HL7 Messages supported

HL7 is a very large specification, covering many scenarios.

Last reviewed: December 2023

Collaborative Care Fetch / Collaborative Care Information

Not supported

• CCF_I22 - Collaborative Care Fetch / Collaborative Care Information
• CCI_I22 - Collaborative Care Information
• CCM_I21 - Collaborative Care Message
• CCQ_I19 - Collaborative Care Query/Collaborative Care Query Update
• CCR_I16 - Collaborative Care Referral
• CCR_I17 - Modify Collaborative Care Referral
• CCR_I18 - Cancel Collaborative Care Referral
• CCU_I20 - Asynchronous Collaborative Care Update
• CQU_I19 - Collaborative Care Referral

Clinical Trials (CRM)

Not supported

• CRM_C01 - Register a patient on a clinical trial
• CRM_C02 - Cancel a patient registration on clinical trial (for clerical mistakes onl
• CRM_C03 - Correct/update registration information
• CRM_C04 - Patient has gone off a clinical trial
• CRM_C05 - Patient enters phase of clinical trial
• CRM_C06 - Cancel patient entering a phase (clerical mistake)
• CRM_C07 - Correct/update phase information
• CRM_C08 - Patient has gone off phase of clinical trial

Clinical Trial Reporting (CSU)

Not supported

• CSU_C09 - Automated time intervals for reporting, like monthly
• CSU_C10 - Patient completes the clinical trial
• CSU_C11 - Patient completes a phase of the clinical trial
• CSU_C12 - Update/correction of patient order/result information

Donor (DBC)

Not supported.

This information is generally available via MyHealthRecord.

• DBC_O41 - Create Donor Record Message
• DBU_O42 - Update Donor Record Message
• DEL_O46 - Donor Eligibility
• DEL_O46 - Donor Eligibility
• DEO_O45 - Donor Eligibility Observations
• DEO_O45 - Donor Eligibility Observations
• DER_O44 - Donor Eligibility Request
• DER_O44 - Donor Eligibility Request
• DPR_O48 - Donation Procedure
• DRC_O47 - Donor Request to Collect
• DRG_O43 - Donor Registration

Equipment (EA)

Not supported

• EAC_U07 - Automated equipment command
• EAN_U09 - Automated equipment notification
• EAR_U08 - Automated equipment response
• ESR_U02 - Automated equipment status request
• ESU_U01 - Automated equipment status update
• INR_U06 - Automated equipment inventory request
• INU_U05 - Automated equipment inventory update
• LSR_U13 - Automated equipment log/service request
• LSU_U12 - Automated equipment log/service update

EHC - Claiming

Not supported. We generally utilise Eclipse or other billing provider APIs (NDIS, various WorkCover, Allied Health APIs) directly. Note, CareRight does feature HL7 Financial Transactions support.

• EHC_E01 - Submit HealthCare Services Invoice
• EHC_E02 - Cancel HealthCare Services Invoice
• EHC_E04 - Assess HealthCare Services Invoice Request
• EHC_E10 - Edit/Adjudication Results
• EHC_E12 - Request Additional Information
• EHC_E13 - Additional Information Response
• EHC_E15 - Payment/Remittance Advice
• EHC_E20 - Submit Authorization Request
• EHC_E21 - Cancel Authorization Request
• EHC_E24 - Authorization Response

Orders

CareRight supports Pathology & Radiology requests, and the relevant ACK messages across a number of vendors.

Not supported:

