2009-04-30 12 views

Antwort

5

Hier ist ein Beispiel X12 Nachricht:

ISA*00*   *01*PASSWORD00*ZZ*X03400000000108*ZZ*X00450000001001*060424*1244*^*00501*000000017*1*T*> 
GS*HI*PARTICIPANTID*PAYER123*20060424*1244*17*X*005010X217 
ST*278*1234*005010X217 
BHT*0007*13*123*20060424*1244 
HL*1**20*1 
NM1*PR*2*AETNA 1234560010*****PI*PAYER123 
HL*2*1*21*1 
NM1*1P*1*POPDELL*ROBERT****24*4376557IM 
PER*IC**TE*6515551212*FX*6513332222 
HL*3*2*22*1 
NM1*IL*1*SMITH*SARA****MI*352584768003G 
N4*KANSAS CITY*MO*64108 
DMG*D8*19560414*F 
HL*4*3*EV*1 
UM*HS*I*88 
PWK*04*EL***AC*JONP56789001 
HL*5*4*SS*0 
SV1*N4>0173042304 
MSG* Oxistat Cream, 1%, 60 gram tube 
SE*18*1234 
GE*1*17 
GS*PI*PARTICIPANTID*PAYER123*20060424*1244*17*X*005010X211 
ST*275*1234*005010X211 
BGN*02*123456789*20060424*1244 
NM1*1P*1*POPDELL*ROBERT****24*4376557IM 
NM1*PR*2*AETNA 1234560010*****PI*PAYER123 
NM1*IL*1*SMITH*SARA****MI*352584768003G 
LX*1 
TRN*1*JONP56789001 
DTP*368*D8*20060331 
CAT*AE*HL 
EFI*05***************ASC 
BIN*4896*<levelone xmlns="urn:hl7-org:v3/cda" xmlns:v3dt="urn:hl7-org:v3/v3dt" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3/cda levelone_1.0.attachments.xsd"> 
    <clinical_document_header> 
     <id EX="a123" RT="2.16.840.1.113883.3.933"/> 
     <document_type_cd V="99999-7" DN="Imidazole-Related Antifungals Attachment"/> 
     <origination_dttm V="2006-01-05"/> 
     <provider> 
      <provider.type_cd V="PRF"/> 
      <person> 
       <id EX="4376557IM" RT="2.16.840.1.113883.19.10.1"/> 
       <person_name> 
        <nm> 
         <v3dt:GIV V="Robert"/> 
         <v3dt:MID V="J"/> 
         <v3dt:FAM V="Podell"/> 
         <v3dt:SFX V="MD"/> 
        </nm> 
        <person_name.type_cd V="L" S="2.16.840.1.113883.12.200"/> 
       </person_name> 
      </person> 
     </provider> 
     <patient> 
      <patient.type_cd V="PATSBJ"/> 
      <person> 
       <id EX="352584768003G" RT="2.16.840.1.113883.19.10.2"/> 
       <person_name> 
        <nm> 
         <v3dt:GIV V="Sara"/> 
         <v3dt:MID V="J"/> 
         <v3dt:FAM V="Smith"/> 
        </nm> 
        <person_name.type_cd V="L" S="2.16.840.1.113883.12.200"/> 
       </person_name> 
      </person> 
      <is_known_by> 
       <id EX="184569" RT="2.16.840.1.1138863.19.10.3"/> 
       <is_known_to> 
        <id EX="352584768003G" RT="2.16.840.1.113883.19.10.2"/> 
       </is_known_to> 
      </is_known_by> 
     </patient> 
     <local_header descriptor="Att_ACN"> 
      <local_attr name="attachment_control_number" value="XA728302"/> 
     </local_header> 
    </clinical_document_header> 
    <body> 
     <section> 
      <caption>PRESCRIBER INFORMATION</caption> 
      <paragraph> 
       <caption>PRESCRIBER INFORMATION, NAME</caption> 
       <content>Robert J. Podell, MD</content> 
      </paragraph> 
      <paragraph> 
       <caption>PRESCRIBER INFORMATION, IDENTIFIER</caption> 
       <content>4376557IM</content> 
      </paragraph> 
      <paragraph> 
       <caption>PRESCRIBER INFORMATION, SPECIALTY TAXONOMY</caption> 
       <content>Hepatologist (207RI0008X)</content> 
      </paragraph> 
     </section> 
     <section> 
      <caption>PRESCRIBER CONTACT INFORMATION</caption> 
      <paragraph> 
       <caption>PRESCRIBER CONTACT INFORMATION, PHONE NUMBER</caption> 
       <content>(765) 228-1234</content> 
      </paragraph> 
      <paragraph> 
       <caption>PRESCRIBER CONTACT INFORMATION, FAX NUMBER</caption> 
       <content>(765) 228-3123</content> 
      </paragraph> 
     </section> 
     <section> 
      <caption>DRUG PRESCRIBED</caption> 
      <paragraph> 
       <caption>DRUG PRESCRIBED, NAME</caption> 
       <content>Oxistat Cream, 1%, 60g tube</content> 
      </paragraph> 
      <paragraph> 
       <caption>DRUG PRESCRIBED, DRUG CODE</caption> 
       <content>0173-0423-04 (NDC)</content> 
      </paragraph> 
      <paragraph> 
       <caption>DRUG PRESCRIBED, THERAPY TYPE</caption> 
       <content>Replacement (RPLRQ)</content> 
      </paragraph> 
     </section> 
     <section> 
      <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS</caption>   
      <paragraph> 
       <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS - DRUG NAME</caption> 
       <content>Tinactin Cream</content> 
      </paragraph> 
      <paragraph> 
       <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS - DRUG CODE</caption> 
       <content>0085-0715-07 (NDC)</content> 
      </paragraph> 
      <paragraph> 
       <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS - DURATION OF THERAPY</caption> 
       <content>90 days</content> 
      </paragraph> 
      <paragraph> 
       <caption>DRUG HISTORY, PRIOR THERAPY FOR DIAGNOSIS - REASON PRIOR THERAPY DISCONTINUED</caption> 
       <content>Not or no longer effective (NTEFF)</content> 
      </paragraph> 
     </section> 
     <section> 
      <caption>IMIDAZOLE-RELATED ANTIFUNGALS, RELATED DIAGNOSIS</caption> 
      <paragraph> 
       <caption>IMIDAZOLE-RELATED ANTIFUNGALS, RELATED DIAGNOSIS</caption> 
       <content>Tinea Pedia (ICD-9-CM 110.4)</content> 
      </paragraph> 
      <paragraph> 
       <caption>IMIDAZOLE-RELATED ANTIFUNGALS, RELATED DIAGNOSIS - CONFIRMED BY</caption> 
       <content>KOH Preparation (KOH)</content> 
      </paragraph> 
     </section> 

