ElementText or codeCode systemCommentV2 location
Patient Name - do not useJack Smith



PID-5, where PID-5.7 = NOUSE
Patient Name to UseJulie Smith

PID-5, where PID-5.7 = N
Date Name to use and Gender Identity changed

8/1/2022 (start date) 

7/31/2022 (end date)


I picked 8/1/2022, but if the encounter is in August 2021, then that will not work - please provide a date (and optionally time to use here (CS- This works. I miskeyed 2021, but can find replace for 8/1/2022.) 

Patient IDpatientID1
was 19700103PID-3.1
Patient ID TypeMR

PID-3.5
Patient referencePatient/example

PID segment
Patient DOB1/3/1970

PID-7
Patient GI - currentFemalehttp://snomed.info/sct
GSP, where GSP-4 = 76691-5 and GSP-5
Patient GI - historicMalehttp://snomed.info/sctthis is in the ADT message, but not in the order or resultGSP, where GSP-4 = 76691-5 and GSP-5
Patient Pronouns - historicHe, Him, His, Himselfhttp://loinc.org this is in the ADT message, but not in the order or resultGSP, where GSP-4 = 90778-2 and GSP-5
Patient Pronouns - currentShe, Her, Hers, Herselfhttp://loinc.org 
GSP, where GSP-4 = 90778-2 and GSP-5
Encounter date/time

2022-08-15T15:31


Does this mean 1:40 AM??? or am I missing something? That would not be a very realistic visit time - I had picked 08-15-2022 at 3:31 PM (but no timezone offset). CS - this was the date/time in the FHIR example I copied from. I'll update it to your date/time.

Encounter typeoutpatient

PV1-2
Ordered test

2857-1

http://loinc.org

Prostate specific Ag [Mass/Vol]

Order date/time




Order ID911^ClinicOrderSystem

ORC-2 / OBR-2
Ordering Provider resource IDby87765446t21h^ClinicOrderSystem

PRT-1
Ordering Provider NameJones, MD

PRT-5, where PRT-4 = OP

SFCU.value

Malehttp://snomed.info/sct
GSC-4
SFCU.commentThe patient has a prostate and is utilizing an estrogenic therapy regimen to suppress testosterone.

GSC-8
SFCU.supportingInfoOrder

GSC-6
Sample typeSerum (119364003)http://snomed.info/sctthis is only in the result message, as the specimen has not been collected at time of orderSPM-4
Testing Lab Assigned Specimen ID14MP000051&LabInfoSystem

SPM-2.2
Sample collection date / time08-15-2022 6:01 PM
Depending on encounter date and order date this needs to be later than those during normal lab buisness hours - I had picked 08-15-2022 6:01 PMSPM-17 (and OBR-7)
Sample received date / time08-15-2022 6:01 PM
Depending on encounter date and order date this needs to be later than those during normal lab buisness hours; since the lab is the one that collects the sampel it is the same as the collection date/time - I had picked  I had picked 08-15-2022 6:01 PMSPM-18
Performing LabClinic Lab One

PRT-8, where PRT-4 = PO
Performing Lab Lab Director


PRT-5, where PRT-4 = POMD
Performing Lab Director Address

123 Example Street

Example City

CA 94133



PRT-14, where PRT-4 = POMD
Lab Order ID000051^LabInfoSystem

ORC-3/OBR-3
Performed Test

2857-1

http://loinc.org


OBX-3
Result ID


potentially could use OBX-21, if needed, would need to add to example
Result value3.0

OBX-5
Result unitsng/mlhttp://unitsofmeasure.org/
OBX-6
Reference Range0-4.0 ng/ml

OBX-7
Result interpretationNormalhttps://terminology.hl7.org/3.1.0/CodeSystem-v3-ObservationInterpretation.html
OBX-8
Result StatusFinal

OBX-11
Result date / time08-15-2022 at 5:41 PM

OBX-19
Result commentPatients on testosterone suppressing medications, the upper limit of normal for the PSA should be reduced to 1.0 ng/ml.

NTE-3 after OBX
Report (Order) status Final

OBR-25
Report date / time08-15-2022 at 5:45 PM

OBR-22






















































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