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18.8.107 OMC - Supporting Clinical Information Segment (8.8.16)

The Technical Steward for the OMC segment is Orders and Observations.

HL7 Attribute Table - OMC - Supporting Clinical Information

Base Framework
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
OMC
100586Sequence Number - Test/Observation Master File
=

Truncation not allowed!

MAY[0..1] 4
NM

Numeric


200763Segment Action Code
C

Condition defined for this element

SHALLT: [1..1]
F: [0..0]
[1..1]univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS)
ID

Coded Value for HL7 Defined Tables


300764Segment Unique Key
C

Condition defined for this element

MAYT: [1..1]
F: [0..0]
 
EI

Entity Identifier

403444Clinical Information Request SHOULD[1..1] ClinicalInformationRequest (CD)
CWE

Coded with Exceptions

503445Collection Event/Process Step SHOULD[1..*] univ: CollectionEvent_ProcessStepLimit (CD)
CWE

Coded with Exceptions

603446Communication Location SHOULD[1..1] univ: CommunicationLocation (CD)
CWE

Coded with Exceptions

703447Answer Required MAY[0..1] univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

803448Hint/Help Text MAY[0..1] 
ST

String Data

903449Type of Answer MAY[0..1] univ: ValueType (CD) hl7VS-valueType (VS)
ID

Coded Value for HL7 Defined Tables

1003450Multiple Answers Allowed MAY[0..1] univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

1103451Answer Choices MAY[0..*] AnswerChoices (CD)
CWE

Coded with Exceptions

1203452Character Limit MAY[0..1] 
NM

Numeric

1303453Number of Decimals MAY[0..1] 
NM

Numeric

Conditions/Invariants

The root for the expression is on the segment.

Seq. Referenced Elements Introduction Invariant Comment
1 ?

Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData Type
OMC
100586Sequence Number - Test/Observation Master File
=

Truncation not allowed!

MAY[0..1] 4
NM

Numeric


200763Segment Action Code
C

Condition defined for this element

SHALLT: [1..1]
F: [0..0]
[1..1]univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS)
ID

Coded Value for HL7 Defined Tables


300764Segment Unique Key
C

Condition defined for this element

SHALLT: [1..1]
F: [0..0]
 
EI

Entity Identifier

403444Clinical Information Request SHALL[1..1] ClinicalInformationRequest (CD)
CWE

Coded with Exceptions

503445Collection Event/Process Step SHALL[1..*] univ: CollectionEvent_ProcessStepLimit (CD) hl7VS-VS-collectionEvent (VS) collectionEvent (CS)
CWE

Coded with Exceptions

603446Communication Location SHALL[1..1] univ: CommunicationLocation (CD) hl7VS-VS-communicationLocation (VS) communicationLocation (CS)
CWE

Coded with Exceptions

703447Answer Required MAY[0..1] univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

803448Hint/Help Text MAY[0..1] 
ST

String Data

903449Type of Answer MAY[0..1] univ: ValueType (CD) hl7VS-valueType (VS)
ID

Coded Value for HL7 Defined Tables

1003450Multiple Answers Allowed MAY[0..1] univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

1103451Answer Choices MAY[0..*] AnswerChoices (CD)
CWE

Coded with Exceptions

1203452Character Limit MAY[0..1] 
NM

Numeric

1303453Number of Decimals MAY[0..1] 
NM

Numeric

Base FrameworkBase Standard Profile
Seq#Data ElementDescriptionFlagsImplementCardinalityLengthC.LENVocabularyData TypeImplementVocabulary
OMC 
100586Sequence Number - Test/Observation Master File
=

Truncation not allowed!