• NMD_N02 - Application management data message (unsolicited)
• OMB_O27 - Blood product order
• OMD_O03 - Dietary Order
• OMG_O19 - General clinical order
• OMI_O23 - Imaging order
• OML_O21 - Laboratory order
• OML_O33 - Laboratory order for multiple orders related to a single specimen
• OML_O35 - Laboratory order for multiple orders related to a single container of a sp
• OML_O39 - Specimen shipment centric laboratory order
• OMN_O07 - Non-stock requisition order
• OMP_O09 - Pharmacy/treatment order
• OMQ_O42 - General Order Message with Document Payload
• OMS_O05 - Stock requisition order
• OPL_O37 - Population/Location-Based Laboratory Order Message
• OPR_O38 - Population/Location-Based Laboratory Order Acknowledgment Message
• OPU_R25 - Unsolicited Population/Location-Based Laboratory Observation Message
• ORA_R33 - Observation Report Acknowledgement
• ORA_R41 - Observation Report Alert Acknowledgement
• ORB_O28 - Blood product order acknowledgment
• ORD_O04 - Diet order acknowledgment
• ORG_O20 - General clinical order response
• ORI_O24 - Imaging order response message to any OMI
• ORI_O24 - Imaging order response message to any OMI
• ORL_O22 - General laboratory order response message to any OML
• ORL_O22 - General laboratory order response message to any OML
• ORL_O34 - Laboratory order response message to a multiple order related to single sp
• ORL_O34 - Laboratory order response message to a multiple order related to single sp
• ORL_O36 - Laboratory order response message to a single container of a specimen OML
• ORL_O36 - Laboratory order response message to a single container of a specimen OML
• ORL_O40 - Specimen Shipment Centric Laboratory Order Acknowledgment Message
• ORL_O40 - Specimen Shipment Centric Laboratory Order Acknowledgment Message
• ORN_O08 - Non-stock requisition acknowledgment
• ORN_O08 - Non-stock requisition acknowledgment
• ORP_O10 - Pharmacy/treatment order acknowledgment
• ORP_O10 - Pharmacy/treatment order acknowledgment
• ORS_O06 - Stock requisition acknowledgment
• ORU_R30 - Unsolicited Point-Of-Care Observation Message Without Existing Order - Place an Order
• ORU_R31 - Unsolicited New Point-Of-Care Observation Message - Search For An Order
• ORU_R32 - Unsolicited Pre-Ordered Point-Of-Care Observation
• ORU_R40 - Unsolicited Alert Observation Message
• ORX_O43 - General Order Message with Document Payload Acknowledgement
• OSM_R26 - Unsolicited Specimen Shipment Manifest Message
• OSM_R26 - Unsolicited Specimen Shipment Manifest Message
• OSU_O41 - Order Status Update
• OSU_O41 - Order Status Update
• OUL_R22 - Unsolicited Specimen Oriented Observation Message
• OUL_R22 - Unsolicited Specimen Oriented Observation Message
• OUL_R23 - Unsolicited Specimen Container Oriented Observation Message
• OUL_R23 - Unsolicited Specimen Container Oriented Observation Message
• OUL_R24 - Unsolicited Order Oriented Observation Message
• PEX_P07 - Unsolicited initial individual product experience report
• PEX_P08 - Unsolicited update individual product experience report

Documents (including those with Observations and Measurements) (MDM)

Goals

CareRight models Care Plans as well as Problems and Diagnoses. At this time, we recommend Assessments to model patient goals

Not supported:

• PGL_PC6 - PC/ goal add
• PGL_PC7 - PC/ goal update
• PGL_PC8 - PC/ goal delete
• PPG_PCG - PC/ pathway (goal-oriented) add
• PPG_PCH - PC/ pathway (goal-oriented) update
• PPG_PCJ - PC/ pathway (goal-oriented) delete
• PPP_PCB - PC/ pathway (problem-oriented) add
• PPP_PCB - PC/ pathway (problem-oriented) add
• PPP_PCC - PC/ pathway (problem-oriented) update
• PPP_PCC - PC/ pathway (problem-oriented) update
• PPP_PCD - PC/ pathway (problem-oriented) delete
• PPP_PCD - PC/ pathway (problem-oriented) delete
• PPR_PC1 - PC/ problem add
• PPR_PC1 - PC/ problem add
• PPR_PC2 - PC/ problem update
• PPR_PC2 - PC/ problem update
• PPR_PC3 - PC/ problem delete

HR and Admin (PMU)

CareRight supports SAML and other technologies to quickly onboard your staff, as well as Certifications for staff.

Not supported.

