Health Information Messaging Standard
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING MESSAGE SPECIFICATION
Status: Accepted in Draft
Version 0.1
Status Date: May 20, 2008
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
EXTERNAL
MAY 20, 2008
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
On May 20, 2008 the Health Information Standards Committee for Alberta (HISCA) Accepted in
Draft, three (3) Diagnostic Imaging submissions including the Alberta Diagnostic Imaging
Reporting Requirement, the Diagnostic Imaging Text and other Transcribed Reports Message
Specification, and the Alberta Diagnostic Imaging HL7 Message Specifications. These
submissions are now required to be reviewed by peers and other interested parties as a part of
the HISCA process. Following this review, Stakeholder feedback will be consolidated and
presented back to the project teams for consideration and/or dispute resolution.
Please find and review the attached copies of the submissions and return your comments or
concerns to the HISCA secretariat at [email protected].
Request for Comments until October 10, 2008.
Once again, thank you for your assistance.
Mark Brisson,
Chair
Health Information Standards Committee for Alberta
Date
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Revision History
Version
0.0
0.1
Revision Date
June 20, 2006
May 20, 2008
© 2008 Government of Alberta
Summary of Changes
Initial submission to HISCA
Accepted in Draft
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Table of Contents
Revision History............................................................................................................................... 3
Table of Contents ............................................................................................................................ 4
General Information Overview......................................................................................................... 6
Business Process Flows.................................................................................................................. 7
Order DI Exam....................................................................................................................................... 8
Conduct DI Exam .................................................................................................................................10
Create Report .......................................................................................................................................12
QA Concern..........................................................................................................................................15
Image Correction ..................................................................................................................................16
Radiologist Addendum .........................................................................................................................18
Patient Demographics Update – Community Perspective ....................................................................20
Patient Demographics Update – Regional Perspective ........................................................................22
Study Update........................................................................................................................................23
Post Processing Imaging ......................................................................................................................24
New Study ............................................................................................................................................25
Financial Information ............................................................................................................................26
Assumptions .........................................................................................................................................26
HIA Compliance - Create DI Order .......................................................................................................27
HIA Compliance - Submit Claim Batch .................................................................................................29
HIA Compliance - Create Report ..........................................................................................................32
HIA Compliance - Request DI Result ...................................................................................................33
Transaction Summary ................................................................................................................... 35
Overview ................................................................................................................................... 35
Message Purpose.................................................................................................................................35
Message Rules.....................................................................................................................................35
Transaction Messages .........................................................................................................................35
Error Conditions....................................................................................................................................35
ORM-O01 .................................................................................................................................. 35
Message Purpose.................................................................................................................................35
Message Rules.....................................................................................................................................35
Transaction Messages .........................................................................................................................35
Error Conditions....................................................................................................................................35
ACK-O01 ................................................................................................................................... 36
Message Purpose.................................................................................................................................36
Message Rules.....................................................................................................................................36
Transaction Messages .........................................................................................................................36
Error Conditions....................................................................................................................................36
ORU-R01................................................................................................................................... 36
Message Purpose.................................................................................................................................36
Message Rules.....................................................................................................................................36
Transaction Messages .........................................................................................................................36
Error Conditions....................................................................................................................................36
Transaction Message Details ........................................................................................................ 36
Message Delimiters................................................................................................................... 36
Message: DI Placer Order Management .................................................................................. 38
Message: DI Placer Order Management (Acknowledge) ......................................................... 51
Message: DI Unsolicited Observation Message ....................................................................... 56
Appendix – Permissible Values ..................................................................................................... 76
HL70001 Sex............................................................................................................................. 76
HL70003 Event Type (HL7) ...................................................................................................... 76
HL70004 PATIENT CLASS (USER))........................................................................................ 84
HL70009 Ambulatory Status (USER)........................................................................................ 85
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HL70072 Insurance Plan ID (USER) ........................................................................................ 85
HL70076 Message Type (HL7) ................................................................................................. 86
HL70103 Processing ID (HL7) .................................................................................................. 88
HL70104 Version ID (HL7)........................................................................................................ 88
HL70105 Source of Comment (HL7) ........................................................................................ 88
HL70119 Order Control Code (HL7) ......................................................................................... 89
HL70123 Result Status (HL7) ................................................................................................... 90
HL70125 Value Type (HL7) ...................................................................................................... 90
HL70125 VALUE TYPE (HL7) .................................................................................................. 91
HL70127 ALLERGY TYPE (USER) .......................................................................................... 91
HL70128 ALLERGY SEVERITY (USER)) ................................................................................ 92
HL70191 Main Type of Reference Data (HL7) ......................................................................... 92
HL70270 DOCUMENT TYPE (HL7) ......................................................................................... 92
HL70271 Document Completion Status (HL7).......................................................................... 93
HL70291 Subtype of Referenced Data (HL7) ........................................................................... 93
HL70396 Coding System (HL7) ................................................................................................ 94
99-0001 Provincial Codes (USER) ........................................................................................... 94
99H0011 CPEL ......................................................................................................................... 95
SNOMED CONCEPT CODE .................................................................................................. 129
HL7 Data Types ...................................................................................................................... 130
Anatomic...................................................................................................................................... 135
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General Information Overview
This report provides the message profile for HL7 messages that will be used to share Diagnostic
Imaging (DI) information across the provincial health system.
The DI profile is part of the DI Information Management/Information Technology (IM/IT) initiative,
a collaborative effort of the nine (9) Health Regions, the Alberta Cancer Board, the Alberta
Society of Radiologists, and the Alberta Medical Association. These stakeholders have agreed to
implement the next generation of Diagnostic Imaging technology as a core component of Alberta
Netcare. The DI IM/IT solution will encompass three regional footprints representing the
geographic areas of Calgary Health Region, Capital Health, and the seven (7) regions comprising
the Regional Shared Health Information Program (RSHIP).
The DI IM/IT initiative will leverage Alberta’s existing, operational Radiology Information System
(RIS) and Picture Archiving and Communication Systems (PACS) in both the public and
community settings. These systems have been implemented independently by their respective
stakeholders. The DI IM/IT initiative’s goal is to develop and implement an integrated, interoperable regional/Alberta Netcare solution. This project will provide a suite of HL7 message
specifications to support the DI IM/IT solution.
The business objectives of the DI message profile are to provide:
 A common message structure that will enable providers anywhere in the province to
order DI procedures, refer patients to a DI provider, schedule DI service events, search a
patient’s DI test history and view a patient’s DI test results (both images and transcribed
reports), regardless of service location.
 A common vocabulary to foster improved communications between providers and
support reporting and statistical analysis initiatives.
The profile has five major sections:
 A context diagram presenting nodes in the provincial health technology infrastructure and
the message types exchanged between the nodes.
 Business process diagrams presenting the various “actors” (people and systems)
involved in processing DI orders, interpreting images, conducting studies, performing
quality assurance and HIA compliance based sharing of DI results. The business process
diagrams and narrative are based on the use cases of the DI Future State Architecture.
 Conceptual and Logical Data Models for DI.
 Message specifications for DI orders, responses, acknowledgements and text reports.
 Code tables and values used in DI messagesDI HL7 Message Specification Context
Diagram
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Business Process Flows
This section provides diagrams and narrative describing the activities of the DI related processes. Please review for missing or incorrect activities
and activity descriptions.
Legend:
1. Process
This shape represents a step in the process. A process with grey shading indicates the main flow of the corresponding Use Case. A process with
white shading indicates an alternative flow.
2. Display
This shape represents information that is displayed, accessible to a person (usually on a computer screen) or system. A grey display icon
indicates the main flow of the corresponding Use Case. A white display icon indicates an alternate flow.
3. On-page reference
This small circle indicates the general order of the process steps. The numbers in these circles correspond to the numbers in the narratives
accompanied business processes.
4. Off-page reference
This shape connects two pages of a flowchart.
5. Terminator
End
This circle indicates the end of the
process.
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Order DI Exam
HEALTH SERVICES PROFESSIONAL: Initiate request for DI exam - A Health Services Professional (Referring Physician) examines a Patient in
his/her office and determines that an imaging procedure is required for diagnosis. The Physician creates a requisition for an imaging study and
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directs the Patient to an imaging facility. This diagnostic imaging order is created in electronic and/or paper form. An order may also be placed via
phone call and the data entered directly into the RIS.
A paper order is given to the Patient who brings the order to the imaging facility. To generate an electronic order, the Physician accesses the EMR
and sends an electronic ordering message to the RIS where the order is recorded and confirmed by sending the response back to the EMR.
HEALTH SERVICES PROFESSIONAL: Forward request for DI exam – If DI exams require that the relevant previous exams are retrieved prior to
the ordering exam; the Health Services Professional (Referring Physician) forwards the request for the DI exam well in advance to the DI facility.
DI SUPPORT STAFF: Verify patient information – A query to the regional EMPI is done at that time based on the information received in the
requisition. The patient is identified and his/her demographics information is correct.
Community Facilities:
If demographics information is not correct, the community clinics make corrections in RIS at time when information update is found and with an
assumption that the person is giving correct information. This information may or may not correlate with regional or provincial databases. The
community clinics do not validate demographics information with the provincial CR. It is the person’s responsibility to inform provincial CR of
information change.
In community DI clinics the RIS also serves as the ATD.
If a registration occurs in the community facility, there is no way to update the provincial CR. Before acceptance of manifest data into the
Provincial XDS Registry, there will need to be a validation at the provincial CR.
Regional Facilities:
Regional facilities make corrections in ADT, checking with provincial CR.
The data can be entered electronically into the RIS from regional systems.
DI SUPPORT STAFF: Schedule DI exam – After identifying the patient’s demographics information, the Support Staff schedules the exam for
some future date and time. At a later time in preparation for the pending exam the support staff places the order in the RIS which generates an
ORM message. See #4.
PATIENT: Present identification, health insurance information and order - The Patient arrives at the DI Facility and presents identification, health
insurance information and the paper order received from the Referring Physician.
DI SUPPORT STAFF: Verify Patient information – DI Support Staff verify patient information and confirm his/her ULI by accessing RIS if RIS is
there and operational.
Capital Health: Capital Health is moving to have providers do look up on the regional EMPI, which is now connected to the provincial CR.
DI SUPPORT STAFF: Enter DI exam order data – The Support Staff enter the order into the RIS. The imaging study is required.
ORDER PLACER (RIS): Record DI order into Order Placer and send response – Entering DI order into the RIS generates an ORM message that
is sent to the Spoke PACS system.
EMR: Record response – Response generated by the RIS is recorded in the EMR.
SPOKE PACS: Create worklist entry – The ORM message from RIS is received by Spoke PACS and triggers a worklist entry for the DI
Technologist and auto-fetching of relevant priors from across the Province. In the case of exams scheduled well in advance, relevant prior studies
from across the Province are pre-fetched. The priors are fetched from the local FootPrint Repository. If priors from other FootPrint Repositories are
required, they will be proxied by the local FootPrint Repository and streamed in real-time to the Spoke PACS. Pre-fetching and auto-fetching can
be configured to always search the Provincial XDS Registry for relevant
priors.
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Conduct DI Exam
DI TECHNOLOGIST: Request procedure and patient information to add to image header – The DI Technologist triggers a query to the Modality
Worklist Provider for the procedure information required for DI exam and for Patient information so it can be added to the image headers by the
system during image acquisition.
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Information in the Modality Worklist Provider originates from the Order Placer in the RIS, which is also the originator of the study’s unique identifier
– Accession Number. The RIS (Order Placer) receives the order and puts the order into the worklist with patient information, including ULI and
Accession Number generated by the RIS. This information becomes the DICOM header of the images and is send to the Spoke PACS. See #5.
DI TECHNOLOGIST: Conduct DI exam – The DI Technologist performs the DI exam capturing the images.
DI TECHNOLOGIST: Perform quality assurance – The DI Technologist performs Quality Assurance process for each image.
DI TECHNOLOGIST: Send images to Spoke PACS – After Quality Assurance process is completed, the DI images are sent to the Spoke PACS.
SPOKE PACS: Verify information – The Spoke PACS verifies information on the DICOM header of received images with the order information
from the Order Placer in the RIS. The information from the Modality is verified based on patient information, ULI, MRN, and Accession Number
created by the RIS and added to the image headers.
CONNECTIVITY MANAGER: Facilitate verification of order from RIS with Spoke PACS – The Connectivity Manager (or RIS) receives the order
from the Order Placer and facilitates the verification of the order with Spoke PACS.
SPOKE PACS: Store information locally and forward – The image is stored in the Spoke PACS and forwarded to the FootPrint Repository. In most
cases the report is done from the Spoke PACS.
In some cases, examinations such as orthopaedic and acute chest, images could be used for diagnosis prior to the Radiologist’s reading and
interpreting images.
FOOTPRINT REPOSITORY: Create and store manifest – Upon receiving the DI images, the FootPrint Repository creates an imaging study
manifest which lists all new DICOM objects in this study referenced by unique identifiers. The initial manifest representing the study should be
published to the Provincial XDS Registry immediately after the initial Quality Assurance and before any reporting steps. This means that images
must be moved from the Spoke PACS to the FootPrint Repository after the Quality Assurance process. The FootPrint Repository needs to validate
any data before submission to provincial systems.
PROVINCIAL XDS REGISTRY: Index and register image manifest data - The manifest generated in the FootPrint Repository is published to the
Provincial XDS Registry.
PROVINCIAL XDS REGISTRY: Place unsuccessful study back to FootPrint Repository - If either the creation of the manifest, storing of the
manifest in the repository, or registering the manifest in the registry is not successful, the study will be placed on the ‘Failed Verification Queue’ in
the FootPrint Repository from where the study originated. Until the initial manifest is successfully stored in the repository and registered,
subsequent updates to the manifest, storing in the repository and registration in the Provincial XDS Registry must not occur. However, failure to
store documents in the FootPrint Repository and/or Provincial XDL Registry will not delay the subsequent DI workflow steps at the Spoke PACS
level.
SPOKE PACS ADMINISTRATOR: Investigate problem – When the study is placed on the ‘Failed Verification Queue’, the Spoke PACS
Administrator will investigate the problem.
SPOKE PACS ADMINISTRATOR: Resolve issue – Once the problem is identified, the Spoke PACS Administrator takes appropriate actions to
resolve the issue. When the error is corrected, subsequent manifest updates, storing in the FootPrint Repository and registration in the Provincial
XDS Registry can continue
The Referring Physician and other EHR users now have access to the study.
Currently, receiving the DITR is an indicator to the Physician that the study is available. (The physician notification is out of scope for this project.)
In the future, the notifications should happen through the Provincial XDS Registry.
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I
Create Report
RADIOLOGIST: Generate report – The Radiologist accesses the Spoke PACS and generates a primary report for the new study. Provincial
relevant priors are available to the Radiologist from the FootPrint Repository via real-time steaming.
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RADIOLOGIST: Require additional prior exams – The Radiologist may require additional prior exams other than those that were made available
as relevant priors. When the Radiologist selects the query to be executed provincially, the request will be proxied by the local FootPrint Repository
to the Provincial XDS Registry.
FOOTPRINT REPOSITORY: Parse results into a list – The FootPrint Repository parses the results form the Provincial XDS Registry and passes
back a list of additional priors for the Radiologist.
RADIOLOGIST: Select images from prior exams - The Radiologist can select images from the priors, which will be streamed in real-time from the
FootPrint Repository.
RADIOLOGIST: Dictate a report for the exam – The Radiologist dictates a report for the exam.
RADIOLOGIST: Sign the transcribed text report – The Radiologist verifies/signs the transcribed text report. The report can be preliminary or final.
The difference in the flow is that the manifest for the final report would replace the preliminary report and the preliminary report manifest would be
deprecated.
RIS: Forward the report – The RIS publishes the report to Spoke PACS and FootPrint Repository.
Spoke PACS: Store the report – The report is stored in the Spoke PACS.
FOOTPRINT REPOSITORY: Store the report – The report is stored in the FootPrint Repository.
FOOTPRINT REPOSITORY: Create image manifest – The FootPrint Repository creates an imaging study manifest, which lists the new DICOM
object that represents the report, and publishes the manifest to the Provincial XDS Registry.
PROVINCIAL XDS REGISTRY: Index, link and store image manifest data - Upon successful registration in the Provincial XDS Registry, the new
report manifest is linked to the previous manifest. Together, all manifests represent and reference all DICOM objects that are part of the study.
PROVINCIAL XDS REGISTRY: Place unsuccessful study back to FootPrint Repository - If either the creation of the manifest, storing of the
manifest in the repository, or registering the manifest in the registry is not successful, the study will be placed on the ‘Failed Verification Queue’ in
the FootPrint Repository from where the study originated. Until the initial manifest is successfully stored in the repository and registered,
subsequent updates to the manifest, storing in the repository and registration in the Provincial XDS Registry must not occur. However, Failure to
store documents in the FootPrint Repository and/or Provincial XDL Registry will not delay the subsequent DI Workflow steps at the Spoke PACS
level.
SPOKE PACS ADMINISTRATOR: Investigate problem – When the study is placed on the ‘Failed Verification Queue’, the Spoke PACS
Administrator will investigate the problem.
SPOKE PACS ADMINISTRATOR: Resolve issue – Once the problem is identified, the Spoke PACS Administrator takes appropriate actions to
resolve the issue. When the error is corrected, subsequent manifest updates, storing in the FootPrint Repository and registration in the Provincial
XDS Registry can continue
HEALTH SERVICES PROFESSIONAL: Review the images – Once the images and report are created and stored in the FootPrint DI Repository
and registered in the Provincial XDS Registry, the Health Services Professional (Referring Physician) reviews the report and images.
Receiving DITR is an indicator to the Physician that reports and images are available. In the future, the Physician notifications should happen
through the Provincial XDS Registry.
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QA Concern
HEALTH SERVICES PROFESSIONAL: Identify QA concern – A Physician identifies that an image within an exam is erroneous by virtue of having
a wrong marker. This concern is identified in a study after the images have been moved to the FootPrint DI Repository and registered in the
Provincial XDS Registry.
HEALTH SERVICES PROFESSIONAL: Call help desk – The Physician places a call with a central help desk.
HELP DESK: Determine FootPrint Repository of origin – The Help Desk determines the FootPrint Repository of origin.
HELP DESK: Notify Spoke PACS Administrator for the FootPrint Repository of origin – The Help Desk notifies the Spoke PACS Administrator for
the FootPrint Repository of origin for the exam.
SPOKE PACS ADMINISTRATOR: Initiate creation of the Study Correction Indicator – The Spoke PACS Administrator acknowledges the error and
initiates creation of the Study Correction Indicator (SCI) by the appropriate resource. The SCI acknowledges the presence of a QA concern. It is
created as DICOM object, becomes part of the study and is published to the FootPrint DI Repository.
SPOKE PACS ADMINISTRATOR: Images are attached to wrong patient: The images are moved from the incorrect patient to the correct patient.
Original record and manifest are deprecated and new record and manifest created by the PACS Administrator through administrative tools at the
Spoke PACS and DI Repository
FOOTPRINT REPOSITORY: Create and store new manifest – The FootPrint DI Repository creates a new imaging study manifest which lists only
the new DICOM objects for the Study Correction Indicator in this study referenced by unique identifiers.
PROVINCIAL XDS REGISTRY: Register new manifest and link to original – The new manifest generated in the FootPrint DI Repository is
published to the Provincial Document Registry. When the new manifest is registered, it is linked to the original study manifest.
PROVINCIAL XDS REGISTRY: Place unsuccessful study back to FootPrint Repository - If either the creation of the manifest, storing of the
manifest in the repository, or registering the manifest in the registry is not successful, the study will be placed on the ‘Failed Verification Queue’ in
the FootPrint Repository from where the study originated. Until the initial manifest is successfully stored in the repository and registered,
subsequent updates to the manifest, storing in the repository and registration in the Provincial XDS Registry must not occur. However, failure to
store documents in the FootPrint Repository and/or Provincial XDL Registry will not delay the subsequent DI Workflow steps at the Spoke PACS
level.
SPOKE PACS ADMINISTRATOR: Investigate problem – When the study is placed on the ‘Failed Verification Queue’, the Spoke PACS
Administrator will investigate the problem.
SPOKE PACS ADMINISTRATOR: Resolve issue – Once the problem is identified, the Spoke PACS Administrator takes appropriate actions to
resolve the issue. When the error is corrected, subsequent manifest updates, storing in the FootPrint Repository and registration in the Provincial
XDS Registry can continue
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Provincial XDS
Registry
Footprint
Repository
PACS
Spoke PACS
Administrator
Radiologist
Image Manager
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Image Correction
IMAGE MANAGER: Correct images – The Image Manager corrects the images.
FOOTPRINT REPOSITORY: Create new and replace old manifest – The corrected images are published immediately to the FootPrint DI
Repository including the corrective portion of the Study Correction Indicator. The FootPrint Repository creates a new imaging study manifest which
lists all DICOM objects in this study referenced by unique identifiers. This new manifest replaces the old manifest for the study.
FOOTPRINT REPOSITORY: Update Study Corrector Indicator – The manifest for the Study Correction Indicator is updated.
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PROVINCIAL XDS REGISTRY: Register new and depreciate old manifest – The manifests generated in the FootPrint Repository are published to
the Provincial XDS Registry. When it is registered, the previous ones are deprecated.
PROVINCIAL XDS REGISTRY: Place unsuccessful study back to FootPrint Repository - If either the creation of the manifest, storing of the
manifest in the repository, or registering the manifest in the registry is not successful, the study will be placed on the ‘Failed Verification Queue’ in
the FootPrint Repository from where the study originated. Until the initial manifest is successfully stored in the repository and registered,
subsequent updates to the manifest, storing in the repository and registration in the Provincial XDS Registry must not occur. However, failure to
store documents in the FootPrint Repository and/or Provincial XDL Registry will not delay the subsequent DI Workflow steps at the Spoke PACS
level.
SPOKE PACS ADMINISTRATOR: Investigate problem – When the study is placed on the ‘Failed Verification Queue’, the Spoke PACS
Administrator will investigate the problem.
SPOKE PACS ADMINISTRATOR: Resolve issue – Once the problem is identified, the Spoke PACS Administrator takes appropriate actions to
resolve the issue. When the error is corrected, subsequent manifest updates, storing in the FootPrint Repository and registration in the Provincial
XDS Registry can continue.
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Radiologist Addendum
HEALTH SERVICES PROFESSIONAL: Request addendum – The Health Services Professional makes decision whether a Radiologist addendum
is required and, if yes, requests the addendum to the report.
HEALTH SERVICES PROFESSIONAL: Request addendum – The Health Services Professional decides that a Radiologist addendum to the
report is required even thought the image correction was not needed.
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RADIOLOGIST: Create addendum to the report – The Radiologist in consultation with the Health Services Professional (Image Manager) creates
the addendum to the report. The report is published to the Spoke PACS and FootPrint Repository.
Spoke PACS: Validate and forward – The report is published in Spoke PACS, validated and forwarded to the FootPrint Repository.
FOOTPRINT REPOSITORY: Create new and replace old report manifest – The FootPrint DI Repository creates a new report manifest. This new
manifest replaces the old manifest for the study. The new manifest generated in the FootPrint DI Repository is published to the Provincial
Document Registry.
PROVINCIAL XDS REGISTRY: Index, link and store image manifest data - Upon successful registration in the Provincial XDS Registry, the
previous report manifest is deprecated and the new one is linked to the manifests for the imaging study.
PROVINCIAL XDS REGISTRY: Place unsuccessful study back to FootPrint Repository - If either the creation of the manifest, storing of the
manifest in the repository, or registering the manifest in the registry is not successful, the study will be placed on the ‘Failed Verification Queue’ in
the FootPrint Repository from where the study originated. Until the initial manifest is successfully stored in the repository and registered,
subsequent updates to the manifest, storing in the repository and registration in the Provincial XDS Registry must not occur. However, Failure to
store documents in the FootPrint Repository and/or Provincial XDL Registry will not delay the subsequent DI Workflow steps at the Spoke PACS
level.
SPOKE PACS ADMINISTRATOR: Investigate problem – When the study is placed on the ‘Failed Verification Queue’, the Spoke PACS
Administrator will investigate the problem.
SPOKE PACS ADMINISTRATOR: Resolve issue – Once the problem is identified, the Spoke PACS Administrator takes appropriate actions to
resolve the issue. When the error is corrected, subsequent manifest updates, storing in the FootPrint Repository and registration in the Provincial
XDS Registry can continue
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Patient Demographics Update – Community Perspective
PATIENT: Present identification, health insurance information and order - A Patient comes to a DI Facility and presents his/her identification,
health insurance information and DI order to DI Support Staff.
REGISTRATION CLERK: Collect demographics information – A Registration Clerk verifies the patient’s demographics information; the Clerk
collects the patient’s First Name, Last Name, Sex, Date of Birth, MRN, or ULI.
REGISTRATION CLERK: Search for the patient – The Registration Clerk initiates a search for the patient information in the ADT system, which is
also known as Patient Identification Encounter Management system (PIEM) and finds the Patient. The Registration Clerk searches for the Patient
in the Regional EMPI.
REGISTRATION CLERK: Add a new patient - If Patient is not found (in Regional or Community Provider systems), the Registration Clerk initiates
the process to add a new patient.
REGISTRATION CLERK: Compare Information from ADT and EMPI – The Registration Clerk compares information in ADT and EMPI. The
Patient information has changed and there is a mismatch between the Regional EMPI and the ADT system. If the Regional EMPI information is
correct, then the Patient information from the EMPI is selected and used for the Patient registration.
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REGISTRATION CLERK: Initiate and proceed with correction in Community Facility – When a mismatch between the patient information and the
Regional EMPI is detected by a Community Facility, the Registration Clerk enters the correct information as given by the patient into the ADT
system. The Registration Clerk faxes in patient information update form to the Regional Registry Integrity Unit so the data can be manually
updated in the Region ADT system.
REGISTRATION CLERK: Initiate and proceed with correction in Public Facility – When a mismatch between the patient information and the
Regional EMPI is detected by a Public Facility, the Registration clerk calls the Registry Integrity Unit and requests a Patient update in the Regional
EMPI. After 15 minutes, the Registration Clerk queries the Regional EMPI again to verify the Patient’s information is corrected.
REGISTRATION CLERK: Select EMPI information for patient registration – If the Regional EMPI information is correct, then the Patient
information from the EMPI is selected and used for the Patient registration.
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Patient Demographics Update – Regional Perspective
PATIENT: Present identification, health insurance information and order - A Patient comes to a DI Facility and presents his/her identification,
health insurance information and DI order to DI Support Staff.
HEALTH SERVICES PROFESSIONAL: Schedule DI event – A Health Services Professional schedules DI event.
REGISTRATION CLERK: Collect demographics information – A Registration Clerk verifies the patient’s demographics information; the Clerk
collects the patient’s First Name, Last Name, Sex, Date of Birth, MRN, or ULI.
REGISTRATION CLERK: Search for patient record – The Registration Clerk initiates a search for the patient information in the ADT system, which
is also known as Patient Identification Encounter Management system (PIEM) and finds the Patient.
PCR / REGIONAL EMPI: Search for patient record – When the patient record is not found in the ADT system, the pCR / Regional EMPI searches
for the patient record and finds the patient.
REGISTRATION CLERK: Update patient information – The Registration updates the patient information in the ADT system.
PCR / REGIONAL EMPI: Record updated patient information – The updated patient information is recorded.
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Study Update
ADT System: Generate message – An ADT message is generated from the ADT system.
REGISTRATION CLERK: Enter the update into ADT for the Region - For Community Providers Study Updates, a manual process is followed to
communicate the required Demographics update to the Region. The update is entered into the ADT System for the Region.
FOOTPRINT REPOSITORY: Update demographics in database - The FootPrint DI Repository system receive the ADT message. The DI
Repository recognizes if a change in patient demographics has happened and updates demographics information in database.
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Post Processing Imaging
PATIENT: Present for examination – The Patient presents to the specialist.
SPECIALIST: Examine the patient – The Specialist examines the patient.
SPECIALIST: Determine the template – The Specialist determines what template is required.
SPECIALIST: Initiate required DI ADT and Order events – The Specialist initiates the required DI ADT and Order events.
ADT SYSTEM: Create a new Study ID – A new Study ID is generated. Any images created by the Specialist will be associated to this new Study
ID.
SPECIALIST: Search for required exam – The Specialist logs onto the local Spoke PACS system and searches for the required exam by entering
the Patient ULI and a date range and is presented with the information about the required exam.
SPECIALIST: Select the exam for viewing – The Specialist selects the exam for viewing.
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New Study
SPOKE PACS: Query exam – The exam is streamed from the foreign FootPrint DI repository to the Spoke PACS in real-time.
SPECIALIST: Complete post processing work – The specialist completes the post processing work which has generated new objects.
SPOKE PACS: Generate new images – As a result of the post processing work new images are generated, specifically a new series and two
additional images.
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FOOTPRINT REPOSITORY: Store new images – New objects are archived to the internal FootPrint DI Repository. Images created in a post
processing event for a foreign study will be archived to the local DI Repository not the DI repository where foreign study originated from.
FOOTPRINT REPOSITORY: Create and store manifest with new images – Upon receipt of the images, the FootPrint DI Repository creates an
imaging study manifest which lists a new series with two new images.
PROVINCIAL XDS REGISTRY: Index and register image manifest data - The manifest generated in the internal FootPrint DI Repository is
published to the Provincial XDS Registry. When the manifest from the internal FootPrint Repository is registered in the Provincial XDS Registry, it
must be registered with an association to the original manifest that was generated from the foreign FootPrint DI Repository. This will allow
consumers to associate the images.
PROVINCIAL XDS REGISTRY: Place unsuccessful study back to FootPrint Repository - If either the creation of the manifest, storing of the
manifest in the repository, or registering the manifest in the registry is not successful, the study will be placed on the ‘Failed Verification Queue’ in
the FootPrint Repository from where the study originated. Until the initial manifest is successfully stored in the repository and registered,
subsequent updates to the manifest, storing in the repository and registration in the Provincial XDS Registry must not occur. However, failure to
store documents in the FootPrint Repository and/or Provincial XDL Registry will not delay the subsequent DI Workflow steps at the Spoke PACS
level.
SPOKE PACS ADMINISTRATOR: Investigate problem – When the study is placed on the ‘Failed Verification Queue’, the Spoke PACS
Administrator will investigate the problem.
SPOKE PACS ADMINISTRATOR: Resolve issue – Once the problem is identified, the Spoke PACS Administrator takes appropriate actions to
resolve the issue. When the error is corrected, subsequent manifest updates, storing in the FootPrint Repository and registration in the Provincial
XDS Registry can continue.
HEALTH SERVICES PROFESSIONAL: View exam with new images – The Health Services Professional (General Practitioner) logs onto Netcare
and views the exam including the new images created during the post processing steps by the Specialist.
