliminary
F=Final
C=Corrected

* Last OBX – File Pointer (use with PDF image)

Data IBE <HIS> <HIS>
ID Name IBE Opt Example IBE Notes
Type Length Length Opt
OBX-1 Set ID - 2- OBX SI R RE 2 OBX Repeats

IBE IECG ORU Specs Page 8 of 13

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Data IBE <HIS> <HIS>
ID Name IBE Opt Example IBE Notes
Type Length Length Opt
OBX-2 Value Type ST 2 R 2 R RP NM = Numeric
ST=String Text
RP=reference pointer
OBX-3 Observation ST 80 R ECG Report Type
Identifier
OBX-3.01 Identifier ST R 93000.62 ECG Report Type ID
OBX-3.02 Text ST R UNCPOINTER ECG Report Type Name

OBX-3.03 Name of Coding ST RE

System
OBX-5 Observation ST 20 RE RE C:\Philips\IBE\iECG\iECGResults\output\iECGResult\f8807a00 UNC link to ECG Report
Value -806f-11e9-4823-003734c90029.pdf
OBX-6 Observation Unit CE 12 RE
OBX-11 Observation ID 1 R 1 RE F P=Preliminary
Result Status F=Final
C=Corrected

* Last OBX – ECG Report encoded (use with PDF image)

Data IBE <HIS> <HIS>

ID Name IBE Opt Example IBE Notes
Type Length Length Opt
OBX-1 Set ID - 2- OBX SI R RE 2 OBX Repeats
OBX-2 Value Type ST 2 R 2 R ED NM = Numeric
ST=String Text
RP=reference pointer
OBX-3 Observation ST 80 R ECG Report Type
Identifier
OBX-3.01 Identifier ST R 93000.61 ECG Report Type ID
OBX-3.02 Text ST R BASE64ENCODE ECG Report Type Name

OBX-3.03 Name of Coding ST RE

System
OBX-5 Observation ST 20 RE RE JVBERi0xLjMNCiXS5dHyDQo2ID….. Base64 encode data
Value
OBX-6 Observation Unit CE 12 RE

IBE IECG ORU Specs Page 9 of 13

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Data IBE <HIS> <HIS>
ID Name IBE Opt Example IBE Notes
Type Length Length Opt
OBX-11 Observation ID 1 R 1 RE F P=Preliminary
Result Status F=Final
C=Corrected

Message Samples

Solicited Observation – EKG Result - (ORU^R01) Sample Message:

HL7 ORU Preliminary Message (for ECG study exported from iECG)
MSH|^~\&|CSC|JSC|LSC|SJC|20130605101916||ORU^R01|ORU0605201310191601|P|2.6
PID|||56571943||Kiersten^Haven^S.||19681002|F
PV1|1||A^^^Main Campus|||||1004^DR. DAVID M. JOHNSON |||||||||||3153312694
OBR|1|9824290169|9824290169|ECG|R||20040213090727|||||||||1005^LUCIA G. FARGO DR.|||||f57ca5a0-5e47-11d8-4823-
0003352c0029|20040213090727|||P|||||||""||||20130604111438
OBX|1|NM|1010.1^HEIGHT||175|cm|||||P|||20040213090727
OBX|2|NM|1010.2^WEIGHT||128|kg|||||P|||20040213090727
OBX|3|NM|93000.1^HEART RATE|3|44|bpm|||||P|||20040213090727
OBX|4|NM|93000.2^RR Interval|4|1364|ms|||||P|||20040213090727
OBX|5|NM|93000.3^Atrial Rate|5||ms|||||P|||20040213090727
OBX|6|NM|93000.4^P-R Interval|6|184|ms|||||P|||20040213090727
OBX|7|NM|93000.5^P Duration|7||ms|||||P|||20040213090727
OBX|8|NM|93000.6^P Horizontal Axis|8|4|deg|||||P|||20040213090727
OBX|9|NM|93000.7^P Front Axis|9|70|deg|||||P|||20040213090727
OBX|10|NM|93000.8^Q Onset|10|512|ms|||||P|||20040213090727
OBX|11|NM|93000.9^QRSD Interval|11|93|ms|||||P|||20040213090727
OBX|12|NM|93000.10^QT Interval|12|496|ms|||||P|||20040213090727
OBX|13|NM|93000.11^QTcB|13|425|ms|||||P|||20040213090727
OBX|14|NM|93000.12^QTcF|14|447|ms|||||P|||20040213090727
OBX|15|NM|93000.13^QRS Horizontal Axis|15|8|deg|||||P|||20040213090727
OBX|16|NM|93000.14^QRS Axis|16|-15|deg|||||P|||20040213090727
OBX|17|NM|93000.15^I-40 Horizontal Axis|17|23|deg|||||P|||20040213090727
OBX|18|NM|93000.16^I-40 Front Axis|18|74|deg|||||P|||20040213090727
OBX|19|NM|93000.17^T-40 Horizontal Axis|19|-15|deg|||||P|||20040213090727
IBE IECG ORU Specs Page 10 of 13
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OBX|20|NM|93000.18^T-40 Front Axis|20|-56|deg|||||P|||20040213090727
OBX|21|NM|93000.19^T Horizontal Axis|21|78|deg|||||P|||20040213090727
OBX|22|NM|93000.20^T Wave Axis|22|13|deg|||||P|||20040213090727
OBX|23|NM|93000.21^S-T Horizontal Axis|23|83|deg|||||P|||20040213090727
OBX|24|NM|93000.22^S-T Front Axis|24|7|deg|||||P|||20040213090727
OBX|25|ST|93000.IMP^ECG Severity|25|- ABNORMAL ECG -||||||P|||20040213090727
OBX|26|ST|93000.IMP^ECG Impression|26|poor||||||P|||20040213090727
OBX|27|ST|93000.IMP^ECG Impression|27|SB||||||P|||20040213090727
OBX|28|ST|93000.IMP^ECG Impression|28|V-rate<50||||||P|||20040213090727
OBX|29|ST|93000.IMP^ECG Impression|29|SINUS BRADYCARDIA||||||P|||20040213090727
OBX|30|ST|93000.IMP^ECG Impression|30|AXL||||||P|||20040213090727
OBX|31|ST|93000.IMP^ECG Impression|31|QRS axis (-15,-29)||||||P|||20040213090727
OBX|32|ST|93000.IMP^ECG Impression|32|BORDERLINE LEFT AXIS DEVIATION||||||P|||20040213090727
OBX|33|ST|93000.IMP^ECG Impression|33|AMI14||||||P|||20040213090727
OBX|34|ST|93000.IMP^ECG Impression|34|Q >30mS, V1 V2||||||P|||20040213090727
OBX|35|ST|93000.IMP^ECG Impression|35|PROBABLE ANTEROSEPTAL INFARCT, OLD||||||P|||20040213090727
OBX|36|ST|93000.61^ECGGUID|36|f8807a00-806f-11e9-4823-003734c90029||||||P
OBX|37|ED|93000.61^BASE64ENCODE|37|JVBERi0xLjMNCiXS5dHyDQo2IDAgb2Jq…….||||||P
OBX|38|RP|93000.62^UNCPOINTER|38|C:\Philips\IBE\iECG\iECGResults\output\\f57ca5a0-5e47-11d8-4823-0003352c0029.pdf||||||P