• PIN_I07 - Unsolicited insurance information
• PIN_I07 - Unsolicited insurance information
• PMU_B01 - Add personnel record
• PMU_B01 - Add personnel record
• PMU_B02 - Update personnel record
• PMU_B02 - Update personnel record
• PMU_B03 - Delete personnel re cord
• PMU_B03 - Delete personnel re cord
• PMU_B04 - Active practicing person
• PMU_B04 - Active practicing person
• PMU_B05 - Deactivate practicing person
• PMU_B05 - Deactivate practicing person
• PMU_B06 - Terminate practicing person
• PMU_B07 - Grant Certificate/Permission
• PMU_B08 - Revoke Certificate/Permission

Queries (QBP)

Not supported

• QBP_E03 - HealthCare Services Invoice Status
• QBP_E22 - Authorization Request Status
• QBP_Q11 - Query by parameter requesting an RSP segment pattern response
• QBP_Q13 - Query by parameter requesting an RTB - tabular response
• QBP_Q15 - Query by parameter requesting an RDY display response
• QBP_Q21 - Get person demographics
• QBP_Q22 - Find candidates
• QBP_Q23 - Get corresponding identifiers
• QBP_Q24 - Allocate identifiers
• QBP_Q25 - Personnel Information by Segment Query
• QBP_Q31 - QBP Query Dispense history
• QBP_Q32 - Find Candidates including Visit Information
• QBP_Q33 - Get Donor Record Candidates
• QBP_Q34 - Get Donor Record
• QBP_Z73 - Information about Phone Calls
• QBP_Z75 - Tabular Patient List
• QBP_Z77 - Tabular Patient List
• QBP_Z79 - Dispense Information
• QBP_Z81 - Dispense History
• QBP_Z85 - Pharmacy Information Comprehensive
• QBP_Z87 - Dispense Information
• QBP_Z89 - Lab Results History
• QBP_Z91 - Who Am I
• QBP_Z93 - Tabular Dispense History
• QBP_Z95 - Tabular Dispense History
• QBP_Z97 - Dispense History
• QBP_Z99 - Who Am I
• QBP_Znn -
• QCN_J01 - Cancel query/acknowledge message
• QSB_Q16 - Create subscription
• QSB_Z83 - ORU Subscription
• QSX_J02 - Cancel subscription/acknowledge message
• QVR_Q17 - Query for previous events

Patient Lists & Misc (RTB)

Not supported

• RTB_Z76 - Tabular Patient List (Response)
• RTB_Z78 - Tabular Patient List (Response)
• RTB_Z92 - Who Am I (Response)
• RTB_Z94 - Tabular Dispense History (Response)
• RTB_Z96 - Tabular Dispense History (Response)
• SCN_S37 - Notification of anti-microbial device cycle data
• SDN_S36 - Notification of anti-microbial device data
• SDR_S31 - Request anti-microbial device data

Appointments (SRM)

Supported:

• SIU_S12 - Notification of new appointment booking. See API Server - HL7 MLLP Messages for publishing.

Not supported:

• SIU_S13 - Notification of appointment rescheduling
• SIU_S14 - Notification of appointment modification
• SIU_S15 - Notification of appointment cancellation
• SIU_S16 - Notification of appointment discontinuation
• SIU_S17 - Notification of appointment deletion
• SIU_S18 - Notification of addition of service/resource on appointment
• SIU_S19 - Notification of modification of service/resource on appointment
• SIU_S20 - Notification of cancellation of service/resource on appointment
• SIU_S21 - Notification of discontinuation of service/resource on appointment
• SIU_S22 - Notification of deletion of service/resource on appointment
• SIU_S23 - Notification of blocked schedule time slot(s)
• SIU_S24 - Notification of opened ("unblocked") schedule time slot(s)
• SIU_S26 - SIU/ACK Notification that patient did not show up for schedule appointment
• SIU_S27 - Broadcast Notification of Scheduled Appointments
• SRR_S01 - Scheduled Request Response
• SRR_S02 - Scheduled Request Response - Request Appointment Rescheduling
• SRR_S03 - Scheduled Request Response - Request Appointment Modification
• SRR_S04 - Scheduled Request Response - Request Appointment Cancellation
• SRR_S05 - Scheduled Request Response - Request Appointment Discontinuation
• SRR_S06 - Scheduled Request Response - Request Appointment Deletion
• SRR_S07 - Scheduled Request Response - Request Addition of Service/Resource on Appointment
• SRR_S08 - Scheduled Request Response - Request Modification of Service/Resource on Appointment
• SRR_S09 - Scheduled Request Response - Request Cancellation of Service/Resource on Appointment
• SRR_S10 - Scheduled Request Response - Request Discontinuation of Service/Resource on Appointment
• SRR_S11 - Scheduled Request Response - Request Deletion of Service/Resource on Appointment

