SafeNSound Document Integration via HL7 allows for documents to be sent via HL7 to the EMR.
The following document types in SafeNSound are supported:
- Waveform Reports
- ICSC Reports
Document transfer interval can be set to the following:
- Real-time
- Upon Signing
- Scheduled Task.
In most cases unsolicited HL7/ORU orders are required to be implemented on the EMR side so that each document can be attached to the patient record.
The report format can be configured to be sent via file link or encapsulated PDF. Below are examples for both:
Example Message with Link to File
MSH|^~\&|SPACELABS||EPIC||2018||ORU^R01| |P^T|2.3||||||
PID||111|222|||||||||||||||333
PVI|444|
OBR|1|||SPACELABSSAFENSOUND||||2018|||||||||||||||||||||||
OBX|1|TX|ICSC||\Server\Spacelabs\ICSC~PatientID1~PatientID2~DateTime.pdf||||||F
Example Message via Encapsulated PDF
MSH|^~\&|SPACELABS||EPIC||2018||ORU^R01| |P^T|2.3||||||
PID||111|222|||||||||||||||333
PVI|444|
OBR|1|||SPACELABSSAFENSOUND||||2018|||||||||||||||||||||||
OBX|1|ED|ICSC||^application^pdf^Base64^JVBERi0xLjcKCjEgMCBvYmogICUgZW50cnkgcG9
pbnQKPDwKICAvVHlwZSAvQ2F0YWxvZwogIC9QYWdlcyAyIDAgUgo+PgplbmRvYmoKCjIgMCBvYmoKP
DwKICAvVHlwZSAvUGFnZXMKICAvTWVkaWFCb3ggWyAwIDAgMjAwIDIwMCBdCiAgL0NvdW50IDEKICA
vS2lkcyBbIDMgMCBSIF0KPj4KZW5kb2JqCgozIDAgb3JqCjw8CiAgL1R5cGUgL1BhZ2UKICAvUGFyZ
W50IDIgMCBSCiAgL1Jllc291cmNlcyA8PAogICAL0ZvbnQgPDwKICAgICAgL0YxIDQgMCBSIAogICA
gPj4KICA+PgogIC9Db250ZW50cyA1IDAgUgo+PgplbmRvYmoKCjQgMCBvYmoKPDwKICAvVHLwZSAvR
m9udAogIC9TdWJ0eXBlIC9UeXBlMQogIC9CYXNlRm9udCAvVGltZXMtUm9tYW4KPj4KZW5kb2JqCgo
1IDAgb2JqICAlIHBhZ2UgY29udGVudAo8PAopIC9MZW5ndGggNDQKPj4Kc3RyZWFtCkJUCjcwIDUwI
FRECi9GMSAxMiBUZgooSGVsbG8sIHdvcmxkISkgVGoKRVQKZW5kc3RYZWFtCmVuZG9iagoKeHJlZgo
wIDYKMDAwMDAwMDAwMCA2NTUzNSBmIAowMDAwMDAwMDEwIDAwMDAwIG4gCjAwMDAwMDAwNzkgMDAwM
DAgbiAKMDAwMDAwMDE3MyAwMDAwMCBuIAowMDAwMDAwMzAxIDAwMDAwIG4gCjAwMDAwMDAzODAgMDA
wMDAgbiAKdHJhaWxlcgo8PAogIC9TaXplIDYKICAvUm9vdCAxIDAgUgo+PgpzdGDydHhyZWYKNDkyC
iUlRU9G||||||F
MSH - Message Header Segment
| Elem.nr. | Field Name | Content |
|---|---|---|
| 1 | Field Separator | "|". |
| 2 | Encoding Characters | Encoding characters ^ ? component separator ~ ? repetition separator \ ? escape character & ? subcomponent separator |
| 3 | Sending Application | Default is "SPACELABS". Can be customized in template. |
| 5 | Receiving Application | default is EMR name. Can be customized in template. |
| 7 | Date / Time of Message | Contains time when message was sent (YYYYMMDDHHMMSS). |
| 9 | Message Type | Message Type (ORU = Unsolicited Transmisstion of an observation message ^ Event Type (R01 = Unsolicited Transmisstion of an observation message |
| 10 | Message Control ID | This field contains a number or other identifier that uniquely identifies the message. Default value is "SNS" + unique id |
| 11 | Processing ID | This field is used to decide whether to process the message as defined in HL7 Application. "P" for production. "T" for test. "P^T" for test and production. |
| 12 | Version ID | HL7 version SNS is compliant with (2.3) |
PID - Patient Identification
| Elem.nr. | Field Name | Content |
|---|---|---|
| 3 | Patient ID | PID3.1 of latest ADT message sent SNS. |
| 5 | Patient Name | PID5.1 of latest ADT message sent SNS. |
| 7 | Date of Birth | PID7.1 of latest ADT message sent SNS. |
| 8 | Sex | PID8.1 of latest ADT message sent SNS. |
| 18 | Patient Account Number | PID18.1 of latest ADT message sent SNS. |
| 19 | SSN Number - Patient | blank. SNS does not store SSN |
PV1 - Patient Visit
| Elem.nr. | Field Name | Content |
|---|---|---|
| 19 | Visit Number | PID18.1 of latest ADT message sent SNS. |
OBR - Observation Request Segment
| Elem.nr. | Field Name | Content |
|---|---|---|
| 1 | Set ID - Observation Request | "1". |
| 3 | Filler Order Number | Unique identifier. |
| 4 | Universal Service Identifier | Default is "SPACELABSSAFENSOUND". Can be customized in template. |
| 8 | Observation End Date/Time | Date/Time of the end of the event. |
OBX(1) - Observation/Result
| Elem.nr. | Field Name | Content |
|---|---|---|
| 1 | Set ID- OBX | "1". |
| 2 | Value Type | "ED" for encapsulated data and "TX" for text data. |
| 3 | Observation Identifier | In case of Car Seat Study: "ICSC". |
| 5.2 | Observation Value | "application". |
| 5.3 | Document Type | "pdf". |
| 5.4 | Encoding | "Base64". |
| 5.5 | Data | Base64 String. |
| 11 | Observation Result Status | "F" for final results. |