Financial Information
Assumptions
All patients have an insurance coverage.
Results from a given DI order are always either HIA compliant or non-HIA compliant; there is no split HIA compliance situation.
HIA compliance must be mandatory.
The physician can retrieve DI images and reports from the footprint repository without the use of the Provincial Registry by a WADO Retrieve
transaction.
All DI procedures are for medical purposes.
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HIA Compliance - Create DI Order
HEALTH SERVICES PROFESSIONAL: Initiate request for DI exam - A Health Services Professional (Referring Physician) examines a Patient
and determines that an imaging procedure is required for diagnosis. The Physician creates a requisition for an imaging study and directs the
Patient to an imaging facility. This diagnostic imaging order is created in electronic and/or paper form. An order may also be placed via phone call
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and the data entered directly into the RIS. A paper order is given to the Patient who brings the order to the imaging facility. To generate an
electronic order, the Physician accesses the EMR and sends an electronic ordering message to the RIS.
PATIENT: Present identification, health insurance information and order - The Patient arrives at the DI facility and presents identification, health
insurance information and the paper order received from the Referring Physician.
DI SUPPORT STAFF: Verify patient information and confirm health insurance plan – DI Support Staff verify patient information and confirm health
insurance plan. If the patient’s insurance plan is AHCIP and the patient presents the PHN, this number is verified against RIS/ADT system.
DI SUPPORT STAFF: Enter DI order information – The Support Staff enter the order and insurance plan information into the RIS. The imaging
study is required.
RIS / ADT: Record DI order information – The DI order and insurance plan are recorded in the RIS.
DI TECHNOLOGIST: Conduct DI examination – The Technologist conducts DI exam and marks the exam as completed.
CLAIM ADMINISTRATOR: Initiate claim submission batch – The Claim Administrator accesses the RIS /ADT system and initiates the claim
submission for all completed exams within a given timeframe.
RIS / ADT: Generate claim batches based on insurance plan – For each completed exam, the amount is generated based on an ‘X-Code’
associated with the examination. Claim batches are generated based on the insurance plan. For each unique insurance plan there is a separate
claim batch created.
CLAIM ADJUDICATOR: Verify claim information – The Claim Adjudicator reviews claims to ensure that billing and reconciliation information is
adequate and accurate.
DI TECHNOLOGIST: Send images to Spoke PACS – The images are sent to the Spoke PACS. This step does not depend on the status of the
claim.
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HIA Compliance - Submit Claim Batch
CLAIM ADMINISTRATOR: Initiate claim submission – The Claim Administrator initiates submission of the claim batches.
RIS / ADT: Validate insurance plan and submit batch – The system validates the insurance plan in the claim batch header and submits the claim
batch based on the insurance information to the respective billing systems. If the batch is HIA compliant, the H-Link is utilized as a claim service to
communicate payments for services delivered.
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H-LINK: Receive claim batch – The claim batch is received.
H-LINK: Verify format and send acknowledgment - Batch data is reviewed for correct format, but the validity of the data itself is not determined. An
acknowledgment is sent back to the RIS /ADT system to confirm that the batch is successfully received.
BILLING SYSTEM: Receive claim batch – The non-HIA compliant claim batch is received by the respective billing system.
BILLING SYSTEM: Verify format and send acknowledgment – The non-HIA compliant batch is reviewed for correct format, but the validity of the
data itself is not determined. An acknowledgment is sent back to the RIS /ADT system to confirm that the batch is successfully received.
RIS / ADT: Receive acknowledgment – The system receives the acknowledgment from the Billing System that the claim batch submission is
completed.
Spoke PACS: Verify and store information locally – The image(s) are verified and stored for the Radiologist who will create the report.
Spoke PACS: Forward DI results – The image(s) are forwarded to the Regional Footprint Repository.
REGIONAL FOOTPRINT REPOSITORY: Create and store manifest – Upon receiving the DI images, the Footprint Repository creates an imaging
study manifest which lists all new DICOM objects in this study referenced by unique identifiers.
REGIONAL FOOTPRINT REPOSITORY: Publish manifest to Provincial XDS Registry – The Regional Footprint Repository needs to validate any
data before submission to provincial systems, including HIA compliance. DI Repository promotes XDS metadata only for HIA compliant studies it
receives. Non-HIA compliant studies are not promoted to the Provincial XDS Registry.
PROVINCIAL XDS REGISTRY: Index and register HIA compliant manifest data - The manifest generated in the Regional Footprint Repository is
published to the Provincial XDS Registry. No non-compliant data will be published.
As per the information provided by Kathleen Gorman, non-compliant “data needs to stay out of Netcare as per legislative requirements of HIA. If
HIA compliant data is already in Netcare and flagged as non-HIA compliant afterwards, there is not an expectation that the datasets will be pulled
back out from Netcare.
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HIA Compliance - Create Report
RADIOLOGIST: Create report – The Radiologist accesses the Spoke PACS and generates a primary report for the new study. Provincial relevant
priors are available to the Radiologist from the Footprint Repository via real-time steaming. The Radiologist dictates a report for the exam. The
report can be preliminary or final. The difference in the flow is that the manifest for the final report would replace the preliminary report and the
preliminary report manifest would be deprecated.
RADIOLOGIST: Require additional prior exams – The Radiologist may require additional prior exams other than those that were made available
as relevant priors. When the Radiologist selects the query to be executed provincially, the request will be proxied by the local Footprint Repository
to the Provincial XDS Registry.
FOOTPRINT REPOSITORY: Parse results into a list – The Footprint Repository parses the results form the Provincial XDS Registry and passes
back a list of additional priors for the Radiologist.
RADIOLOGIST: Select images from prior exams - The Radiologist can select images from the priors, which will be streamed in real-time from the
Footprint Repository.
RIS: Forward the report – The RIS publishes the report to Spoke PACS and Footprint Repository.
Spoke PACS: Store the report – The report is stored in the Spoke PACS.
FOOTPRINT REPOSITORY: Store the report – The report is stored in the Footprint Repository.
FOOTPRINT REPOSITORY: Create image manifest – The Footprint Repository creates an imaging study manifest, which lists the new DICOM
object that represents the report. The Footprint Repository verifies if the manifest is HIA compliant and publishes the HIA compliant manifest to the
Provincial XDS Registry.
PROVINCIAL XDS REGISTRY: Index, link and store HIA compliant manifest data - Upon successful registration in the Provincial XDS Registry,
the new report manifest is linked to the previous manifest. Together, all manifests represent and reference all DICOM objects that are part of the
study. No non-compliant data will be published to the Provincial XDS Registry.
As per the information provided by Kathleen Gorman, non-compliant “data needs to stay out of Netcare as per legislative requirements of HIA. If
HIA compliant data is already in Netcare and flagged as non-HIA compliant afterwards, there is not an expectation that the datasets will be pulled
back out from Netcare.
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HIA Compliance - Request DI Result
HEALTH SERVICES PROFESSIONAL: Request the results – Once the images and report are created and stored in the Regional Footprint
Repository and registered in the Provincial XDS Registry, the Health Services Professional (Referring Physician) can request reviewing the report
and images.
WADO: List the images – The WADO Retrieve (Web Access to DICOM Persistent Objects) will enable physicians to get access to their regional
repository without going to the Provincial XDS Registry. However, they will not have access to other repositories; if they need to retrieve DI
information from other repositories, they have to go through the Provincial XDS Registry. WADO must be cognizant to prevent the access to the
non-HIA compliant DI procedures.
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NOTE: Web Access to DICOM Persistent Objects (WADO) is a service enabling the Web Client System to retrieve DICOM Persistent Objects
managed by a Web Enable DICOM Server, thought HTTP/HTTPs protocol.
PROVINCIAL XDS REGISTRY: List the results– The Provincial XDS Registry lists images and reports requested by the Health Services
Professional and published to the Provincial XDS Registry. The Registry will not validate if the results are HIA compliant. It is assumed that only
HIA compliant data will ever be published to the Provincial XDS Registry.
NOTE: When a HIA compliant clinical dataset is sent to Netcare and then it is determined that the data is, for example WCB related, there is no
expectation that the dataset will be pulled from Netcare. This means that non-HIA compliant data can be in the Provincial XDS Registry. This data
will not be deprecated.
HEALTH SERVICES PROFESSIONAL: Review the results – The Health Services Professional (Referring Physician) can review the HIA
compliant report and images HIA compliant.
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Transaction Summary
Overview
This section provides detailed descriptions for ORM – Diagnostic Imaging Order Message, ACK –
Acknowledge message for the Diagnostic Imaging Order and ORU - Unsolicited Transmission of
a Diagnostic Imaging Observation Message. Each message specification will contain the
following sections:
Message Purpose
This section describes what task the message performs. It also explains the circumstances in
which the message should be used.
Message Rules
This section outlines specific business rules governing the message use and construction.
Transaction Messages
This section lists the HL7 message structures. For each message, the name of the message is
linked to the detailed message specification in Section E – Transaction Message Details.
Error Conditions
This section indicates any non-general messages that may apply to the implementation of the
message. Additional details on the error messages can be found in Section G - Error Conditions.
ORM-O01
Message Purpose
This message is used to transport electronic orders from a Community Health Facility to a
designated Radiology Facility. The message identifies the following key attributes:
The Healthcare Professional that order the diagnostic imaging examination
The patient who will receive the diagnostic imaging examination
The type of diagnostic imaging examination to perform
The radiology facility where the diagnostic imaging examination will be performed
Message Rules
This message is used to order only diagnostic imaging examinations
Transaction Messages
Send: ORM-O01
Response: ACK-O01
Error Conditions
None
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ACK-O01
Message Purpose
This message is used to acknowledge the receipt of the Diagnostic Imaging Examination order.
Message Rules
This message is used to acknowledge the receipt of the only Diagnostic Imaging Examination
order.
Transaction Messages
Send: ACK-O01
Response: None
Error Conditions
None
ORU-R01
Message Purpose
This message is used to transport electronic copies of Diagnostic Imaging Examinations from the
Radiology facility to a designated Regional Footprint Repository allowing authorized community
health facility to view diagnostic imagining examinations as required. This message supports
transmission of a new or updated diagnostic imaging examinations and status of the report.
The content of a document can be represented with one or more observation segments (OBX).
Where headings or separations naturally exist within the text, it is preferred that each of these
blocks be represented as a separate OBX record. Where systems are able to decompose the
text into separate medical concepts, the most atomic level of granularity of content should be
represented, ideally with each medical concept being represented in its own OBX segment.
Many of these concepts can be represented as coded entities.
Message Rules
This message is used to transport electronic copies of Diagnostic Imaging Examinations:
Transaction Messages
Send: ORU-R01
Response: None
Error Conditions
None
Transaction Message Details
Message Delimiters
In constructing a message, certain special characters are used. They are the segment
terminator, the field separator, the component separator, subcomponent separator, repetition
separator, and escape character.
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The segment terminator is always a carriage return (in ASCII, a hex 0D).
The other delimiters are defined in the MSH segment, with the field delimiter in the 4th character
position, and the other delimiters occurring as in the field called Encoding Characters, which is
the first field after the segment ID.
The delimiter values used in the MSH segment are the delimiter values used throughout the
entire message. In the absence of other considerations, HL7 recommends the suggested values
found in the table below.
Delimiter
Suggested
Encoding
Value
Character Position
Usage
Field Separator
|
-
Separates two adjacent data fields
within a segment. It also separates the
segment ID from the first data field in
each segment.
Component
Separator
^
1
Separates adjacent components of
data fields where allowed.
Subcomponent
Separator
&
4
Separates adjacent subcomponents of
data fields where allowed. If there are
no subcomponents, this character may
be omitted.
Repetition
Separator
~
2
Separates multiple occurrences of a
field where allowed.
Escape Character
\
3
Escape character for use with any field
represented by an ST, TX or FT data
type, or for use with the data (fourth)
component of the ED data type. If no
escape characters are used in a
message, this character may be
omitted. However, it must be present if
subcomponents are used in the
message.
At any given site, the subset of the possible delimiters may be limited by negotiations between
applications. This implies that the receiving applications will use the agreed upon delimiters, as
they appear in the Message Header segment (MSH), to parse the message.
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Message: DI Placer Order Management
(ORM - Order message)
Characteristics:
Profile Type:
Encoding Method:
Dynamic Profile:
Implementation
ER7
ROLE: Sender
ACCEPT ACKNOWLEDGEMENT: NE
APPLICATION ACKNOWLEDGEMENT: NE
ACKNOWLEDGEMENT MODE: NA
Message:
MESSAGE TYPE: ORM
TRIGGER EVENT: O01
MESSAGE STRUCTURE: ORM_O01
Grammar:
MSH PID PV1 [AL1] [ [ORC] OBR [NTE] ] [ FT1 ]
MSH - Message Header
(Usage: Required Cardinality:1..1)
The MSH segment defines the intent, source, destination, and some specifics of the syntax of a
message.
Seq.
1
2
3
3.1
4
4.1
4.2
4.3
5
5.1
6
6.1
6.2
6.3
7
7.1
9
9.1
9.2
10
11
11.1
12
12.1
Name
Field Separator
Encoding
Characters
Sending Application
Namespace ID
Sending Facility
Namespace ID
Universal ID
Universal ID Type
Receiving
Application
Namespace ID
Receiving Facility
Namespace ID
Universal ID
Universal ID Type
Date/Time Of
Message
Date/Time
Message Type
Message Type
Trigger Event
Message Control ID
Processing ID
Processing ID
Version ID
Version ID
Type
ST
ST
HD
IS
HD
IS
ST
ID
HD
IS
HD
IS
ST
ID
TS
NM
CM
ID
ID
ST
PT
ID
VID
ID
© 2008 Government of Alberta
Table
Len.
1
4
20
HL70301
15
36
6
20
HL70301
30
36
6
26
HL70076
HL70003
3
3
20
HL70103
1
HL70104
3
Opt.
R
R
Card.
1..1
1..1
RE
R
R
C
C
C
RE
0..1
1..1
1..1
0..1
0..1
0..1
0..1
R
R
C
C
C
R
1..1
1..1
0..1
0..1
0..1
1..1
R
R
R
R
R
R
R
R
R
1..1
1..1
1..1
1..1
1..1
1..1
1..1
1..1
1..1
Contents
|
^~\&
e.g. EMR
e.g. L
e.g. RIS
e.g. L
ORM
O01
P
2.3
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1. Field Separator
This field contains the separator between the segment ID and the first real field, MSH-2-encoding
characters. As such it serves as the separator and defines the character to be used as a
separator for the rest of the message. HISCA standard defines this character as: |. The receiving
application must use the character sent in this field as the delimiter to separate fields within a
segment.
2. Encoding Characters
This field contains the four characters in the following order: the component separator, repetition
separator, escape character, and subcomponent separator. HISCA standard defines the values
as: ^~\&. The receiving application must use the characters sent in this field as the delimiter to
separate field components, repeated components, escaping a character and subcomponent
separation.
3. Sending Application
This field contains the address of one of several occurrences of the same application within the
sending system.
3.1. Namespace ID
Note: Table values should be obtained from the RHA
4. Sending Facility
This field identifies the sending application among multiple identical instances of the application
running on behalf of different organizations.
4.1. Namespace ID
Note: Table values should be obtained from the RHA
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional.
4.2. Universal ID
This field may contain the DSR identifier plus DSR domain separated by a period. DSR domain is
fixed: ABDSRID
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional. If the third component is present, then the second must also be present (although in this
case the first is optional). The second and third components must either both be valued (both
non-null), or both be not valued (both null).
4.3. Universal ID Type
Identifies "Universal ID" as a locally defined coding scheme. The middle component's structure is
not defined by HL7 but by the site according to its own needs: the only requirement is that the
middle component's structure is allowed by the HL7 string (ST) data type.
Condition Predicate
If the third component is present, then the second must also be present. The second and third
components must either both be valued (both non-null), or both be not valued (both null).
5. Receiving Application
This field contains the address of one of several occurrences of the same application within the
receiving system.
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5.1. Namespace ID
Note: Table values should be obtained from the RHA
6. Receiving Facility
This field identifies the receiving application among multiple identical instances of the application
running on behalf of different organizations.
6.1. Namespace ID
Note: Table values should be obtained from the RHA
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional.
6.2. Universal ID
This field may contain the DSR identifier plus DSR domain separated by a period. DSR domain
is fixed: ABDSRID
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional. If the third component is present, then the second must also be present (although in this
case the first is optional). The second and third components must either both be valued (both
non-null), or both be not valued (both null).
6.3. Universal ID Type
Identifies "Universal ID" as a locally defined coding scheme. The middle component's structure is
not defined by HL7 but by the site according to its own needs: the only requirement is that the
middle component's structure is allowed by the HL7 string (ST) data type.
Condition Predicate
If the third component is present, then the second must also be present. The second and third
components must either both be valued (both non-null), or both be not valued (both null).
7. Date/Time of Message
This field contains the date/time that the sending system created the message. If the time zone is
specified, it will be used throughout the message as the default time zone.
7.1. Date/Time
Format: YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
9. Message Type
This field contains the message type and trigger event for the message.
9.1 Message Type
This field contains the message type for the message.
9.2 Trigger Event
This field contains the trigger event for the message.
10. Message Control ID
This field contains a Number or other identifier that uniquely identifies the message.
11. Processing ID
Processing mode defines whether the message is part of a production, training, or debugging
system
© 2008 Government of Alberta
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MAY 20, 2008
11.1 Processing ID
Fixed: P
12. Version ID
This field is matched by the receiving system to its own version to be sure the message will be
interpreted correctly.
12.1 Version ID
Fixed: 2.3
PID - Patient Identification
(Usage: Required Cardinality:1..1)
The PID segment is used as the primary means of communicating patient identification
information referenced in the accompanying report.
Seq.
1
2
2.1
2.4
2.4.1
3
3.1
4
4.1
4.4
4.4.1
5
5.1
5.2
5.3
7
7.1
8
13
13.1
18
18.1
29
29.1
30
Name
Set ID - PID
Patient ID
ID Number
Assigning Authority
Namespace ID
Patient Identifier List
ID Number
Alternate Patient ID - PID
ID number
Assigning Authority
Namespace ID
Patient Name
Family Name
Given Name
Middle Initial or Name
Date/Time of Birth
Date/Time
Administrative Sex
Phone Number - Home
Telephone Number
Patient Account Number
ID Number
Patient Death Date and
Time
Date/Time
Patient Death Indicator
Type
SI
CX
ST
HD
IS
CX
ST
CX
ST
HD
IS
XPN
ST
ST
ST
TS
NM
IS
XTN
ST
CX
ST
TS
NM
ID
Table
Len.
4
16
HL70363
99-0001
2
15
15
HL70363
99-0001
2
50
50
50
HL70001
26
1
40
12
HL70136
26
1
Opt.
RE
RE
R
R
R
R
R
RE
R
R
R
R
R
RE
RE
R
R
R
RE
R
RE
R
RE
Card.
0..1
0..1
1..1
1..1
1..1
1..1
1..1
0..1
1..1
1..1
1..1
1..1
1..1
0..1
0..1
1..1
1..1
1..1
0..1
1..1
0..1
1..1
0..1
R
CE
1..1
0..1
Contents
e.g. AB
e.g. BC
1. Set ID - PID
This field contains the Number that identifies this transaction.
2. Patient ID
This field contains the Alberta Unique Lifetime Identifier (ULI).
2.1. ID Number
ULI value.
2.4.1. Namespace ID
The mnemonic of the province of Alberta “AB”
© 2008 Government of Alberta
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EXTERNAL
MAY 20, 2008
3. Patient Identifier List
This field may contain the facility's patient identifier.
3.1. ID Number
Identifier (Alpha and/or numeric up to 15 characters in length)
4. Alternate Patient ID - PID
This field may contain the community patient identifier or out-of-province identifier.
4.1. ID Number
Identifier (Alpha and/or numeric up to 15 characters in length)
4.4. Assigning Authority
The mnemonic of the province assigning the out-of-province identifier
4.4.1. Namespace ID
e.g. “BC”
5. Patient Name
Patient name
5.1. Family Name
This component contains the Family Name alone.
5.2. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
5.3. Middle Initial or Name
This component may contain the middle initial or middle name only.
7. Date/Time of Birth
Date the patient was born.
7.1 Date/Time
Format: YYYYMMDD
8. Administrative Sex
This field indicates the gender of the associated patient.
13. Phone Number - Home
If available, this field will contain the patient's home phone number.
13.1. Telephone Number
Format: [NNN] [(999)]999-9999 [X99999] [B99999] [C any text]
18. Patient Account Number
This field contains the Patient Account Number assigned by accounting to which all charges,
payments, etc., are recorded. It is used to identify the patient's account.
18.1. ID Number
e.g. AA1234567890
29. Patient Death Date and Time
© 2008 Government of Alberta
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EXTERNAL
MAY 20, 2008
Date and time the patient died.
29.1. Date/Time
Format: YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
30. Patient Death Indicator
Yes/No indicator.
Rule: If PID-29 is valued, then this field must be set to “Y”
PV1 - Patient Visit
(Usage: Required Cardinality:1..1)
The PV1 segment is used to communicate information on the encounter documented for the
accompanying order.
Seq.
1
2
3
3.1
3.4
3.4.1
3.4.2
3.4.3
7
7.1
7.2
7.3
7.4
7.8
8
8.1
8.2
8.3
8.4
8.8
9
9.1
9.2
9.3
9.4
9.8
15
17
17.1
17.2
17.3
17.4
17.8
19
19.1
52
52.1
52.2
Name
Set ID - PV1
Patient Class
Assigned Patient Location
Point of Care
Facility
Namespace ID
Universal ID
Universal ID Type
Attending Doctor
ID Number
Family Name
Given Name
Middle Initial or Name
Source Table
Referring Doctor
ID Number
Family Name
Given Name
Middle Initial or Name
Source Table
Consulting Doctor
ID Number
Family Name
Given Name
Middle Initial or Name
Source Table
Ambulatory Status
Admitting Doctor
ID Number
Family Name
Given Name
Middle Initial or Name
Source Table
Visit Number
ID number
Other Healthcare Provider
ID Number
Family Name
© 2008 Government of Alberta
Type
SI
IS
PL
IS
HD
IS
ST
ID
XCN
ST
ST
ST
ST
ID
XCN
ST
ST
ST
ST
ID
XCN
ST
ST
ST
ST
ID
IS
XCN
ST
ST
ST
ST
ID
CX
ST
XCN
ST
ST
Table
HL70004
Len.
4
1
20
HL70301
30
36
6
15
50
50
50
30
15
50
50
50
30
HL70009
15
50
50
50
30
2
15
50
50
50
30
15
15
50
Opt.
RE
R
RE
RE
RE
CE
CE
C
RE
R
R
RE
RE
R
RE
R
R
RE
RE
R
RE
R
R
RE
RE
R
RE
RE
R
R
RE
RE
R
RE
R
RE
R
R
Card.
0..1
1..1
0..1
0..1
0..1
0..1
0..1
0..1
0..1
1..1
1..1
0..1
0..1
1..1
0..1
1..1
1..1
0..1
0..1
1..1
0..1
1..1
1..1
0..1
0..1
1..1
0..1
0..1
1..1
1..1
0..1
0..1
1..1
0..1
1..1
0..1
1..1
1..1
Contents
e.g. A
e.g. L
e.g. B6
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52.3
Given Name
ST
50
52.4
Middle Initial or Name
ST
50
52.8
Source Table
ID
30
1. Set ID - PV1
This field contains the Number that identifies this transaction.
EXTERNAL
MAY 20, 2008
RE
RE
R
0..1
0..1
1..1
2. Patient Class
Note: Local codes added to the table. A=Ambulatory Outpatient (Capital Health, Calgary Health
Region), M=Emergency (Calgary Health Region), K=30 Day Outpatient Visit (Calgary Health
Region)
3. Assigned Patient Location
This field contains the patient's location where the encounter occurred.
3.1. Point of Care
This field contains the defined patient location at the time of the encounter. Note: Table values
should be obtained from the RHA.
3.4. Facility
Facility defining the point of care value.
3.4.1. Namespace ID
Note: Table values should be obtained from the RHA
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional.
3.4.2. Universal ID
This field may contain the DSR identifier plus DSR domain separated by a period. DSR domain is
fixed: ABDSRID
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional. If the third component is present, then the second must also be present (although in this
case the first is optional). The second and third components must either both be valued (both
non-null), or both be not valued (both null).
3.4.3. Universal ID Type
Identifies "Universal ID" as a locally defined coding scheme. The middle component's structure is
not defined by HL7 but by the site according to its own needs: the only requirement is that the
middle component's structure is allowed by the HL7 string (ST) data type.
Condition Predicate
If the third component is present, then the second must also be present. The second and third
components must either both be valued (both non-null), or both be not valued (both null).
7. Attending Doctor
This field may contain the defined Provider ID and name of the attending doctor if these elements
are available.
7.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
7.2. Family Name
This component contains the Family Name alone.
© 2008 Government of Alberta
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MAY 20, 2008
7.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
7.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
7.8. Source Table
This field contains the identification of the organization responsible for assigning the "attending
doctor" identifier.
8. Referring Doctor
This field may contain the defined Provider ID and name of the referring doctor if these elements
are available.
8.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
8.2. Family Name
This component contains the Family Name alone.
8.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
8.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
8.8. Source Table
This field contains the identification of the organization responsible for assigning the "referring
doctor" identifier.
9. Consulting Doctor
This field may contain the defined Provider ID and name of the consulting doctor if these
elements are available.
9.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
9.2. Family Name
This component contains the Family Name alone.
9.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
9.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
9.8. Source Table
This field contains the identification of the organization responsible for assigning the "consulting
doctor" identifier.
© 2008 Government of Alberta
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MAY 20, 2008
15. Ambulatory Status
"B6" must be mapped to DICOM enumerated value "3" (definitely pregnant)
17. Admitting Doctor
This field may contain the defined Provider ID and name of the admitting doctor if these elements
are available.
17.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
17.2. Family Name
This component contains the Family Name alone.
17.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
17.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
17.8. Source Table
This field contains the identification of the organization responsible for assigning the "admitting
doctor" identifier.
19. Visit Number
This field contains the unique Number assigned to each patient visit.
19.1. ID Number
E.g. UAH-23456798
52. Other Healthcare Provider
This field may contain the defined Provider ID and name of the resident doctor if these elements
are available. Note: Table values should be obtained from the RHA.
52.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
52.2. Family Name
This component contains the Family Name alone.
52.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen"
52.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
52.8. Source Table
This field contains the identification of the organization responsible for assigning the referring
doctor identifier. Note: Table values should be obtained from the RHA.
AL1 - Patient allergy information
(Usage: Cardinality: 0..20 )
The AL1 segment contains patient allergy information of various types.
© 2008 Government of Alberta
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MAY 20, 2008
Seq.
1
2
3
Name
Type Table
Len. Opt. Card. Contents
Set ID - AL1
SI
4
RE
0..1
Allergy Type
ID
HL70127 2
RE
0..1
e.g. DA
Allergy Code/Mnemonic/
CE
R
1..1
Description
3.1
Identifier
ST
20
R
1..1
3.2
Text
ST
199
R
1..1
3.3
Name of Coding System
ST
10
R
1..1
4
Allergy Severity
ID
HL70128 2
RE
0..1
e.g. SV
5
Allergy Reaction
ST
15
RE
0..1
1. Set ID - AL1
This field contains the Number that identifies this transaction. For the first occurrence of the
segment, the sequence Number shall be one, for the second occurrence, the sequence Number
shall be two, etc.
2. Allergy Type
This field indicates a general allergy category (drug, food, pollen, etc.).
3. Allergy Code/Mnemonic/ Description
This field uniquely identifies a particular allergen. This element may conform to some external,
standard coding system (that must be identified), or it may conform to local, largely textual or
mnemonic descriptions.
4. Allergy Severity
This field indicates the general severity of the allergy.
5. Allergy Reaction
This field identifies the specific allergic reaction that was documented. This element may conform
to some external, standard coding system, or it may conform to a local, largely textual or
mnemonic descriptions (e.g., convulsions, sneeze, rash, etc.).
<ORDER - ORDER >
(Usage: Required Cardinality:1..1)
ORC - Common Order
(Usage: Cardinality: 0..1 )
The Common Order segment (ORC) is used to transmit fields that are common to all orders (all
types of services that are requested). The ORC segment is required in the Order (ORM)
message.
Seq.
1
Name
Order
Control
Type
ID
Table
HL70119
Len.
2
Opt.
R
Card.
1..1
Contents
e.g. NW
1. Order Control
The Order Control identifier field determines the function of the order segment. The field may be
considered as the trigger event identifier for orders. The codes fall into 3 categories:
event request,
event acknowledgement and
event notification.
OBR - Observation Request
(Usage: Required Cardinality:1..1)
The Observation Request (OBR) segment is used to transmit information specific to an order for
a diagnostic study.
Seq.
1
2
Name
Set ID - OBR
Placer Order
© 2008 Government of Alberta
Type
SI
EI
Table
Len.
4
Opt.
RE
RE
Card.
0..1
0..1
Contents
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2.1
2.2
4
4.1
4.2
4.3
4.4
4.5
4.6
12
12.1
12.2
12.3
13
15
15.4
15.4.1
15.4.2
15.4.3
15.5
15.5.1
15.5.2
15.5.3
16
16.1
16.2
16.3
16.4
16.8
18
19
27
27.6
28
28.1
28.2
28.3
28.4
28.8
29
29.1
Number
Entity Identifier
Namespace ID
Universal Service
Identifier
Identifier
Text
Name of Coding
System
Alternate Identifier
Alternate Text
Name of Alternate
Coding System
Danger Code
Identifier
Text
Name of Coding
System
Relevant Clinical
Information
Specimen Source
Body Site
Identifier
Text
Name of Coding
System
Site Modifier
Identifier
Text
Name of Coding
System
Ordering Provider
ID Number (ST)
Family Name
Given Name
Middle Initial or
Name
Source Table
Placer Field 1
Placer Field 2
Quantity/Timing
Priority
Result Copies To
ID Number (ST)
Family Name
Given Name
Middle Initial or
Name
Source Table
Parent
Placer Assigned
Identifier
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
ST
IS
CE
55
44
RE
RE
R
0..1
0..1
1..1
ST
ST
ID
15
60
10
R
R
R
1..1
1..1
1..1
ST
ST
ID
15
60
10
RE
RE
RE
0..1
0..1
0..1
CE
ST
ST
ID
30
199
20
RE
RE
R
RE
0..1
0..1
1..1
0..1
300
RE
0..1
20
199
RE
RE
R
RE
0..1
0..1
1..1
0..1
20
R
1..1
e.g. LLAQ
e.g. Left Lower Abd
Quadrant
e.g. HL70163
20
199
20
RE
R
RE
R
0..1
1..1
0..1
1..1
e.g. UPP
e.g. Upper
e.g. HL70495
15
50
50
50
R
R
R
RE
RE
1..1
1..1
1..1
0..1
0..1
R
RE
RE
RE
R
RE
R
R
RE
RE
1..1
0..1
0..1
0..1
1..1
0..5
1..1
1..1
0..1
0..1
R
RE
RE
1..1
0..1
0..1
HL70396
HL70396
ST
SPS
CWE
ST
ST
HL70163
ID
HL70396
CWE
ST
ST
ID
HL70495
XCN
ST
ST
ST
ST
HL70396
ID
ST
ST
TQ
ST
XCN
ST
ST
ST
ST
4
60
60
ID
EIP
EI
4
15
15
50
50
50
e.g. HISCA, CPEL,
Schedule of Medical
Benefits
e.g. STAT
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29.1.1
29.1.2
Entity Identifier
Namespace ID
ST
IS
HL70363
55
44
EXTERNAL
MAY 20, 2008
R
RE
1..1
0..1
1. Set ID - OBR
For the first order transmitted, the sequence Number shall be 1; for the second order, it shall be
2; and so on.
