thehitchhikersguide.doc

The Hitchhiker’s Guideto NAHLN Messaging Don’t Panic Michael K Martin, DVM, MPH Editor and Chief Scribe With Contributions From The NAHLN CCB Table of Contents Table of Contents i Introduction 1 Overview 2 What is the NAHLN? 2 History: 2 NAHLN messaging: 2 Benefits of NAHLN messaging 3 System Architecture 4 Messaging Standards 4 Data Standards 5 Security Standards 6 Requirements for participation 7 Laboratory Information System Capability 7 Network Capability 9 Standard Terminology Support 9 NAHLN User Account 10 What to send and when to send it? 10 Supported diseases and tests 11 Message transmission trigger 11 NAHLN Result Message description 12 Tools of the Trade 12 Messaging Workbench 12 Validating XML Editor 14 Schema Files 15 Abstract Message Definition 16 Observation Population Unsolicited (OPU) 17 Message Header Information 18 Addresses: 18 Message Control ID: 18 Processing ID: 18 Message Profile Identifier: 19 Visit (Accession) Information 19 Related Parties Information 19 Accession Detail 20 Animal Owner Information 21 Animal Information 21 Specimen Information 23 Order Information 23 Common Order Information 24 Result Information 24 Keeping Similar NAHLN messaging Concepts Straight 25 Addresses 26 Times 28 Statuses 30 Identifiers 32 How are they assigned? 32 Who is responsible to assign them? 34 Hierarchic Designators (HD) 35 Actors and Roles 36 Responsible Diagnostician 36 Submitter 37 Collector 38 Attending Veterinarian 38 Premises Role (An Odd Variation) 39 Data Enterer and Verifier 40 Owner 40 Patients, Samples, Specimens 41 Observations 42 Reason for Visit 43 Patient History 43 Additional Information About Specimen 44 Results 44 Parents 44 Case Numbers 45 Coded Entries 46 Pooling 47 Flavors of NULL 48 Sending Nothing 51 Compromises and Less-Than-Ideal Solutions 51 Cycle Thresholds 52 Result Interpretation, AKA “Abnormal Flags” 52 NAHLN Standard terminology 53 LOINC 54 SNOMED 57 Getting Help 61 HL7 defined terminology 61 NAHLN Defin