     <section> 
      <caption>FUNGAL INFECTION LOCATION</caption> 
      <paragraph> 
       <content>Between Toes, right foot (OTH)</content> 
      </paragraph> 
     </section> 
     <section> 
      <caption>DRUG PRESCRIBED, REASON FOR TOPICAL THERAPY</caption> 
      <paragraph> 
       <content>Hepatic Dysfunction (HDS)</content> 
      </paragraph> 
     </section> 
     <section> 
      <caption>CO-MORBID CONDITION INFORMATION</caption> 
      <paragraph> 
       <caption>CO-MORBID CONDITION INFORMATION, LIVER DYSFUNCTION INDICATOR</caption> 
       <content>yes (Y)</content> 
      </paragraph> 
      <paragraph> 
       <caption>CO-MORBID CONDITION INFORMATION, LIVER DYSFUNCTION CONFIRMED BY</caption> 
       <content>Hepatic Function Panel (HFP)</content> 
      </paragraph> 
     </section> 

     <section> 
      <caption>MEDICARE ESRD CERTIFICATION INDICATOR</caption> 
      <paragraph> 
       <content>Yes (Y)</content> 
      </paragraph> 
     </section> 
     <section> 
      <caption>IMIDAZOLE-RELATED ANTIFUNGALS, PRIOR THERAPY TYPE</caption> 
      <paragraph> 
       <content>Topical (TOP)</content> 
      </paragraph> 
     </section> 
    </body> 
</levelone> 
SE*12*1234 
GE*1*17 
IEA*2*000000017 
+0

Ich nehme an, das ist X12. –

+0

Ja, es ist X12. Ich habe die Antwort aktualisiert. – Dave