CODEWITHSUNDEEP
hl7-v2
Wodin
Wodin

Reputation: 3528

HL7 messages dealing with surgical procedures

I need to change an existing system (written in Python using python-hl7) to accept messages with details of a surgical procedure for a patient and then record those details in a database as part of their medical record. This question is more about HL7 (v2) than Python or python-hl7, though. I couldn't find a better Stack Exchange "community" to post this in.

What message types, segments should be used to record details of a surgical procedure. e.g. what procedure was done, when it started and ended, what the outcome was, where it took place, who the primary and assistant surgeons were, etc.

From what I've been able to find so far it seems some sort of ADT message (e.g. A04) with a PR1 segment should be used. Is this correct? Are there example messages?

Thanks.

EDIT: To be clear I am not looking for Python examples. I am looking for sample HL7 messages to get an idea of how other people do it. Of course clear and unambiguous documentation that says exactly what fields are required and exactly what they can/should contain would also help.

Upvotes: 4

Views: 2390

Answers (1)

Shamil
Shamil

Reputation: 940

It's very unlikely that you can find a single message that covers everything related to surgery (ORU is the closest one). In general surgery is type of Act similar to other events that may happen with the patient. For that reason you need to decide what you are looking for since a “surgery” can be divided into admission/discharge/transfer (ADT), scheduling (SIU, OMS), patient summary (MDM), preoperative (MFN, ORU), intraoperative (ORU, DFT), postoperative (ORU, MDM, DFT, MFN).

Exact type and place of the surgery can be specified by ICD-10 or SNOMED CT.

Upvotes: 2

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