Making new ORU out of multiple ORC,OBRs

[Kevin Crist]

Been working on this for a while tying different things no luck so i have it more simplified…and wrong. What i need to do we get a result with more than one ORC and OBR is to group those, along with the OBX and send each on it’s separate message.

Now

ORC|RE|L65734-1|216^1035O.5.21^2.16.840.1.113

OBR|1|L657341|216^1035O.5.21^2.16.840.1.1138(AST)|||20141204153457|20141204153457||||||||2057^STINE^SCOTT^^^^^^^^^^PRN|^^FX^^^^8852758|CHEM||3058033||20141204153603-0500|||F

OBX|1|SN|1920-8^^LN^SGOT^SGOT (AST)^

SPM|1|^C28&1035O.5.242&2.16.840.1.113883.3.1833.2.5.242.1035.1408673021&ISO||56^PLASMA^L^^^^1408673021^^PLASMA|||||||P^Patient^HL70369^P^Patient^L^2.5.1^V1||||||20141204153457^20141204153457|20141204153457

ORC|RE|L65735-1|217^1035O.5.21^2.16.840.1.113883.3.1833.2.5.21.1035.1408673021^ISO|||||||||2057^STINE^SCOTT^^^^^^^^^^PRN||^^FX^^^^8852758

OBR|2|L65735-1|217^1035O.5.21^2.16.840.1.113883.3.1833.2.5.21.1035.1408673021^ISO|1744-2^^LN^SGPT^SGPT (ALT)^L^^1408673021^SGPT (ALT)|||20141204153457|20141204153457||||||||2057^STINE^SCOTT^^^^^^^^^^PRN|^^FX^^^^8852758|CHEM||3058033||20141204153603-0500|||F

OBX|1|SN|1744-2^^LN^SGPT^SGPT (ALT)^L^^1408673021^SGPT (ALT)||^50|U/L^^L^^^^1408673021|5-41|H|||F|||20141204153457|||||20141204153556||||GOOD SAMARITAN HOSPITAL

SPM|1|^C28&1035O.5.242&2.16.840.1.113883.3.1833.2.5.242.1035.1408673021&ISO||56^PLASMA^L^^^^1408673021^^PLASMA|||||||P^Patient^HL70369^P^Patient^L^2.5.1^V1||||||20141204153457^20141204153457|20141204153457

What i want

One Message…

ORC|RE|L65734-1|216^1035O.5.21^2.16.840.1.113883.3.1833

OBR|1|L65734-1|216^1035O.5.21^2.16.840.1.113883.3.1833.2.5

OBX|1|SN|1920-8^^LN^SGOT^SGOT (AST)^L^^1408673021

Next Message is the next group and so on.

ORC|RE|L65735-1|217^1035O.5.21^2.16.840.1.113883.3.1833.2.5

OBR|2|L65735-1|217^1035O.5.21^2.16.840.1.113883.3.1833.2.5.

OBX|1|SN|1744-2^^LN^SGPT^SGPT (ALT)^L^^1408673021^

My iterate is a standard 2.5.1 for in and out. I have not added any OBX segments to it yet. Any help would be awesome.

Thanks.

Topic

[James Cobane]

Kevin,

It should be a matter of using a ‘CONTINUE’ statement as the last action within your ORC group iteration to cut a message for the current iteration of the ORC.  Then you’ll need to add a SUPPRESS to prevent a duplicate message from the last ORC processed.

Hope that makes sense.

Jim Cobane

Henry Ford Health

[Kevin Crist]

Thanks for the reply Jim. I put in the CONTINUE & SUPPRESS and got 2 messages but what i meant to add yesterday and forgot was my current output of what i had. I’m not sure i have my iterates correct as well… It seems to put the same ORC and OBR in both messages.

MESSAGE 1

0(0).MSH(0)  :  >|^~&|CITA-LIS|A|REG|GSH|20141204153612.0000-0500||ORU^R01|B9CE384C46F9FF449E4A|P|2.5.1<

1(0).0(0).0(0).PID(0)  :  >|1||121772||LORD^STAR||19790505080500.0000-0500|M||WHIT^White^L||||||||9129004611<

1(0).1(0).0(0).ORC(0)  :  >|RE|L65734-1|216^1035O.5.21^2.16.84|||||||||2057^STINE^SCOTT^^^^^^^^^^PRN||^^FX^^^^8852758<

1(0).1(0).0(0).OBR(0)  :  >|1|L65734-1|216^1035O.5.21^2.16.84|1920-8^^LN^SGOT^SGOT (AST)^L^^1408673021^SGOT (AST)|||20141204153457|20141204153457||||||||2057^STINE^SCOTT^^^^^^^^^^PRN|^^FX^^^^8852758|CHEM||3058033||20141204153603-0500|||F<

