Chapter 04: Order Entry
Ordering tests, drugs and diets.
A test ordered, a drug prescribed, a diet requested, and the messages that later change or cancel any of those. The order is separate from the result it eventually produces, which lives in chapter 7.
What is in this chapter
- 43 trigger eventsthe real-world things that cause one of these messages to be sent
- 20 segmentsthe lines these messages are built from, and the fields on each
- 58 code tablesthe value sets the fields in this chapter draw from
- 40 message typesBPS, BRP, BRT, BTS, OMB, OMD, OMG, OMI, OML, OMN, OMP, OMS, ORB, ORD, ORG, ORI, ORM, ORN, ORP, ORR, ORS, OSQ, OSR, RAR, RAS, RDE, RDR, RDS, RER, RGR, RGV, ROR, RRA, RRD, RRE, RRG, VXQ, VXR, VXU, VXX
Message types defined here
BPSBlood product dispense status message1 structure, fired by 1 trigger event.
BRPBlood product dispense status acknowledgement message1 structure, fired by 1 trigger event.
BRTBlood product transfusion/disposition acknowledgement message1 structure, fired by 1 trigger event.
BTSBlood product transfusion/disposition message1 structure, fired by 1 trigger event.
OMBBlood product order message1 structure, fired by 1 trigger event.
OMDDietary order1 structure, fired by 1 trigger event.
OMGGeneral clinical order message1 structure, fired by 1 trigger event.
OMIImaging order1 structure, fired by 1 trigger event.
OMLLaboratory order message3 structures, fired by 3 trigger events.
OMNNon-stock requisition order message1 structure, fired by 1 trigger event.
OMPPharmacy/treatment order message1 structure, fired by 1 trigger event.
OMSStock requisition order message1 structure, fired by 1 trigger event.
ORBBlood product order acknowledgement message1 structure, fired by 1 trigger event.
ORDDietary order acknowledgment message1 structure, fired by 1 trigger event.
ORGGeneral clinical order acknowledgment message1 structure, fired by 1 trigger event.
ORIImaging order acknowledgement message1 structure, fired by 1 trigger event.
ORMPharmacy/treatment order message1 structure, fired by 1 trigger event.
ORNNon-stock requisition - General order acknowledgment message1 structure, fired by 1 trigger event.
ORPPharmacy/treatment order acknowledgment message1 structure, fired by 1 trigger event.
ORRGeneral order response message response to any ORM1 structure, fired by 1 trigger event.
ORSStock requisition - Order acknowledgment message1 structure, fired by 1 trigger event.
OSQQuery response for order status1 structure, fired by 1 trigger event.
OSRQuery response for order status1 structure, fired by 1 trigger event.
RARPharmacy/treatment administration information1 structure, fired by 1 trigger event.
RASPharmacy/treatment administration message1 structure, fired by 1 trigger event.
RDEPharmacy/treatment encoded order message1 structure, fired by 2 trigger events.
RDRPharmacy/treatment dispense information1 structure, fired by 1 trigger event.
RDSPharmacy/treatment dispense message1 structure, fired by 1 trigger event.
RERPharmacy/treatment encoded order information1 structure, fired by 1 trigger event.
RGRPharmacy/treatment dose information1 structure, fired by 1 trigger event.
RGVPharmacy/treatment give message1 structure, fired by 1 trigger event.
RORPharmacy/treatment order response1 structure, fired by 1 trigger event.
RRAPharmacy/treatment administration acknowledgment message1 structure, fired by 1 trigger event.
RRDPharmacy/treatment dispense acknowledgment message1 structure, fired by 1 trigger event.
RREPharmacy/treatment encoded order acknowledgment message1 structure, fired by 2 trigger events.
RRGPharmacy/treatment give acknowledgment message1 structure, fired by 1 trigger event.
VXQQuery for vaccination record1 structure, fired by 1 trigger event.
VXRVaccination record response1 structure, fired by 1 trigger event.
VXUUnsolicited vaccination record update1 structure, fired by 1 trigger event.
VXXResponse for vaccination query with multiple PID matches1 structure, fired by 1 trigger event.
Segments defined here
These 20 segments are defined in chapter 04. Messages in other chapters may still carry them.
BLGBilling SegmentBPOBlood Product Order SegmentBPXBlood Product Dispense Status SegmentBTXBlood Product Transfusion/Disposition SegmentIPCImaging Procedure Control SegmentOBRObservation Request SegmentODSdietary orders, supplements, and preferences segmentODTdiet tray instructions segmentORCCommon Order SegmentRQ1Requisition Detail-1 SegmentRQDRequisition Detail SegmentRXAsegment usage in vaccine messagesRXCPharmacy/Treatment Component Order SegmentRXDPharmacy/Treatment DispenseRXEPharmacy/Treatment Encoded Order SegmentRXGPharmacy/Treatment Give SegmentRXOPharmacy/Treatment Order SegmentRXRPharmacy/Treatment Route SegmentTQ1Timing/Quantity SegmentTQ2Timing/Quantity Relationship
Trigger events
A trigger event is the thing that happens in the hospital and causes a message to be sent. Chapter 04 defines 43 of them.
O01general order messageO02general order response message response to any ORMO03Dietary OrderO04dietary order acknowledgmentO05stock requisition order messageO06stock requisition order acknowledgment messageO07non-stock requisition order messageO08non-stock requisition order acknowledgment messageO09Pharmacy/Treatment Order MessageO10Pharmacy/Treatment Order AcknowledgmentO11Pharmacy/Treatment Encoded Order MessageO12Pharmacy/Treatment Encoded Order AcknowledgmentO13Pharmacy/Treatment Dispense MessageO14Pharmacy/Treatment Dispense Acknowledgement MessageO15Pharmacy/Treatment Give MessageO16Pharmacy/Treatment Give Acknowledgment MessageO17Pharmacy/Treatment Administration MessageO18O19general clinical order messageO20general clinical order acknowledgement messageO21laboratory order messageO23Imaging Order MessageO24Imaging Order Response Message To Any OMIO25Pharmacy/Treatment Refill Authorization Request MessageO26O27Blood Product Order MessageO28Blood Product Order AcknowledgmentO29Blood Product Dispense Status MessageO30Blood Product Dispense Status AcknowledgmentO31Blood Product Transfusion/Disposition MessageO32Blood Product Transfusion/Disposition AcknowledgmentO33O35Q06query response for order statusRARRDRRERRGRRORV01Query For Vaccination RecordV02V03Vaccination Record ResponseV04Unsolicited Vaccination Record Update