Patient Administration (ADT)

Supported:

• ADT_A08 - Update patient information
• ADT_A04 - Register a patient
• ADT_A40 - Merge patient - patient identifier list       (Publish)

Not supported:

• ADT_A01 - Admit/visit notification        
• ADT_A02 - Transfer a patient        
• ADT_A03 - Discharge/end visit        
• ADT_A05 - Pre-admit a patient        
• ADT_A06 - Change an outpatient to an inpatient        
• ADT_A07 - Change an inpatient to an outpatient        
• ADT_A09 - Patient departing - tracking        
• ADT_A10 - Patient arriving - tracking        
• ADT_A11 - Cancel admit/visit notification        
• ADT_A12 - Cancel transfer        
• ADT_A13 - Cancel discharge/end visit        
• ADT_A22 - Patient returns from a "leave of absence"        
• ADT_A23 - Delete a patient record        
• ADT_A24 - Link patient information        
• ADT_A25 - Cancel pending discharge        
• ADT_A26 - Cancel pending transfer        
• ADT_A27 - Cancel pending admit        
• ADT_A28 - Add person information        
• ADT_A29 - Delete person information        
• ADT_A31 - Update person information        
• ADT_A32 - Cancel patient arriving - tracking        
• ADT_A33 - Cancel patient departing - tracking        
• ADT_A37 - Unlink patient information        
• ADT_A38 - Cancel pre-admit        
• ADT_A41 - Merge account - patient account number        
• ADT_A42 - Merge visit - visit number        
• ADT_A43 - Move patient information - patient identifier list        
• ADT_A45 - Move visit information - visit number        
• ADT_A47 - Change patient identifier list        
• ADT_A49 - Change patient account number        
• ADT_A50 - Change visit number        
• ADT_A51 - Change alternate visit ID        
• ADT_A52 - Cancel leave of absence for a patient        
• ADT_A53 - Cancel patient returns from a leave of absence        
• ADT_A54 - Change attending doctor        
• ADT_A55 - Cancel change attending doctor        
• ADT_A60 - Update allergy information        
• ADT_A61 - Change consulting doctor        
• ADT_A62 - Cancel change consulting doctor

Patient Accounts & Financials

See API Server - HL7 MLLP Messages for detail of financial messages

Not Supported:

• BAR_P01 - Add patient accounts        
• BAR_P02 - Purge patient accounts        
• BAR_P05 - Update account        
• BAR_P06 - End account        
• BAR_P10 - Transmit Ambulatory Payment Classification(APC)        
• BAR_P12 - Update Diagnosis/Procedure        
• DFT_P03 - Post detail financial transaction        
• DFT_P11 - Post Detail Financial Transactions - Expanded

Blood products (BDP)

Not supported

• BPS_O29 - Blood product dispense status
• BRP_O30 - Blood product dispense status acknowledgment
• BRT_O32 - Blood product transfusion/disposition acknowledgment
• BTS_O31 - Blood product transfusion/disposition

Patient Referrals (REF)

Supported:

• REF_I12 - Patient referral - Receiving - Multiple vendors

Not supported:

• REF_I13 - Modify patient referral
• REF_I14 - Cancel patient referral
• REF_I15 - Request patient referral status

FHIR Messages supported

We generally parse all FHIR 4 AU messages, documentation pending.

.