2. Placer Order Number
This field contains the Placer Order Number.
4. Universal Service Identifier
This field contains the identifier code for the requested diagnostic study.
12. Danger Code
This field contains the code and/or text indicating any known or suspected patient or specimen
hazards, e.g., patient with active tuberculosis or blood from a hepatitis patient.
13. Relevant Clinical Information
OBR-13 Relevant Clinical Info shall be populated if patient record contains any medical alerts that
may be relevant to the order and, in particular, need to be communicated to the technologist.
15.4. Body Site
The fourth component specifies the body site from which the specimen was obtained, and the fifth
is the site modifier.
15.5. Site Modifier
The site modifier can be use hold the laterality (right/left) indicator.
16.8. Source Table
RHA defined
18. Placer Field 1
This field is user field #1. Text sent by the placer will be returned with the results.
19. Placer Field 2
This field is user field #2. Text sent by the placer will be returned with the results.
27.6. Priority
This field is used to identify the priority of the associated order.
28. Result Copies To
This field identifies the people who are to receive copies of the results.
28.8. Source Table
RHA defined
29. Parent
This field contains the order number of the parent order.
NTE - Notes and Comments
(Usage: Cardinality:0..1)
The NTE segment is a common format for sending notes and comments.
Seq.
1
2
Name
Set ID - NTE
Source of
Type
SI
ID
© 2008 Government of Alberta
Table
HL70105
Len.
4
8
Opt.
RE
RE
Card.
0..1
0..1
Contents
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3
Comment
Comment
FT
65536
R
EXTERNAL
MAY 20, 2008
1..1
1. Set ID
This field is used to identify sequence of notes. One note may be created for an order
2. Source of Comment
This field is used when source of comment must be identified. This table may be extended locally
during implementation.
3. Comment
This field contains the comment or note
<End ORDER>
FT1 - Financial Transaction
(Usage: Required Cardinality:0..1)
The FT1 segment contains the detail data necessary to post charges, payments, adjustments,
etc. to patient accounting records. This segment is being used as a proxy to identify electronic
health records that are HIA compliant.
Seq.
14
14.1
14.2
Name
Insurance Plan
ID
Identifier
Text
Type
CE
ST
ST
Table
HL70072
Len.
72
Opt.
R
Card.
1..1
Contents
10
50
R
R
1..1
1..1
e.g. AHW
e.g. Alberta Health and
Wellness
14. Insurance Plan ID
This field contains the identifier of the primary insurance plan with which this transaction should
be associated.
© 2008 Government of Alberta
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MAY 20, 2008
Message: DI Placer Order Management (Acknowledge)
(ACK - Order message Acknowledge)
Characteristics:
Profile Type:
Implementation
Encoding Method:
ER7
Dynamic Profile:
ROLE: Receiver
ACCEPT ACKNOWLEDGEMENT: NE
APPLICATION ACKNOWLEDGEMENT: NE
ACKNOWLEDGEMENT MODE: NA
Message:
MESSAGE TYPE: ACK
TRIGGER EVENT: O01
MESSAGE STRUCTURE: ACK
Grammar:
MSH MSA
MSH - Message Header
(Usage: Required Cardinality:1..1)
The MSH segment defines the intent, source, destination, and some specifics of the syntax of a
message.
Seq.
Name
Type
1
Field Separator
2
Len.
Opt.
Card.
Contents
ST
1
R
1..1
|
Encoding
Characters
ST
4
R
1..1
^~\&
3
Sending Application
HD
RE
0..1
e.g. RIS
3.1
Namespace ID
IS
R
1..1
4
Sending Facility
HD
R
1..1
4.1
Namespace ID
IS
15
C
0..1
4.2
Universal ID
ST
36
C
0..1
4.3
Universal ID Type
ID
6
C
0..1
e.g. L
5
Receiving
Application
HD
RE
0..1
e.g. EMR
5.1
Namespace ID
IS
R
1..1
6
Receiving Facility
HD
R
1..1
6.1
Namespace ID
IS
C
0..1
© 2008 Government of Alberta
Table
20
HL70301
20
30
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Seq.
Name
Type
Table
6.2
Universal ID
ST
6.3
Universal ID Type
ID
7
Date/Time of
Message
TS
7.1
Date/Time
NM
9
Message Type
CM
9.1
Message Type
ID
HL70076
9.2
Trigger Event
ID
HL70003
10
Message Control ID
ST
11
Processing ID
PT
11.1
Processing ID
ID
12
Version ID
VID
12.1
Version ID
ID
HL70301
Len.
Opt.
Card.
36
C
0..1
6
C
0..1
R
1..1
R
1..1
R
1..1
3
R
1..1
ACK
3
R
1..1
O01
20
R
1..1
R
1..1
R
1..1
R
1..1
R
1..1
26
HL70103
HL70104
EXTERNAL
MAY 20, 2008
1
3
Contents
e.g. L
P
2.3
1. Field Separator
This field contains the separator between the segment ID and the first real field, MSH-2-encoding
characters. As such it serves as the separator and defines the character to be used as a
separator for the rest of the message. HISCA standard defines this character as: |. The receiving
application must use the character sent in this field as the delimiter to separate fields within a
segment.
2. Encoding Characters
This field contains the four characters in the following order: the component separator, repetition
separator, escape character, and subcomponent separator. HISCA standard defines the values
as: ^~\&. The receiving application must use the characters sent in this field as the delimiter to
separate field components, repeated components, escaping a character and subcomponent
separation.
3. Sending Application
This field uniquely identifies the sending application among all other applications within the
network enterprise. The network enterprise consists of all those applications that participate in the
exchange of HL7 messages within the enterprise. RHA defined (see 3.1 namespace ID)
3.1. Namespace ID
Note: Table values should be obtained from the RHA
4. Sending Facility
This field identifies the sending application among multiple identical instances of the application
running on behalf of different organizations.
4.1. Namespace ID
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Note: Table values should be obtained from the RHA
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional.
4.2. Universal ID
This field may contain the DSR identifier plus DSR domain separated by a period. DSR domain is
fixed: ABDSRID
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional. If the third component is present, then the second must also be present (although in this
case the first is optional). The second and third components must either both be valued (both
non-null), or both be not valued (both null).
4.3. Universal ID Type
Identifies "Universal ID" as a locally defined coding scheme. The middle component's structure is
not defined by HL7 but by the site according to its own needs: the only requirement is that the
middle component's structure is allowed by the HL7 string (ST) data type.
Condition Predicate
If the third component is present, then the second must also be present. The second and third
components must either both be valued (both non-null), or both be not valued (both null).
5. Receiving Application
This field uniquely identifies the receiving application among all other applications within the
network enterprise. The network enterprise consists of all those applications that participate in the
exchange of HL7 messages within the enterprise. RHA defined (see 5.1 namespace ID)
5.1. Namespace ID
Note: Table values should be obtained from the RHA
6. Receiving Facility
This field identifies the receiving application among multiple identical instances of the application
running on behalf of different organizations. RHA defined (see 6.1 Namespace ID)
6.1. Namespace ID
Note: Table values should be obtained from the RHA
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional.
6.2. Universal ID
This field may contain the DSR identifier plus DSR domain separated by a period. DSR domain
is fixed: ABDSRID
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional. If the third component is present, then the second must also be present (although in this
case the first is optional). The second and third components must either both be valued (both
non-null), or both be not valued (both null).
6.3. Universal ID Type
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Identifies "Universal ID" as a locally defined coding scheme. The middle component's structure is
not defined by HL7 but by the site according to its own needs: the only requirement is that the
middle component's structure is allowed by the HL7 string (ST) data type.
Condition Predicate
If the third component is present, then the second must also be present. The second and third
components must either both be valued (both non-null), or both be not valued (both null).
7. Date/Time of Message
This field contains the date/time that the sending system created the message. If the time zone is
specified, it will be used throughout the message as the default time zone.
7.1. Date/Time
Format: YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
9. Message Type
This field contains the message type and trigger event for the message.
9.1 Message Type
This field contains the message type for the message.
9.2 Trigger Event
This field contains the trigger event for the message.
10. Message Control ID
This field contains a number or other identifier that uniquely identifies the message.
11.1 Processing ID
Fixed: P
12. Version ID
This field is matched by the receiving system to its own version to be sure the message will be
interpreted correctly.
12.1 Version ID
Fixed: 2.3
MSA - Message acknowledgement segment
(Usage: Required Cardinality:1..1)
The MSA segment contains information sent while acknowledging another message.
Seq.
1
2
6
6.1
6.2
Name
Acknowledgement
Code
Message Control ID
Error Condition
Identifier
Text
Type
ID
ST
CE
ST
ST
Table
HL70008
Len.
2
Opt.
R
Card.
1..1
20
R
RE
R
RE
1..1
0..1
1..1
0..1
20
199
Contents
1. Acknowledgment Code
This field contains an acknowledgment code indicating whether the message being replied to be
processed successfully, contained logic errors, or was unable to be processed. AA indicates that
the application successfully processed the message. AE indicates that the message was
processed, but the system determined an error (insufficient authority, invalid date). These errors
can sometimes be fixed by user intervention (e.g. Specify the required field, switch to different
user to submit). In other situations, they indicate a problem with the design of the transmitting
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software. Inspection of the ERR segment(s) returned in responses with an AE acknowledgement
will help to understand the context and possible resolution for the error. AR indicates the system
was unable to process the message (database down, etc.). These errors may indicate a problem
with the design of the transmitting software, a server problem, or a communication error (i.e.
temporary network outage). Requests producing an AR response may be successfully
retransmitted at a later time only if the error was caused by a recoverable problem - such as a
temporary subsystem failure or a temporary communication failure.
2. Message Control ID
ID of the message the response relates to. This will be the same as the MSH.10 (Message
Control ID) field of the MSH segment that this message is responding to.
6. Error Condition
This field allows the acknowledging system to use a user-defined error code to further specify AR
or AE type acknowledgments.
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Message: DI Unsolicited Observation Message
(ORU/ACK - Unsolicited transmission of an observation message)
Characteristics:
Profile Type:
Encoding Method:
Implementation
ER7
Dynamic Profile:
ROLE: Sender
ACCEPT ACKNOWLEDGEMENT: NE
APPLICATION ACKNOWLEDGEMENT: NE
ACKNOWLEDGEMENT MODE: NA
Message:
MESSAGE TYPE: ORU
TRIGGER EVENT: R01
MESSAGE STRUCTURE: ORM_R01
Grammar:
MSH PID PV1 [ORC] OBR {[OBX]} [ FT1 ] ZDS
MSH - Message Header
(Usage: Required Cardinality:1..1)
The MSH segment defines the intent, source, destination, and some specifics of the syntax of a
message.
Seq.
Name
Type
1
Field Separator
2
Len.
Opt.
Card.
Contents
ST
1
R
1..1
|
Encoding
Characters
ST
4
R
1..1
^~\&
3
Sending Application
HD
RE
0..1
3.1
Namespace ID
IS
R
1..1
4
Sending Facility
HD
R
1..1
4.1
Namespace ID
IS
15
C
0..1
4.2
Universal ID
ST
36
C
0..1
4.3
Universal ID Type
ID
6
C
0..1
5
Receiving
Application
HD
RE
0..1
5.1
Namespace ID
IS
R
1..1
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Table
20
HL70301
20
e.g. RIS
e.g. L
e.g. EHR
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Seq.
Name
Type
Table
6
Receiving Facility
HD
6.1
Namespace ID
IS
6.2
Universal ID
ST
6.3
Universal ID Type
ID
7
Date/Time Of
Message
TS
7.1
Date/Time
NM
9
Message Type
CM
9.1
Message Type
ID
HL70076
9.2
Trigger Event
ID
HL70003
10
Message Control ID
ST
11
Processing ID
PT
11.1
Processing ID
ID
12
Version ID
ID
12.1
Version ID
ID
HL70301
Len.
Opt.
Card.
R
1..1
30
C
0..1
36
C
0..1
6
C
0..1
R
1..1
R
1..1
R
1..1
3
R
1..1
ORU
3
R
1..1
R01
20
R
1..1
R
1..1
R
1..1
R
1..1
R
1..1
26
HL70103
HL70104
EXTERNAL
MAY 20, 2008
1
3
Contents
e.g. L
P
2.3
1. Field Separator
This field contains the separator between the segment ID and the first real field, MSH-2-encoding
characters. As such it serves as the separator and defines the character to be used as a
separator for the rest of the message. HISCA standard defines this character as: |. The receiving
application must use the character sent in this field as the delimiter to separate fields within a
segment.
2. Encoding Characters
This field contains the four characters in the following order: the component separator, repetition
separator, escape character, and subcomponent separator. HISCA standard defines the values
as: ^~\&. The receiving application must use the characters sent in this field as the delimiter to
separate field components, repeated components, escaping a character and subcomponent
separation. For DI implementation, it is suggested that "&" be replaced by "$" in messages that
include the use of "&" in OBX 5.
3. Sending Application
This field uniquely identifies the sending application among all other applications within the
network enterprise. The network enterprise consists of all those applications that participate in the
exchange of HL7 messages within the enterprise.
3.1. Namespace ID
Note: Table values should be obtained from the RHA
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4. Sending Facility
This field contains the address of one of several occurrences of the same application within the
sending system.
4.1. Namespace ID
Note: Table values should be obtained from the RHA
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional.
4.2. Universal ID
This field may contain the DSR identifier plus DSR domain separated by a period. DSR domain is
fixed: ABDSRID
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional. If the third component is present, then the second must also be present (although in this
case the first is optional). The second and third components must either both be valued (both
non-null), or both be not valued (both null).
4.3. Universal ID Type
Identifies "Universal ID" as a locally defined coding scheme. The middle component's structure is
not defined by HL7 but by the site according to its own needs: the only requirement is that the
middle component's structure is allowed by the HL7 string (ST) data type.
Condition Predicate
If the third component is present, then the second must also be present. The second and third
components must either both be valued (both non-null), or both be not valued (both null).
5. Receiving Application
This field contains the address of one of several occurrences of the same application within the
receiving system.
5.1. Namespace ID
Note: Table values should be obtained from the RHA
6. Receiving Facility
This field identifies the receiving application among multiple identical instances of the application
running on behalf of different organizations.
6.1. Namespace ID
Table values should be obtained from the RHA
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional.
6.2. Universal ID
This field may contain the DSR identifier plus DSR domain separated by a period. DSR domain
is fixed: ABDSRID
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional. If the third component is present, then the second must also be present (although in this
case the first is optional). The second and third components must either both be valued (both
non-null), or both be not valued (both null).
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6.3. Universal ID Type
Identifies "Universal ID" as a locally defined coding scheme. The middle component's structure is
not defined by HL7 but by the site according to its own needs: the only requirement is that the
middle component's structure is allowed by the HL7 string (ST) data type.
Condition Predicate
If the third component is present, then the second must also be present. The second and third
components must either both be valued (both non-null), or both be not valued (both null).
7. Date/Time of Message
This field contains the date/time that the sending system created the message. If the time zone is
specified, it will be used throughout the message as the default time zone.
7.1. Time
Format: YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
9. Message Type
This field contains the message type and trigger event for the message.
9.1 Message Type
This field contains the message type for the message.
9.2 Trigger Event
This field contains the trigger event for the message.
10. Message Control ID
This field contains a number or other identifier that uniquely identifies the message.
11. Processing ID
Processing mode defines whether the message is part of a production, training, or debugging
system
11.1 Processing ID
Fixed: P
12. Version ID
This field is matched by the receiving system to its own version to be sure the message will be
interpreted correctly.
12.1 Version ID
Fixed: 2.3
PID - Patient Identification
(Usage: Required Cardinality:1..1)
The PID segment is used as the primary means of communicating patient identification
information referenced in the accompanying report.
Seq.
Name
Type
1
Set ID - PID
SI
2
Patient ID
CX
2.1
ID Number
ST
© 2008 Government of Alberta
Table
Len.
Opt.
Card.
4
RE
0..1
RE
0..1
R
1..1
16
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Seq.
Name
Type
Table
2.4
Assigning Authority
HD
HL70363
2.4.1
Namespace ID
IS
99-0001
3
Patient Identifier List
CX
3.1
ID Number
ST
4
Alternate Patient ID - PID
CX
4.1
ID Number
ST
4.4
Assigning Authority
HD
HL70363
4.4.1
Namespace ID
IS
99-0001
5
Patient Name
XPN
5.1
Family Name
ST
5.2
Given Name
5.3
Len.
EXTERNAL
MAY 20, 2008
Opt.
Card.
R
1..1
R
1..1
R
1..1
R
1..1
RE
0..1
R
1..1
R
1..1
R
1..1
R
1..1
50
R
1..1
ST
50
RE
0..1
Middle Initial or Name
ST
50
RE
0..1
7
Date of Birth
TS
R
1..1
7.1
Date/Time
NM
26
R
1..1
8
Administrative Sex
IS
1
R
1..1
13
Phone Number - Home
XTN
RE
0..1
13.1
Telephone Number
ST
R
1..1
18
Patient Account Number
CX
RE
0..1
18.1
ID Number
ST
R
1..1
29
Patient Death Date and
Time
TS
RE
0..1
29.1
Date/Time
NM
26
R
1..1
30
Patient Death Indicator
ID
1
CE
0..1
2
15
15
HL70001
2
40
12
HL70136
Contents
e.g. AB
e.g. BC
1. Set ID - PID
This field contains the number that identifies this transaction.
2. Patient ID
This field contains the Alberta Unique Lifetime Identifier (ULI)
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2.1. ID Number
ULI value
2.4.1. Namespace ID
The mnemonic of the province of Alberta “AB”
3. Patient Identifier List
This field contains the facility's patient identifier.
3.1. ID Number
Identifier (Alpha and/or numeric up to 15 characters in length)
4. Alternate Patient ID - PID
This field may contain the community patient identifier or out-of-province identifier.
4.1. ID Number
Identifier (Alpha and/or numeric up to 15 characters in length)
4.4. Assigning Authority
The mnemonic of the province assigning the out-of-province identifier
4.4.1. Namespace ID
e.g. “BC”
5. Patient Name
Patient name
5.1. Family Name
This component contains the Family Name alone.
5.2. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
5.3. Middle Initial or Name
This component may contain the middle initial or middle name only.
7. Date of Birth
Date the patient was born.
7.1 Date/Time
Format: YYYYMMDD
8. Administrative Sex
This field indicates the gender of the associated patient.
13. Phone Number - Home
If available, this field will contain the patient's home phone number.
13.1. Telephone Number
Format: [NNN] [(999)]999-9999 [X99999] [B99999] [C any text]
18. Patient Account Number
This field contains the Patient Account Number assigned by accounting to which all charges,
payments, etc., are recorded. It is used to identify the patient's account
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18.1. ID Number
e.g. AA1234567890
29. Patient Death Date and Time
Date and time the patient died.
29.1. Date/Time
Format: YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
30. Patient Death Indicator
Yes/No indicator.
Rule: If PID-29 is valued, then this field must be set to “Y”.
PV1 - Patient Visit
(Usage: Required Cardinality:1..1)
The PV1 segment is used to communicate information on the encounter documented for the
accompanying order.
Seq.
Name
Type
1
Set ID - PV1
SI
2
Patient Class
IS
3
Assigned Patient
Location
PL
3.1
Point of Care
IS
3.4
Facility
HD
3.4.1
Namespace ID
IS
3.4.2
Universal ID
ST
3.4.3
Universal ID Type
ID
7
Attending Doctor
XCN
7.1
ID Number
ST
7.2
Family Name
7.3
Len.
Opt.
Card.
4
RE
0..1
1
R
1..1
RE
0..1
RE
0..1
RE
0..1
30
CE
0..1
36
CE
0..1
6
CE
0..1
RE
0..1
15
R
1..1
ST
50
R
1..1
Given Name
ST
50
RE
0..1
7.4
Middle Initial or Name
ST
50
RE
0..1
7.8
Source Table
ID
30
R
1..1
8
Referring Doctor
XCN
RE
0..1
8.1
ID Number
ST
15
R
1..1
8.2
Family Name
ST
50
R
1..1
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Table
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20
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e.g. L
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Seq.
Name
Type
8.3
Given Name
8.4
Len.
Opt.
Card.
ST
50
RE
0..1
Middle Initial or Name
ST
50
RE
0..1
8.8
Source Table
ID
30
R
1..1
9
Consulting Doctor
XCN
RE
0..1
9.1
ID Number
ST
15
R
1..1
9.2
Family Name
ST
50
R
1..1
9.3
Given Name
ST
50
RE
0..1
9.4
Middle Initial or Name
ST
50
RE
0..1
9.8
Source Table
ID
30
R
1..1
17
Admitting Doctor
XCN
RE
0..1
17.1
ID Number
ST
15
R
1..1
17.2
Family Name
ST
50
R
1..1
17.3
Given Name
ST
50
RE
0..1
17.4
Middle Initial or Name
ST
50
RE
0..1
17.8
Source Table
ID
30
R
1..1
19
Visit Number
CX
RE
0..1
19.1
ID Number
ST
R
1..1
44
Admit Date/Time
TS
RE
0..1
44.1
Date/Time
NM
R
1..1
45
Discharge Date/Time
TS
RE
0..1
45.1
Date/Time
NM
R
1..1
52
Other Healthcare
Provider
XCN
RE
0..1
52.1
ID Number
ST
15
R
1..1
52.2
Family Name
ST
50
R
1..1
52.3
Given Name
ST
50
RE
0..1
52.4
Middle Initial or Name
ST
50
RE
0..1
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Table
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MAY 20, 2008
15
26
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Seq.
Name
Type
52.8
Source Table
ID
Table
EXTERNAL
MAY 20, 2008
Len.
Opt.
Card.
30
R
1..1
Contents
1. Set ID - PV1
This field contains the number that identifies this transaction.
2. Patient Class
Note: Local codes added to the table. A=Ambulatory Outpatient (Capital Health, Calgary Health
Region), M=Emergency (Calgary Health Region), K=30 Day Outpatient Visit (Calgary Health
Region)
3. Assigned Patient Location
This field contains the patient's location where the encounter occurred.
3.1. Point of Care
This field contains the defined patient location at the time of the encounter. Note: Table values
should be obtained from the RHA.
3.4. Facility
Facility defining the point of care value.
3.4.1. Namespace ID
Table values should be obtained from the RHA
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional.
3.4.2. Universal ID
DSR identifier plus DSR domain separated by a period. DSR domain is fixed: ABDSRID
Condition Predicate
If the first component for the HD data type is present, the second and third components are
optional. If the third component is present, then the second must also be present (although in this
case the first is optional). The second and third components must either both be valued (both
non-null), or both be not valued (both null).
3.4.3. Universal ID type
Identifies "Universal ID" as a locally defined coding scheme.
Condition Predicate
If the third component is present, then the second must also be present. The second and third
components must either both be valued (both non-null), or both be not valued (both null).
7. Attending Doctor
This field may contain the defined Provider ID and name of the attending doctor if these elements
are available. Note: Table values should be obtained from the RHA.
7.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
7.2. Family Name
This component contains the Family Name alone.
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7.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
7.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
7.8. Source Table
This field contains the identification of the organization responsible for assigning the "attending
doctor" identifier.
8. Referring Doctor
This field may contain the defined Provider ID and name of the referring doctor if these elements
are available. Note: Table values should be obtained from the RHA.
8.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
8.2. Family Name
This component contains the Family Name alone.
8.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
8.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
8.8. Source Table
This field contains the identification of the organization responsible for assigning the "referring
doctor" identifier.
9. Consulting Doctor
This field may contain the defined Provider ID and name of the consulting doctor if these
elements are available. Note: Table values should be obtained from the RHA.
9.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
9.2. Family Name
This component contains the Family Name alone.
9.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
9.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
9.8. Source Table
This field contains the identification of the organization responsible for assigning the "consulting
doctor" identifier.
17. Admitting Doctor
This field may contain the defined Provider ID and name of the admitting doctor if these elements
are available. Note: Table values should be obtained from the RHA.
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17.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
17.2. Family Name
This component contains the Family Name alone.
17.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
17.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
17.8. Source Table
This field contains the identification of the organization responsible for assigning the "admitting
doctor" identifier.
19. Visit Number
This field contains the unique Number assigned to each patient visit.
19.1. ID Number
E.g. UAH-23456798
44. Admit Date/Time
Date and time the patient was admitted into the facility.
44.1. Date/Time
Format: YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
45. Discharge Date/Time
Date and time the patient was discharged from the facility.
45.1. Date/Time
Format: YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
52. Other Healthcare Provider
This field may contain the defined Provider ID and name of the resident doctor if these elements
are available. Note: Table values should be obtained from the RHA.
52.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
52.2. Family Name
This component contains the Family Name alone.
52.3. Given Name
This component may either be the Given Name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
52.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
52.8. Source Table
This field contains the identification of the organization responsible for assigning the referring
doctor identifier. Note: Table values should be obtained from the RHA.
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ORC - Common Order
(Usage: Cardinality: 0..1 )
The Common Order Segment is used to transmit fields that are common to all orders (all types of
services that are requested). The ORC segment is required in the Order (ORM) message. ORC is
mandatory in Order Acknowledgement (ORR) message if an order detail segment is present but
is not required otherwise.
Seq.
Name
Type
Table
Len.
Opt.
Card.
Contents
1
Order
ID
HL70119 2
R
1..1
e.g. RE
Control
1. Order Control
The Order Control identifier field determines the function of the order segment. The field may be
considered as the trigger event identifier for orders. The codes fall into 3 categories:
 event request,
 event acknowledgement and
 event notification.
OBR - Observation Request
(Usage: Required Cardinality:1..1)
The Observation Request Segment is used to transmit information specific to a diagnostic
imaging text.
Seq.
Name
Type
1
Set ID - OBR
SI
2
Placer Order
Number
EI
2.1
Entity Identifier
ST
2.2
Namespace ID
IS
3
Filler Order
Number
EI
3.1
Entity Identifier
ST
3.2
Namespace ID
IS
4
Universal Service
Identifier
CE
4.1
Identifier
ST
4.2
Text
ST
4.3
Name of Coding
System
ID
4.4
Alternate Identifier
4.5
Alternate Text
Len.
Opt.
Card.
4
RE
0..1
RE
0..1
55
R
1..1
55
RE
0..1
RE
0..1
55
R
1..1
44
RE
0..1
R
1..1
15
R
1..1
60
R
1..1
10
R
1..1
ST
15
RE
0..1
ST
60
RE
0..1
© 2008 Government of Alberta
Table
HL70396
Contents
e.g. HL70270
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Seq.
Name
Type
Len.
Opt.
Card.
4.6
Name of Alternate
Coding System
ID
10
RE
0..1
7
Observation
Date/Time
TS
R
1..1
7.1
Date/Time
NM
R
1..1
15
Specimen Source
SPS
RE
0..1
15.4
Body Site
CWE
RE
0..1
15.4.1
Identifier
ST
20
R
1..1
e.g. LLAQ
15.4.2
Text
ST
199
RE
0..1
e.g. Left Lower
Abd Quadrant
15.4.3
Name of Coding
System
ID
HL70396
20
R
1..1
e.g. HL70163
15.5
Site Modifier
CWE
HL70495
RE
0..1
15.5.1
Identifier
ST
20
R
1..1
e.g. UPP
15.5.2
Text
ST
199
RE
0..1
e.g. Upper
15.5.3
Name of Coding
System
ID
20
R
1..1
e.g. HL70495
16
Ordering Provider
XCN
R
1..0
16.1
ID number
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
16.8
Source Table
ID
30
R
1..1
20
Filler Field 1
ST
15
RE
0..1
21
Filler Field 2
ST
15
RE
0..1
25
Result Status
ID
1
R
1..1
28
Result Copies To
XCN
RE
0..5
28.1
ID Number
ST
R
1..1
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26
HL70163
HL70396
HL70123
15
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Seq.
Name
Type
28.2
Family Name
28.3
Len.
Opt.
Card.
ST
50
R
1..1
Given Name
ST
50
RE
0..1
28.4
Middle Initial or
Name
ST
50
RE
0..1
28.8
Source Table
ID
30
R
1..1
29
Parent
EIP
RE
0..1
29.2
Filler Assigned
Identifier
EI
RE
0..1
29.2.1
Entity Identifier
ST
55
R
1..1
29.2.2
Namespace ID
IS
44
RE
0..1
32
Principal Result
Interpreter
CM_NDL
RE
0..1
32.1
Name
CN
R
1..1
32.1.1
ID Number
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
IS
30
R
1..1
32.2
Start Date/Time
TS
RE
0..1
32.2.1
Date/Time
NM
R
1..1
34
Technician
CM_NDL
RE
0..1
34.1
Name
CN
R
1..1
34.1.1
ID Number
ST
15
R
1..1
34.1.2
Family Name
ST
50
R
1..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
IS
30
R
1..1
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Table
EXTERNAL
MAY 20, 2008
HL70363
26
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Seq.
Name
Type
34.2
Start Date/Time
TS
34.2.1
Date/Time
NM
35
Transcriptionist
35.1
Table
Len.
EXTERNAL
MAY 20, 2008
Opt.
Card.
RE
0..1
R
1..1
CM_NDL
RE
0..1
Name
CN
R
1..1
35.1.1
ID Number
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
IS
30
R
1..1
35.2
Start Date/Time
TS
RE
0..1
35.2.1
Date/Time
NM
R
1..1
26
26
Contents
1. Set ID - OBR
This field contains the number that identifies this transaction.
2. Placer Order Number
This field contains the Placer Order Number.
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 Diagnostic Imaging Procedure being resulted.
7. Observation Date/Time
Contains the key clinical date, which could be the procedure date, discharge date or dictation
date.
