1. Lessons Learned Interfacing SoftBank to Foreign LIS
Standalone SoftBank
Brenda Duff, CMT

2. Standalone SoftBank
The popularity and advanced features of SoftBank have led to many organizations adding SoftBank as a module or replacing their current Blood Bank module without changing the LIS system
Unique constraints exist when SoftBank is interfaced with a Foreign LIS system. Many of these constraints from foreign systems are mitigated by Client Interface Engines.
Different Clients with the same LIS system may handle these constraints in different ways depending on their LIS system setups and Workflows.

3. Standalone SoftBank with Foreign LIS systems
SoftBank is not the Phlebotomy System. Specimens are collected and received in the Foreign LIS.
We Collect and receive in Bank as well.
SoftBank must utilize Foreign LIS Barcodes on Instrumentation
Alternatively an order number label can be printed from Soft Bank and placed on the tube.
Merging Ordered Tests into the Same Order/Accession/Specimen Number is controlled by the foreign system.

4. Standalone SoftBank with Foreign LIS systems, cont’d
SoftBank is constrained to Order, Reflex and Add- On in SoftBank based on foreign system requirements. This impacts SoftBank workflows.
Adding confirmation blood type in example
Most Foreign LIS systems are setup to interface to SoftBank as reference lab style interfaces and not customized foreign blood bank module interfaces
Workflow impacts: Going to foreign LIS system to add-on, collect/receive/ etc…
Reference Lab interfaces: Specimen in hand for Tests that are not performed. Order and Specimen Sent to Reference Lab and results returned. The reference lab does not collect specimens. Many Reference Lab reflex tests are also built within the same group as components that are not reported unless results received. This negates the need for reflexing orders.

5. Standalone SoftBank with Foreign LIS systems, cont’d
Many Foreign LIS systems do not allow creation of specimens from foreign systems with reference lab style interfaces.
Reflex and Add-On testing differs significantly depending on the foreign LIS
Foreign LIS systems SoftBank has interfaced with:
Sunquest LIS
McKesson Horizon HLAB
Epic Beaker LIS
Cerner

6. Standalone SoftBank w/o Foreign LIS system
In many instances, interfacing with another LIS is not wanted and SoftBank interfaces directly with the HIS system.
Phlebotomy now resides in SoftBank.
Standard HIS interfaces do not have the same constraints as Foreign LIS constraints.

7. SoftBank Orders Interface Features
SoftBank can accept discrete data fields for relevant information from the HIS systems.
Reason For Transfusion
Transfusion Needed Date
Special Instructions
CMV negative Blood
HLA matched Blood
Irradiated Blood
ETC…

8. SoftBank Orders Interface Features
These discrete data fields typically will require client interface engine modification of Orders messages to provide the data to SoftBank. Many LIS and HIS systems have limitations on providing this data in the needed Order Test Level discrete data fields.
The versatility of these Question/Answers in the HIS/LIS system lends to modifications available at any time. Client interface engine mitigate these changes within the client’s organizational change control as opposed to embedding these modifications in the Soft interfaces requiring SCC change control.

9. SoftBank Product Results interface features
SoftBank provides different formats of results messages
Short/Long Text Discrete
Extended discrete
Textual formats
Message indicator that the result is for a Product

10. SoftBank Product Results interface features
Extended discrete has become more popular as many HIS systems are able to post the data in individual discrete fields.
Unit Donation Number, Unit ABO/RH Type, Unit Expiration, Unit compatibility, etc…
ISBT coded data
Product Code, Blood Type
Codabar coded data
Product Code, Blood Type, Registration
Individual Unit Status
Selected, Issued, Transfused and Released
The ability to send all this discrete information from SoftBank is dependent on SoftBank version.

11. SoftBank Product Results interface features
A single product result message may contain many units.
Number of units that a message can contain depends on foreign system posting.