0(0).MSH(0)  :  >|^~&|CITA-LIS|A|REG|GSH|20141204153612.0000-0500||ORU^R01|B9CE384C46F9FF449E4A|P|2.5.1<

1(0).0(0).0(0).PID(0)  :  >|1||121772||LORD^STAR||19790505080500.0000-0500|M||WHIT^White^L||||||||9129004611<

1(0).1(0).0(0).ORC(0)  :  >|RE|L65734-1|216^1035O.5.21^2.16.84|||||||||2057^STINE^SCOTT^^^^^^^^^^PRN||^^FX^^^^8852758<

1(0).1(0).0(0).OBR(0)  :  >|1|L65734-1|216^1035O.5.21^2.16.84|1920-8^^LN^SGOT^SGOT (AST)^L^^1408673021^SGOT (AST)|||20141204153457|20141204153457||||||||2057^STINE^SCOTT^^^^^^^^^^PRN|^^FX^^^^8852758|CHEM||3058033||20141204153603-0500|||F<

1(0).1(1).0(0).OBR(0)  :  ><

[Jim Kosloskey]

Kevin,

You don’t have your %g1 in the right place in your PATHCOPY

S/B this:

1(0).1(%g1).0(0).ORC(0)

Same for OBR

email: jim.kosloskey@jim-kosloskey.com 30+ years Cloverleaf, 60 years IT – old fart.

[Kevin Crist]

OK, i made that change and have a couple of quesitons

1)How do you know where to put the %g1 (or any other variable) at?

B) I did make the change you suggested and it kind of worked and kind of didnt. Here is my Output: The second message uses both ORC/OBR while the first just has one.

0(0).MSH(0)  :  >|^~&|CITA-LIS|A|REG|GSH|20141204153612.0000-0500||ORU^R01|B9CE384C46F9FF449E4A|P|2.5.1<

1(0).0(0).0(0).PID(0)  :  >|1||121772||LORD^STAR||19790505113200.0000-0500|M||WHIT^White^L||||||||9129004611<

1(0).1(0).0(0).ORC(0)  :  >|RE|L65734-1|216^1035O.5.21^2.16.84|||||||||2057^STINE^SCOTT^^^^^^^^^^PRN||^^FX^^^^8852758<

1(0).1(0).0(0).OBR(0)  :  >|1|L65734-1|216^1035O.5.21^2.16.84|1920-8^^LN^SGOT^SGOT (AST)^L^^1408673021^SGOT (AST)|||20141204153457|20141204153457||||||||2057^STINE^SCOTT^^^^^^^^^^PRN|^^FX^^^^8852758|CHEM||3058033||20141204153603-0500|||F<

0(0).MSH(0)  :  >|^~&|CITA-LIS|A|REG|GSH|20141204153612.0000-0500||ORU^R01|B9CE384C46F9FF449E4A|P|2.5.1<

1(0).0(0).0(0).PID(0)  :  >|1||121772||LORD^STAR||19790505113200.0000-0500|M||WHIT^White^L||||||||9129004611<

1(0).1(0).0(0).ORC(0)  :  >|RE|L65734-1|216^1035O.5.21^2.16.84|||||||||2057^STINE^SCOTT^^^^^^^^^^PRN||^^FX^^^^8852758<

1(0).1(0).0(0).OBR(0)  :  >|1|L65734-1|216^1035O.5.21^2.16.84|1920-8^^LN^SGOT^SGOT (AST)^L^^1408673021^SGOT (AST)|||20141204153457|20141204153457||||||||2057^STINE^SCOTT^^^^^^^^^^PRN|^^FX^^^^8852758|CHEM||3058033||20141204153603-0500|||F<

1(0).1(1).0(0).ORC(0)  :  >|RE|L65735-1|217^1035O.5.21^2.16.84|||||||||2057^STINE^SCOTT^^^^^^^^^^PRN||^^FX^^^^8852758<

1(0).1(1).0(0).OBR(0)  :  >|2|L65735-1|217^1035O.5.21^2.16.84|1744-2^^LN^SGPT^SGPT (ALT)^L^^1408673021^SGPT (ALT)|||20141204153457|20141204153457||||||||2057^STINE^SCOTT^^^^^^^^^^PRN|^^FX^^^^8852758|CHEM||3058033||20141204153603-0500|||F<

Here is what i have at moment:

[Jim Kosloskey]

Where your basis ends is where the repetition is. A sanity check is to run the messages through the HL/7 tester and watch where the repetitions occur.

For your Destination in the PATHCOPY Action use 0 instead of %g1 – after all each message outbound will only have one occurence. That should take care of the extra occurrences.

email: jim.kosloskey@jim-kosloskey.com 30+ years Cloverleaf, 60 years IT – old fart.

