mandated information gathering requirements, e.g., for blood lead testing. Not every order will have the need for AOE questions and associated observations. Examples of the type of information gathered from a patient include employment information, pregnancy status, the date of the and questions about last menstrual period, mother’s age, family and personal history. AOE responses can take several formats, including but not limited to: to answer questions this your first • Yes/No (and coded) like “Is pregnancy?” code drawn from a value set to provide a coded response to do you consider • A “What ethnicity yourself part of?” number with units for the age • A mother’s date format for the last menstrual period. • A patient’s There are several potential approaches to including this information when available, but for this IG, they are messaged as an observation in an OBX segment The observations (OBX) segment may follow an Order (OBR) or the Specimen segment (SPM). The table below lists several of these data element and how to report them as an observation as well as the context in which the element would be expressed in the message. Please note adoption of this value set is voluntary and based upon the individual public health jurisdiction’s requirements. Table N-NN. Epidemiologically Important Questions Context OBX.3 OBX.5 OBX.6 Comments Observation Identifier: Observation LOINC Value Set Units OBR-4 for This is provided an an option Order_Observation to message Epidemiologically group for Important Questions as a Epidemiologically unique Order_Observation important Group. information for important information Note: The Filler Order number public health for public health (OBR.3) must be unique in the reporting panel. NA reporting panel^LN NA NA message. UCUM Units, for example: ELR-027: If PID-7 (Date/Time 35659-2^Age at of Birth) is not valued, then an specimen OBX segment associated with The age of patient collection^LN the SPM segment SHALL be at time of specimen or 21612-7^Reported present to report patient age at collection. Patient Age^LN Numeric specimen collection Date when sign and 11368-8^Illness or symptoms of injury onset date and condition first TS_3 time^LN [empty]
mandated information gathering requirements, e.g., for blood lead testing. Not every order will have the need for AOE questions and associated observations. Examples of the type of information gathered from a patient include employment information, pregnancy status, the date of the last menstrual period, mother’s age, and questions about family and personal history. AOE responses can take several formats, including but not limited to: • Yes/No (and coded) to answer questions like “Is this your first pregnancy?” • A code drawn from a value set to provide a coded response to “What ethnicity do you consider yourself part of?” • A number with units for the mother’s age • A date format for the patient’s last menstrual period. There are several potential approaches to including this information when available, but for this IG, they are messaged as an observation in an OBX segment The observations (OBX) segment may follow an Order (OBR) or the Specimen segment (SPM). The table below lists several of these data element and how to report them as an observation as well as the context in which the element would be expressed in the message. Please note adoption of this value set is voluntary and based upon the individual public health jurisdiction’s requirements. Table N-NN. Epidemiologically Important Questions Context OBX.3 OBX.5 OBX.6 Comments Observation Identifier: LOINC Observation Value Set Units OBR-4 for Order_Observation group for Epidemiologically important information for public health reporting panel. NA important information for public health reporting panel^LN NA NA This is provided an an option to message Epidemiologically Important Questions as a unique Order_Observation Group. Note: The Filler Order number (OBR.3) must be unique in the message. The age of patient at time of specimen collection. 35659-2^Age at specimen collection^LN or 21612-7^Reported Patient Age^LN Numeric UCUM Units, for example: ELR-027: If PID-7 (Date/Time of Birth) is not valued, then an OBX segment associated with the SPM segment SHALL be present to report patient age at specimen collection Date when sign and symptoms of condition first TS_3 11368-8^Illness or injury onset date and time^LN [empty]
20130227035011!HL7v2.5.1_LRI_PH_Profile_AdditionalImplementationGuidance_DRAFT.docx