12. SoftBank Test Results interface features
Automatic reflexing
Specimen Outdate
Message indicator that the result is for a Test or Action (i.e. RhIg)

13. Other SoftBank Interfaces
SoftID Tx
Hematology Query Result Posting
Physician Update (MFN)

14. SoftIDTx SoftIDTx Vitals can also be sent from SoftBank interfaces.
Transfusion Start Date/Time
Transfusion End Date/Time
Patient Vitals
Transfusion Volume
Automated Transfusion Reaction Workup Ordering based on Vitals

15. SoftBank Hematology Query
SoftBank Transfusion History Reports have the ability to pull in Hematology Results
Hematology Results are routed from the Foreign LIS to Soft HIS interfaces and posted via Soft customized Hematology Results posting “instrument” interface

16. SoftBank Hematology Query
This interface is simple, only designed to post the numeric data from results such as HGB, HCT, PLT, PT/INR, aPTT and Fibrinogen.
Results are not posted to the SoftBank database. SoftBank queries the “instrument” database for the results.

17. SoftBank Hematology Query: Client Typical Setup
Client interface engine “copies” results messages to SoftBank when the department indicates Hematology from the Main LISHIS results interface.
Client interface engine converts messages to Hematology Query format for posting.

18. Master File Notification for Physician Update
Many large institutions have high physician turn- over, particularly those with Residency Programs.
Soft MFN interface for Physician Update allows an automated means to keep the SoftBank Doctor Setup in Sync with the Hospital Physician Management system.

19. Master File Notification for Physician Update
Soft Physician Update interface allows:
Adding Doctors
Activating/Deactivating Doctors
Updating Doctor’s information
[Deleting Doctors]

20. HL7 formats Soft supports HL7 versions to v2.5.1
Most Standalone SoftBank interfaces are specified for HL7 v2.4
HL7 v2.5.1 has many features/fields that are not supported by SoftBank.
HL7 v2.4 has enough information to provide comprehensive interface features without additional data fields to validate which may be unnecessary.
SoftBank is only communicating with the one foreign LIS system as a module. It does not typically communicate with any foreign system outside of the client organization directly.

21. HL7 v2.4 Extended Discrete Product message.
MSH|^~\&|BB|SCC|HISAPP|HIS01| ||ORU^R01| |P|2.4|
PID|1|| ||ZZTESTSOFT^INTERFACE|| |M||W||5400^TECHDATA^ROAD^FL^CLEARWATER^33760^USA^^L||(727) ^^^^^727^ |(727) ^^^^^727^ |||| |
PV1|1|I|WARD^ROOM^BED|||SCCDOC^DOCTOR^SOFT|||||||||||SCCDOC^DOCTOR^SOFT|||||||||||||||||||||||||| |(727) ^^^^^727^ ||||| ||MBB|P|
ORC|RE| ^EPC| SCC | SCC00001||||| |HIS||SCCDOC^DOCTOR^SOFT|
OBR|1| | SCC |RC^Red Blood Cells||| |||NUR|L|||||SCCDOC^DOCTOR^SOFT|(727) ^^^^^727^ ||||PRODUCT|
OBX|1|TX|UNIT^UNIT AND STATUS|1|W Issued||||||P||| |
OBX|2|ST|UTYPE^UNIT ABO |1|POS||||||P||| ||SCC|
OBX|3|ST|URH^UNIT RH |1|POS||||||P||| ||SCC|
OBX|4|ST|UPROD^PRODUCT CODE DESCRIPTION|1|RED BLOOD CELLS|||||||P||| ||SCC|
OBX|5|ST|UNIT^DONATION NUMBER|1|W |||||||P||| ||SCC|
OBX|6|ST|UBPRD^BARCODED PRODUCT CODE|1|E0316V00|||||||P||| ||SCC|
OBX|7|ST|USTAT^UNIT STATUS|1|Issued|||||||P||| ||SCC|
OBX|8|ST|UBTYP^BARCODED ABO/RH|1|5100|||||||P||| ||SCC|
OBX|9|ST|UEXP^UNIT EXPIRATION|1| |||||||P||| ||SCC|
OBX|10|TX|UNIT^UNIT AND STATUS|2|W          Transfused ||||||F||| |
OBX|11|ST|UTYPE^UNIT ABO|2|O||||||F||| ||SCC|
OBX|12|ST|URH^UNIT RH|2|POS||||||F||| ||SCC|
OBX|13|ST|UPROD^PRODUCT CODE DESCRIPTION|2|RED BLOOD CELLS|||||||F||| ||SCC|
OBX|14|ST|UNIT^DONATION NUMBER|2|W |||||||F||| ||SCC|
OBX|15|ST|UBPRD^BARCODED PRODUCT CODE|2|E0316V00|||||||F||| ||SCC|
OBX|16|ST|USTAT^UNIT STATUS|2|Transfused|||||||F||| ||SCC|
OBX|17|ST|UBTYP^ BARCODED ABO/RH|2|5100|||||||F||| ||SCC|
OBX|18|ST|UEXP^UNIT EXPIRATION|2| |||||||F||| ||SCC|

