ZorgDomein HL7 V2.4 SRM Specifications

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ZorgDomein HL7 V2.4 SRM Specifications Schedule Request Message 2016 V1.7

Version history Version Date Author Description 1.0 2-6-2015 Gido Duif - 1.1 18-11-2015 Gido Duif Accordance with ZorgDomein V5. 1.2 27-11-2015 Gido Duif Accordance with ZorgDomein corporate identity. 1.3 8-12-2015 Gido Duif Change in ARQ-20.1. 1.4 11-12-2015 Gido Duif Change in ARQ-16.1. 1.5 10-3-2016 Gido Duif Change in AIG-3.1. 1.6 23-3-2016 Gido Duif Structural change in segment specifications tables. 1.7 29-4-2016 Gido Duif Textual corrections. 2

Introduction This document describes the technical specifications of the ZorgDomein HL7 V2.4 SRM message. This message contains data that is used for the logistical planning of a patient referral. The message model describes the structure of this message. The subsequent section further describes the contents of these segments. The abbreviation Elem.nr denotes the element number. ZorgDomein adheres to the required fields as specified in the international HL7 V2.4 specifications. In this document, the term acting referrer describes the person that used ZorgDomein and actually referred the patient. The term responsible referrer describes the person that is responsible for that referral. The two often relate to the same person. If the ZorgDomein content consists of a value between two double quotes, that value is the fixed value of that specific element. Message model Segment Description Page MSH Message Header 4 ARQ Appointment Request Information 4 PID Patient Identification 5 RGS Resource Group Segment 6 AIS Appointment Information - Service 6 AIG Appointment Information - General Resource 6 AIL Appointment Information - Location Resource 7 AIP Appointment Information - Personnel Resource 7 3

Segment specifications MSH segment 1 Field Separator. 2 Encoding ^~\&. Characters 3.1 Sending ZorgDomein. Application 5.1 Receiving Name of the receiving application. Application 6.1 Receiving Name of the receiving facility. Facility 7 Date/Time Of Message Date/time of message creation. Format: yyyymmddhhmmss+hhmm. 9.1 Message Type SRM. 9.2 S01. 9.3 SRM_S01. 10 Message Control ID ZorgDomein number. Format: ZDnnnnnnnn, where each n denotes a digit. 11.1 Processing ID P. 12.1 Version ID 2.4. 15 Accept AL. Acknowledgment Type 16 Application Acknowledgment Type NE. ARQ segment 1.1 Placer Appointment ID ZorgDomein number. Format: ZDnnnnnnnn, where each n denotes a digit. 6.1 Request Event Code of reason of referral. 6.2 Reason Reason of referral. 6.3 ZORGDOMEIN. 7.1 Appointment Code of type of referral. 7.2 Reason Type of referral. 7.3 ZORGDOMEIN. 11.1.1 Requested Start Date/Time Start of range of requested date. Based on referral date plus the access time. Format: yyyymmdd. 11.2.1 Range End of range of requested date. Based on date in ARQ- 11.1.1 plus 30 days. Format: yyyymmdd. 4

15.1 Placer Contact The responsible referrer s AGB code. 15.2.1 Person The responsible referrer s full surname. 15.3 The responsible referrer s initials. 15.9.1 VEKTIS. 16.1 Placer Contact Phone Number Two options, depending on presence. A overrides B: A) The phone number of the practice. B) The fax number of the practice. 16.3 If ARQ-16.1 option A: PH. If ARQ-16.1 option B: FX. 17.1.1 Placer Contact Address Combination of ARQ-17.1.2, ARQ-17.1.3 and ARQ- 17.2. 17.1.2 The street name of the practice. 17.1.3 The dwelling number of the practice. 17.2 The other designation of the practice. 17.3 The city name of the practice. 17.5 The postal code of the practice. 17.6 The country code of the practice. 19.1 Entered By Person If the acting referrer s AGB code is known: the acting referrer s AGB code. Else: two double quotation marks ( ). 19.2.1 The acting referrer s full surname. 19.3 The acting referrer s initials. 19.9.1 If ARQ-19.1 contains an AGB code: VEKTIS. 20.1 Entered By Phone Number Two options, depending on presence. A overrides B: A) The phone number of the practice. B) The fax number of the practice. 20.3 If ARQ-20.1 option A: PH. If ARQ-20.1 option B: FX. PID segment 1 Set ID - PID 1. 3.1 Patient Identifier The patient s BSN. 3.4.1 List NLMINBIZA. 3.5 NNNLD. 5.1.1 Patient Name The patient s full surname. 5.1.2 Prefix of surname in PID-5.1.3. 5.1.3 The patient s own surname (without prefix). 5.1.4 Prefix of surname in PID-5.1.5. 5.1.5 The patient s spouse surname (without prefix). 5.2 The patient s first initial. 5.3 The patient s second and further initials, separated by spaces. 5.7 L. 5

7 Date/Time of The patient s date of birth. Format: yyyymmdd. Birth 8 Administrative Sex If the patient s sex is male: M. If the patient s sex is female: F. 11.1.1 Patient Address Combination of PID-11.1.2, PID-11.1.3 and PID-11.2. 11.1.2 The patient s home street name. 11.1.3 The patient s home dwelling number. 11.2 The patient s home other designation. 11.3 The patient s home city name. 11.5 The patient s home postal code. 11.6 The patient s home country code. 11.7 H. 13.1 Phone Number - Home The patient s phone number. RGS segment 1 Set ID - RGS 1. 2 Segment Action Code U. AIS segment 1 Set ID - AIS 1. 2 Segment Code U. Action 3.1 Universal Code of health care product. 3.2 Service Name of health care product. 3.3 Identifier ZORGDOMEIN. AIG segment 1 Set ID - AIG 1. 2 Segment Code U. Action 3.1 Resource ID Code of cluster. 3.2 Name of specialism. 3.3 ZORGDOMEIN. 4.1 Resource Type Two double quotation marks ( ). 6

AIL segment 1 Set ID - AIL 1. 2 Segment Action U. Code 3.4.1 Location AGB code of the selected facility. 3.4.2 Resource ID Name of the selected facility s location. 4.1 Location Type- AIL Two double quotation marks ( ). AIP segment 1 Set ID - AIP 1. 2 Segment Action U. Code 3.1 Personnel Resource ID Name of the specialist as requested by the acting referrer. 3.8 99. 3.9.1 VEKTIS. 4.1 Resource Role Two double quotation marks ( ). 7 Start Date/Time 0. Offset 8.1 Start Date/Time Offset Units m.