7.1. Date/Time
Format: YYYYMMDD[HHHMM[SS[.SSSS]]][+-ZZZZ]
16. Ordering Provider
This field identifies the provider who is ultimately responsible for the DI order. In cases where the
resident has ordered the DI procedure on behave of the responsible provider; the resident's
information is captured in PV1.52 Other Healthcare Provider Note: Table values should be
obtained from the RHA.
16.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
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16.2. Family Name
This component contains the family name alone.
16.3. Given Name
This component may either be the given name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
16.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
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 the Diagnostic Imaging Procedure
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. Table values should be obtained from the RHA.
28.1. ID Number
Note: Table of identifier values should be obtained from the RHA.
28.2. Family Name
This component contains the family name alone.
28.3. Given Name
This component may either be the given name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
28.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
28.8. Source Table
This field contains the identification of the organization responsible for assigning the copy to
identifier(s). Note: Table values should be obtained from the RHA.
29. Parent
Filler Order Number of parent report.
32. Principal Result Interpreter
This field may contain the defined Provider Id and name of the result interpreter/authenticator if
these elements are available. Table values should be obtained from the RHA.
32.1.2. Family Name
This component contains the family name alone.
32.1.3. Given Name
This component may either be the given name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
32.1.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
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32.1.8. Source Table
This field contains the identification of the organization responsible for assigning the principal
result interpreter identifier. Note: Table values should be obtained from the RHA.
32.2. Start Date/Time
Date the report was authenticated.
34. Technician
This field contains the name of the person identified in the document as being responsible for
performing the procedure or activity. Table values should be obtained from the RHA.
34.1.2. Family Name
This component contains the family name alone.
34.1.3. Given Name
This component may either be the given name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
34.1.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
34.1.8. Source Table
This field contains the identification of the organization responsible for assigning the technician
identifier. Note: Table values should be obtained from the RHA.
34.2. Start Date/Time
Date the report was dictated.
35. Transcriptionist
This field may contain the defined Provider Id and name of the transcriptionist if these elements
are available. Table values should be obtained from the RHA.
35.1.2. Family Name
This component contains the family name alone.
35.1.3. Given Name
This component may either be the given name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
35.1.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
35.1.8. Source Table
This field contains the identification of the organization responsible for assigning the
transcriptionist identifier. Note: Table values should be obtained from the RHA.
35.2. Start Date/Time
Date the report was transcribed.
OBX - Observation/Result
(Usage: Cardinality:0..*)
The OBX segment is allowed to repeat up to X times. This provides the capability to sectionalize
the report.
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Seq.
Name
Type
1
Set ID - OBX
SI
2
Value Type
ID
3
Observation
Identifier
CE
3.1
Identifier
ST
3.2
Text
ST
3.3
Name Of
Coding
System
ID
3.4
Alternate
Identifier
3.5
Table
EXTERNAL
MAY 20, 2008
Len.
Opt.
Card.
4
RE
0..1
2
R
1..1
R
1..1
15
R
1..1
60
R
1..1
10
R
1..1
ST
15
RE
0..1
Alternate
Text
ST
60
RE
0..1
3.6
Name Of
Alternate
Coding
System
ID
10
RE
0..1
4
Observation
Sub-Id
ST
20
RE
0..1
5
Observation
Value
varies
65536
R
1..1
16
Responsible
Observer
XCN
RE
0..*
16.1
ID Number
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
16.8
Source Table
IS
30
R
1..1
HL70125
HL70396
HL70396
HL70297
Contents
e.g. HL70270
1. Set ID - OBX
This component represents the order of the sections within a report. For the first occurrence of
the segment, the segment number shall be one, for the second occurrence, the sequence
number shall be two, etc.
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2. Value Type
This field contains the format of the observation value in OBX-5.
3. Observation Identifier
This component represents the DI procedure that is being resulted.
4. Observation Sub-ID
This component represents the title of the sub-sections within a report.
16. Responsible Observer
This field may contain the defined Provider Id and name of the responsible observer if these
elements are available.
16.2. Family Name
This component contains the family name alone.
16.3. Given Name
This component may either be the given name alone (with other names in subsequent
components) or the unformatted name. e.g. "Mary" or "Mary Ellen".
16.4. Middle Initial or Name
This component may contain the middle initial or middle name only.
16.8. Source Table
This field contains the identification of the organization responsible for assigning the responsible
observer identifier. Note: Table values should be obtained from the RHA.
FT1 - Financial Transaction
(Usage: Required Cardinality:0..1)
The FT1 segment contains the detail data necessary to post charges, payments, adjustments,
etc. to patient accounting records.
Seq.
Name
Type
Table
14
Insu rance Plan
ID
CE
HL70072
14.1
Identifier
ST
14.2
Text
ST
Len.
Opt.
Card.
Contents
R
1..1
10
R
1..1
e.g. AHW
50
R
1..1
e.g. Alberta Health and
Wellness
14. Insurance Plan ID
This field contains the identifier of the primary insurance plan with which this transaction should
be associated.
ZDS - Study Instance UID
(Usage: Required Cardinality:1..1)
A custom ZDS Segment defined to convey information generated by the Order Filler and not
currently defined in the HL7 v2.3 standard
Seq.
1
Name
Study
Instance
UID
Type
RP
© 2008 Government of Alberta
Table
Len.
Opt.
R
Card.
1..1
Contents
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1.1
1.2
1.2.1
1.2.2
1.3
1.4
Reference
Pointer
Application
ID
Namespace
ID
Universal
ID
Type Of
Data
Subtype
ST
50
R
1..1
RE
0..1
44
C
0..1
55
C
0..1
HD
IS
HL70300
ST
EXTERNAL
MAY 20, 2008
ID
HL70191
30
RE
0..1
ID
HL70291
30
RE
0..1
1. Study Instance UID
Study Instance UID
1.1. Reference Pointer
DICOM compliant Study Instance UID value
1.2. Application ID
Implementation specific
1.3. Type of Data
"Application"
1.4. Subtype
"DICOM"
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MAY 20, 2008
Appendix – Permissible Values
HL70001 Sex
Code
F
M
U
Description
Female
Male
Unknown
Long Description
Female
Male
Unknown
HL70003 Event Type (HL7)
Code
A01
A02
A03
A04
A05
A06
A07
A08
A09
A10
A11
A12
A13
A14
A15
A16
A17
A18
Description
ADT/ACK - Admit a
patient
ADT/ACK - Transfer a
patient
ADT/ACK - Discharge
a patient
ADT/ACK - Register a
patient
ADT/ACK – Pre-admit
a patient
ADT/ACK - Transfer
an outpatient to
inpatient
ADT/ACK - Transfer
an inpatient to
outpatient
ADT/ACK - Update
patient information
ADT/ACK - Patient
departing
ADT/ACK - Patient
arriving
ADT/ACK - Cancel
admit
ADT/ACK - Cancel
transfer
ADT/ACK - Cancel
discharge
ADT/ACK - Pending
admit
ADT/ACK - Pending
transfer
ADT/ACK - Pending
discharge
ADT/ACK - Swap
patients
ADT/ACK - Merge
patient information
© 2008 Government of Alberta
Long Description
ADT/ACK - Admit a
patient
ADT/ACK - Transfer a
patient
ADT/ACK - Discharge a
patient
ADT/ACK - Register a
patient
ADT/ACK – Pre-admit a
patient
ADT/ACK - Transfer an
outpatient to inpatient
Comment
ADT/ACK - Transfer an
inpatient to outpatient
ADT/ACK - Update
patient information
ADT/ACK - Patient
departing
ADT/ACK - Patient
arriving
ADT/ACK - Cancel admit
ADT/ACK - Cancel
transfer
ADT/ACK - Cancel
discharge
ADT/ACK - Pending
admit
ADT/ACK - Pending
transfer
ADT/ACK - Pending
discharge
ADT/ACK - Swap
patients
ADT/ACK - Merge
patient information
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A19
A20
A21
A22
A23
A24
A25
A26
A27
A28
A29
A30
A31
A32
A33
A34
A35
A36
A37
A38
A39
A40
A41
QRY/ADR - Patient
query
ADT/ACK Nursing/Census
application updates
ADT/ACK - Leave of
absence - out
(leaving)
ADT/ACK - Leave of
absence - in
(returning)
ADT/ACK - Delete a
patient record
ADT/ACK - Link
patient information
ADT/ACK - Cancel
pending discharge
ADT/ACK - Cancel
pending transfer
ADT/ACK - Cancel
pending admit
ADT/ACK - Add
person information
ADT/ACK - Delete
person information
ADT/ACK - Merge
person information
ADT/ACK - Update
person information
ADT/ACK - Cancel
patient arriving
ADT/ACK - Cancel
patient departing
ADT/ACK - Merge
patient information patient ID only
ADT/ACK - Merge
patient information account number only
ADT/ACK - Merge
patient information patient ID and
account number
ADT/ACK - Unlink
patient information
ADT/ACK - Cancel
pre-admit
ADT/ACK - Merge
person - external ID
ADT/ACK - Merge
person - internal ID
ADT/ACK - Merge
account - patient
account number
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
QRY/ADR - Patient
query
ADT/ACK Nursing/Census
application updates
ADT/ACK - Leave of
absence - out (leaving)
ADT/ACK - Leave of
absence - in (returning)
ADT/ACK - Delete a
patient record
ADT/ACK - Link patient
information
ADT/ACK - Cancel
pending discharge
ADT/ACK - Cancel
pending transfer
ADT/ACK - Cancel
pending admit
ADT/ACK - Add person
information
ADT/ACK - Delete
person information
ADT/ACK - Merge
person information
ADT/ACK - Update
person information
ADT/ACK - Cancel
patient arriving
ADT/ACK - Cancel
patient departing
ADT/ACK - Merge
patient information patient ID only
ADT/ACK - Merge
patient information account number only
ADT/ACK - Merge
patient information patient ID and account
number
ADT/ACK - Unlink
patient information
ADT/ACK - Cancel preadmit
ADT/ACK - Merge
person - external ID
ADT/ACK - Merge
person - internal ID
ADT/ACK - Merge
account - patient
account number
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A42
A43
A44
A45
A46
A47
A48
A49
A50
A51
C01
C02
C02
C04
C05
C06
C07
C08
C09
C10
ADT/ACK - Merge
visit - visit number
ADT/ACK - Move
patient information internal ID
ADT/ACK - Move
account information patient account
number
ADT/ACK - Move visit
information - visit
number
ADT/ACK - Change
external ID
ADT/ACK - Change
internal ID
ADT/ACK - Change
alternate patient ID
ADT/ACK - Change
patient account
number
ADT/ACK - Change
visit number
ADT/ACK - Change
alternate visit ID
CRM - Register a
patient on a clinical
trial
CRM - Correct/update
registration
information
CRM - Cancel a
patient registration on
clinical trial (for
clerical mistakes only)
CRM - Patient has
gone off a clinical trial
CRM - Patient enters
phase of clinical trial
CRM - Cancel patient
entering a phase
(clerical mistake)
CRM - Correct/update
phase information
CRM - Patient has
gone off phase of
clinical trial
CSU - Automated
time intervals for
reporting, like monthly
CSU - Patient
completes the clinical
trial
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
ADT/ACK - Merge visit visit number
ADT/ACK - Move patient
information - internal ID
ADT/ACK - Move
account information patient account number
ADT/ACK - Move visit
information - visit
number
ADT/ACK - Change
external ID
ADT/ACK - Change
internal ID
ADT/ACK - Change
alternate patient ID
ADT/ACK - Change
patient account number
ADT/ACK - Change visit
number
ADT/ACK - Change
alternate visit ID
CRM - Register a patient
on a clinical trial
CRM - Correct/update
registration information
CRM - Cancel a patient
registration on clinical
trial (for clerical mistakes
only)
CRM - Patient has gone
off a clinical trial
CRM - Patient enters
phase of clinical trial
CRM - Cancel patient
entering a phase
(clerical mistake)
CRM - Correct/update
phase information
CRM - Patient has gone
off phase of clinical trial
CSU - Automated time
intervals for reporting,
like monthly
CSU - Patient completes
the clinical trial
78 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
C11
C12
CNQ
I01
I02
I03
I04
I05
I06
I07
I08
I09
I10
I11
I12
I13
I14
I15
M01
CSU - Patient
completes a phase of
the clinical trial
CSU Update/correction of
patient order/result
information
QRY/EQQ/VQQ/RQQ
- Cancel query
RQI/RPI - Request for
insurance information
RQI/RPL Request/receipt of
patient selection
display list
RQI/RPR Request/receipt of
patient selection list
RQD/RPI - Request
for patient
demographic data
RQC/RCI - Request
for patient clinical
information
RQC/RCL Request/receipt of
clinical data listing
PIN/ACK - Unsolicited
insurance information
RQA/RPA - Request
for treatment
authorization
information
RQA/RPA - Request
for modification to an
authorization
RQA/RPA - Request
for resubmission of
an authorization
RQA/RPA - Request
for cancellation of an
authorization
REF/RRI - Patient
referral
REF/RRI - Modify
patient referral
REF/RRI - Cancel
patient referral
REF/RRI - Request
patient referral status
MFN/MFK - Master
file not otherwise
specified (for
backward
compatibility only)
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
CSU - Patient completes
a phase of the clinical
trial
CSU - Update/correction
of patient order/result
information
QRY/EQQ/VQQ/RQQ Cancel query
RQI/RPI - Request for
insurance information
RQI/RPL Request/receipt of
patient selection display
list
RQI/RPR Request/receipt of
patient selection list
RQD/RPI - Request for
patient demographic
data
RQC/RCI - Request for
patient clinical
information
RQC/RCL Request/receipt of
clinical data listing
PIN/ACK - Unsolicited
insurance information
RQA/RPA - Request for
treatment authorization
information
RQA/RPA - Request for
modification to an
authorization
RQA/RPA - Request for
resubmission of an
authorization
RQA/RPA - Request for
cancellation of an
authorization
REF/RRI - Patient
referral
REF/RRI - Modify patient
referral
REF/RRI - Cancel
patient referral
REF/RRI - Request
patient referral status
MFN/MFK - Master file
not otherwise specified
(for backward
compatibility only)
79 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
M02
M03
M04
M05
M06
M07
M08
M09
M10
M11
O01
O02
P01
P02
P03
P04
P05
P06
Q01
MFN/MFK - Master
file - Staff Practitioner
MFN/MFK - Master
file - Test/Observation
MFD/ACK - Master
files delayed
application
acknowledgment
MFN/MFK - Patient
location master file
MFN/MFK - Charge
description master file
MFN/MFK - Clinical
study without phases
but with schedules
master file
MFN/MFK Test/Observation
(Numeric) master file
MFN/MFK Test/Observation
(Categorical) master
file
MFN/MFK Test/Observation
batteries master file
MFN/MFK Test/Calculated
observations master
file
ORM - Order
message (also RDE,
RDS, RGV, RAS,
ORR - Order
response (also RRE,
RRD, RRG, RRA,
BAR/ACK - Add and
update patient
account
BAR/ACK - Purge
patient account
DFT/ACK - Post
detail financial
transaction
QRY/DSP - Generate
bill and A/R
statements
BAR/ACK - Update
account
BAR/ACK - End
account
QRY/DSR - Query
sent for immediate
response
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
MFN/MFK - Master file Staff Practitioner
MFN/MFK - Master file Test/Observation
MFD/ACK - Master files
delayed application
acknowledgment
MFN/MFK - Patient
location master file
MFN/MFK - Charge
description master file
MFN/MFK - Clinical
study without phases but
with schedules master
file
MFN/MFK Test/Observation
(Numeric) master file
MFN/MFK Test/Observation
(Categorical) master file
MFN/MFK Test/Observation
batteries master file
MFN/MFK Test/Calculated
observations master file
ORM - Order message
(also RDE, RDS, RGV,
RAS,
ORR - Order response
(also RRE, RRD, RRG,
RRA,
BAR/ACK - Add and
update patient account
BAR/ACK - Purge
patient account
DFT/ACK - Post detail
financial transaction
QRY/DSP - Generate bill
and A/R statements
BAR/ACK - Update
account
BAR/ACK - End account
QRY/DSR - Query sent
for immediate response
80 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
Q02
Q03
Q05
Q06
R01
R02
R03
R04
R05
R06
R0R
RAR
RAR
RDR
RER
RER
RGR
QRY/ACK - Query
sent for deferred
response
DSR/ACK - Deferred
response to a query
UDM/ACK Unsolicited display
update
OSQ/OSR - Query for
order status
ORU/ACK Unsolicited
transmission of an
observation
QRY - Query for
results of observation
Display-oriented
results, query/unsol.
update (for backward
compatibility only)
ORF - Response to
query; transmission of
requested
observation
QRY/DSR - query for
display results
UDM - unsolicited
update/display results
R0R - Pharmacy
prescription order
query response
RAR - Pharmacy
administration
information query
response
RAR - Pharmacy
administration
information query
response
RDR - Pharmacy
dispense information
query response
RER - Pharmacy
encoded order
information query
response
RER-Pharmacy
encoded order
information query
response
RGR - Pharmacy
dose information
query response
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
QRY/ACK - Query sent
for deferred response
DSR/ACK - Deferred
response to a query
UDM/ACK - Unsolicited
display update
OSQ/OSR - Query for
order status
ORU/ACK - Unsolicited
transmission of an
observation
QRY - Query for results
of observation
Display-oriented results,
query/unsol. update (for
backward compatibility
only)
ORF - Response to
query; transmission of
requested observation
QRY/DSR - query for
display results
UDM - unsolicited
update/display results
R0R - Pharmacy
prescription order query
response
RAR - Pharmacy
administration
information query
response
RAR - Pharmacy
administration
information query
response
RDR - Pharmacy
dispense information
query response
RER - Pharmacy
encoded order
information query
response
RER-Pharmacy encoded
order information query
response
RGR - Pharmacy dose
information query
response
81 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
ROR
S01
S02
S03
S04
S05
S06
S07
S08
S09
S10
S11
S12
S13
S14
S15
ROR - Pharmacy
prescription order
query response
SRM/SRR - Request
new appointment
booking
SRM/SRR - Request
appointment
rescheduling
SRM/SRR - Request
appointment
modification
SRM/SRR - Request
appointment
cancellation
SRM/SRR - Request
appointment
discontinuation
SRM/SRR - Request
appointment deletion
SRM/SRR - Request
addition of
service/resource on
appointment
SRM/SRR - Request
modification of
service/resource on
appointment
SRM/SRR - Request
cancellation of
service/resource on
appointment
SRM/SRR - Request
discontinuation of
service/resource on
appointment
SRM/SRR - Request
deletion of
service/resource on
appointment
SIU/ACK Notification of new
appointment booking
SIU/ACK Notification of
appointment
rescheduling
SIU/ACK Notification of
appointment
modification
SIU/ACK Notification of
appointment
cancellation
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
ROR - Pharmacy
prescription order query
response
SRM/SRR - Request
new appointment
booking
SRM/SRR - Request
appointment
rescheduling
SRM/SRR - Request
appointment modification
SRM/SRR - Request
appointment cancellation
SRM/SRR - Request
appointment
discontinuation
SRM/SRR - Request
appointment deletion
SRM/SRR - Request
addition of
service/resource on
appointment
SRM/SRR - Request
modification of
service/resource on
appointment
SRM/SRR - Request
cancellation of
service/resource on
appointment
SRM/SRR - Request
discontinuation of
service/resource on
appointment
SRM/SRR - Request
deletion of
service/resource on
appointment
SIU/ACK - Notification of
new appointment
booking
SIU/ACK - Notification of
appointment
rescheduling
SIU/ACK - Notification of
appointment modification
SIU/ACK - Notification of
appointment cancellation
82 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
S16
S17
S18
S19
S20
S21
S22
S23
S24
S25
S26
T01
T02
T03
SIU/ACK Notification of
appointment
discontinuation
SIU/ACK Notification of
appointment deletion
SIU/ACK Notification of
addition of
service/resource on
appointment
SIU/ACK Notification of
modification of
service/resource on
appointment
SIU/ACK Notification of
cancellation of
service/resource on
appointment
SIU/ACK Notification of
discontinuation of
service/resource on
appointment
SIU/ACK Notification of
deletion of
service/resource on
appointment
SIU/ACK Notification of blocked
schedule time slot(s)
SIU/ACK Notification of open
(_unblocked_)
schedule time slot(s)
SQM/SQR - Query
schedule information
Notification that
patient did not show
up for scheduled
appointment
MDM/ACK - Original
document notification
MDM/ACK - Original
document notification
and content
MDM/ACK Document status
change notification
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
SIU/ACK - Notification of
appointment
discontinuation
SIU/ACK - Notification of
appointment deletion
SIU/ACK - Notification of
addition of
service/resource on
appointment
SIU/ACK - Notification of
modification of
service/resource on
appointment
SIU/ACK - Notification of
cancellation of
service/resource on
appointment
SIU/ACK - Notification of
discontinuation of
service/resource on
appointment
SIU/ACK - Notification of
deletion of
service/resource on
appointment
SIU/ACK - Notification of
blocked schedule time
slot(s)
SIU/ACK - Notification of
open (_unblocked_)
schedule time slot(s)
SQM/SQR - Query
schedule information
Notification that patient
did not show up for
scheduled appointment
MDM/ACK - Original
document notification
MDM/ACK - Original
document notification
and content
MDM/ACK - Document
status change
notification
83 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
T04
T05
T06
T07
T08
T09
V01
V02
V03
V04
W01
W02
MDM/ACK Document status
change notification
and content
MDM/ACK Document addendum
notification
MDM/ACK Document addendum
notification and
content
MDM/ACK Document replace
notification
MDM/ACK Document replace
notification and
content
MDM/ACK Document cancel
notification
VXQ - Query for
vaccination record
VXX - Response to
vaccination query
returning multiple PID
matches
VXR - Vaccination
record response
VXU - Unsolicited
vaccination record
update
ORU - Waveform
result, unsolicited
transmission of
requested information
QRF - Waveform
result, response to
query
EXTERNAL
MAY 20, 2008
MDM/ACK - Document
status change
notification and content
MDM/ACK - Document
addendum notification
MDM/ACK - Document
addendum notification
and content
MDM/ACK - Document
replace notification
MDM/ACK - Document
replace notification and
content
MDM/ACK - Document
cancel notification
VXQ - Query for
vaccination record
VXX - Response to
vaccination query
returning multiple PID
matches
VXR - Vaccination
record response
VXU - Unsolicited
vaccination record
update
ORU - Waveform result,
unsolicited transmission
of requested information
QRF - Waveform result,
response to query
HL70004 PATIENT CLASS (USER))
Code
E
I
O
P
R
B
A
M
Description
Emergency
Inpatient
Outpatient
Preadmit
Recurring Patient
Obstetrics
Ambulatory Out
patient
Emergency
© 2008 Government of Alberta
Long Description
Emergency
Inpatient
Outpatient
Preadmit
Recurring Patient
Obstetrics
Ambulatory Out
patient
Emergency
Comment
Local code used by Calgary and
Capital
Local code used by Calgary
84 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
K
30-day Outpatient
Visit
30-day Outpatient
Visit
EXTERNAL
MAY 20, 2008
Local code used by Calgary
HL70009 Ambulatory Status (USER)
Code
A0
A1
A2
A3
A4
A5
A6
A7
A8
A9
B1
B2
B3
B4
B5
B6
Description
No functional limitations
Ambulates with assistive device
Wheelchair/stretcher bound
Comatose; non-responsive
Disoriented
Vision Impaired
Hearing Impaired
Speech Impaired
Non-English Speaking
Functional level unknown
Oxygen Therapy
Special Equipment (tubes, IV's,
catheters)
Amputee
Mastectomy
Paraplegic
Pregnant
Long Description
No functional limitations
Ambulates with assistive device
Wheelchair/stretcher bound
Comatose; non-responsive
Disoriented
Vision Impaired
Hearing Impaired
Speech Impaired
Non-English Speaking
Functional level unknown
Oxygen Therapy
Special Equipment (tubes, IV's,
catheters)
Amputee
Mastectomy
Paraplegic
Pregnant
Comment
HL70072 Insurance Plan ID (USER)
Code
Description
Long Description
RCMP
Royal Canadian
Mounted Police
CFB
Canadian Forces
Bases
DVA
Department of
Veterans’ Affairs
Workers’
Compensation Board
TBD
For medical service for
which patients is being
charged.
Federal legislation for
landed immigrants
Coverage by federal legislation, for
serving members of the Royal Canadian
Mounted Police
Coverage by federal legislation for
serving members of the Canadian
Forces Bases
Coverage by federal legislation for
Department of Veterans’ Affairs
Coverage by Workers’ Compensation
Board for workers and employers.
TBD
For medical service for which patients is
being charged.
WCB
Research
Self-Pay
Immigration
and Refugee
Medicals
© 2008 Government of Alberta
Comment
Coverage by federal legislation for
landed immigrants who are subject to a
waiting period by a province before they
are entitled to receive insured
healthcare services.
85 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
Returning
Canadians
Federal legislation for
Canadians returning to
live in Canada from
other countries
First Nation
Federal legislation for
native Canadians living
on reserves
Federal legislation for
inmates of federal
penitentiaries
TBD
Alberta Healthcare
Insurance Plan
Inmates
Others
AHCIP
EXTERNAL
MAY 20, 2008
Coverage by federal legislation for
Canadians returning to live in Canada
from other countries, who are subject to
a waiting period by a province before
they are entitled to receive insured
healthcare services.
Coverage by federal legislation for
native Canadians living on reserves.
Coverage by federal legislation for
inmates of federal penitentiaries.
TBD
Alberta Healthcare Insurance Plan Provincial health insurance plan for
eligible residents of Alberta; or
Governed by the Health Information Act
HL70076 Message Type (HL7)
Code
ACK
ADR
ADT
ARD
BAR
CNQ
CSU
DFT
DSR
EDR
EQQ
ERP
ERQ
MCF
MDM
MFD
MFK
MFN
MFQ
MFR
ORF
ORM
ORR
ORU
OSQ
OSR
Description
General acknowledgment message
ADT response
ADT message
Ancillary RPT (display)
Add/change billing account
Cancel query
Unsolicited clinical study data
Detail financial transaction
Display response
Enhanced display response
Embedded query language query
Event replay response
Event replay query
Delayed acknowledgment
Documentation message
Master files delayed application
acknowledgment
Master files application
acknowledgment
Master files notification
Master files query
Master files query response
Observation result/record response
Order message
Order acknowledgment message
Observation result/unsolicited
Order status query
Order status response
© 2008 Government of Alberta
Long Description
General acknowledgment message
ADT response
ADT message
Ancillary RPT (display)
Add/change billing account
Cancel query
Unsolicited clinical study data
Detail financial transaction
Display response
Enhanced display response
Embedded query language query
Event replay response
Event replay query
Delayed acknowledgment
Documentation message
Master files delayed application
acknowledgment
Master files application
acknowledgment
Master files notification
Master files query
Master files query response
Observation result/record response
Order message
Order acknowledgment message
Observation result/unsolicited
Order status query
Order status response
Comment
86 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
PEX
PGL
PGQ
PGR
PGR
PIN
PIN
PPP
PPR
PPR
PPT
PRQ
PRR
PTQ
PTR
PTU
PTV
QRY
RAR
RAS
RCI
RCL
RDE
RDR
RDS
REF
RER
RGR
RGV
ROC
ROD
ROR
RPA
RPI
RPL
RPR
RQA
RQI
RRA
RRD
Product experience
Patient goal
Patient goal query
Patient goal response
Patient goal response
Patient Insurance Information
Patient information
Patient pathway (problem-oriented)
Patient problem
Patient problem
Patient pathway (goal oriented)
Patient care problem query
Patient problem response
Patient pathway (problem-oriented)
query
Patient pathway (problem-oriented)
response
Patient pathway (goal-oriented)
query
Patient pathway (goal-oriented)
response
Query, original Mode
Pharmacy administration information
Pharmacy administration message
Return clinical information
Return clinical list
Pharmacy encoded order message
Pharmacy dispense information
Pharmacy dispense message
Patient referral
Pharmacy encoded order
information
Pharmacy dose information
Pharmacy give message
Request clinical information
Request patient demographics
Pharmacy prescription order
response
Return patient authorization
Return patient information
Return patient display list
Return patient list
Request patient authorization
Request patient information
Pharmacy administration
acknowledgment
Pharmacy dispense
acknowledgment
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Product experience
Patient goal
Patient goal query
Patient goal response
Patient goal response
Patient Insurance Information
Patient information
Patient pathway (problem-oriented)
Patient problem
Patient problem
Patient pathway (goal oriented)
Patient care problem query
Patient problem response
Patient pathway (problem-oriented)
query
Patient pathway (problem-oriented)
response
Patient pathway (goal-oriented)
query
Patient pathway (goal-oriented)
response
Query, original Mode
Pharmacy administration information
Pharmacy administration message
Return clinical information
Return clinical list
Pharmacy encoded order message
Pharmacy dispense information
Pharmacy dispense message
Patient referral
Pharmacy encoded order
information
Pharmacy dose information
Pharmacy give message
Request clinical information
Request patient demographics
Pharmacy prescription order
response
Return patient authorization
Return patient information
Return patient display list
Return patient list
Request patient authorization
Request patient information
Pharmacy administration
acknowledgment
Pharmacy dispense
acknowledgment
87 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
RRE
RRG
RRI
SIU
SPQ
SQM
SQR
SRM
SRM
SRR
TBR
UDM
VQQ
VXQ
VXR
VXU
VXX
Pharmacy encoded order
acknowledgment
Pharmacy give acknowledgment
Return patient referral
Schedule information unsolicited
Stored procedure request
Schedule query
Schedule query response
Schedule request
Study registration
Scheduled request response
Tabular response
Unsolicited display message
Virtual table query
Query for vaccination record
Vaccination query record response
Unsolicited vaccination record
update
Vaccination query response with
multiple PID matches
EXTERNAL
MAY 20, 2008
Pharmacy encoded order
acknowledgment
Pharmacy give acknowledgment
Return patient referral
Schedule information unsolicited
Stored procedure request
Schedule query
Schedule query response
Schedule request
Study registration
Scheduled request response
Tabular response
Unsolicited display message
Virtual table query
Query for vaccination record
Vaccination query record response
Unsolicited vaccination record
update
Vaccination query response with
multiple PID matches
HL70103 Processing ID (HL7)
Code
D
P
T
Description
Debugging
Production
Training
Long Description
Debugging
Production
Training
Comment
Long Description
Release 2.1
Demo 2.1
Release 2.1
Release 2.2
Release 2.3
Comment
Sep-88
Oct-88
Mar-90
Dec-94
??1996
HL70104 Version ID (HL7)
Code
2
2.0D
2.1
2.2
2.3
Description
Release 2.0
Demo 2.0
Release 2.1
Release 2.2
Release 2.3
HL70105 Source of Comment (HL7)
Code
L
O
P
Description
Ancillary (filler)
department is source
of comment
Other system is
source of comment
Orderer (placer) is
source of comment
© 2008 Government of Alberta
Long Description
Ancillary (filler) department is
source of comment
Comment
Other system is source of
comment
Orderer (placer) is source of
comment
88 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
EXTERNAL
MAY 20, 2008
HL70119 Order Control Code (HL7)
Code
AF
CA
CH
CN
CR
DC
DE
DF
DR
FU
HD
HR
LI
NA
NW
OC
OD
OE
OF
OH
OK
OR
PA
RE
RF
RL
RO
RP
RQ
RR
RU
SC
SN
SR
Description
Order refill request
approval
Cancel order request
Child order
Combined result
Canceled as
requested
Discontinue order
request
Data Errors
Order refill request
denied
Discontinued as
requested
Order refilled,
unsolicited
Hold order request
On hold as requested
Link order to patient
care message
Number assigned
New Order
Order canceled
Order discontinued
Order released
Order refilled as
requested
Order held
Order accepted and
OK
Released as
requested
Parent order
Observations to
follow
Refill order request
Release previous
hold
Replacement order
Order replace request
Replaced as
requested
Request received
Replaced unsolicited
Status changed
Send order number
Response to send
© 2008 Government of Alberta
Long Description
Order refill request approval
Comment
Cancel order request
Child order
Combined result
Canceled as requested
Discontinue order request
Data Errors
Order refill request denied
Discontinued as requested
Order refilled, unsolicited
Hold order request
On hold as requested
Link order to patient care message
Number assigned
New Order
Order canceled
Order discontinued
Order released
Order refilled as requested
Order held
Order accepted and OK
Released as requested
Parent order
Observations to follow
Refill order request
Release previous hold
Replacement order
Order replace request
Replaced as requested
Request received
Replaced unsolicited
Status changed
Send order number
Response to send order status
89 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
SS
UA
UC
UD
UF
UH
UM
UN
UR
UX
XO
XR
XX
order status request
Send order status
request
Unable to accept
order
Unable to cancel
Unable to discontinue
Unable to refill
Unable to put on hold
Unable to replace
Unlink order from
patient care message
Unable to release
Unable to change
Change order request
Changed as
requested
Order changed,
unsolicited
EXTERNAL
MAY 20, 2008
request
Send order status request
Unable to accept order
Unable to cancel
Unable to discontinue
Unable to refill
Unable to put on hold
Unable to replace
Unlink order from patient care
message
Unable to release
Unable to change
Change order request
Changed as requested
Order changed, unsolicited
HL70123 Result Status (HL7)
Code
Description
Long Description
Comment
P
Preliminary
Preliminary
A verified early
result is available,
final results not yet
obtained
C
F
Correction to results
Final results; results
stored and verified.
