xCaliber healthCare Data Mesh

Diagonstic Order Placer

Diagonstic Order Placer

Introduction

The Diagnostic Order Placer data model is a pivotal component of healthcare information systems, designed to capture and manage diagnostic orders placed by healthcare providers or systems. It focuses on the OBR (Observation Request) and PV1 (Patient Visit) segments of HL7 messages, providing comprehensive information about diagnostic orders and their placement. This model plays a critical role in enhancing patient care, ensuring efficient communication between entities, and enabling developers to build robust healthcare applications.

Use Case

Developers can harness the capabilities of the Diagnostic Order Placer data model for various technical use cases, facilitating the effective handling of diagnostic orders and their placement within healthcare systems:

  1. Order Placement: Developers can use this model to initiate and place diagnostic orders by querying placer IDs, order numbers, and bundle IDs. This facilitates the seamless creation and submission of orders.
  2. Order Tracking: Healthcare systems often require real-time tracking of diagnostic orders. Developers can query placer IDs, visit numbers, and batch IDs to monitor the status and progress of orders.
  3. Order Routing: Developers can use placer and bundle IDs to route diagnostic orders to the appropriate diagnostic service providers or facilities, ensuring that orders are directed to the correct destinations.
  4. Patient Diagnostic History: Developers can query patient IDs and encounter IDs to compile comprehensive diagnostic order histories for individual patients. This supports clinicians in making informed decisions based on a patient's diagnostic journey.
  5. Data Enrichment: Developers can combine diagnostic order placement data with other healthcare data models, such as patient and provider data, to create holistic patient profiles. This enriched data enhances the quality of care and personalization of healthcare services.
  6. Quality Assurance: By querying placer IDs and order numbers, developers can monitor the quality and accuracy of diagnostic order placement, ensuring that the right tests are being ordered at the right time.
  7. Order Integration: Developers can integrate diagnostic order placement data with other healthcare systems, such as laboratory information systems, to streamline the order fulfillment process.
  8. Billing and Claims Processing: Developers can extract order-related information, such as patient IDs and encounter IDs, to support billing and claims processing systems, ensuring accurate and timely reimbursement for diagnostic services.
  9. Compliance and Auditing: Developers can use this model to support compliance with healthcare regulations by querying order placement information for auditing and reporting purposes. This aids in maintaining regulatory compliance.
  10. Telemedicine and Remote Services: In telemedicine and remote healthcare scenarios, developers can use this model to facilitate remote diagnostic order placement, ensuring seamless communication between patients and providers.
  11. Research and Analytics: Researchers can access diagnostic order placement data for research and analytics purposes through APIs and data interfaces provided by this model. This data can drive insights into healthcare trends and treatment effectiveness.

Data Fields

Attribute NameDescriptionHL7 MappingData TypeLabelUse Case
alternate_visit_idAlternative visit idPV1-50/PID-18stringAlternate Visit IdThis field provides an alternate identifier for a patient's visit. It is used for tracking and cross-referencing patient visits and records, especially in scenarios requiring multiple identifiers or references. This field is recorded during patient registration and aids in accurate record linkage.
diagnostics_idThis is diagnostics_id attributeORC+MSH-10, SCH+MSH-10stringDiagnostics IDThis field often contains a code or identifier that uniquely represents the diagnostic test or procedure being requested. This code can be used to identify the test.
placer_supplemental_service_informationPlacer Supplemental Service InformationOBR-46, OBR-47stringPlacer Supplemental Service InformationThis field may contain supplemental information related to the service or procedure being requested. It can include additional instructions, special requirements, or any other relevant details.
patient_idId of the patientPID-3-1stringPatient IDThe patient ID is a unique identifier assigned to a patient within the healthcare system. It is used to accurately identify and link a patient's medical records, treatments, and history.
placer_field_2Placer Field 2OBR-19stringPlacer Field 2This field is used to include supplementary data or identifiers that help further specify or categorise the medical test or procedure being requested.
visit_numberId of the visitPV1-19-1stringVisit NumberThe visit number serves as a unique identifier for a specific patient visit or encounter within a healthcare facility. It distinguishes one visit from another.
placer_field_1Placer Field 1OBR-18stringPlacer Field 1This field is used to include supplementary data or identifiers that help further specify or categorise the medical test or procedure being requested.
xc_visit_idXC visit idBased on alternate_visit_id followed by visit_number followed by system generated IDstringXC visit idThe "xc_visit_id" is a unique identifier used to group together all the interactions, procedures, tests, and check-ups associated with a single patient visit in a healthcare setting. This identifier helps in organising and managing various activities and data related to that specific patient encounter.
placer_order_numberFiller Order NumberOBR-2, (ORC-33 and not OBR-53), SCH-26,ORC-2,OBR-53stringPlacer Order NumberThis field represents the identifier assigned to a general order, which can include multiple related observations or tests. It is typically used in the context of managing orders and their status within a healthcare system.
bundle_idID of bundleMSH-10stringBundle ID“bundle ID" typically refers to a unique identifier assigned to a group or bundle of related messages or data elements. This identifier is used to associate multiple messages or pieces of information that are related to a specific patient, event, or transaction.
placer_idThis is placer_id attributeSystem GeneratedstringPlacer IDThe Placer ID is crucial for maintaining order and result integrity within the healthcare system. It provides a unique identifier for orders and observations, facilitating order tracking, result association, and coordination among different components of the healthcare workflow.
lineageThis is lineage attributeFixed - HL7stringLineage"lineage" refers to the information about the origin or source of a message. It helps trace the path of the message, indicating where it originated, how it was transmitted, and any intermediate systems or components it passed through before reaching its destination.
batch_idBatch idSystem GeneratedstringBatch ID"batch ID" is a unique identifier assigned to a group of messages that are logically grouped together for processing or transmission. Batching messages is a common practice in healthcare systems to efficiently manage and transmit multiple messages as a single unit
encounter_idEncounter IDPV1+MSH-10stringEncounter IDThis unique identifier is used to associate various HL7 messages with a specific patient encounter or visit. It ensures that data and events are accurately linked to the correct patient's healthcare journey.