35.8.1HL7 v2.x Transactions

The Smile CDR inbound and outbound HL7 v2.x transaction processors can process a number of different transaction types. Smile CDR-supported transactions are outlined in the following sections.

If there are additional HL7 v2.x transactions you would like to see supported, please let us know!

For more information, refer to Supported HL7 v2.x Elements.

35.8.1.1Unknown Message Types

Any messages that contain a message type or message trigger that is not explicitly supported by Smile CDR will be accepted and ignored. For example, the ADT^A01 transaction is listed below as a supported transaction, and will be converted to FHIR resources and stored. On the other hand, if a sending system sends an MFN^M02 message to Smile CDR it will be accepted, meaning an AA (accept acknowledgement) will be returned.

35.8.2ADT (Patient Administration) Domain

Note: The HL7 v2.x inbound processor ensures that Patient resources resulting from the following event triggers are treated as conditional creates:

In addition, Encounter resources resulting from the following event triggers are also treated as conditional creates:

Transaction	Structure	Usage	Supported Outbound (Trigger Transactions)
ADT^A01	ADT_A01	Begin Encounter (Hospitalization)	Encounter
ADT^A02	ADT_A02	Transfer Patient to New Location	Encounter
ADT^A03	ADT_A03	Discharge Patient / End Encounter	Encounter
ADT^A04	ADT_A01	Begin Encounter (Outpatient)	Encounter
ADT^A05	ADT_A05	Pre-Admit Patient	Encounter
ADT^A06	ADT_A06	Convert Outpatient to Inpatient
ADT^A07	ADT_A06	Convert Inpatient to Outpatient
ADT^A08	ADT_A01	Update Encounter	Encounter
ADT^A11	ADT_A09	Cancel Admit
ADT^A12	ADT_A12	Cancel Transfer
ADT^A13	ADT_A01	Cancel Discharge Patient / End Encounter
ADT^A14	ADT_A05	Pending Admit
ADT^A15	---	Pending Transfer
ADT^A17	ADT_A17	Swap Patient Locations (Bed Swap)
ADT^A21	ADT_A21	Patient Goes on a Leave of Absence
ADT^A22	ADT_A21	Patient Returns From a Leave of Absence
ADT^A24	---	Link Patient Information
ADT^A25	ADT_A21	Cancel Pending Discharge
ADT^A27	ADT_A21	Cancel Pending Admit
ADT^A28	ADT_A05	Create Patient	Patient
ADT^A29	ADT_A21	Delete Patient
ADT^A30	ADT_A30	Merge Person Information
ADT^A31	ADT_A05	Update Patient	Patient
ADT^A34	ADT_A30	Merge Patient Information
ADT^A38	ADT_A38	Cancel Pre-Admit
ADT^A39	ADT_A39	Merge Person - Patient ID
ADT^A40	ADT_A39	Merge Patients
ADT^A45	ADT_A45	Move Visit Information - Visit Number
ADT^A47	ADT_A30	Change Patient Identifier List
ADT^A54	ADT_A54	Change Attending Doctor
ADT^A60	ADT_A60	Allergy Update
ADT^A61	ADT_A61	Change Consulting Physician

35.8.3BAR (Billing) Domain

Transaction	Structure	Usage	Supported Inbound	Supported Outbound (Trigger Transactions)
BAR^P01	---	Establish Billing Account
BAR^P12	BAR_P12	Update Diagnosis / Procedure

35.8.4DFT (Financial) Domain

Transaction	Structure	Usage	Supported Inbound	Supported Outbound (Trigger Transactions)
DFT^P03	DFT_P03	Post Detail Financial Transactions		ChargeItem

35.8.5MDM (Document Management) Domain

Transaction	Structure	Usage
MDM^T02	MDM_T02	Original Document Notification and Content
MDM^T04	MDM_T02	Document Status Change Notification and Content
MDM^T08	MDM_T02	Document Edit Notification and Content
MDM^T10	MDM_T02	Document Replacement Notification and Content
MDM^T11	MDM_T01	Document Cancel Notification

35.8.6OMG/ORM (Orders) Domain

Transaction	Structure	Usage	Supported Inbound	Supported Outbound (Trigger Transactions)
OMG^O19	OMG_O19	General Clinical Order Message		ServiceRequest
ORM^O01	ORM_O01	General Order Message		ServiceRequest

35.8.7ORU (Results) Domain

For information on how this domain is processed, see Processing Results.

Transaction	Structure	Usage	Supported Inbound	Supported Outbound (Trigger Transactions)
ORU^R01	ORU_R01	Unsolicited Observation Request		DiagnosticReport ServiceRequest

35.8.8RDE/RAS (Pharmacy) Domain

Transaction	Structure	Usage	Supported Inbound	Supported Outbound (Trigger Transactions)
RDE^O11	RDE_O11	Pharmacy Order
RAS^O17	RAS_O17	Pharmacy Administration Event

35.8.9SIU (Scheduling) Domain

Transaction	Structure	Usage
SIU^S12	SIU_S12	Notification of New Appointment Booking
SIU^S13	SIU_S12	Notification of Appointment Rescheduling
SIU^S14	SIU_S12	Notification of Appointment Modification
SIU^S15	SIU_S12	Notification of Appointment Cancellation
SIU^S17	SIU_S12	Notification of Appointment Deletion
SIU^S26	SIU_S12	Notification That Patient Did Not Show Up for Scheduled Appointment

35.8.10VXU (Immunization / Vaccination) Domain

Transaction	Structure	Usage	Supported Inbound	Supported Outbound (Trigger Transactions)
VXU^V04	VXU_V04	Unsolicited Vaccination Record Update

35.7 Outbound: Transport 35.9 Structure Definitions