Correction to results
Final results; results stored and
verified.
X
Deleted / Cancelled
Tests.
Pending / Incomplete
but Specimen
Received.
Deleted / Cancelled Tests.
I
Pending / Incomplete but
Specimen Received.
Can only be
changed with a
corrected result.
Local Code used by
Palliser
Local Code used by
Palliser
HL70125 Value Type (HL7)
Code
AD
CE
CF
CK
CN
CP
CX
Description
Address
Coded Entry
Coded Element With
Formatted Values
Composite ID With
Check Digit
Composite ID And
Name
Composite Price
Extended Composite
ID With Check Digit
© 2008 Government of Alberta
Long Description
Address
Coded Entry
Coded Element With Formatted Values
Comment
Composite ID With Check Digit
Composite ID And Name
Composite Price
Extended Composite ID With Check Digit
90 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
Code
DT
ED
Description
Date
Encapsulated Data
Long Description
Date
Encapsulated Data
FT
Formatted Text
(Display)
Formatted Text (Display)
ID
MO
NM
PN
RP
SN
ST
TM
TN
TS
Coded Value
Money
Numeric
Person Name
Reference Pointer
Structured Numeric
String Data
Time
Telephone Number
Time Stamp (Date &
Time)
Text Data (Display)
Coded Value
Money
Numeric
Person Name
Reference Pointer
Structured Numeric
String Data
Time
Telephone Number
Time Stamp (Date & Time)
TX
XAD
XCN
XON
XPN
XTN
Extended Address
Extended Composite
Name And Number
For Persons
Extended Composite
Name And Number
For Organizations
Extended Person
Number
Extended
Telecommunications
Number
Text Data (Display)
EXTERNAL
MAY 20, 2008
Comment
Used when sending
PDF files.
Used when sending
formatted display
text.
Used when sending
display text
Extended Address
Extended Composite Name And Number
For Persons
Extended Composite Name And Number
For Organizations
Extended Person Number
Extended Telecommunications Number
HL70125 VALUE TYPE (HL7)
Code
XPN
XTN
Description
Extended Person
Number
Extended
Telecommunications
Number
Long Description
Extended Person Number
Comment
Extended Telecommunications
Number
HL70127 ALLERGY TYPE (USER)
Code
DA
FA
MA
MC
Description
Drug Allergy
Food Allergy
Miscellaneous Allergy
Miscellaneous
Contraindication
© 2008 Government of Alberta
Long Description
Drug Allergy
Food Allergy
Miscellaneous Allergy
Miscellaneous Contraindication
Comment
91 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
EXTERNAL
MAY 20, 2008
HL70128 ALLERGY SEVERITY (USER))
Code
MI
MO
SV
N
Y
Description
Mild
Moderate
Severe
No
Yes
Long Description
Mild
Moderate
Severe
No
Yes
Comment
HL70191 Main Type of Reference Data (HL7)
Code
AP
Long Description
Other application data, typically
uninterpreted binary data
AU
Description
Other application
data, typically
uninterpreted binary
data
Audio Data
FT
Formatted Text
Formatted Text
IM
Image Data
Image Data
NS
Non-scanned Image
Non-scanned Image
SD
Scanned Document
Scanned Document
SI
Scanned Image
Scanned Image
TX
Machine Readable
Text Document
Machine Readable Text Document
Comment
Audio Data
HL70270 DOCUMENT TYPE (HL7)
Code
AR
CD
CN
DI
DS
ED
HP
OP
PC
PH
Description
Autopsyreport
Cardiodiagnostics
Consultation
Diagnosticimaging
Dischargesummary
Emergencydepartmentrepor
t
Historyandphysicalexaminati
on
Operativereport
Psychiatricconsultation
Psychiatrichistoryandphysic
alexamination
© 2008 Government of Alberta
Long Description
Autopsyreport
Cardiodiagnostics
Consultation
Diagnosticimaging
Dischargesummary
Emergencydepartmentreport
Comment
NotSupported
Historyandphysicalexamination
Operativereport
Psychiatricconsultation
Psychiatrichistoryandphysicalexam
ination
NotSupported
NotSupported
92 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
PN
PR
SP
TS
LT
Procedurenote
Progressnote
Surgicalpathology
Transfersummary
Letter
Procedurenote
Progressnote
Surgicalpathology
Transfersummary
Letter
EXTERNAL
MAY 20, 2008
NotSupported
LocalAddition
HL70271 Document Completion Status (HL7)
Code
AU
Description
Authenticated
Long Description
Authenticated
DI
Dictated
Dictated
DO
Documented
Documented
IN
Incomplete
Incomplete
IP
InProgress
InProgress
LA
Legallyauthenticated
Legallyauthenticated
PA
Pre-authenticated
Pre-authenticated
CA
Cancelled
Cancelled
Comment
NotSupported
Locallyaddedcode
HL70291 Subtype of Referenced Data (HL7)
Code
Description
Long Description
BASIC
ISDN PCM audio
data
Digital Imaging and
Communications in
Medicine
Facsimile data
ISDN PCM audio data
Hypertext Markup
Language
Electronic ink
data(Jot1.0standard)
JPEG image data
Hypertext Markup Language
Uninterpreted binary data
PICT format image data
PostScript
Uninterpreted binary
data
PICT format image
data
PostScript program
RTF
Rich Text Format
Rich Text Format
DICOM
FAX
HTML
JOT
JPEG
Octetstream
PICT
© 2008 Government of Alberta
Comment
Digital Imaging and
Communications in Medicine
Facsimile data
Electronic ink data(Jot1.0standard)
JPEG image data
PostScript program
93 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
TIFF
TIFF image data
EXTERNAL
MAY 20, 2008
TIFF image data
HL70396 Coding System (HL7)
Code
99annnn
Description
Local code where a
nnnn is the local code
set
Long Description
Local code where a nnnn
is the local code set
DIN
Drug Identification
Number
General Product
Number
Health Information
Standards Committee
for Alberta where nnn
is the HISCA table
number
Health Level Seven
where nnnn is the
HL7 table number
International
Standards
Organization where
nnnn is the ISO table
number
LogicalObservationId
entifierNamesandCod
es(LOINC)
National Drug Code
Drug Identification
Number
General Product Number
GPN
HISCAnnn
HL7nnnn
ISOnnnn
LN
NDC
Comment
(TheseareAlbertaHealthandW
ellnessspecificcodes.Thealph
aindicatestheregionalhealtha
uthoritythecodeisassociatedw
ith.Thenumberindicatestheco
deassigned.Someofthesecod
eswillbereplacedwithequivale
ntHISCAnumbers.)
Health Information
Standards Committee for
Alberta where nnn is the
HISCA table number
Health Level Seven
where nnnn is the HL7
table number
International Standards
Organization where nnnn
is the ISO table number
LogicalObservationIdentifi
erNamesandCodes(LOIN
C)
National Drug Code
99-0001 Provincial Codes (USER)
Code
AB
BC
MB
NB
NL
X
NT
NU
ON
Description
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and
Labrador
Nova Scotia
Northwest Territories
Nunavut
Ontario
© 2008 Government of Alberta
Long Description
Alberta
BritishColumbia
Manitoba
NewBrunswick
NewfoundlandandLabrador
Comment
NovaScotia
NorthwestTerritories
Nunavut
Ontario
94 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
PE
QC
SK
YT
Prince Edward Island
Quebec
Saskatchewan
Yukon
EXTERNAL
MAY 20, 2008
PrinceEdwardIsland
Quebec
Saskatchewan
Yukon
99H0011 CPEL
Code
200110
200120
200300
200310
200320
200330
200340
200350
200360
200400
200410
200420
200430
200440
210100
210200
210210
210220
210230
210240
210250
210260
210270
Description
Biopsy – myocardial
*Transplant Evaluation
Angiography, left ventricle and
coronaries
Angiography, left ventricle,
coronaries with grafts
Catheterization, right and left
with left ventricle and coronary
angiography
Catheterization - no
angiography
*Additional component - select
only once per procedure (use
for Right heart add-on, IABP,
temporary pacemaker, etc.)
*Hemostasis using Vasoseal
or Perclosure technique
*Pharmacological Response
Catheterization - percutaneous
access
Catheterization - difficult
access or cutdown
Catheterization - complex
anomalies
Catheterization – no
angiography
*Echocardiography
assessment done in cath lab
Valvuloplasty
PCI (Percutaneous Coronary
Intervention)
PCI - Complex Case (multiple
lesion, total occlusion,
dissection, etc)
PCI including diagnostic cath
PCI – Complex Case –
including diagnostic cath
*Add-on Stent – one deployed
*Add-on Stent – two deployed
*Add-on Stent – three
deployed
*Add-on Stent - four or more
© 2008 Government of Alberta
Long Description
Biopsy – myocardial
*Transplant Evaluation
Angiography, left ventricle and
coronaries
Angiography, left ventricle,
coronaries with grafts
Catheterization, right and left
with left ventricle and coronary
angiography
Catheterization - no
angiography
*Additional component - select
only once per procedure (use
for Right heart add-on, IABP,
temporary pacemaker, etc.)
*Hemostasis using Vasoseal
or Perclosure technique
*Pharmacological Response
Catheterization - percutaneous
access
Catheterization - difficult
access or cutdown
Catheterization - complex
anomalies
Catheterization – no
angiography
*Echocardiography
assessment done in cath lab
Valvuloplasty
PCI (Percutaneous Coronary
Intervention)
PCI - Complex Case (multiple
lesion, total occlusion,
dissection, etc)
PCI including diagnostic cath
PCI – Complex Case –
including diagnostic cath
*Add-on Stent – one deployed
*Add-on Stent – two deployed
*Add-on Stent – three
deployed
*Add-on Stent - four or more
Comment
95 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
210320
210330
210340
210350
210400
210410
210440
210450
220070
220080
220100
220200
220300
220400
220410
300000
300010
300020
300030
300040
300050
300060
300070
300080
300090
300100
300110
300120
300130
deployed
*Add-on - Cardiopulmonary
bypass support
*Additional component - select
only once per procedure (Right
heart add-on, IABP, temporary
pacemaker, IVUS)
*Add-on pharmacological
response
Occlusive Device
Pediatric Intervention Dilatation, Stent, Occlusion
Device
Pediatric – Septostomy
*Echocardiography
assessment done in the cath
lab
*Additional component - select
only once per procedure
PCD follow-up – induction
PCD follow-up - non-induction
Tilt table test – non-invasive
Electrophysiology Study (EPS)
Ablation
Permanent Pacemaker Implant
(in Cath Lab) Single or Dual
Chamber Device
Permanent Pacemaker Implant
(in Cath Lab) Biventricular
Device
CT Head, Nonenhanced
CT Head, Enhanced
CT Head, Combined,
Nonenhanced & Enhanced
CT Stereotactic Head,
Nonenhanced
CT Stereotactic Head,
Enhanced
CT Stereotactic Head,
Nonenhanced & Enhanced
CT Orbits, Nonenhanced
CT Orbits, Enhanced
CT Orbits, Combined,
Nonenhanced & Enhanced
CT Sella, Nonenhanced
CT Sella, Enhanced
CT Sella, Combined,
Nonenhanced & Enhanced
CT Temporal Bones,
Nonenhanced
CT Temporal Bones,
Enhanced
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
deployed
*Add-on - Cardiopulmonary
bypass support
*Additional component - select
only once per procedure (Right
heart add-on, IABP, temporary
pacemaker, IVUS)
*Add-on pharmacological
response
Occlusive Device
Pediatric Intervention Dilatation, Stent, Occlusion
Device
Pediatric – Septostomy
*Echocardiography
assessment done in the cath
lab
*Additional component - select
only once per procedure
PCD follow-up – induction
PCD follow-up - non-induction
Tilt table test – non-invasive
Electrophysiology Study (EPS)
Ablation
Permanent Pacemaker Implant
(in Cath Lab) Single or Dual
Chamber Device
Permanent Pacemaker Implant
(in Cath Lab) Biventricular
Device
CT Head, Nonenhanced
CT Head, Enhanced
CT Head, Combined,
Nonenhanced & Enhanced
CT Stereotactic Head,
Nonenhanced
CT Stereotactic Head,
Enhanced
CT Stereotactic Head,
Nonenhanced & Enhanced
CT Orbits, Nonenhanced
CT Orbits, Enhanced
CT Orbits, Combined,
Nonenhanced & Enhanced
CT Sella, Nonenhanced
CT Sella, Enhanced
CT Sella, Combined,
Nonenhanced & Enhanced
CT Temporal Bones,
Nonenhanced
CT Temporal Bones,
Enhanced
96 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
300140
300150
300160
300170
300180
300190
300200
300240
300250
300260
300270
300280
300290
300300
300310
300320
300330
300340
300350
300360
300370
300380
300390
300400
300410
300420
300430
300440
300450
CT Temporal Bones,
Combined, Nonenhanced &
Enhanced
CT Facial Bones,
Nonenhanced
CT Facial Bones, Enhanced
CT Facial Bones, Combined,
Nonenhanced & Enhanced
CT Sinuses, Nonenhanced
CT Sinuses, Enhanced
CT Sinuses, Combined,
Nonenhanced & Enhanced
CT Soft Tissue Neck,
Nonenhanced
CT Soft Tissue Neck,
Enhanced
CT Soft Tissue Neck,
Combined Nonenhanced &
Enhanced
CT Chest, Nonenhanced
CT Chest, Enhanced
CT Chest, Combined,
Nonenhanced & Enhanced
CT Chest to Include Upper
Abdomen, Nonenhanced
CT Chest to Include Upper
Abdomen, Enhanced
CT Chest to Include Upper
Abdomen, Combined,
Nonenhanced and Enhanced
CT Abdomen, Nonenhanced
CT Abdomen, Enhanced
CT Abdomen, Combined,
Nonenhanced & Enhanced
CT Pelvis, Nonenhanced
CT Pelvis, Enhanced
CT Pelvis, Combined,
Nonenhanced & Enhanced
CT Abdomen & Pelvis,
Nonenhanced
CT Abdomen & Pelvis,
Enhanced
CT Abdomen & Pelvis,
Combined Nonenhanced &
Enhanced
CT Cervical Spine,
Nonenhanced
CT Cervical Spine, Enhanced
CT Cervical Spine, Combined
Nonenhanced & Enhanced
CT Cervical Spine, (with
subarachnoid contrast)
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
CT Temporal Bones,
Combined, Nonenhanced &
Enhanced
CT Facial Bones,
Nonenhanced
CT Facial Bones, Enhanced
CT Facial Bones, Combined,
Nonenhanced & Enhanced
CT Sinuses, Nonenhanced
CT Sinuses, Enhanced
CT Sinuses, Combined,
Nonenhanced & Enhanced
CT Soft Tissue Neck,
Nonenhanced
CT Soft Tissue Neck,
Enhanced
CT Soft Tissue Neck,
Combined Nonenhanced &
Enhanced
CT Chest, Nonenhanced
CT Chest, Enhanced
CT Chest, Combined,
Nonenhanced & Enhanced
CT Chest to Include Upper
Abdomen, Nonenhanced
CT Chest to Include Upper
Abdomen, Enhanced
CT Chest to Include Upper
Abdomen, Combined,
Nonenhanced and Enhanced
CT Abdomen, Nonenhanced
CT Abdomen, Enhanced
CT Abdomen, Combined,
Nonenhanced & Enhanced
CT Pelvis, Nonenhanced
CT Pelvis, Enhanced
CT Pelvis, Combined,
Nonenhanced & Enhanced
CT Abdomen & Pelvis,
Nonenhanced
CT Abdomen & Pelvis,
Enhanced
CT Abdomen & Pelvis,
Combined Nonenhanced &
Enhanced
CT Cervical Spine,
Nonenhanced
CT Cervical Spine, Enhanced
CT Cervical Spine, Combined
Nonenhanced & Enhanced
CT Cervical Spine, (with
subarachnoid contrast)
97 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
300460
300470
300480
300490
300500
300510
300520
300530
300540
300550
300560
300570
300580
300590
300600
300610
300630
300730
300760
300770
300780
300790
300800
300810
300820
300830
300840
300850
300860
CT Thoracic Spine,
Nonenhanced
CT Thoracic Spine, Enhanced
CT Thoracic Spine, Combined,
Nonenhanced & Enhanced
CT Thoracic Spine, (with
subarachnoid contrast)
CT Lumbar Spine,
Nonenhanced
CT Lumbar Spine, Enhanced
CT Lumbar Spine, Combined,
Nonenhanced & Enhanced
CT Lumbar Spine, (with
subarachnoid contrast
CT SI Joints, Nonenhanced
CT SI Joints, Enhanced
CT SI Joints, Combined,
Nonenhanced & Enhanced
CT Extremity, Nonenhanced
CT Extremity, Enhanced
CT Extremity, Combined,
Nonenhanced & Enhanced
CT SC JTS
CT Pelvimetry
CT Planning for Radiation
Oncology
CT Additional Scanned Plane
of an examination
(Repositioning axial to coronal)
CT Thoracic Spine,
Nonenhanced
CT Thoracic Spine, Enhanced
CT Thoracic Spine, Combined,
Nonenhanced & Enhanced
CT Thoracic Spine, (with
subarachnoid contrast)
CT Lumbar Spine,
Nonenhanced
CT Lumbar Spine, Enhanced
CT Lumbar Spine, Combined,
Nonenhanced & Enhanced
CT Lumbar Spine, (with
subarachnoid contrast
CT SI Joints, Nonenhanced
CT SI Joints, Enhanced
CT SI Joints, Combined,
Nonenhanced & Enhanced
CT Extremity, Nonenhanced
CT Extremity, Enhanced
CT Extremity, Combined,
Nonenhanced & Enhanced
CT SC JTS
CT Pelvimetry
CT Planning for Radiation
Oncology
CT Additional Scanned Plane
of an examination
(Repositioning axial to coronal)
CT TMJ'S/Implant Study,
Nonenhanced
CT TMJ'S/Implant Study,
Enhanced
CT TMJ's/Implant Study,
Combined
CT Delayed Scanning
CT Triphasic Scan (in addition
to base scan)
CT Guided biopsy / aspiration
of mass or organ
CT Guided biopsy / aspiration
of bone or spine
CT Guidance for catheter
placement / drainage
CT Guidance for catheter
placement / drainage, multiple
CT Chest for Pulmonary
Embolus Study
CT Chest, Abdomen &Pelvis,
Nonenhanced
CT TMJ'S/Implant Study,
Nonenhanced
CT TMJ'S/Implant Study,
Enhanced
CT TMJ's/Implant Study,
Combined
CT Delayed Scanning
CT Triphasic Scan (in addition
to base scan)
CT Guided biopsy / aspiration
of mass or organ
CT Guided biopsy / aspiration
of bone or spine
CT Guidance for catheter
placement / drainage
CT Guidance for catheter
placement / drainage, multiple
CT Chest for Pulmonary
Embolus Study
CT Chest, Abdomen &Pelvis,
Nonenhanced
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
98 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
300870
300890
300900
300910
300920
300930
300960
300970
300980
300990
301000
301010
301020
301030
301040
301050
301060
301070
301080
301090
301100
301110
301120
301130
301140
301150
301210
301220
301230
301240
400000
400010
400020
400030
400090
400100
CT Chest, Abdomen &Pelvis,
Enhanced
CT Scanogram
CT Angio Head
CT Angio Soft Tissue Neck,
Enhanced
CT Scout Only
CT Trauma C&T Spine
Nonenhanced
CT Spine Retrospective
CT Bone Retrospective
CT Chest for Virtual
Bronchoscopy
CT for Virtual Colonoscopy,
supine or prone
CT for Virtual Colonoscopy,
supine and prone
CT Chest & Abdomen,
Nonenhanced
CT Chest & Abdomen,
Enhanced
CT Chest & Abdomen,
Nonenhanced & Enhanced
CT Coronary Angio Study
CT Angio Chest
CT 15 Minutes Post
Processing
CT 30 Minutes Post
Processing
CT 45 Minutes Post
Processing
CT Angio Abdomen & Pelvis
CT Angio Extremity
Retrospective Chest
Retrospective Abd
Rtrospective Pelvis
Retrospective T spine
Retrospective Lspine
CTA head/neck
CTA Chest/abd/pel
CTA Run off(incl AP legs)
CTA Cardiac (non&enhanced)
Mobile Examination
Mobile in Nursery
Mobile/Examination in O.R.
Mobile/Examination in O.R.
(Rural Facilities Only)
Fluoroscopy Procedure – 15
minutes
Fluoroscopy Procedure – 30
minutes
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
CT Chest, Abdomen &Pelvis,
Enhanced
CT Scanogram
CT Angio Head
CT Angio Soft Tissue Neck,
Enhanced
CT Scout Only
CT Trauma C&T Spine
Nonenhanced
CT Spine Retrospective
CT Bone Retrospective
CT Chest for Virtual
Bronchoscopy
CT for Virtual Colonoscopy,
supine or prone
CT for Virtual Colonoscopy,
supine and prone
CT Chest & Abdomen,
Nonenhanced
CT Chest & Abdomen,
Enhanced
CT Chest & Abdomen,
Nonenhanced & Enhanced
CT Coronary Angio Study
CT Angio Chest
CT 15 Minutes Post
Processing
CT 30 Minutes Post
Processing
CT 45 Minutes Post
Processing
CT Angio Abdomen & Pelvis
CT Angio Extremity
Retrospective Chest
Retrospective Abd
Rtrospective Pelvis
Retrospective T spine
Retrospective Lspine
CTA head/neck
CTA Chest/abd/pel
CTA Run off(incl AP legs)
CTA Cardiac (non&enhanced)
Mobile Examination
Mobile in Nursery
Mobile/Examination in O.R.
Mobile/Examination in O.R.
(Rural Facilities Only)
Fluoroscopy Procedure – 15
minutes
Fluoroscopy Procedure – 30
minutes
99 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
400110
400120
400130
400140
400150
400160
400200
400210
400220
400230
400240
400250
400260
400270
410000
410010
410020
420000
420010
420020
420030
420040
420050
420060
420070
420090
420100
420120
420130
420140
Fluoroscopy Procedure – 1
hour
Fluoroscopy Procedure – 2
hour
Fluoroscopy Procedure – 3
hour
Fluoroscopy Procedure – 4
hour
Fluoroscopy Procedure – 5
hour
Fluoroscopy Procedure – 6
hour
Fluoroscopy Procedure and
Films - 15 minutes
Fluoroscopy Procedure and
Films - 30 minutes
Fluoroscopy Procedure and
Films – 1 hour
Fluoroscopy Procedure and
Films – 2 hours
Fluoroscopy Procedure and
Films – 3 hours
Fluoroscopy Procedure and
Films – 4 hours
Fluoroscopy Procedure and
Films – 5 hours
Fluoroscopy Procedure and
Films – 6 hours
Abdomen, 1 projection
Abdomen, 2 projections
Abdomen, 3 or more
projections
Cholangiogram, drainage tube
Cholangiogram, intravenous
Cholangiogram, operative
Cholangiogram, t-tube
Cholecystogram, oral with
fluoroscopy
Cholecystogram, oral no
fluoroscopy
Colon, double (air) contrast
Colon, for intussusception,
diagnosis
Colon, separate air contrast
Colon, single contrast
Cholangiogram and/or
pancreatogram by endoscopy
(E.R.C.P.)
Cholangiogram and/or
pancreatogram by endoscopy
(E.R.C.P.) and interventions
Esophagus, with fluoroscopy
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Fluoroscopy Procedure – 1
hour
Fluoroscopy Procedure – 2
hour
Fluoroscopy Procedure – 3
hour
Fluoroscopy Procedure – 4
hour
Fluoroscopy Procedure – 5
hour
Fluoroscopy Procedure – 6
hour
Fluoroscopy Procedure and
Films - 15 minutes
Fluoroscopy Procedure and
Films - 30 minutes
Fluoroscopy Procedure and
Films – 1 hour
Fluoroscopy Procedure and
Films – 2 hours
Fluoroscopy Procedure and
Films – 3 hours
Fluoroscopy Procedure and
Films – 4 hours
Fluoroscopy Procedure and
Films – 5 hours
Fluoroscopy Procedure and
Films – 6 hours
Abdomen, 1 projection
Abdomen, 2 projections
Abdomen, 3 or more
projections
Cholangiogram, drainage tube
Cholangiogram, intravenous
Cholangiogram, operative
Cholangiogram, t-tube
Cholecystogram, oral with
fluoroscopy
Cholecystogram, oral no
fluoroscopy
Colon, double (air) contrast
Colon, for intussusception,
diagnosis
Colon, separate air contrast
Colon, single contrast
Cholangiogram and/or
pancreatogram by endoscopy
(E.R.C.P.)
Cholangiogram and/or
pancreatogram by endoscopy
(E.R.C.P.) and interventions
Esophagus, with fluoroscopy
100 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
420150
420160
420180
420190
420200
420210
420220
420230
420240
420250
420260
420270
420280
420290
420300
420310
420330
420340
430000
430020
430030
430040
430050
430060
430080
430090
Esophagus, without
fluoroscopy
Esophagus, with fluoroscopy
and video or cine rapid film
Duodenum, hypotonic study
via small bowel tube
Loopogram, G.I.
Modified barium swallow
with/without speech pathology
(Velopharyngogram,
Nasopharyngogram
Palatopharyngogram, Video
Fluoroscopic Swallow Study
(VFSS))
Pouchogram
Proctogram
Sinogram, G.I., with
fluoroscopy
Sinogram, G.I., no fluoroscopy
Small bowel enema,
enteroclysis
Small bowel, (FT) with
fluoroscopy
Small bowel, (FT) no
fluoroscopy
Stomach and duodenum,
double contrast
Stomach and duodenum
double contrast and small
bowel (FT)
Stomach and duodenum,
single contrast
Stomach and duodenum
single contrast and small
bowel (FT)
GI tube positioning, with
fluoroscopy
Colon for intussuception,
attempted or successful
reduction water soluble
contrast or air
Abdomen, obstetrics
Cystography
Cystourethrography,
retrograde
Cystourethrography, voiding
(VCUG)
Fluoroscopy, G.U., diagnosis
Hysterosalpingography
Urography, intravenous with
tomography
Urography, intravenous,
without tomography plus
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Esophagus, without
fluoroscopy
Esophagus, with fluoroscopy
and video or cine rapid film
Duodenum, hypotonic study
via small bowel tube
Loopogram, G.I.
Modified barium swallow
with/without speech pathology
(Velopharyngogram,
Nasopharyngogram
Palatopharyngogram, Video
Fluoroscopic Swallow Study
(VFSS))
Pouchogram
Proctogram
Sinogram, G.I., with
fluoroscopy
Sinogram, G.I., no fluoroscopy
Small bowel enema,
enteroclysis
Small bowel, (FT) with
fluoroscopy
Small bowel, (FT) no
fluoroscopy
Stomach and duodenum,
double contrast
Stomach and duodenum
double contrast and small
bowel (FT)
Stomach and duodenum,
single contrast
Stomach and duodenum
single contrast and small
bowel (FT)
GI tube positioning, with
fluoroscopy
Colon for intussuception,
attempted or successful
reduction water soluble
contrast or air
Abdomen, obstetrics
Cystography
Cystourethrography,
retrograde
Cystourethrography, voiding
(VCUG)
Fluoroscopy, G.U., diagnosis
Hysterosalpingography
Urography, intravenous with
tomography
Urography, intravenous,
without tomography plus
101 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
430100
430110
430120
430130
430140
430160
430170
430180
430190
430210
430220
430230
430240
430250
430260
430270
430280
430330
440000
440010
440020
440040
440050
440060
440070
440080
440090
voiding cystography
voiding cystography
Urography, intravenous, with
tomography plus voiding
cystography
Urography, intravenous,
without tomography
K.U.B., 1 projection
K.U.B., 2 or more projections
Loopogram Ileoconduit, G.U.