HL7 ORU Final Message (for ECG study exported from iECG)
MSH|^~\&|CSC|JSC|LSC|SJC|20130605101913||ORU^R01|ORU0605201310191301|P|2.6
PID|||81075719||Everett^Jose^Y.||19460307|F
PV1|1||A^^^Main Campus|||||1004^DR. DAVID M. JOHNSON |||||||||||9710908562
OBR|1|1460186386|1460186386|ECG|S||20040103220430|||||||||1001^JOHN W. SMITH DR.|||||aecd8c20-3db3-11d8-4823-
0d9a14dc0029|20040103220430|||F|||||||1234&Training&Test&T&Dr&""||MIS||20130602141636
OBX|1|NM|1010.1^HEIGHT||185|cm|||||F|||20040103220430
OBX|2|NM|1010.2^WEIGHT||107|kg|||||F|||20040103220430
OBX|3|NM|93000.1^HEART RATE|3|68|bpm|||||F|||20040103220430
OBX|4|NM|93000.2^RR Interval|4|882|ms|||||F|||20040103220430
OBX|5|NM|93000.3^Atrial Rate|5||ms|||||F|||20040103220430
OBX|6|NM|93000.4^P-R Interval|6|236|ms|||||F|||20040103220430
OBX|7|NM|93000.5^P Duration|7||ms|||||F|||20040103220430
OBX|8|NM|93000.6^P Horizontal Axis|8|-10|deg|||||F|||20040103220430
OBX|9|NM|93000.7^P Front Axis|9|49|deg|||||F|||20040103220430
OBX|10|NM|93000.8^Q Onset|10|516|ms|||||F|||20040103220430
OBX|11|NM|93000.9^QRSD Interval|11|89|ms|||||F|||20040103220430
OBX|12|NM|93000.10^QT Interval|12|372|ms|||||F|||20040103220430
OBX|13|NM|93000.11^QTcB|13|396|ms|||||F|||20040103220430
IBE IECG ORU Specs Page 11 of 13
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OBX|14|NM|93000.12^QTcF|14|388|ms|||||F|||20040103220430
OBX|15|NM|93000.13^QRS Horizontal Axis|15|-27|deg|||||F|||20040103220430
OBX|16|NM|93000.14^QRS Axis|16|26|deg|||||F|||20040103220430
OBX|17|NM|93000.15^I-40 Horizontal Axis|17|35|deg|||||F|||20040103220430
OBX|18|NM|93000.16^I-40 Front Axis|18|14|deg|||||F|||20040103220430
OBX|19|NM|93000.17^T-40 Horizontal Axis|19|-51|deg|||||F|||20040103220430
OBX|20|NM|93000.18^T-40 Front Axis|20|38|deg|||||F|||20040103220430
OBX|21|NM|93000.19^T Horizontal Axis|21|45|deg|||||F|||20040103220430
OBX|22|NM|93000.20^T Wave Axis|22|46|deg|||||F|||20040103220430
OBX|23|NM|93000.21^S-T Horizontal Axis|23|61|deg|||||F|||20040103220430
OBX|24|NM|93000.22^S-T Front Axis|24|72|deg|||||F|||20040103220430
OBX|25|ST|93000.IMP^ECG Severity|25|- ABNORMAL ECG -||||||F|||20040103220430
OBX|26|ST|93000.IMP^ECG Impression|26|poor||||||F|||20040103220430
OBX|27|ST|93000.IMP^ECG Impression|27|SR||||||F|||20040103220430
OBX|28|ST|93000.IMP^ECG Impression|28|normal P axis, V-rate 50-99||||||F|||20040103220430
OBX|29|ST|93000.IMP^ECG Impression|29|SINUS RHYTHM||||||F|||20040103220430
OBX|30|ST|93000.IMP^ECG Impression|30|WENCK||||||F|||20040103220430
OBX|31|ST|93000.IMP^ECG Impression|31|PR lengthens \T\ dropped complexes||||||F|||20040103220430
OBX|32|ST|93000.IMP^ECG Impression|32|MOBITZ I AV BLOCK (WENCKEBACH)||||||F|||20040103220430
OBX|33|ST|93000.61^ECGGUID|33|f8807a00-806f-11e9-4823-003734c90029||||||F
OBX|34|ED|93000.61^BASE64ENCODE|34|JVBERi0xLjMNCiXS5dHyDQo2IDAgb2Jq…….||||||F
OBX|35|RP|93000.62^UNCPOINTER|35|C:\Philips\IBE\iECG\\output\iECGResult\E\f57ca5a0-5e47-11d8-4823-0003352c0029.pdf||||||F

IBE IECG ORU Specs Page 12 of 13

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Signature Page:

Date:
Approved:

Customer Project Manager, <Customer>

Customer Project Interface Specialist, <Customer>

Project Manager, Philips Healthcare

Project Technical Consultant, Philips Healthcare

IBE IECG ORU Specs Page 13 of 13