MAY[0..1] 4
NM

Numeric

MAY

200763Segment Action Code
C

Condition defined for this element

SHALLT: [1..1]
F: [0..0]
[1..1]univ: SegmentActionCode (CD) hl7VS-segmentActionCode (VS) segmentAction (CS)
ID

Coded Value for HL7 Defined Tables

SHALL 

300764Segment Unique Key
C

Condition defined for this element

MAYT: [1..1]
F: [0..0]
 
EI

Entity Identifier

MAY
403444Clinical Information Request SHOULD[1..1] ClinicalInformationRequest (CD)
CWE

Coded with Exceptions

SHALL
503445Collection Event/Process Step SHOULD[1..*] univ: CollectionEvent_ProcessStepLimit (CD)
CWE

Coded with Exceptions

SHALLhl7VS-VS-collectionEvent (VS) collectionEvent (CS)
603446Communication Location SHOULD[1..1] univ: CommunicationLocation (CD)
CWE

Coded with Exceptions

SHALLhl7VS-VS-communicationLocation (VS) communicationLocation (CS)
703447Answer Required MAY[0..1] univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

MAY 
803448Hint/Help Text MAY[0..1] 
ST

String Data

MAY
903449Type of Answer MAY[0..1] univ: ValueType (CD) hl7VS-valueType (VS)
ID

Coded Value for HL7 Defined Tables

MAY 
1003450Multiple Answers Allowed MAY[0..1] univ: Yes/noIndicator (CD) hl7VS-yes-no-Indicator (VS) expandedYes-NoIndicator (CS)
ID

Coded Value for HL7 Defined Tables

MAY 
1103451Answer Choices MAY[0..*] AnswerChoices (CD)
CWE

Coded with Exceptions

MAY
1203452Character Limit MAY[0..1] 
NM

Numeric

MAY
1303453Number of Decimals MAY[0..1] 
NM

Numeric

MAY
Base Framework Base Standard Profile
Seq# Data Element Description Flags Optionality Repetition Length C.LEN Table Data Type Optionality Table
OMC  
1 00586 Sequence Number - Test/Observation Master File   O     4=  
NM

Numeric

   

2 00763 Segment Action Code
C

Condition defined for this element

R   [1..1]  
ID

Coded Value for HL7 Defined Tables

  (0206)

3 00764 Segment Unique Key
C

Condition defined for this element

R      
EI

Entity Identifier

   
4 03444 Clinical Information Request   O     (0664)
CWE

Coded with Exceptions

R  
5 03445 Collection Event/Process Step   O Y   (0938)
CWE

Coded with Exceptions

R  
6 03446 Communication Location   O     (0939)
CWE

Coded with Exceptions

R  
7 03447 Answer Required   O      
ID

Coded Value for HL7 Defined Tables

  (0136)
8 03448 Hint/Help Text   O      
ST

String Data

   
9 03449 Type of Answer   O      
ID

Coded Value for HL7 Defined Tables

  (0125)
10 03450 Multiple Answers Allowed   O      
ID

Coded Value for HL7 Defined Tables

  (0136)
11 03451 Answer Choices   O Y    
CWE

Coded with Exceptions

  (0665)
12 03452 Character Limit   O      
NM

Numeric

   
13 03453 Number of Decimals   O      
NM

Numeric

   
Seq# Data Element Description Optionality Repetition Length C.LEN Table Data Type
OMC
1 00586 Sequence Number - Test/Observation Master File O     4=  
NM

Numeric

2 00763 Segment Action Code C(R/X)   [1..1] (0206)
ID

Coded Value for HL7 Defined Tables

3 00764 Segment Unique Key C(R/X)      
EI

Entity Identifier

4 03444 Clinical Information Request R     (0664)
CWE

Coded with Exceptions

5 03445 Collection Event/Process Step R Y   (0938)
CWE

Coded with Exceptions

6 03446 Communication Location R     (0939)
CWE

Coded with Exceptions

7 03447 Answer Required O     (0136)
ID

Coded Value for HL7 Defined Tables

8 03448 Hint/Help Text O      
ST

String Data

9 03449 Type of Answer O     (0125)
ID

Coded Value for HL7 Defined Tables

10 03450 Multiple Answers Allowed O     (0136)
ID

Coded Value for HL7 Defined Tables

11 03451 Answer Choices O Y   (0665)
CWE

Coded with Exceptions

12 03452 Character Limit O      
NM

Numeric

13 03453 Number of Decimals O      
NM

Numeric

18.8.107.1 OMC Field Definitions (8.8.16.0)

18.8.107.2 OMC-1 Sequence Number – Test/Observation Master File (NM) 00586 (8.8.16.1)

Definition: This field contains the same value as the sequence number of the associated OM1 segment.