Nephrostogram, unilateral,
without fluoroscopy
Nephrostogram, bilateral, with
fluoroscopy
Nephrostogram, unilateral,
with fluoroscopy
Pelvimetry
Urography, retrograde,
bilateral
Urography, retrograde,
unilateral
Sinogram/Fistulogram, G.U.,
without fluoroscopy
Sinogram/Fistulogram, G.U.,
with fluoroscopy
Urethrography
Urodynamics, basic testing
with fluoroscopy
Urodynamics, detailed testing
with fluoroscopy
Vasogram
Vaginogram
Arthrography,
temporomandibular joint,
bilateral
Arthrography,
temporomandibular joint,
unilateral
Dacryocystography
Facial bones, maxilla,
zygomatic arches, 1-3
projections
Facial bones, maxilla,
zygomatic arches, 4 or more
projections
Internal auditory canals (IAC or
IAM's)
Mandible
Orthopantomogram, for teeth,
mandible or
temporomandibular joints
Mastoids
Urography, intravenous, with
tomography plus voiding
cystography
Urography, intravenous,
without tomography
K.U.B., 1 projection
K.U.B., 2 or more projections
Loopogram Ileoconduit, G.U.
Nephrostogram, unilateral,
without fluoroscopy
Nephrostogram, bilateral, with
fluoroscopy
Nephrostogram, unilateral,
with fluoroscopy
Pelvimetry
Urography, retrograde,
bilateral
Urography, retrograde,
unilateral
Sinogram/Fistulogram, G.U.,
without fluoroscopy
Sinogram/Fistulogram, G.U.,
with fluoroscopy
Urethrography
Urodynamics, basic testing
with fluoroscopy
Urodynamics, detailed testing
with fluoroscopy
Vasogram
Vaginogram
Arthrography,
temporomandibular joint,
bilateral
Arthrography,
temporomandibular joint,
unilateral
Dacryocystography
Facial bones, maxilla,
zygomatic arches, 1-3
projections
Facial bones, maxilla,
zygomatic arches, 4 or more
projections
Internal auditory canals (IAC or
IAM's)
Mandible
Orthopantomogram, for teeth,
mandible or
temporomandibular joints
Mastoids
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
102 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
440120
440130
440140
440170
440180
440190
440200
440210
440220
440250
440260
440270
440280
440300
450000
450010
450030
450040
450050
450060
450070
450080
450090
450100
450110
450120
450150
450170
450200
450210
450220
450230
450240
450250
450260
450270
450280
450290
450310
Nasal bones
Optic foramina
Orbits, foreign body / trauma
Salivary duct for calculus
Sella turcica
Sialography
Sinuses
Skull, 1-3 projections
Skull, 4 projections or more
Skull, stereotaxis localization
Teeth, complete
Teeth, half set
Temporomandibular joints
Tooth, single
Ankle, bilateral/comparison
Ankle, bilateral weightbearing
Ankle, unilateral
Arthrography, ankle
Arthrography, hip
Arthrography, knee
Foot, bilateral/comparison
Foot, bilateral, weightbearing
Femur, bilateral/comparison
Femur, bilateral, including hip
& knees
Femur, unilateral
Femur, unilateral, including hip
and knee
Foot, unilateral
Hips, bilateral/comparison
Hip fixation, without
fluoroscopy
Hip, 1 - 2 projections
Knee, bilateral, 2 - 4
projections
Knee, bilateral, 5 or more
projections
Knee, bilateral skyline and
tunnel projection(s)
Knee, bilateral, weightbearing
Knee, bilateral, weightbearing
hip to ankle (Long Film)
(Orthoroentogram)
Knee, unilateral, 1-2
projections
Knee, unilateral, 3 or more
projections
Knee, unilateral, skyline and
tunnel projection(s)
Os Calcis, bilateral/comparison
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Nasal bones
Optic foramina
Orbits, foreign body / trauma
Salivary duct for calculus
Sella turcica
Sialography
Sinuses
Skull, 1-3 projections
Skull, 4 projections or more
Skull, stereotaxis localization
Teeth, complete
Teeth, half set
Temporomandibular joints
Tooth, single
Ankle, bilateral/comparison
Ankle, bilateral weightbearing
Ankle, unilateral
Arthrography, ankle
Arthrography, hip
Arthrography, knee
Foot, bilateral/comparison
Foot, bilateral, weightbearing
Femur, bilateral/comparison
Femur, bilateral, including hip
& knees
Femur, unilateral
Femur, unilateral, including hip
and knee
Foot, unilateral
Hips, bilateral/comparison
Hip fixation, without
fluoroscopy
Hip, 1 - 2 projections
Knee, bilateral, 2 - 4
projections
Knee, bilateral, 5 or more
projections
Knee, bilateral skyline and
tunnel projection(s)
Knee, bilateral, weightbearing
Knee, bilateral, weightbearing
hip to ankle (Long Film)
(Orthoroentogram)
Knee, unilateral, 1-2
projections
Knee, unilateral, 3 or more
projections
Knee, unilateral, skyline and
tunnel projection(s)
Os Calcis, bilateral/comparison
103 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
450320
450330
450340
450350
450360
450370
450380
450390
450400
450410
450420
450430
450440
450450
450460
450470
450480
450490
450500
450530
450540
460000
460010
460020
460030
460040
460050
460060
460070
460080
460090
460100
460110
460130
460140
460170
460180
Os Calcis, unilateral
Pelvis, 1 projection
Pelvis, 2 or more projections
Pelvis and both hips
Pelvis and one hip
Sacroiliac joints
Scanogram, lower extremity
Knee, unilateral, skyline
projection(s)
Knee, bilateral, skyline
projection(s)
Sinogram, lower extremity
Stress views, unilateral lower
extremity, (any site)
Stress views, bilateral lower
extremity, (any site)
Tibia and fibula,
bilateral/comparison
Tibia and fibula, unilateral
Toe(s), bilateral/comparison
Toe(s), unilateral
Knee, bilateral, tunnel
projection(s)
Knee, unilateral, tunnel
projection(s)
Lower extremity, artery or vein
radiography
Knee, unilateral, weightbearing
Foot, unilateral, weightbearing
Acromioclavicular joints
Arthrography, elbow
Arthrography, shoulder
Arthrography, wrist
Wrist, bilateral, carpal tunnel
projection
Wrist, unilateral, carpal tunnel
projection
Clavicle, bilateral/comparison
Clavicle, unilateral
Elbow, bilateral, 2-4
projections
Elbow, bilateral, 5 or more
projections
Elbow, unilateral, 1-2
projections
Elbow, unilateral, 3 or more
projections
Finger(s), bilateral
Finger(s), unilateral
Hand bilateral/comparison
Hand and wrist, bilateral
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Os Calcis, unilateral
Pelvis, 1 projection
Pelvis, 2 or more projections
Pelvis and both hips
Pelvis and one hip
Sacroiliac joints
Scanogram, lower extremity
Knee, unilateral, skyline
projection(s)
Knee, bilateral, skyline
projection(s)
Sinogram, lower extremity
Stress views, unilateral lower
extremity, (any site)
Stress views, bilateral lower
extremity, (any site)
Tibia and fibula,
bilateral/comparison
Tibia and fibula, unilateral
Toe(s), bilateral/comparison
Toe(s), unilateral
Knee, bilateral, tunnel
projection(s)
Knee, unilateral, tunnel
projection(s)
Lower extremity, artery or vein
radiography
Knee, unilateral, weightbearing
Foot, unilateral, weightbearing
Acromioclavicular joints
Arthrography, elbow
Arthrography, shoulder
Arthrography, wrist
Wrist, bilateral, carpal tunnel
projection
Wrist, unilateral, carpal tunnel
projection
Clavicle, bilateral/comparison
Clavicle, unilateral
Elbow, bilateral, 2-4
projections
Elbow, bilateral, 5 or more
projections
Elbow, unilateral, 1-2
projections
Elbow, unilateral, 3 or more
projections
Finger(s), bilateral
Finger(s), unilateral
Hand bilateral/comparison
Hand and wrist, bilateral
104 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
460190
460210
460220
460230
460240
460250
460270
460280
460300
460310
460320
460330
460340
460350
460360
460370
460380
460390
460400
460410
460420
460430
460450
470000
470010
470020
470040
470050
470060
470070
470080
470090
470100
470110
470120
470130
Hand, unilateral
Hand and wrist, unilateral
Hand and wrist, for bone age
Hand, industrial grade film
Humerus, bilateral/comparison
Humerus, unilateral
Radius and ulna,
bilateral/comparison
Radius and ulna, unilateral
Scanogram, upper extremity
Wrist, bilateral, scaphoid
projection(s)
Wrist, unilateral, scaphoid
projection(s)
Scapula, bilateral/comparison
Scapula, unilateral
Shoulder, bilateral, 2-4
projections
Shoulder, bilateral, 5 or more
projections
Shoulder, unilateral, 1-2
projections
Shoulder, unilateral, 3 or more
projections
Sinogram, upper extremity
Stress views, bilateral upper
extremity, any site
Stress views, unilateral, upper
extremity, any site
Wrist, bilateral/comparison
Wrist, unilateral
Upper extremity, artery or vein
radiography
Coccyx, 1-3 projections
Discography, each additional
disc
Discography, one disc
Myelography, cervical
Myelography, complete, 2 or
more areas
Myelography, lumbar
Myelography, thoracic
Sacrum, 1-3 projections
Scoliosis series, 1-2
projections
Scoliosis series, 3 or more
projections
Sinogram, spine
Skeletal survey, 1-2
projections
Skeletal survey, 3-6
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Hand, unilateral
Hand and wrist, unilateral
Hand and wrist, for bone age
Hand, industrial grade film
Humerus, bilateral/comparison
Humerus, unilateral
Radius and ulna,
bilateral/comparison
Radius and ulna, unilateral
Scanogram, upper extremity
Wrist, bilateral, scaphoid
projection(s)
Wrist, unilateral, scaphoid
projection(s)
Scapula, bilateral/comparison
Scapula, unilateral
Shoulder, bilateral, 2-4
projections
Shoulder, bilateral, 5 or more
projections
Shoulder, unilateral, 1-2
projections
Shoulder, unilateral, 3 or more
projections
Sinogram, upper extremity
Stress views, bilateral upper
extremity, any site
Stress views, unilateral, upper
extremity, any site
Wrist, bilateral/comparison
Wrist, unilateral
Upper extremity, artery or vein
radiography
Coccyx, 1-3 projections
Discography, each additional
disc
Discography, one disc
Myelography, cervical
Myelography, complete, 2 or
more areas
Myelography, lumbar
Myelography, thoracic
Sacrum, 1-3 projections
Scoliosis series, 1-2
projections
Scoliosis series, 3 or more
projections
Sinogram, spine
Skeletal survey, 1-2
projections
Skeletal survey, 3-6
105 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
470140
470150
470160
470170
470180
470190
470200
470210
470220
470230
470240
470250
470260
470290
480000
480030
480040
480050
480070
480080
480090
480100
480110
480120
480130
480140
480150
480170
480180
480190
480200
480210
480220
projections
Skeletal survey, 7-12
projections
Skeletal survey, 13 or more
projections
Spine, cervical, 1-3 projections
Spine, cervical, 4 or more
projections
Spine, complete, without
obliques
Spine, complete with obliques
Spine, flexion and extension
and lateral bending projections
Spine, flexion and extension
projections
Spine, lateral bending
projections
Spine, lumbar, 1-3 projections
Spine, lumbar, 4 or more
projections
Spine, thoracic, 1-3 projections
Spine, thoracic, 4 or more
projections
Spine, coned views, 2
projections
Specimen radiography
Bronchoscopy, fluoroscopy
Chest and abdomen, 1
projection pediatrics
Chest and abdomen, 2
projections pediatrics
Chest, with or without
fluoroscopy for catheter
insertion/or patency check
Chest, 1 projection
Chest, 1 projection decubitus
Chest, 2 projections
Chest, 2 projections decubitus
Chest, 3 projections
Chest, 4 projections
Chest, 5 projections
Chest, 6 projections
Chest, with oral contrast
Laryngography
Mammography, bilateral
Mammography, unilateral, 1
projection
Mammography, unilateral, 2 or
more projections
Mammography,coned down
magnification projections only
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
projections
Skeletal survey, 7-12
projections
Skeletal survey, 13 or more
projections
Spine, cervical, 1-3 projections
Spine, cervical, 4 or more
projections
Spine, complete, without
obliques
Spine, complete with obliques
Spine, flexion and extension
and lateral bending projections
Spine, flexion and extension
projections
Spine, lateral bending
projections
Spine, lumbar, 1-3 projections
Spine, lumbar, 4 or more
projections
Spine, thoracic, 1-3 projections
Spine, thoracic, 4 or more
projections
Spine, coned views, 2
projections
Specimen radiography
Bronchoscopy, fluoroscopy
Chest and abdomen, 1
projection pediatrics
Chest and abdomen, 2
projections pediatrics
Chest, with or without
fluoroscopy for catheter
insertion/or patency check
Chest, 1 projection
Chest, 1 projection decubitus
Chest, 2 projections
Chest, 2 projections decubitus
Chest, 3 projections
Chest, 4 projections
Chest, 5 projections
Chest, 6 projections
Chest, with oral contrast
Laryngography
Mammography, bilateral
Mammography, unilateral, 1
projection
Mammography, unilateral, 2 or
more projections
Mammography,coned down
magnification projections only
106 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
480240
480250
480280
480290
480300
480310
480320
480330
480340
490000
490010
490020
490030
490080
490090
490100
490110
490120
490130
490140
490150
490160
490170
490180
490190
490200
490210
490220
Nasopharnyx/soft tissue neck,
1 projection
Nasopharnyx/soft tissue neck,
2 projections
Ribs, bilateral
Ribs, unilateral
Sinogram/fistulogram, chest
Sleep apneograms,
fluoroscopy, video/audio
Sternoclavicular joints
Sternum
Thoracic inlet/outlet
Tomography, chest, linear, 1
projection
Tomography, chest, linear, 2
projections
Tomography, chest,
multidirectional, 1 projection
Tomography, chest,
multidirectional, 2 projections
Tomography, abdomen/pelvis,
linear, 1 projection
Tomography, abdomen/pelvis,
multidirectional, 1 projection
Tomography, head, linear
Tomography, head,
multidirectional
Tomography, spine, linear, 1
projection
Tomography, spine, linear, 2
projections
Tomography, spine,
multidirectional 1 projection
Tomography, spine,
multidirectional 2 projections
Tomography, upper extremity,
linear, 1 projection
Tomography, upper extremity,
linear, 2 projections
Tomography, upper extremity,
multi directional, 1 projection
Tomography, upper extremity,
multi directional, 2 projections
Tomography, lower extremity,
linear, 1 projection
Tomography, lower extremity,
linear 2 projections
Tomography, lower extremity,
multi directional, 1 projection
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Nasopharnyx/soft tissue neck,
1 projection
Nasopharnyx/soft tissue neck,
2 projections
Ribs, bilateral
Ribs, unilateral
Sinogram/fistulogram, chest
Sleep apneograms,
fluoroscopy, video/audio
Sternoclavicular joints
Sternum
Thoracic inlet/outlet
Tomography, chest, linear, 1
projection
Tomography, chest, linear, 2
projections
Tomography, chest,
multidirectional, 1 projection
Tomography, chest,
multidirectional, 2 projections
Tomography, abdomen/pelvis,
linear, 1 projection
Tomography, abdomen/pelvis,
multidirectional, 1 projection
Tomography, head, linear
Tomography, head,
multidirectional
Tomography, spine, linear, 1
projection
Tomography, spine, linear, 2
projections
Tomography, spine,
multidirectional 1 projection
Tomography, spine,
multidirectional 2 projections
Tomography, upper extremity,
linear, 1 projection
Tomography, upper extremity,
linear, 2 projections
Tomography, upper extremity,
multi directional, 1 projection
Tomography, upper extremity,
multi directional, 2 projections
Tomography, lower extremity,
linear, 1 projection
Tomography, lower extremity,
linear 2 projections
Tomography, lower extremity,
multi directional, 1 projection
107 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
490230
490240
503960
510000
510010
510020
510030
510040
510050
510060
510070
510080
510090
510100
510110
510120
510130
510140
510150
510160
510170
510180
510190
510200
510210
510220
510230
510240
Tomography, lower extremity,
multi directional, 2 projections
Bone densitometry
MR Post Processing
MR Brain WITHOUT Contrast
MR Brain WITH & WITHOUT
Contrast
MR IAC WITHOUT Contrast
(incl. Brain Imaging)
MR IAC WITH & WITHOUT
Contrast (incl. Brain Imaging)
MR Nasopharynx (Parotids,
Sinuses) WITHOUT Contrast
MR Nasopharynx (Parotids,
Sinuses) WITH & WITHOUT
Contrast
MR Orbits WITHOUT Contrast
MR Orbits WITH & WITHOUT
Contrast
MR Sella WITHOUT Contrast
MR Sella WITH & WITHOUT
Contrast
MR Soft Tissue Neck
WITHOUT Contrast
MR Soft Tissue Neck WITH &
WITHOUT Contrast
MR C-spine WITHOUT
Contrast
MR C-spine WITH &
WITHOUT Contrast
MR T-spine WITHOUT
Contrast
MR T-spine WITH &
WITHOUT Contrast
MR L-spine WITHOUT
Contrast
MR L-spine WITH &
WITHOUT Contrast
MR Brachial Plexus WITHOUT
Contrast
MR Brachial Plexus WITH &
WITHOUT Contrast
Functional MRI
MR Digit/Hand* WITHOUT
Contrast
MR Digit/Hand* WITH &
WITHOUT Contrast
MR Elbow/Forearm*
WITHOUT Contrast
MR Elbow/Forearm* WITH &
WITHOUT Contrast
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Tomography, lower extremity,
multi directional, 2 projections
Bone densitometry
MR Post Processing
MR Brain WITHOUT Contrast
MR Brain WITH & WITHOUT
Contrast
MR IAC WITHOUT Contrast
(incl. Brain Imaging)
MR IAC WITH & WITHOUT
Contrast (incl. Brain Imaging)
MR Nasopharynx (Parotids,
Sinuses) WITHOUT Contrast
MR Nasopharynx (Parotids,
Sinuses) WITH & WITHOUT
Contrast
MR Orbits WITHOUT Contrast
MR Orbits WITH & WITHOUT
Contrast
MR Sella WITHOUT Contrast
MR Sella WITH & WITHOUT
Contrast
MR Soft Tissue Neck
WITHOUT Contrast
MR Soft Tissue Neck WITH &
WITHOUT Contrast
MR C-spine WITHOUT
Contrast
MR C-spine WITH &
WITHOUT Contrast
MR T-spine WITHOUT
Contrast
MR T-spine WITH &
WITHOUT Contrast
MR L-spine WITHOUT
Contrast
MR L-spine WITH &
WITHOUT Contrast
MR Brachial Plexus WITHOUT
Contrast
MR Brachial Plexus WITH &
WITHOUT Contrast
Functional MRI
MR Digit/Hand* WITHOUT
Contrast
MR Digit/Hand* WITH &
WITHOUT Contrast
MR Elbow/Forearm*
WITHOUT Contrast
MR Elbow/Forearm* WITH &
WITHOUT Contrast
108 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
510250
510260
510270
510280
510290
510300
510310
510320
510330
510340
510350
510360
510370
510380
510390
510400
510410
510420
510430
510440
510450
510460
510470
510480
510490
510500
MR
Shoulder/Humerus*WITHOUT
Contrast
MR Shoulder/Humerus*WITH
& WITHOUT Contrast
MR Wrist* WITHOUT Contrast
MR Wrist* WITH & WITHOUT
Contrast
MR Ankle/Foot* WITHOUT
Contrast
MR Ankle/Foot* WITH &
WITHOUT Contrast
MR Hip/Femur* WITHOUT
Contrast
MR Hip/Femur* WITH &
WITHOUT Contrast
MR Knee/TibFib* WITHOUT
Contrast
MR Knee/TibFib* WITH &
WITHOUT Contrast
MR Bilateral Hips ( both in one
FOV) WITHOUT Contrast
MR Bilateral Hips (one FOV)
WITH & WITHOUT Contrast
MR Sacrum/SI Joints bilateral
WITHOUT Contrast
MR Sacrum/SI Joint’s bilateral
WITH & WITHOUT Contrast
MR TMJ’s bilateral WITHOUT
Contrast
MR TMJ’s bilateral WITH &
WITHOUT Contrast
MR Breast WITHOUT Contrast
(uni/bilateral)
MR Breast WITH & WITHOUT
Contrast (uni/bilateral)
MR Chest wall WITHOUT
Contrast
MR Chest wall WITH &
WITHOUT Contrast
MR Pelvis WITHOUT Contrast
MR Pelvis WITH & WITHOUT
Contrast
MR Abdomen WITHOUT
Contrast
MR Abdomen WITH &
WITHOUT Contrast
MR Cardiac WITHOUT
Contrast
MR Cardiac WITH &
WITHOUT Contrast
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
MR
Shoulder/Humerus*WITHOUT
Contrast
MR Shoulder/Humerus*WITH
& WITHOUT Contrast
MR Wrist* WITHOUT Contrast
MR Wrist* WITH & WITHOUT
Contrast
MR Ankle/Foot* WITHOUT
Contrast
MR Ankle/Foot* WITH &
WITHOUT Contrast
MR Hip/Femur* WITHOUT
Contrast
MR Hip/Femur* WITH &
WITHOUT Contrast
MR Knee/TibFib* WITHOUT
Contrast
MR Knee/TibFib* WITH &
WITHOUT Contrast
MR Bilateral Hips ( both in one
FOV) WITHOUT Contrast
MR Bilateral Hips (one FOV)
WITH & WITHOUT Contrast
MR Sacrum/SI Joints bilateral
WITHOUT Contrast
MR Sacrum/SI Joint’s bilateral
WITH & WITHOUT Contrast
MR TMJ’s bilateral WITHOUT
Contrast
MR TMJ’s bilateral WITH &
WITHOUT Contrast
MR Breast WITHOUT Contrast
(uni/bilateral)
MR Breast WITH & WITHOUT
Contrast (uni/bilateral)
MR Chest wall WITHOUT
Contrast
MR Chest wall WITH &
WITHOUT Contrast
MR Pelvis WITHOUT Contrast
MR Pelvis WITH & WITHOUT
Contrast
MR Abdomen WITHOUT
Contrast
MR Abdomen WITH &
WITHOUT Contrast
MR Cardiac WITHOUT
Contrast
MR Cardiac WITH &
WITHOUT Contrast
109 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
510510
510520
510530
510540
510570
510580
510590
510600
510610
510620
510630
510640
510650
510660
510670
510680
510690
510700
510800
510810
510820
510830
510840
510850
600000
600010
600090
600160
600170
600180
600210
600220
MR Thorax WITHOUT
Contrast
MR Thorax WITH & WITHOUT
Contrast
MR Arthrogram (any joint)
MR Spectroscopy
MR Guided Biopsy (Includes
Anatomic Imaging)
MR Pre-Surgery without
contrast
MR Pre-Surgery with contrast
MR Intra-Surgery without
contrast
MR Intra-surgery with contrast
MR Post-Surgery without
contrast
MR Post-Surgery with contrast
MRA Non-Enhanced (Time of
Flight, 2D, MRV)
MRA Neuro Enhanced
MRA Chest Enhanced
MRA Abdomen Enhanced
MRA Pelvis Enhanced
MRA Peripheral-Upper
Enhanced
MRA Peripheral-Lower
Enhanced
MR Add on 15 minutes
MR Add on 30 minutes
MR Neuro return for additional
sequences or contrast (limited
study)
MR BODY/MSK return for
additional sequences or
contrast (limited study)
MRV Peripheral-Upper
Unenhanced
MRV Peripheral-Lower
Unenhanced
NM Stress test patient
preparation
NM Rest Myocardial Perfusion
NM Rest Myocardial Viability
(1 SPECT or Reinfusion)
NM Myocardial Perfusion
Gated SPECT
NM First Pass (list mode)
NM Rest Gated Blood Pool
(includes labeling)
NM Myocardial Infarct Imaging
Planar
NM Myocardial Infarct Imaging
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
MR Thorax WITHOUT
Contrast
MR Thorax WITH & WITHOUT
Contrast
MR Arthrogram (any joint)
MR Spectroscopy
MR Guided Biopsy (Includes
Anatomic Imaging)
MR Pre-Surgery without
contrast
MR Pre-Surgery with contrast
MR Intra-Surgery without
contrast
MR Intra-surgery with contrast
MR Post-Surgery without
contrast
MR Post-Surgery with contrast
MRA Non-Enhanced (Time of
Flight, 2D, MRV)
MRA Neuro Enhanced
MRA Chest Enhanced
MRA Abdomen Enhanced
MRA Pelvis Enhanced
MRA Peripheral-Upper
Enhanced
MRA Peripheral-Lower
Enhanced
MR Add on 15 minutes
MR Add on 30 minutes
MR Neuro return for additional
sequences or contrast (limited
study)
MR BODY/MSK return for
additional sequences or
contrast (limited study)
MRV Peripheral-Upper
Unenhanced
MRV Peripheral-Lower
Unenhanced
NM Stress test patient
preparation
NM Rest Myocardial Perfusion
NM Rest Myocardial Viability
(1 SPECT or Reinfusion)
NM Myocardial Perfusion
Gated SPECT
NM First Pass (list mode)
NM Rest Gated Blood Pool
(includes labeling)
NM Myocardial Infarct Imaging
Planar
NM Myocardial Infarct Imaging
110 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
600230
600240
600270
600280
600290
600300
600320
600340
600360
600370
600380
600390
600400
610000
610010
610020
610030
610040
610050
610060
610070
610080
610090
610100
610120
610130
610140
610150
610160
SPECT
NM Right to Left
NM Left to Right
NM Mobile Cardiac
Examination
NM Mobile Cardiac
Examination in Nursery
NM Mobile Cardiac
Examination in O.R.
NM Stress Myocardial
Perfusion
NM Myocardial Viability (2nd
SPECT or 4hr delays)
NM Rest/Stress Myocardial
Perfusion (injection only)
NM Rest Myocardial Perfusion
(injection off site)
NM Stress Myocardial
Perfusion (injection off site)
NM Cardiac Output
NM Gated Blood Pool SPECT
NM Stress Gated Blood Pool
NM Bone Whole Body first
Pass
NM Bone Whole Body
Subsequent Pass (single head
cameras)
NM Bone Specific site (1-3
views)
NM Bone Specific Site (4-6
views)
NM Bone Specific Site (7-9
views)
NM Bone Specific Site (10 or
more)
NM Bone Additional spot to
whole body
NM Bone Flow and blood pool
images
NM SI joint ratios
NM Bone SPECT (each area)
NM Radionuclide Arthrogram
NM 67 Ga Whole body 1st
Pass
NM 67 Ga Whole Body Each
Subsequent Pass
NM 67 Ga Specific site (1-3
views)
NM 67 Ga Specific Site (4-6
views)
NM 67 Ga Specific Site (7-9
views)
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
SPECT
NM Right to Left
NM Left to Right
NM Mobile Cardiac
Examination
NM Mobile Cardiac
Examination in Nursery
NM Mobile Cardiac
Examination in O.R.
