|Seq||Name||Optionality||Definition||HL7 Mapping||Implementation guidance||Comments|
|1||Ordering provider address||RE-PHA, NF-HHS||ORC-24.1||The street information is not forwarded and sometimes the city (based on PHA request); state is forwarded (and zip is its own elemetn further down)|
|2||Ordering provider phone number||RE-PHA, NF-HHS||ORC-14/OBR-17|
|3||Ordering provider name and NPI (as applicable)||RE-PHA, RE-HHS||If the ordering provider is not known, then the ordering facility should be included.||ORC-12 / OBR-16|
Ordering Provider Name is in ORC-12.2 / OBR-16.2 and ORC12.3 / OBR-16.3;
NPI would be ORC-12.1 / OBR-16.1; when populating ORC-12.1 / OBR-16.1 also populate ORC-12.9/OBR-16.9 as: "NPI&2.16.840.1.113883.4.6&ISO"
For some testing there may not be a specific ordering provider (e.g. employment related testing, mass screening) - it is a CLIA requirement so need to ensure that this is provided.
What about ordering provider for home test (is covered through doctor office or on-line doctor who ordered).
For drive-thru it is possibly the Surgeon General or appropriate Medical officer
|4||Ordering provider zip||RE-PHA, C-HHS|
The zip code of the location where the ordering provider is located at the time of ordering.
Condition: If patient is in a low density area this should not be forwarded to HHS.
|5||Date test ordered (date format)||RE-PHA, RE-HHS||ORC-15||For the PH_HHS_ELR_Guidance_component this element will be RE|
|6||Test ordered – use harmonized LOINC codes provided by CDC||R-PHA, R-HHS||The test currently being reported to PHA as the test ordered||OBR-4|
LOINC is strongly recommended in ELR R1
Use the code from column "LOINC Order Code" and optionally description from colum "LOINC Order Code Long Name" in the CDC LIVD mapping file