API - Message Setup for NAHLN FMD

Message Profile (MSH)

• To report to NAHLN: Username, Password, and Auth Token or Certificate are required.
• The Schema Definition is not required, but if present the API will validate the message before posting it to the NAHLN website.
• Failure Email should go to a VetView user with admin privileges who is able to monitor the messages.

Message Type:  NALHN OPU_R25 - HL7

• MSH.3 Sending Application is your Laboratories OID. OID Registry
• MSH.4 Sending Facility is your Laboratories Premise ID
• MSH 5 & 6 are NAHLN's information.

Patient PV1

Role ROL1

ROL13/PL6 Person Location Type

 If this will be used, set up a Test Question of type Value List, and restrict the value list only to valid Person Location Types

Step 1:  Create a value list of the accepted location types under Value List Setup.

Step 2: Create a question using this value list under Question Setup.

Step 3:  Add this question to the Catalog item to link it to the tests that will send this message to NAHLN.

Next of Kin NK1

Patient Identifier PID3

PID.38 Production Class Codes

Setup up a Question using a value list that is restricted to a value list of acceptable Production Class Codes, and link this to the tests under Catalog Setup.

OBX Patient Observations - Include Age Group 

Setup up Question using a value list that is restricted to a value list of acceptable Age Group Codes, and link it to the test under Catalog Setup. 

Specimen SPM

SPM.14 should be linked to the Question for Submission Reason, and this should be linked to the tests under Catalog Setup. 

Specimen Setup

NALHN only allows six specimen types for FMD testing. Ensure that the appropriate SNOMED codes are in the Specimen Setup.

• Oral swab (specimen) 418932006
• Oral Epithelium 651000009103
• Vesicle fluid from sample (specimen) 258482009
• Swab from vesicle 472875007
• Epithelial tissue sample from vesicle (specimen) 791000009104
• Esophageal fluid obtained by probang cup (specimen) 360041000009104

Test Setup - Message Definition

In addition to the settings on the Job and Interface for NAHLN, you will need to add the Electronic Messaging Setup for each test that will report FMD to NAHLN.

Message Profile Name

Choose the profile name that you created under the Job and Interface Settings above.

OCR.4 Placer Group Number

When selecting Reference Number Authority, please note a reference number in the accession header

OBR.31 Reason For Submission

Set up up a test catalog question that is restricted to a value list of acceptable reasons for submission. 

OBX.5 Observation Value

This value should be the result name that holds the CT value in test setup

OBX.8 Abnormal Flags Interpretation

This value should be the result name that holds the interpretation in test setup. This should be restricted to a value list with only the NAHLN approved interpretation results (NDET)