18.8.107.3 OMC-2 Segment Action Code (ID) 00763 (8.8.16.2)

Definition:  This field indicates whether this repetition of the segment is being added, changed or deleted.  When using dynamic update mode (See Chapter 2, Section 2.23.4.2, "Action code/unique identifier mode update definition.")  OMC-2 and OMC-3 Segment Unique Key are used to establish the "unique key" and to determine the data subject to the action. Refer to HL7 Table 0206 - Segment action code for valid values.

If the transaction uses dynamic/action code messaging, the field must be valued. 

Condition Predicate: Required if OMC-3 is valued.

18.8.107.4 OMC-3 Segment Unique Key (EI) 00764 (8.8.16.3)

Definition: This field contains a unique identifier for one of the multiple repetitions of this segment, to be used in conjunction with the preceding field. Each of the repetitions of the segment will be uniquely identified by this unique key field for the purposes of updates.

Condition Predicate: Required if OMC-2 is valued.

18.8.107.5 OMC-4 Clinical Information Request (CWE) 03444 (8.8.16.4)

Definition: This field contains a variable that the diagnostic service needs to interpret the results of an ordered study. Where the observations specified here should be sent is specified in the OMC-6 (Communication Location). Refer to Table 0664 - Clinical Information Request in Chapter 2C for valid values.

18.8.107.6 OMC-5 Collection Event/Process Step Limit (CWE) 03445 (8.8.16.5)

Definition: This field indicates by when in the ordering process or workflow this information must be collected. Limit indicates must be done by X point in the workflow. Refer to HL7 Table 0938 - Collection Even/Process Step Limit for valid values.

18.8.107.7 OMC-6 Communication Location (CWE) 03446 (8.8.16.6)

Definition: This field indicates where in the message this information is expected to be communicated, e.g. PID, OBR, and SPM). Refer to HL7 Table 0939 - Communication Loction for valid values.

18.8.107.8 OMC-7 Answer Required to Complete the Test (ID) 03447 (8.8.16.7)

Definition: Must the question be answered, or just displayed and can be blank. Refer to HL7 Table 0136 - Yes/no Indicator for valid values.

YAnswer must be provided

NAnswer not required

18.8.107.9 OMC-8 Hint/Help Text (ST) 03448 (8.8.16.8)

Definition: This field gives guidance to the provider on how to answer the question.

18.8.107.10 OMC-9 Type of Answer (ID) 03449 (8.8.16.9)

Definition: This field contains the allowed datatype for answers, and is drawn from HL7 Table 0125 - Value Type for valid values. Type of answers include: numeric, date, coded, text, etc.

18.8.107.11 OMC-10 Multiple Answers Allowed (ID) 03450 (8.8.16.10)

Definition: This field indicates if multiple answers are allowed, which may impact EHR system display and selection functionality. Refer to HL7 Table 0136 - Yes/no Indicator for valid values.

YMultiple Answers Allowed

NSingle Answer only Allowed

18.8.107.12 OMC-11 Answer Choices (CWE) 03451 (8.8.16.11)

Definition: Allowed coded answers to be sent in HL7 file (CWE.1) and/or display Text for Ordering system to present to provider (CWE.2). Refer to Table 0665 - Answer Choices in Chapter 2C for valid values.

The condition is valued only if OMC-9 is valued 'CWE' or 'CNE'.

18.8.107.13 OMC-12 Character Limit (NM) 03452 (8.8.16.12)

Definition: Total number of characters allowed. Required for numeric and (long) text answers.

The field is valued only if OMC-9 is valued 'NM', 'SN', 'ST", 'TX', or 'FT'.

18.8.107.14 OMC-13 Number of Decimals (NM) 03453 (8.8.16.13)

Definition: For numeric answers the number of digits after the decimal.

The field is valued only if OMC-9 is valued 'NM' or 'SN'.