[Kevin Crist]

Thanks for the help. That worked with the ORC/OBR with each new message. But i also need to now add the OBX for each results.

I added what i have now which isnt working. Only copies over the first OBX which makes sense but when i try to put in a %g1 in the destination field it copies the OBX from the first message to the second message i am making and then adding that OBX to it as well if that makes sense.

The OBX is in a different group of 1.1.3 so i wasnt sure if i added it right to the 1.1.0 group of the OBR/ORC.

[Terry Kellum]

From the message structure above, I would say that you will need an iterate nested inside g1 (call it g2?) at the 1.1.3, and a segment iterate nested inside THAT iterate on the NTE segment.

Jim’s suggestion of running the ORIGINAL message thru the HL7 tester is not only good, IMHO it is essential to understanding the structure.

I usually also look for the repeating fields in the structure and add dummy segments to test and make sure I have my iterates in the right places.

Just taking a wild guess, it looks like you will have:

1(0).1(%g1).3(%g2).OBX(0)  and

1(0).1(%g1).3(%g2).NTE(%s1) …

I think…..

Jim, do you concur??

[Kevin Crist]

ok i set my OBX iterate basis and pathcopy  as:

Iterate

group

1(0).1(0).3

%g2

Pathcopy

1(0).1(%g1).3(%g2).OBX(0) -> 1(0).1(%g1).3(%g2).OBX(0)

and NTE:

group

1(0).1(0).3

%g2

Pathcopy:

1(0).1(%g1).3(%g2).NTE(%s1) -> 1(0).1(%g1).3(%g2).NTE(%s1)

I’m confused as to why the OBXs keep adding on to the subsequent messages.

My output is:

Message 1

1(0).0(0).0(0).PID(0)  :  >|1||121772||LORD^STAR||19790505103500.0000-0500|M||WHIT^White^L||||||||9129004611<

1(0).1(0).0(0).ORC(0)  :  >|RE|L65734-1|216^1035O.5.21^2.16.84|||||||||2057^STINE^SCOTT^^^^^^^^^^PRN||^^FX^^^^8852758<

1(0).1(0).0(0).OBR(0)  :  >|1|L65734-1|216^1035O.5.21^2.16.84|1920-8^^LN^SGOT^SGOT (AST)^L^^1408673021^SG

1(0).1(0).3(0).OBX(0)  :  >|1|SN|1920-8^^LN^SGOT^SGOT (AST)^L^^1408673021^SGOT (AST)||^85|U/L^^L^^^^14

Message 2

1(0).0(0).0(0).PID(0)  :  >|1||121772||LORD^STAR||19790505103500.0000-0500|M||WHIT^White^L||||||||9129004611<

1(0).1(0).0(0).ORC(0)  :  >|RE|L65735-1|217^1035O.5.21^2.16.84|||||||||2057^STINE^SCOTT^^^^^^^^^^PRN||^^FX^^^^8852758<

1(0).1(0).0(0).OBR(0)  :  >|2|L65735-1|217^1035O.5.21^2.16.84|1744-2^^LN^SGPT^SGPT (ALT)^L^^1408673021^SGPT

1(0).1(0).3(0).OBX(0)  :  >|1|SN|1920-8^^LN^SGOT^SGOT (AST)^L^^1408673021^SGOT (AST)||^85|U/L^^L^^^

1(0).1(0).3(1).OBX(0)  :  >|1|SN|1744-2^^LN^SGPT^SGPT (ALT)^L^^1

Thanks for all your help. First time i’ve had to do something like this

[Jim Kosloskey]

Terry – sorry for the late reply but you are correct that the groups/segments post OBR need to be properly referenced.

Kevin,

In your basis for the OBX you need to include the counter you used for the previous group to which the OBX is subordinate –

1(0).1(%g1).3

And I don’t think the basis for your NTE  following the OBX is correct. That should be segment and the basis shoulld look like this I think:

1(0).1(%g1).3(%g2).NTE

Get that straightened up and let’s see where you are at.

email: jim.kosloskey@jim-kosloskey.com 30+ years Cloverleaf, 60 years IT – old fart.

[Kevin Crist]

OK, here is what i have. My two iterates and my original message and the result after going through the tester. I took out the NTE part just for my sanity at this point. I somehow got it to add more messages than it has ORC/OBRs.

[Jim Kosloskey]

Replace the %g1 in your Destination of your OBX PATHCOPY with a zero – you want al of your outbound OBX groups to be associated with the first ORC Group.

email: jim.kosloskey@jim-kosloskey.com 30+ years Cloverleaf, 60 years IT – old fart.

[Author]

Replies