NM Stress Myocardial
Perfusion
NM Myocardial Viability (2nd
SPECT or 4hr delays)
NM Rest/Stress Myocardial
Perfusion (injection only)
NM Rest Myocardial Perfusion
(injection off site)
NM Stress Myocardial
Perfusion (injection off site)
NM Cardiac Output
NM Gated Blood Pool SPECT
NM Stress Gated Blood Pool
NM Bone Whole Body first
Pass
NM Bone Whole Body
Subsequent Pass (single head
cameras)
NM Bone Specific site (1-3
views)
NM Bone Specific Site (4-6
views)
NM Bone Specific Site (7-9
views)
NM Bone Specific Site (10 or
more)
NM Bone Additional spot to
whole body
NM Bone Flow and blood pool
images
NM SI joint ratios
NM Bone SPECT (each area)
NM Radionuclide Arthrogram
NM 67 Ga Whole body 1st
Pass
NM 67 Ga Whole Body Each
Subsequent Pass
NM 67 Ga Specific site (1-3
views)
NM 67 Ga Specific Site (4-6
views)
NM 67 Ga Specific Site (7-9
views)
111 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
610170
610180
610190
610200
610210
610220
610230
610240
610250
610260
610270
610280
610290
610300
610310
610320
610330
610340
610350
610360
610370
610380
610390
610400
610410
610420
610430
610440
610450
610460
610470
610480
610490
NM 67 Ga Additional spot to
whole body
NM 67 Ga SPECT (each area)
NM WBC Labeling
NM WBC Whole Body 1st
Pass
NM WBC Whole Body Each
Subsequent Pass *
NM WBC Specific site (1-3
views)
NM WBC Specific site (4-6
views)
NM WBC Specific site (7-9
views)
NM WBC Additional spot to
whole body
NM WBC SPECT
NM Misc. Whole Body 1st
Pass
NM Misc. Whole Body Each
Subsequent Pass
NM Misc. Specific site (1-3
views)
NM Misc. Specific Site (4-6
views)
NM Misc. Specific Site (7-9
views)
NM Misc. Additional spot to
whole body
NM Misc. SPECT
NM Liver Spleen Planar views
NM Liver Spleen SPECT
NM RBC Liver Labeling
NM RBC Liver Dynamic
NM RBC Liver Planar delays
NM Heat Damaged RBC
Labeling
NM Heat Damaged Delayed
Phase
NM RBC Hemangioma SPECT
NM Hepatobiliary Scan
NM Hepatobiliary Delayed
views, per set
NM Hepatobiliary with
Pharmacologic Intervention &
Imaging
NM Gallbladder Ejection
fraction
NM RBC Labeling for GI Bleed
NM RBC GI Bleed Imaging
NM Colloid GI Bleed
NM Meckel's
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
NM 67 Ga Additional spot to
whole body
NM 67 Ga SPECT (each area)
NM WBC Labeling
NM WBC Whole Body 1st
Pass
NM WBC Whole Body Each
Subsequent Pass *
NM WBC Specific site (1-3
views)
NM WBC Specific site (4-6
views)
NM WBC Specific site (7-9
views)
NM WBC Additional spot to
whole body
NM WBC SPECT
NM Misc. Whole Body 1st
Pass
NM Misc. Whole Body Each
Subsequent Pass
NM Misc. Specific site (1-3
views)
NM Misc. Specific Site (4-6
views)
NM Misc. Specific Site (7-9
views)
NM Misc. Additional spot to
whole body
NM Misc. SPECT
NM Liver Spleen Planar views
NM Liver Spleen SPECT
NM RBC Liver Labeling
NM RBC Liver Dynamic
NM RBC Liver Planar delays
NM Heat Damaged RBC
Labeling
NM Heat Damaged Delayed
Phase
NM RBC Hemangioma SPECT
NM Hepatobiliary Scan
NM Hepatobiliary Delayed
views, per set
NM Hepatobiliary with
Pharmacologic Intervention &
Imaging
NM Gallbladder Ejection
fraction
NM RBC Labeling for GI Bleed
NM RBC GI Bleed Imaging
NM Colloid GI Bleed
NM Meckel's
112 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
610500
610510
NM GI Bleed Delay
NM GI Bleed with
Pharmacologic Intervention
NM Liquid Gastric Emptying
NM Solid Gastric Emptying
NM G.I. Transit
NM Gastric Reflux
NM Gastric Emptying Delayed
view
NM Leveen shunt
NM Portocath patency
NM Liver volume (SPECT)
NM Brain (CNS) Flow &
Immediates
NM Brain (CNS)Delays
NM Brain (CNS) SPECT
NM Cerebral Perfusion SPECT
NM Cerebral Perfusion SPECT
NM CSF Leak
NM CSF Shunt
NM Cisternography (includes
24 hr. delay)
NM Cisternography Delay
views per set (after 24 hrs)
NM Thyroid Scan - 131I or
123I
NM Thyroid Uptake
NM Thyroid Scan - Tc-99m
NM Withdrawing blood for lab
work
NM Parathyroid Imaging
NM 131I mIBG (includes 1 day
of imaging)
NM GI Bleed Delay
NM GI Bleed with
Pharmacologic Intervention
NM Liquid Gastric Emptying
NM Solid Gastric Emptying
NM G.I. Transit
NM Gastric Reflux
NM Gastric Emptying Delayed
view
NM Leveen shunt
NM Portocath patency
NM Liver volume (SPECT)
NM Brain (CNS) Flow &
Immediates
NM Brain (CNS)Delays
NM Brain (CNS) SPECT
NM Cerebral Perfusion SPECT
NM Cerebral Perfusion SPECT
NM CSF Leak
NM CSF Shunt
NM Cisternography (includes
24 hr. delay)
NM Cisternography Delay
views per set (after 24 hrs)
NM Thyroid Scan - 131I or
123I
NM Thyroid Uptake
NM Thyroid Scan - Tc-99m
NM Withdrawing blood for lab
work
NM Parathyroid Imaging
NM 131I mIBG (includes 1 day
of imaging)
610770
NM 131I mIBG Delay imaging
(second set of images)
NM 131I mIBG Delay imaging
(second set of images)
610780
610790
610800
610820
NM 131I mIBG SPECT
NM Adrenal Cortex
NM Renal Dynamic study
NM Captopril Administration
and Monitoring
NM Diuretic administration
(before or during study)
NM Additional spot views
following dynamic (Pre and
Post Void, Upright, etc)
NM 131I mIBG SPECT
NM Adrenal Cortex
NM Renal Dynamic study
NM Captopril Administration
and Monitoring
NM Diuretic administration
(before or during study)
NM Additional spot views
following dynamic (Pre and
Post Void, Upright, etc)
NM Renal Morphological
Imaging Glucoheptonate (early
and delayed views)
NM Renal Morphological
Imaging Glucoheptonate (early
and delayed views)
610520
610530
610550
610560
610570
610580
610590
610600
610610
610620
610630
610640
610650
610660
610670
610680
610690
610700
610710
610720
610730
610740
610750
610830
610840
610850
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
113 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
610860
610870
610880
610890
610900
610910
610920
610930
610940
610950
610960
610970
610980
610990
611000
611010
611020
611030
611040
611050
611060
611070
611080
611090
611100
611110
611120
611130
611140
611150
611160
611170
611200
NM Renal Morphological
Imaging (delay views only with
no SPECT)
NM Renal Morphological
Imaging SPECT
NM Cystogram Direct
NM Cystogram Indirect
NM ERPF Blood Sample
method (stand alone, not part
of 610800/810)
NM ERPF Gamma Camera
method
NM GFR Blood sample
method (stand alone, not part
of 610800/810)
NM GFR Gamma camera
method
NM Testicular Scan (moved
from GFR section)
NM Peritoneal Scan 9moved
from GFR section)
NM Lung Perfusion
NM Lung Ventilation
NM Lung Ventilation/Perfusion
NM Lung quantification
NM Lung Aspiration (Includes
delay views)
NM Superior Vena Cava SVC
NM Venogram Flow unilateral
NM Venogram Flow bilateral
NM RBC Venogram
NM RBC Venogram Additional
views
NM Lymphoscintigraphy (to
include delay views)
NM Salivary gland
NM Dacrocystogram
NM Red cell/platelet
sequestration
NM Spot imaging (any scan
not listed)
NM Extra Computer
quantification above and
beyond standard
NM Pinhole view (other than
thyroid)
NM Red cell mass
NM Plasma volume
NM Protein losing enteropathy
NM Schillings
NM Bile acid absorption
NM Mobile Examination
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
NM Renal Morphological
Imaging (delay views only with
no SPECT)
NM Renal Morphological
Imaging SPECT
NM Cystogram Direct
NM Cystogram Indirect
NM ERPF Blood Sample
method (stand alone, not part
of 610800/810)
NM ERPF Gamma Camera
method
NM GFR Blood sample
method (stand alone, not part
of 610800/810)
NM GFR Gamma camera
method
NM Testicular Scan (moved
from GFR section)
NM Peritoneal Scan 9moved
from GFR section)
NM Lung Perfusion
NM Lung Ventilation
NM Lung Ventilation/Perfusion
NM Lung quantification
NM Lung Aspiration (Includes
delay views)
NM Superior Vena Cava SVC
NM Venogram Flow unilateral
NM Venogram Flow bilateral
NM RBC Venogram
NM RBC Venogram Additional
views
NM Lymphoscintigraphy (to
include delay views)
NM Salivary gland
NM Dacrocystogram
NM Red cell/platelet
sequestration
NM Spot imaging (any scan
not listed)
NM Extra Computer
quantification above and
beyond standard
NM Pinhole view (other than
thyroid)
NM Red cell mass
NM Plasma volume
NM Protein losing enteropathy
NM Schillings
NM Bile acid absorption
NM Mobile Examination
114 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
611210
611220
611230
611240
611250
611260
611270
611280
611290
611300
611310
611320
611330
611340
611350
611360
611370
611380
611400
611410
611420
611430
611440
611450
611460
NM Mobile Examination in
Nursery
NM Mobile Examination in
O.R.
NM Diuretic Admin (after study
& with delayed imaging)
NM 123 I mIBG Whole Body
1st Pass
NM 123 I mIBG Whole Body
Subs.Pass (single head cam.)
NM Mobile Examination in
Nursery
NM Mobile Examination in
O.R.
NM Diuretic Admin (after study
& with delayed imaging)
NM 123 I mIBG Whole Body
1st Pass
NM 123 I mIBG Whole Body
Subs.Pass (single head cam.)
NM 123 I mIBG Specific Site
(1-3 views)
NM 123 I mIBG Specific Site
(4-6 views)
NM 123 I mIBG Specific Site
(7-9 views)
NM 123 I mIBG Additional
spot to whole body
NM 123 I mIBG Specific Site
(1-3 views)
NM 123 I mIBG Specific Site
(4-6 views)
NM 123 I mIBG Specific Site
(7-9 views)
NM 123 I mIBG Additional
spot to whole body
NM 123 I mIBG SPECT (each
area)
NM 111In Octreotide Whole
Body 1st Pass
NM 111In Octreotide WB Each
Subs. Pass ( single head
cameras)
NM 111 In Octreotide Specific
Site (1-3 views)
NM 111 In Octreotide Specific
Site (4-6 views)
NM 111In Octreotide Specific
Site (7-9 views)
NM 111In Octreotide Add’l
spot to whole body
NM 111In Octreotide SPECT
(each area)
NM Bone Marrow Imaging (1-3
views)
NM Labeled Antibody Whole
Body 1st Pass
NM Labeled Antibody Whole
Body 2nd Pass (single head
cam.)
NM Labeled Antibody SPECT
NM Scintimammography
NM Scintimammography
SPECT
NM Sentinel node Melanoma
injection preparation only (in
O.R.)
NM Sentinel node injection
only in Nuclear Medicine
NM 123 I mIBG SPECT (each
area)
NM 111In Octreotide Whole
Body 1st Pass
NM 111In Octreotide WB Each
Subs. Pass ( single head
cameras)
NM 111 In Octreotide Specific
Site (1-3 views)
NM 111 In Octreotide Specific
Site (4-6 views)
NM 111In Octreotide Specific
Site (7-9 views)
NM 111In Octreotide Add’l
spot to whole body
NM 111In Octreotide SPECT
(each area)
NM Bone Marrow Imaging (1-3
views)
NM Labeled Antibody Whole
Body 1st Pass
NM Labeled Antibody Whole
Body 2nd Pass (single head
cam.)
NM Labeled Antibody SPECT
NM Scintimammography
NM Scintimammography
SPECT
NM Sentinel node Melanoma
injection preparation only (in
O.R.)
NM Sentinel node injection
only in Nuclear Medicine
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
115 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
611470
611480
611490
611500
611510
611520
611530
611540
611550
611560
611570
611580
611590
611600
611610
611620
611630
611640
611650
611660
611670
611680
611690
611700
611710
611720
611730
611740
611750
NM Sentinel node Breast
injection with imaging
NM Sentinel node Breast
delayed imaging
NM 111In Octreotide
Additional Delayed Imaging
NM Sentinel node Melanoma
Imaging (inj & immediate
imaging)
NM Sentinel node Melanoma
Imaging (delayed imaging)
NM Esophageal Transit
NM Renal Morphological
Imaging Delay (additional
views to SPECT)
NM Carbon 14 Breath Test
NM 131 I Whole Body First
Pass
NM 131 I Whole Body
Subsequent Pass
NM 131 I Specific Site (1-3
Views)
NM 131 I Specific Site (4-6
Views)
NM 131 I Specific Site (7-9
Views)
NM 131 I Additional Spot to
Whole Body
NM Bone Scan 24 hour delay
NM 67 Ga Delay (second set
of images)
NM 24 Hour WBC Delay
Images
NM WBC Dynamic
NM Thyroid Additional Uptake
NM Bone Marrow Imaging (4-6
views)
NM Liver Spleen Flow
NM RBC Liver Flow
NM 123 I mIBG Delay
NM Rest Myocardial Viability
(1 SPECT/CT)
NM Myocardial Viability (2nd
SPECT/CT)
NM Attenuation Correction
(non CT)
NM Gated Blood Pool
SPECT/CT
NM Myocardial Infarct Imaging
SPECT/CT
NM Bone SPECT/CT (each
area)
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
NM Sentinel node Breast
injection with imaging
NM Sentinel node Breast
delayed imaging
NM 111In Octreotide
Additional Delayed Imaging
NM Sentinel node Melanoma
Imaging (inj & immediate
imaging)
NM Sentinel node Melanoma
Imaging (delayed imaging)
NM Esophageal Transit
NM Renal Morphological
Imaging Delay (additional
views to SPECT)
NM Carbon 14 Breath Test
NM 131 I Whole Body First
Pass
NM 131 I Whole Body
Subsequent Pass
NM 131 I Specific Site (1-3
Views)
NM 131 I Specific Site (4-6
Views)
NM 131 I Specific Site (7-9
Views)
NM 131 I Additional Spot to
Whole Body
NM Bone Scan 24 hour delay
NM 67 Ga Delay (second set
of images)
NM 24 Hour WBC Delay
Images
NM WBC Dynamic
NM Thyroid Additional Uptake
NM Bone Marrow Imaging (4-6
views)
NM Liver Spleen Flow
NM RBC Liver Flow
NM 123 I mIBG Delay
NM Rest Myocardial Viability
(1 SPECT/CT)
NM Myocardial Viability (2nd
SPECT/CT)
NM Attenuation Correction
(non CT)
NM Gated Blood Pool
SPECT/CT
NM Myocardial Infarct Imaging
SPECT/CT
NM Bone SPECT/CT (each
area)
116 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
611760
611770
611780
611790
611800
611810
611820
611830
611840
611850
611860
611870
611880
611890
611900
611910
611920
611930
611940
611950
611960
611970
611980
611990
612000
620000
620010
620020
620030
620040
620050
620060
620090
NM 67 Ga SPECT/CT (each
area)
NM WBC SPECT/CT
NM 111In Octreotide
SPECT/CT (each area)
NM Misc. SPECT/CT
NM Labeled Antibody
SPECT/CT
NM Scintimammography
SPECT/CT
NM Liver Spleen SPECT/CT
NM Heat Damaged RBC
SPECT
NM Heat Damaged RBC
SPECT/CT
NM RBC Hemangioma
SPECT/CT
NM Liver volume (SPECT/CT
NM Brain (CNS) SPECT/CT
NM Cerebral Perfusion
SPECT/CT
NM CSF Shunt Delay view
NM 131I mIBG SPECT/CT
NM 123 I mIBG SPECT/CT
(each area)
NM Renal Morphological
Imaging SPECT/CT
NM Renal Morphological
Imaging Delay (additional
views to SPECT/CT)
NM Lung SPECT
Ventilation/Perfusion
NM Lung SPECT Ventilation
NM Lung SPECT Perfusion
NM Lung SPECT/CT
Ventilation/Perfusion
NM Lung SPECT/CT
Ventilation
NM Lung SPECT/CT Perfusion
Image Fusion
a. Hyperthyroid
b. Cancer
NM Strontium-89
NM Phosphorous-32
NM 131I - mIBG
NM Yttrium - 90
NM In111 Octreotide
(Octreoscan) Therapy
NM Palliative Therapy
Injections
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
NM 67 Ga SPECT/CT (each
area)
NM WBC SPECT/CT
NM 111In Octreotide
SPECT/CT (each area)
NM Misc. SPECT/CT
NM Labeled Antibody
SPECT/CT
NM Scintimammography
SPECT/CT
NM Liver Spleen SPECT/CT
NM Heat Damaged RBC
SPECT
NM Heat Damaged RBC
SPECT/CT
NM RBC Hemangioma
SPECT/CT
NM Liver volume (SPECT/CT
NM Brain (CNS) SPECT/CT
NM Cerebral Perfusion
SPECT/CT
NM CSF Shunt Delay view
NM 131I mIBG SPECT/CT
NM 123 I mIBG SPECT/CT
(each area)
NM Renal Morphological
Imaging SPECT/CT
NM Renal Morphological
Imaging Delay (additional
views to SPECT/CT)
NM Lung SPECT
Ventilation/Perfusion
NM Lung SPECT Ventilation
NM Lung SPECT Perfusion
NM Lung SPECT/CT
Ventilation/Perfusion
NM Lung SPECT/CT
Ventilation
NM Lung SPECT/CT Perfusion
Image Fusion
a. Hyperthyroid
b. Cancer
NM Strontium-90
NM Phosphorous-33
NM 131I - mIBG
NM Yttrium - 91
NM In111 Octreotide
(Octreoscan) Therapy
NM Palliative Therapy
Injections
117 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
630000
630020
630030
630040
630050
630060
630070
630080
630090
630100
630110
630120
630130
630140
630150
630160
630170
630180
630190
630200
630240
630250
640000
700170
700180
700190
700200
PET F-18 FDG Tumour
Imaging, Body (base of skull to
proximal femora)
PET F-18 FDG Brain
PET F-18 FDG Additional
Frame (without attenuation
correction)
PET F-18 FDG Additional
Frame (with attenuation
correction)
PET Standardized Uptake
Value (SUV) analysis
PET/CT Attenuation Correction
PET/CT Image Fusion
PET/CT Anatomical Series
PET Standardized Uptake
Value (SUV) analysis (3+
lesions)
PET/CT Non-attenuation
corrected images
PET/CT Quantification, other
than above (Relative,
Absolute)
PET/CT Recon
PET/CT Gating (ECG,
Respiratory)
PET/CT Sedation, Glucose
control, Diuretic/catheterization
PET/CT Specific site
Body-base of brain to upper
thighs, e.g. most neoplasms
Total body-top of skull to toes,
e.g. melanoma, peripheral
sarcoma
Brain, with relative
quantification, with absolute
quantification
Cardiac, viability, with gating
and functional analysis, with
relative quantification, with
absolute quanitification,
stress/rest studies
PET/CT Treatment Planning
PET/CT Dynamic Study
PET/CT Additional view
PET/CT Research
Radiopharmaceutical
Neuro Aortogram
Neuro Aortogram & One
Selective
Neuro Aortogram & Two
Selectives
Neuro Aortogram & Three
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
PET F-18 FDG Tumour
Imaging, Body (base of skull to
proximal femora)
PET F-18 FDG Brain
PET F-18 FDG Additional
Frame (without attenuation
correction)
PET F-18 FDG Additional
Frame (with attenuation
correction)
PET Standardized Uptake
Value (SUV) analysis
PET/CT Attenuation Correction
PET/CT Image Fusion
PET/CT Anatomical Series
PET Standardized Uptake
Value (SUV) analysis (3+
lesions)
PET/CT Non-attenuation
corrected images
PET/CT Quantification, other
than above (Relative,
Absolute)
PET/CT Recon
PET/CT Gating (ECG,
Respiratory)
PET/CT Sedation, Glucose
control, Diuretic/catheterization
PET/CT Specific site
Body-base of brain to upper
thighs, e.g. most neoplasms
Total body-top of skull to toes,
e.g. melanoma, peripheral
sarcoma
Brain, with relative
quantification, with absolute
quantification
Cardiac, viability, with gating
and functional analysis, with
relative quantification, with
absolute quanitification,
stress/rest studies
PET/CT Treatment Planning
PET/CT Dynamic Study
PET/CT Additional view
PET/CT Research
Radiopharmaceutical
Neuro Aortogram
Neuro Aortogram & One
Selective
Neuro Aortogram & Two
Selectives
Neuro Aortogram & Three
118 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
700210
700220
700230
700240
700250
700260
700270
700280
700290
700300
700310
700320
700330
700550
700560
700570
700580
700590
700600
700610
700620
700630
700640
700650
700660
700670
700680
700690
700700
700710
700720
700730
Selectives
Neuro Aortogram & Four
Selectives
Neuro Aortogram & Five
Selectives
Neuro Aortogram & Six
Selectives
Neuro Aortogram & Seven
Selectives
Neuro Aortogram & Eight
Selectives
One Neuro Selective Only
Two Neuro Selectives Only
Three Neuro Selectives Only
Four Neuro Selectives Only
Five Neuro Selectives Only
Six Neuro Selectives Only
Seven Neuro Selectives Only
Eight Neuro Selectives Only
Abdominal Aortogram
Abdominal Aortogram & One
Selective
Abdominal Aortogram & Two
Selectives
Abdominal Aortogram & Three
Selectives
Abdominal Aortogram & Four
Selectives
Abdominal Aortogram & Five
Selectives
Abdominal Aortogram & Six
Selectives
Abdominal Aortogram & Seven
Selectives
Abdominal Aortogram & Eight
Selectives
Abdominal Aortogram & Nine
Selectives
Abdominal Aortogram & Ten
Selectives
One Abdominal Selective Only
Two Abdominal Selectives
Only
Three Abdominal Selectives
Only
Four Abdominal Selectives
Only
Five Abdominal Selectives
Only
Six Abdominal Selectives Only
Seven Abdominal Selectives
Only
Eight Abdominal Selectives
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Selectives
Neuro Aortogram & Four
Selectives
Neuro Aortogram & Five
Selectives
Neuro Aortogram & Six
Selectives
Neuro Aortogram & Seven
Selectives
Neuro Aortogram & Eight
Selectives
One Neuro Selective Only
Two Neuro Selectives Only
Three Neuro Selectives Only
Four Neuro Selectives Only
Five Neuro Selectives Only
Six Neuro Selectives Only
Seven Neuro Selectives Only
Eight Neuro Selectives Only
Abdominal Aortogram
Abdominal Aortogram & One
Selective
Abdominal Aortogram & Two
Selectives
Abdominal Aortogram & Three
Selectives
Abdominal Aortogram & Four
Selectives
Abdominal Aortogram & Five
Selectives
Abdominal Aortogram & Six
Selectives
Abdominal Aortogram & Seven
Selectives
Abdominal Aortogram & Eight
Selectives
Abdominal Aortogram & Nine
Selectives
Abdominal Aortogram & Ten
Selectives
One Abdominal Selective Only
Two Abdominal Selectives
Only
Three Abdominal Selectives
Only
Four Abdominal Selectives
Only
Five Abdominal Selectives
Only
Six Abdominal Selectives Only
Seven Abdominal Selectives
Only
Eight Abdominal Selectives
119 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
700740
700750
700850
700860
700870
700880
700890
700900
700910
700920
700930
700940
700950
700960
700970
700980
700990
701000
701010
701020
701030
701040
701050
701060
701070
701080
701090
701100
701110
701120
701130
701140
Only
Nine Abdominal Selectives
Only
Ten Abdominal Selectives
Only
Thoracic Aortogram
Thoracic Aortogram & One
Selective
Thoracic Aortogram & Two
Selectives
Thoracic Aortogram & Three
Selectives
Thoracic Aortogram & Four
Selectives
One Thoracic Selective Only
Two Thoracic Selectives Only
Three Thoracic Selectives
Only
Four Thoracic Selectives Only
Main Pulmonary Artery
Main Pulmonary Artery & One
Selective
Main Pulmonary Artery & Two
Selectives
Main Pulmonary Artery &
Three Selectives
Main Pulmonary Artery & Four
Selectives
One Pulmonary Selective Only
Two Pulmonary Selectives
Only
Three Pulmonary Selectives
Only
Four Pulmonary Selectives
Only
Abdominal Aortogram with
Peripheral Runoffs
One Peripheral Selective Only
Two Peripheral Selectives
Only
Three Peripheral Selectives
Only
Corpus Cavernosogram
Splenoportogram
Hepatic Venogram
Venacavagram Inferior
Venacavagram Superior
Venogram Unilateral Upper
Extremity
Venogram Bilateral Upper
Extremity
Venogram Unilateral Lower
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Only
Nine Abdominal Selectives
Only
Ten Abdominal Selectives
Only
Thoracic Aortogram
Thoracic Aortogram & One
Selective
Thoracic Aortogram & Two
Selectives
Thoracic Aortogram & Three
Selectives
Thoracic Aortogram & Four
Selectives
One Thoracic Selective Only
Two Thoracic Selectives Only
Three Thoracic Selectives
Only
Four Thoracic Selectives Only
Main Pulmonary Artery
Main Pulmonary Artery & One
Selective
Main Pulmonary Artery & Two
Selectives
Main Pulmonary Artery &
Three Selectives
Main Pulmonary Artery & Four
Selectives
One Pulmonary Selective Only
Two Pulmonary Selectives
Only
Three Pulmonary Selectives
Only
Four Pulmonary Selectives
Only
Abdominal Aortogram with
Peripheral Runoffs
One Peripheral Selective Only
Two Peripheral Selectives
Only
Three Peripheral Selectives
Only
Corpus Cavernosogram
Splenoportogram
Hepatic Venogram
Venacavagram Inferior
Venacavagram Superior
Venogram Unilateral Upper
Extremity
Venogram Bilateral Upper
Extremity
Venogram Unilateral Lower
120 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
701150
701160
701170
701180
701200
701210
701220
701230
701240
701250
710040
710050
710190
710320
710330
710340
710350
710360
710370
710380
710390
710400
710410
710420
710430
710440
710450
Extremity
Venogram Bilateral Lower
Extremity
** Additional Film Run
including rotational
angiography - to be added to
any procedure **This add-on
code can only be coded once
per procedure after a minimum
of two additional views are
performed.
Shuntogram
3D Post Processing
Spinal Aortogram Base plus
60 minutes
Spinal Aortogram Base plus
120 minutes
Spinal Aortogram Base plus
180 minutes
Spinal Aortogram Base plus
240 minutes
Spinal Aortogram Base plus
300 minutes
Spinal Aortogram Base plus
360 minutes
Abscess drainage, thorax
Pleurocentesis - diagnostic
Cholangiogram, percutaneous
transhepatic
Mammocystography, unilateral
Mammocystography, bilateral
Mammoductography, unilateral
Mammoductography, bilateral
Needle localization, single
breast lesion
Needle localization, multiple
breast lesions
Biopsy, core of breast, single
lesion
Biopsy, core of breast, multiple
lesions
Aspiration, fine needle of
breast, single
Aspiration, fine needle of
breast, multiple
Paracentesis – diagnostic
Guided biopsy or
aspiration/injection of mass or
organ
Guided biopsy or aspiration of
bone or spine
Guided biopsy transjugular
liver
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Extremity
Venogram Bilateral Lower
Extremity
** Additional Film Run
including rotational
angiography - to be added to
any procedure **This add-on
code can only be coded once
per procedure after a minimum
of two additional views are
performed.
Shuntogram
3D Post Processing
Spinal Aortogram Base plus
60 minutes
Spinal Aortogram Base plus
120 minutes
Spinal Aortogram Base plus
180 minutes
Spinal Aortogram Base plus
240 minutes
Spinal Aortogram Base plus
300 minutes
Spinal Aortogram Base plus
360 minutes
Abscess drainage, thorax
Pleurocentesis - diagnostic
Cholangiogram, percutaneous
transhepatic
Mammocystography, unilateral
Mammocystography, bilateral
Mammoductography, unilateral
Mammoductography, bilateral
Needle localization, single
breast lesion
Needle localization, multiple
breast lesions
Biopsy, core of breast, single
lesion
Biopsy, core of breast, multiple
lesions
Aspiration, fine needle of
breast, single
Aspiration, fine needle of
breast, multiple
Paracentesis – diagnostic
Guided biopsy or
aspiration/injection of mass or
organ
Guided biopsy or aspiration of
bone or spine
Guided biopsy transjugular
liver
121 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
710460
720070
720080
720090
720100
720110
720120
720130
720140
720150
720160
720170
720180
720190
720200
720280
720290
720300
720310
720320
720330
720340
720350
720360
720370
720400
720410
720420
720430
720440
720450
720460
720470
720480
720490
720500
720510
720520
Selective Abdominal/Pelvic
Venogram
One vessel, one lesion
One vessel, two lesions
One vessel, three lesions
Two vessels, one lesion each
vessel
Two vessels, two lesions each
vessel
Two vessels, three lesions
total
Three vessels, one lesion
each vessel
One vessel, one lesion
One vessel, two lesions
One vessel, three lesions
Two vessels, one lesion each
vessel
Two vessels, two lesions each
vessel
Two vessels, three lesions
total
Three vessels, one lesion
each vessel
One-half hour
One hour
Two hours
Three hours
Four hours
One-half hour
One hour
Two hours
Three hours
Four hours
IVC filter insertion, includes
inferior venacavogram
Biopsy, intravascular
Base Plus 15 minute infusion
Base Plus 30 minute infusion
Base Plus 60 minute infusion
Base Plus 90 minute infusion
Base Plus 120 minute infusion
Retrieval Intravascular Foreign
Body (R.I.V.F.B.) - One hour
R.I.V.F.B. - Two hour
R.I.V.F.B. - Three hour
R.I.V.F.B. - Four hour
R.I.V.F.B. - Five hour
R.I.V.F.B. - Six hour
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Selective Abdominal/Pelvic
Venogram
One vessel, one lesion
One vessel, two lesions
One vessel, three lesions
Two vessels, one lesion each
vessel
Two vessels, two lesions each
vessel
Two vessels, three lesions
total
Three vessels, one lesion
each vessel
One vessel, one lesion
One vessel, two lesions
One vessel, three lesions
Two vessels, one lesion each
vessel
Two vessels, two lesions each
vessel
Two vessels, three lesions
total
Three vessels, one lesion
each vessel
One-half hour
One hour
Two hours
Three hours
Four hours
One-half hour
One hour
Two hours
Three hours
Four hours
IVC filter insertion, includes
inferior venacavogram
Biopsy, intravascular
Base Plus 15 minute infusion
Base Plus 30 minute infusion
Base Plus 60 minute infusion
Base Plus 90 minute infusion
Base Plus 120 minute infusion
Retrieval Intravascular Foreign
Body (R.I.V.F.B.) - One hour
R.I.V.F.B. - Two hour
R.I.V.F.B. - Three hour
R.I.V.F.B. - Four hour
R.I.V.F.B. - Five hour
R.I.V.F.B. - Six hour
122 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
720530
Transjugular Intrahepatic
Portal Systemic Stent Insertion
(TIPS) - one hour
Transjugular Intrahepatic
Portal Systemic Stent Insertion
(TIPS) - one hour
720540
720550
720560
720570
720580
720590
720600
TIPS - two hours
TIPS - three hours
TIPS - four hours
TIPS - five hours
TIPS - six hours
Venous Sampling
Placement of a venous
catheter - temporary
Exchange of a venous
catheter
Manipulation of Venous
Catheter
Percutaneous sympathectomy
Pharmaceutical infusion
catheter recheck
Base Plus 180 minute infusion
Base Plus 240 minute infusion
Base Plus 300 minute infusion
Placement of a venous
catheter – permanent/tunneled
Removal of permanent venous
catheter
A-V graft declotting - one hour
Each additional half hour
Percutaneous sclerosis of
venous malformation
Each additional half hour
Peripheral Vascular Stent
Placement
Peripheral Vascular Stent Post
Plasty
Venous Catheter Stripping
Aortic Stent Grafting 1 hour
Aortic Stent Grafting 2 hour
Aortic Stent Grafting 3 hour
Aortic Stent Grafting 4 hour
Aortic Stent Grafting 5 hour
Aortic Stent Grafting 6 hour
Portal Vein Embolization
Peripheral Porta-a-Cath
Insertion
PIC Line Insertion
Rhizotomy/Neurotomy/Ablation
Chest tube insertion by
radiologist
Discectomy percutaneous
Injection, facet / SI joint
TIPS - two hours
TIPS - three hours
TIPS - four hours
TIPS - five hours
TIPS - six hours
Venous Sampling
Placement of a venous
catheter - temporary
Exchange of a venous
catheter
Manipulation of Venous
Catheter
Percutaneous sympathectomy
Pharmaceutical infusion
catheter recheck
Base Plus 180 minute infusion
Base Plus 240 minute infusion
Base Plus 300 minute infusion
Placement of a venous
catheter – permanent/tunneled
Removal of permanent venous
catheter
A-V graft declotting - one hour
Each additional half hour
Percutaneous sclerosis of
venous malformation
Each additional half hour
Peripheral Vascular Stent
Placement
Peripheral Vascular Stent Post
Plasty
Venous Catheter Stripping
Aortic Stent Grafting 1 hour
Aortic Stent Grafting 2 hour
Aortic Stent Grafting 3 hour
Aortic Stent Grafting 4 hour
Aortic Stent Grafting 5 hour
Aortic Stent Grafting 6 hour
Portal Vein Embolization
Peripheral Porta-a-Cath
Insertion
PIC Line Insertion
Rhizotomy/Neurotomy/Ablation
Chest tube insertion by
radiologist
Discectomy percutaneous
Injection, facet / SI joint
720610
720620
720630
720640
720650
720660
720670
720680
720690
720700
720710
720720
720730
720740
720750
720760
720770
720780
720790
720800
720810
720820
720830
720840
720850
730000
730010
730020
730040
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
123 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
730050
730060
730070
730080
730090
730100
730130
730140
730150
730160
730170
730180
730190
730200
730210
730220
730230
730250
730270
730280
730290
730300
730320
730330
730340
730350
730360
730370
730380
730390
730400
730410
730420
730430
Injection, facet joint, additional
facet / SI joint
Basket extraction of stone,
genitourinary tract
Stent insertion, urinary tract
Nephrostomy, percutaneous
bilateral
Nephrostomy, percutaneous
unilateral
Nephrostomy, tube exchange,
unilateral
Dilatation of genitourinary tract
Intravascular Pressure
Monitoring
Dilatation, gastrointestinal tract
Stent insertion, gastrointestinal
tract
Basket extraction of stone,
gastrointestinal tract
Drainage, biliary, one side
Gastrostomy, percutaneous
Colonostomy, percutaneous
Guidance for catheter
placement/abscess drainage
Catheter exchange, biliary
Catheter exchange, abscess
Catheter exchange,
gastrostomy
Drainage, tube removal
Drainage, tube removal, G.U.
Nephrostomy, tube exchange,
bilateral
Catheter Insertion, therapeutic
Drainage, biliary, two sides
For each additional half
hour
Cisternogram
Pleurocentesis - therapeutic
Paracentesis - therapeutic
Guidance for catheter
placement/abcess drainage
multiple
Gastrojejunostomy
Joint Injection / Aspiration
Vertebroplasty
Percutaneous Radiofrequency
Liver Abiation
Limited U/S in conjunction with
Interventional Procedures
Percutaneous Suprapubic
Cystostomy
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Injection, facet joint, additional
facet / SI joint
Basket extraction of stone,
genitourinary tract
Stent insertion, urinary tract
Nephrostomy, percutaneous
bilateral
Nephrostomy, percutaneous
unilateral
Nephrostomy, tube exchange,
unilateral
Dilatation of genitourinary tract
Intravascular Pressure
Monitoring
Dilatation, gastrointestinal tract
Stent insertion, gastrointestinal
tract
Basket extraction of stone,
gastrointestinal tract
Drainage, biliary, one side
Gastrostomy, percutaneous
Colonostomy, percutaneous
Guidance for catheter
placement/abscess drainage
Catheter exchange, biliary
Catheter exchange, abscess
Catheter exchange,
gastrostomy
Drainage, tube removal
Drainage, tube removal, G.U.
Nephrostomy, tube exchange,
bilateral
Catheter Insertion, therapeutic
Drainage, biliary, two sides
For each additional half
hour
Cisternogram
Pleurocentesis - therapeutic
Paracentesis - therapeutic
Guidance for catheter
placement/abcess drainage
multiple
Gastrojejunostomy
Joint Injection / Aspiration
Vertebroplasty
Percutaneous Radiofrequency
Liver Abiation
Limited U/S in conjunction with
Interventional Procedures
Percutaneous Suprapubic
Cystostomy
124 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
730440
730450
730460
730470
730480
740000
740010
740020
740030
740040
740050
740060
740070
740080
740090
740100
740110
740120
740130
740140
740150
740160
740170
740190
740200
740210
740220
740230
740240
740250
740260
Nerve block, foramina (was
710270)
Nerve root injection (was
710280)
Lumbar puncture (was
710310)
Balloon Kyphoplasty - One
Level
Balloon Kyphoplasty - Two
Level
Embolization intracranial AVM
Embolization - intracranial
tumor
Embolization - craniofacial or
head & neck AVM or tumor
Thrombolysis - intracranial
Angioplasty - intracranial
Pharmaceutical infusion
per vessel infused
Angioplasty - extracranial
carotid and vertebral base,
one vessel, one lesion
Plus stent
Same vessel, additional
lesion
Same vessel, additional
lesion plus stent
Additional vessel, one
lesion
Additional vessel, one
lesion plus stent
Aneurysm coiling on one
aneurysm
Additional aneurysm
coiling
Balloon test occlusion - carotid
Permanent balloon occlusion carotid
Embolization - Spinal AVM
Embolization - Spinal Tumor
Embolization - Epistaxis
One additional hour to base
procedure time
Two additional hours to base
procedure time
Three additional hours to base
procedure time
One-half hour (was 720210)
One hour (was 720220)
Two hours (was 720230)
Three hours (was 720240)
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Nerve block, foramina (was
710270)
Nerve root injection (was
710280)
Lumbar puncture (was
710310)
Balloon Kyphoplasty - One
Level
Balloon Kyphoplasty - Two
Level
Embolization intracranial AVM
Embolization - intracranial
tumor
Embolization - craniofacial or
head & neck AVM or tumor
Thrombolysis - intracranial
Angioplasty - intracranial
Pharmaceutical infusion
per vessel infused
Angioplasty - extracranial
carotid and vertebral base,
one vessel, one lesion
Plus stent
Same vessel, additional
lesion
Same vessel, additional
lesion plus stent
Additional vessel, one
lesion
Additional vessel, one
lesion plus stent
Aneurysm coiling on one
aneurysm
Additional aneurysm
coiling
Balloon test occlusion - carotid
Permanent balloon occlusion carotid
Embolization - Spinal AVM
Embolization - Spinal Tumor
Embolization - Epistaxis
One additional hour to base
procedure time
Two additional hours to base
procedure time
Three additional hours to base
procedure time
One-half hour (was 720210)
One hour (was 720220)
Two hours (was 720230)
Three hours (was 720240)
125 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
740270
740280
740290
740300
740310
740320
740330
740340
740350
740360
740370
800030
800040
800050
800060
800110
800130
800140
800150
810010
810020
810030
810040
810050
810060
810070
810080
810090
810110
810120
810130
Four hours (was 720250)
Five hours (was 720260)
Six hours (was 720270)
One vessel, one lesion (was
720000)
One vessel, two lesions (was
720010)
One vessel, three lesions
(was 720020)
Two vessels, one lesion each
vessel (was 720030)
Two vessels, two lesions each
vessel (was 720040)
Two vessels, three lesions
total (was 720050)
Three vessels, one lesion
each vessel (was 720060)
Intracranial Clot Retrieval
U/S Cardiac,
2D/doppler/colour
U/S Cardiac, fetal, tertiary
centres only
U/S Cardiac, transesophageal
U/S Cardiac, limited
U/S Cardiac, stress echo
U/S Cardiac, guided biopsy /
aspiration
U/S Cardiac, contrast injection
U/S 3D and/or 4D
U/S Pregnancy, less than 12
weeks
U/S Pregnancy, greater than
12 weeks with/without
complications
U/S Pregnancy, detailed study
for fetal anomaly to include
first B.P.P. (NOTE: HIGH RISK
deleted)
U/S Biophysical profile
U/S Biophysical profile, score
only
U/S Amniocentesis, heart
before/after localization
U/S Endovaginal
U/S Follicular studies
U/S Translabial or
endovaginal, in conjunction
with another examination
U/S Intrauterine fetal
transfusion
U/S Cordocentesis
U/S Chorionic villus sampling
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
Four hours (was 720250)
Five hours (was 720260)
Six hours (was 720270)
One vessel, one lesion (was
720000)
One vessel, two lesions (was
720010)
One vessel, three lesions
(was 720020)
Two vessels, one lesion each
vessel (was 720030)
Two vessels, two lesions each
vessel (was 720040)
Two vessels, three lesions
total (was 720050)
Three vessels, one lesion
each vessel (was 720060)
Intracranial Clot Retrieval
U/S Cardiac,
2D/doppler/colour
U/S Cardiac, fetal, tertiary
centres only
U/S Cardiac, transesophageal
U/S Cardiac, limited
U/S Cardiac, stress echo
U/S Cardiac, guided biopsy /
aspiration
U/S Cardiac, contrast injection
U/S 3D and/or 4D
U/S Pregnancy, less than 12
weeks
U/S Pregnancy, greater than
12 weeks with/without
complications
U/S Pregnancy, detailed study
for fetal anomaly to include
first B.P.P. (NOTE: HIGH RISK
deleted)
U/S Biophysical profile
U/S Biophysical profile, score
only
U/S Amniocentesis, heart
before/after localization
U/S Endovaginal
U/S Follicular studies
U/S Translabial or
endovaginal, in conjunction
with another examination
U/S Intrauterine fetal
transfusion
U/S Cordocentesis
U/S Chorionic villus sampling
126 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
810140
810150
810160
810170
810180
810190
810200
810210
810220
810230
810290
810300
810310
810320
810330
810340
810360
810370
810390
810420
810430
810440
810450
810460
810470
810480
810500
810510
810520
U/S Abdomen, complete
U/S Abdomen, limited, one
organ or follow up
U/S Aorta
U/S Bladder
U/S Liver transplant, to include
doppler
U/S Pelvis, male or female
U/S Renal transplant, to
include doppler
U/S Retroperitoneum
U/S Transrectal/Endovaginal
prostate or rectal CA /
sphincter
U/S Scrotal study
U/S Vessel, venous
2D/doppler, unilateral
U/S Vessels, venous
2D/doppler, bilateral
U/S Vessel, arterial
2D/doppler, unilateral
U/S Vessels, arterial
2D/doppler, bilateral
U/S Carotid, 2D/doppler,
bilateral carotids and
vertebrals
U/S Carotid, 2D/doppler,
unilateral carotid and vertebral
U/S Transcranial (MCA only)
U/S Color Doppler (add on
with additional examination
where clinically
indicated/performed)
U/S localization, supplement to
non-imaging procedure
U/S Guidance for catheter
placement/abscess drainage
U/S Guided compression of
pseudo aneurysm, includes
doppler
U/S Cranial, head, brain
U/S Chest, mass or pleural
effusion
U/S Breast, unilateral
U/S Breast, bilateral
U/S Joint, unilateral, with or
without comparison
U/S Hips, CDH bilateral
U/S Joint, bilateral
U/S Superficial mass or
tendon, unilateral, with or
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
U/S Abdomen, complete
U/S Abdomen, limited, one
organ or follow up
U/S Aorta
U/S Bladder
U/S Liver transplant, to include
doppler
U/S Pelvis, male or female
U/S Renal transplant, to
include doppler
U/S Retroperitoneum
U/S Transrectal/Endovaginal
prostate or rectal CA /
sphincter
U/S Scrotal study
U/S Vessel, venous
2D/doppler, unilateral
U/S Vessels, venous
2D/doppler, bilateral
U/S Vessel, arterial
2D/doppler, unilateral
U/S Vessels, arterial
2D/doppler, bilateral
U/S Carotid, 2D/doppler,
bilateral carotids and
vertebrals
U/S Carotid, 2D/doppler,
unilateral carotid and vertebral
U/S Transcranial (MCA only)
U/S Color Doppler (add on
with additional examination
where clinically
indicated/performed)
U/S localization, supplement to
non-imaging procedure
U/S Guidance for catheter
placement/abscess drainage
U/S Guided compression of
pseudo aneurysm, includes
doppler
U/S Cranial, head, brain
U/S Chest, mass or pleural
effusion
U/S Breast, unilateral
U/S Breast, bilateral
U/S Joint, unilateral, with or
without comparison
U/S Hips, CDH bilateral
U/S Joint, bilateral
U/S Superficial mass or
tendon, unilateral, with or
127 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
810530
810540
810560
810580
810590
810610
810620
810630
810640
810650
810660
810670
810680
810690
810700
810710
810720
810730
810740
810760
810770
810780
810790
810800
without comparison
without comparison
U/S Spine, 1 area
U/S Mobile examination
U/S Multiple fetuses, second
fetus greater than 12 weeks
U/S Neck / Thyroid
U/S 3D and/or 4D (add on to
initial exam and for diagnositc
purposes only)
U/S Endoscopic
U/S Doppler, multiple cord site
and fetal head
U/S Multiple fetuses, third and
subsequent fetus, greater than
12 weeks
U/S Guided biopsy/aspiration
U/S Guidance for catheter
placement/abscess drainage,
multiple
U/S Guided
Cryosurgery/Radiofrequency
Abalation of liver
U/S Guided Cryosurgery of
prostate
U/S Guided Cryosurgery of
other organ
U/S Penis Doppler for Erectile
Dysfunction
U/S Contrast Injection (noncardiac)
U/S Appendix Compression
/Iliac Fossa
U/S Islet Cell Transplant
U/S 5 Organ Transplant (for
shortgut)
U/S Treadmill Test, add on,
Performed in Association with
Another Examination
U/S Teleultrasound
Store/Forward/Send (add on to
examination performed and
applicable to sending
institution only)
U/S Limited Obstetric for Fetal
Heart and Fetal Position
U/S Hysterosonography
(includes EV Scan, Uterine
Catheter Placement & U/S
Contrast Injection)
U/S Version for Fetal Position
U/S Pancreas & Kidney
transplant to include doppler
U/S Spine, 1 area
U/S Mobile examination
U/S Multiple fetuses, second
fetus greater than 12 weeks
U/S Neck / Thyroid
U/S 3D and/or 4D (add on to
initial exam and for diagnositc
purposes only)
U/S Endoscopic
U/S Doppler, multiple cord site
and fetal head
U/S Multiple fetuses, third and
subsequent fetus, greater than
12 weeks
U/S Guided biopsy/aspiration
U/S Guidance for catheter
placement/abscess drainage,
multiple
U/S Guided
Cryosurgery/Radiofrequency
Abalation of liver
U/S Guided Cryosurgery of
prostate
U/S Guided Cryosurgery of
other organ
U/S Penis Doppler for Erectile
Dysfunction
U/S Contrast Injection (noncardiac)
U/S Appendix Compression
/Iliac Fossa
U/S Islet Cell Transplant
U/S 5 Organ Transplant (for
shortgut)
U/S Treadmill Test, add on,
Performed in Association with
Another Examination
U/S Teleultrasound
Store/Forward/Send (add on to
examination performed and
applicable to sending
institution only)
U/S Limited Obstetric for Fetal
Heart and Fetal Position
U/S Hysterosonography
(includes EV Scan, Uterine
Catheter Placement & U/S
Contrast Injection)
U/S Version for Fetal Position
U/S Pancreas & Kidney
transplant to include doppler
© 2008 Government of Alberta
EXTERNAL
MAY 20, 2008
128 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
810810
810820
810830
810840
810850
810860
810870
820010
820020
820030
820040
820050
820060
900000
900010
900020
900030
900040
900050
900060
U/S Alcohol Liver Ablation
U/S Pseudo aneurysm
Occlusion using Thrombin
injection
U/S Superficial mass or
tendon, bilateral
U/S Abdomen/Pelvis combined
U/S Organ transplant liver,
pancreas & small bowel
U/S AV Fistula for renal
dialysis
U/S Peripheral flow study
ankle brachial index
U/S Ophthalmic, imaging
study, unilateral
U/S Ophthalmic, imaging
study, bilateral
U/S Ophthalmic, biometric
study, unilateral
U/S Ophthalmic, biometric
study, bilateral
U/S Orbital and full muscle
studies, imaging studies,
unilateral
U/S Orbital and full muscle
studies, imaging studies,
bilateral
Kidney
Ureter
KUB
Gallbladder
Hepatic/Common Bile Duct
Abdomen, 1 projection
Post Lithotripsy Follow-Up
EXTERNAL
MAY 20, 2008
U/S Alcohol Liver Ablation
U/S Pseudo aneurysm
Occlusion using Thrombin
injection
U/S Superficial mass or
tendon, bilateral
U/S Abdomen/Pelvis combined
U/S Organ transplant liver,
pancreas & small bowel
U/S AV Fistula for renal
dialysis
U/S Peripheral flow study
ankle brachial index
U/S Ophthalmic, imaging
study, unilateral
U/S Ophthalmic, imaging
study, bilateral
U/S Ophthalmic, biometric
study, unilateral
U/S Ophthalmic, biometric
study, bilateral
U/S Orbital and full muscle
studies, imaging studies,
unilateral
U/S Orbital and full muscle
studies, imaging studies,
bilateral
Kidney
Ureter
KUB
Gallbladder
Hepatic/Common Bile Duct
Abdomen, 1 projection
Post Lithotripsy Follow-Up
SNOMED CONCEPT CODE
Code
41655000
51185008
53120007
362728000
362729008
61685007
362784000
362785004
Description
Chest and Abdomen
Thoracic Structure
(Chest)
Upper Limb Structure
Entire Right Upper
Extremity
Entire Left Upper
Extremity
Lower Limb Structure
Entire Right Lower
Extremity
Entire Left Lower
Extremity
© 2008 Government of Alberta
Long Description
Chest and Abdomen
Thoracic Structure
(Chest)
Upper Limb Structure
Entire Right Upper
Extremity
Entire Left Upper
Extremity
Lower Limb Structure
Entire Right Lower
Extremity
Entire Left Lower
Extremity
Comment
129 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
278875001
66523006
302550007
416550000
113345001
243930007
181383001
113257007
181383001
113257007
302548994
51185008
302553009
302548004
302509004
302553009
122865005
302553009
35461009
371572003
113192009
38266002
Entire Reproductive
System
Female Reproductive
Function
Entire Neck
Chest and Abdomen
Abdominal Structure
Entire Spine
Vascular Body
Cardiovascular
System
Vascular Body
Cardiovascular
System
Entire Hea
Thoracic Structure
(Chest)
Entire Abdomen
Entire Head
Entire Heart
Entire Abdomen
Gastrointestinal Tract
Structure
Entire Abdomen
Urinary Tract
Structure
Nuclear Medicine
Procedure
Skeletal System
Structure
Total Body (entire
Body as a whole)
EXTERNAL
MAY 20, 2008
Entire Reproductive
System
Female Reproductive
Function
Entire Neck
Chest and Abdomen
Abdominal Structure
Entire Spine
Vascular Body
Cardiovascular System
Vascular Body
Cardiovascular System
Entire Hea
Thoracic Structure
(Chest)
Entire Abdomen
Entire Head
Entire Heart
Entire Abdomen
Gastrointestinal Tract
Structure
Entire Abdomen
Urinary Tract Structure
Nuclear Medicine
Procedure
Skeletal System
Structure
Total Body (entire Body
as a whole)
HL7 Data Types
Data Type Category/ Data Data Type
type
Name
Alphanumeric
ST
TX
FT
Numerical
CQ
HL7 Section
Reference
Notes/Format
String
Text data
Formatted text
MO
Composite
quantity with
units
Money
NM
SI
Numeric
Sequence ID
© 2008 Government of Alberta
<quantity (NM)> ^ <units (CE)>
<quantity (NM)> ^ <denomination
(ID)>
130 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
Data Type Category/ Data Data Type
type
Name
SN
Identifier
ID
IS
HD
Structured
numeric
Coded values
for HL7 tables
Coded value for
user-defined
tables
Hierarchic
designator
HL7 Section
Reference
EXTERNAL
MAY 20, 2008
Notes/Format
<comparator> ^ <num1 (NM)> ^
<separator/suffix> ^ <num2
(NM)>
<namespace ID (IS)> ^
<universal ID (ST)> ^ <universal
ID type (ID)>
Used only as part of EI and other
data types.
<entity identifier (ST)> ^
<namespace ID (IS)> ^
<universal ID (ST)> ^ <universal
ID type (ID)>
<pointer (ST) > ^ < application ID
(HD)> ^ <type of data (ID)> ^
<subtype (ID)>
<point of care (IS )> ^ <room (IS
)> ^ <bed (IS)> ^ <facility (HD)> ^
< location status (IS )> ^ <person
location type (IS)> ^ <building (IS
)> ^ <floor (IS )> ^ <location
description (ST)>
<processing ID (ID)> ^
<processing mode (ID)>
EI
Entity identifier
RP
Reference
pointer
PL
Person location
PT
Processing type
Date/Time
DT
TM
TS
Date
Time
Time stamp
YYYY[MM[DD]]
HH[MM[SS[.S[S[S[S]]]]]][+/-ZZZZ]
YYYY[MM[DD[HHMM[SS[.S[S[S[
S]]]]]]]][+/-ZZZZ] ^ <degree of
precision>
Code Values
CE
Coded element
<identifier (ST)> ^ <text (ST)> ^
<name of coding system (ST)> ^
<alternate identifier (ST)> ^
<alternate text (ST)> ^ <name of
alternate coding system (ST)>
<identifier (ID)> ^ <formatted text
(FT)> ^ <name of coding system
(ST)> ^ <alternate identifier (ID)>
^ <alternate formatted text (FT)>
^ <name of alternate coding
system (ST)>
<ID number (NM)> ^ <check digit
(NM)> ^ <code identifying the
check digit scheme employed
(ID)> ^ < assigning authority
(HD)>
<ID number (ST)> ^ <family name
(ST)> ^ <given name (ST)> ^
<middle initial or name (ST)> ^
<suffix (e.g., JR or III) (ST)> ^
<prefix (e.g., DR) (ST)> ^
<degree (e.g., MD) (ST)> ^
<source table (IS)> ^ <assigning
authority (HD)>
<ID (ST)> ^ <check digit (ST)> ^
<code identifying the check digit
CF
Coded element
with formatted
values
CK
Composite ID
with check digit
CN
Composite ID
number and
name
CX
Extended
composite ID
© 2008 Government of Alberta
131 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
Data Type Category/ Data Data Type
type
Name
with check digit
XCN
Extended
composite ID
number and
name
HL7 Section
Reference
EXTERNAL
MAY 20, 2008
Notes/Format
scheme employed (ID)> ^ <
assigning authority (HD) )> ^
<identifier type code (IS)> ^ <
assigning facility (HD)
In Version 2.3, use instead of the
CN data type. <ID number (ST)>
^ <family name (ST)> ^ <given
name (ST)> ^ <middle initial or
name (ST)> ^ <suffix (e.g., JR or
III) (ST)> ^ <prefix (e.g., DR)
(ST)> ^ <degree (e.g., MD) (ST)>
^ <source table (IS)> ^ <assigning
authority (HD)> ^ <name type
code (ID)> ^ <identifier check
digit (ST)> ^ <code identifying the
check digit scheme employed
(ID)> ^ <identifier type code (IS)>
^ <assigning facility (HD)>
Generic
CM
Composite
No new CM’s are allowed after
HL7 Version 2.2. Hence there are
no new CM’s in Version 2.3.
Demographics
AD
Address
PN
Person name
TN
Telephone
number
XAD
Extended
address
XPN
Extended
person name
XON
Extended
composite name
and ID number
for organizations
<street address (ST)> ^ < other
designation (ST)> ^ <city (ST)> ^
<state or province (ST)> ^ <zip or
postal code (ST)> ^ <country
(ID)> ^ <address type (ID)> ^
<other geographic designation
(ST)>
<family name (ST)> ^ <given
name (ST)> ^ <middle initial or
name (ST)> ^ <suffix (e.g., JR or
III) (ST)> ^ <prefix (e.g., DR)
(ST)> ^ <degree (e.g., MD) (ST)>
[NN] [(999)]9999999[X99999][B99999][C any
text]
In Version 2.3, replaces the AD
data type. <street address (ST)>
^ <other designation (ST)> ^ <city
(ST)> ^ <state or province (ST)> ^
<zip or postal code (ST)> ^
<country (ID)> ^ < address type
(ID)> ^ <other geographic
designation (ST)> ^
<county/parish code (IS)> ^
<census tract (IS)>
In Version 2.3, replaces the PN
data type. <family name (ST)> ^
<given name (ST)> ^ <middle
initial or name (ST)> ^ <suffix
(e.g., JR or III) (ST)> ^ <prefix
(e.g., DR) (ST)> ^ <degree (e.g.,
MD) (ST)> ^ <name type code
(ID) >
<organization name (ST)> ^
<organization name type code
(IS)> ^ <ID number (NM)> ^
<check digit (NM)> ^ <code
identifying the check digit scheme
employed (ID)> ^ <assigning
authority (HD)> ^ <identifier type
code (IS)> ^ <assigning facility ID
(HD)>
© 2008 Government of Alberta
132 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
Data Type Category/ Data Data Type
type
Name
XTN
Specialty/Chapter Specific
Waveform
CD
HL7 Section
Reference
EXTERNAL
MAY 20, 2008
Notes/Format
Extended
telecommunicati
ons number
In Version 2.3, replaces the TN
data type. [NNN] [(999)]999-9999
[X99999] [B99999] [C any text] ^
<telecommunication use code
(ID)> ^ <telecommunication
equipment type (ID)> ^ <email
address (ST)> ^ <country code
(NM)> ^ <area/city code (NM)> ^
<phone number (NM)> ^
<extension (NM)> ^ <any text
(ST)>
Channel
definition
For waveform data only, see
Chapter 7, Section 7.15.3.
<channel identifier (*)> ^
<channel number (NM)> &
<channel name (ST)>> ^
<electrode names (*) > ^
<channel sensitivity/units (*) > ^
<calibration parameters (*)> ^
<sampling frequency (NM)> ^
<minimum/maximum data values
(*)>
For waveform data only, see
Chapter 7, Section 7.15.2.
<sample 1 from channel 1 (NM)>
^ <sample 1 from channel 2
(NM)> ^ <sample 1 from channel
3 (NM)> ...~<sample 2 from
channel 1 (NM)> ^ <sample 2
from channel 2 (NM)> ^ <sample
2 from channel 3 (NM)> ...~
For waveform data only, see
Chapter 7, Section 7.15.1.
<value1 (NM)> ^ <value2 (NM)>
^ <value3 (NM)> ^ <value4
(NM)> ^ ...
Supports ASCII MIME-encoding
of binary data. <source
application (HD) > ^ <main type
of data (ID)> ^ <data subtype
(ID)> ^ <encoding (ID)> ^ <data
(ST)>
MA
Multiplexed
array
NA
Numeric array
ED
Encapsulated
data
Price data
CP
Composite price
In Version 2.3, replaces the MO
data type. <price (MO)> ^ <price
type (ID)> ^ <from value (NM)> ^
<to value (NM)> ^ <range units
(CE)> ^ <range type (ID)>
Patient
Administration/Financial
Information
FC
Financial class
<financial class (ID)> ^ <effective
date (TS)>
Query selection
criteria
<name of field (ST)> ^ <relational
operator (ID)> ^ <value (ST)> ^
<relational conjunction (ID)>
Query input
parameter list:
<field name (ST) > ^ <value1 (ST)
& value2 (ST) & value3 (ST) ...>
Extended Queries
QSC
QIP
© 2008 Government of Alberta
133 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
Data Type Category/ Data Data Type
type
Name
RCD
Master Files
DLN
HL7 Section
Reference
EXTERNAL
MAY 20, 2008
Notes/Format
Row column
definition:
<HL7 item number (ST)> ^ <HL7
data type (ST)> ^ <maximum
column width (NM)>
Driver’s license
number
<license number (ST)> ^ <issuing
state, province, country (IS)> ^
<expiration date (DT)
<job code (IS)> ^ <job class (IS)>
JCC
Job code/class
VH
Visiting hours
<start day range (ID)> ^ <end day
range (ID)> ^ <start hour range
(TM)> ^ <end hour range (TM)>
Performing
person time
stamp:
<ID number (ST)> ^ <family name
(ST)> ^ <given name (ST)> ^
<middle initial or name (ST)> ^
<suffix (e.g., JR or III) (ST)> ^
<prefix (e.g., DR) (ST)> ^
<degree (e.g., MD) (ST)> ^
<source table (IS)> ^ <assigning
authority (HD)> ^ <name type
code(ID)> ^ <identifier check
digit (ST)> ^ <code identifying the
check digit scheme employed (ID
)> ^ <identifier type code (IS)> ^
<assigning facility (HD)> ^ <
date/time action performed (TS)>
Time Series:
DR
Date/time range
RI
Repeat interval
SCV
Scheduling class
value pair
TQ
Timing/quantity
Scheduling Chapter Only:
<range start date/time (TS)> ^
<range end date/time (TS)>
Scheduling Chapter Only:
<repeat pattern (IS)> ^ <explicit
time interval (ST)>
Scheduling Chapter Only:
<parameter class (IS)> ^
<parameter value (IS)>
For timing/quantity specifications
for orders, see Chapter 4, Section
4.4. <quantity (CQ)> ^ <interval
(*)> ^ <duration (*)> ^ <start
date/time (TS)> ^ <end date/time
(TS)> ^ <priority (ID)> ^
<condition (ST)> ^ <text (TX)> ^
<conjunction (ID)> ^ <order
sequencing (*)>
Medical
Records/Information
Management
PPN
© 2008 Government of Alberta
134 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
EXTERNAL
MAY 20, 2008
Anatomic
Code
Description
Long
Description
11334500
1
Abdominal
structure
(body
structure)
Abdomen
12303700
4
Body structure
(body
structure)
Body
Structures
76752008
Breast
structure
(body
structure)
80891009
51185008
CPEL BODY
PART
SOMB
Body
Part
Community
DI
CAPITAL
HEALTH
CALGAR
Y
HEALTH
REGION
RSHIP (7
non-metro
health
regions)
ABDOMEN
Abdomen
ABDO
Abdominal
ABDOME
N
Body
BODY
BODY
BODY
Breast
Breast
BREAS
T
BREAST
BREAST
Heart
structure
(body
structure)
Heart
Cardiac
CARDIA
Heart
CARDIAC
CARDIA
CARDIAC
Thoracic
structure
(body
structure)
Chest
Chest
CHEST
Chest
CHEST
CHEST
CHEST
© 2008 Government of Alberta
Commen
t
Body as
a whole
135 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
EXTERNAL
MAY 20, 2008
61685007
Lower limb
structure
(body
structure)
Lower
extremity
Lower Ext
53120007
Upper limb
structure
(body
structure)
Upper
extremity
Upper Ext
12286500
5
Gastrointestin
al tract
structure
(body
structure)
Gastrointestin
al tract
Gastrointestin
al tract
GI
Gastrointestin
al tract
GI
GI
21514008
Structure of
genitourinary
system (body
structure)
Genitourinary
system
Genito urinary
GU
Genito urinary
GU
GU
69536005
Head structure
(body
structure)
Head
Head
HEAD
Head
45048000
Neck structure
(body
structure)
Neck
Neck
NECK
© 2008 Government of Alberta
Urogenita
l
structure
EXTRE
M
Lower
Extremity
LOWER
EXT
Upper
Extremity
UPPER
EXT
EXTREM
LOWER
EXTREMITY
UPPER
EXTREMITY
HEAD
HEAD
NECK
NECK
136 of 137
HEALTH INFORMATION STANDARDS COMMITTEE FOR ALBERTA
ALBERTA DIAGNOSTIC IMAGING HL7 MESSAGING SPECIFICATION
EXTERNAL
MAY 20, 2008
21483005
Structure of
central
nervous
system (body
structure)
NEURO
12921003
Pelvic
structure
(body
structure)
Obsteric
OBST
Obsterics,
gynaecology,
and pelvis
51282000
bone structure
of spine
Spine
Spine
SPINE
Spine
51185008
Thoracic
structure
(body
structure)
Thorax
© 2008 Government of Alberta
Chest CT
Thoracic
NEURO
Thoracic
OBST
SPINE
OBST,
PELVIS
SPINE
CT_THORA
X
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