22. ORMC’s Major Issue

23. HL7 v2.5.1 Extended Discrete Product Message
MSH|^~\&|SOFTBANK^ ^ISO|HMHSOFT^ ####|EPIC^ ^ISO|HIS01^ ####^ISO| ||ORU^R01| |D|2.5.1|||AL|NE|LRI_NG_RN_Profile^HL7^ ^ISO PID|1|| ^^^MRN& &ISO^MR^HIS01& ####&ISO||ZZTESTSOFT^INTERFACE|^^^^^^M| |M|| ^White^HL70005^C^White^L|5400^TECHDATA^ROAD^FL^CLEARWATER^33760^USA^^L||^PRN^PH^^^727^ ||||| ||||||||||||||| PV1|1|I|WARD^ROOM^BED^|L| ||SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO||||||||||SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^ ^DN^CLIENT& ####&ISO|I|||||||||||||||||||||||||| ORC|RE| ^EPC^ ^ISO|SCC ^ORDNUM^ ^ISO|SCC00001^ORDNUM^ ^ISO||||| |HIS||SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& #### WARD^L^^^^^XX^^^HIS01|^^^^^^B|^WPN^PH^^^727^ |5400 TECHDATA DR^^CLEARWATER^FL^33760^USA OBR|1| ^EPC^ ^ISO|SCC ^ORDNUM^ ^ISO|933-2^Blood product type^LN^RC^Red Blood Cells^L^2.46^NA^Red Blood .com||||PRODUCT| ||MBLB|P|||||||||||||||||||||| TQ1|1|||||| | |R OBX|1|TX|933-2^Blood product type^LN^UNIT^Red Blood Cells^L^2.46^NA^Blood product type ||W Issued||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|2|ST|933-2^Blood product type^LN^UPROD^PRODUCT CODE^L^2.46^NA^Blood product type |1|RL5^Red Blood Cells, AS-1||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|3|ST|934-0^Blood product unit ID [#]^LN^UNIT^DONATION NUMBER^L^2.46^NA^Blood product unit ID [#]|1|=W ||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|4|ST|936-5^Blood product unit [Identifier]^LN^UBPRD^BARCODED PRODUCT CODE^L^2.46^NA^Blood product unit [Identifier]|1|=<E0316V00||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|5|ST|925-8^Blood product disposition [Type]^LN^USTAT^UNIT STATUS^L^2.46^NA^Blood product disposition [Type]|1|Issued||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|6|ST| ^ABO and Rh group [Type] in Blood from donor^LN^UBTYP^BARCODED ABO/RH^L^2.46^NA^ ABO and Rh group [Type] in Blood from donor|1|=%5100||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|7|ST| ^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH^L^2.46^NA^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH |1|O POSITIVE||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|8|ST| ^Blood product unit expiration [Date and time]^LN^UEXP^UNIT EXPIRATION^L^2.46^NA^Blood product unit expiration [Date and time]|1| ||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|9|TX|933-2^Blood product type^LN^UNIT^Red Blood Cells^L^2.46^NA^Blood product type ||W Issued||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|10|ST|933-2^Blood product type^LN^UPROD^PRODUCT CODE^L^2.46^NA^Blood product type |2|Apheresis Red Cell AS3 #2 LR||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|11|ST|934-0^Blood product unit ID [#]^LN^UNIT^DONATION NUMBER^L^2.46^NA^Blood product unit ID [#]|2|W ||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|12|ST|936-5^Blood product unit [Identifier]^LN^UBPRD^BARCODED PRODUCT CODE^L^2.46^NA^Blood product unit [Identifier]|2|=<E0686V00||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|13|ST|925-8^Blood product disposition [Type]^LN^USTAT^UNIT STATUS^L^2.46^NA^Blood product disposition [Type]|2|Issued||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|14|ST| ^ABO and Rh group [Type] in Blood from donor^LN^UBTYP^BARCODED ABO/RH^L^2.46^NA^ ABO and Rh group [Type] in Blood from donor|2|5100||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|15|ST| ^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH^L^2.46^NA^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH |2|O POSITIVE||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO OBX|16|ST| ^Blood product unit expiration [Date and time]^LN^UEXP^UNIT EXPIRATION^L^2.46^NA^Blood product unit expiration [Date and time]|2| ||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO SPM|1|^&CLIENT& ####&ISO~^&ORDNUM& &ISO~^&ORDNUM& &ISO~^&ORDNUM& &ISO|||||VENIP^Venipuncture^HL70488^D ^Venipuncture^L^2.5.1^NA^Venipuncture|||||||||| |
MSH|^~\&|SOFTBANK^ ^ISO|HMHSOFT^ ####|EPIC^ ^ISO|HIS01^ ####^ISO| ||ORU^R01| |D|2.5.1|||AL|NE|LRI_NG_RN_Profile^HL7^ ^ISO
PID|1|| ^^^MRN& &ISO^MR^HIS01& ####&ISO||ZZTESTSOFT^INTERFACE|^^^^^^M| |M||2106-3^White^HL70005^C^White^L|5400^TECHDATA^ROAD^FL^CLEARWATER^33760^USA^^L||^PRN^PH^^^727^ ||||| |||||||||||||||
PV1|1|I|WARD^ROOM^BED^|L| ||SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO||||||||||SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO|I||||||||||||||||||||||||||
WARD^L^^^^^XX^^^HIS01|^^^^^^B|^WPN^PH^^^727^ |5400 TECHDATA DR^^CLEARWATER^FL^33760^USA
OBR|1| ^EPC^ ^ISO|SCC ^ORDNUM^ ^ISO|933-2^Blood product type^LN^RC^Red Blood Cells^L^2.46^NA^Red Blood
TQ1|1|||||| | |R
OBX|1|TX|933-2^Blood product type^LN^UNIT^Red Blood Cells^L^2.46^NA^Blood product type ||W Issued||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|2|ST|933-2^Blood product type^LN^UPROD^PRODUCT CODE^L^2.46^NA^Blood product type |1|RL5^Red Blood Cells, AS-1||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|3|ST|934-0^Blood product unit ID [#]^LN^UNIT^DONATION NUMBER^L^2.46^NA^Blood product unit ID [#]|1|=W ||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|4|ST|936-5^Blood product unit [Identifier]^LN^UBPRD^BARCODED PRODUCT CODE^L^2.46^NA^Blood product unit [Identifier]|1|=<E0316V00||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|5|ST|925-8^Blood product disposition [Type]^LN^USTAT^UNIT STATUS^L^2.46^NA^Blood product disposition [Type]|1|Issued||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|6|ST| ^ABO and Rh group [Type] in Blood from donor^LN^UBTYP^BARCODED ABO/RH^L^2.46^NA^ ABO and Rh group [Type] in Blood from donor|1|=%5100||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|7|ST| ^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH^L^2.46^NA^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH |1|O POSITIVE||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|8|ST| ^Blood product unit expiration [Date and time]^LN^UEXP^UNIT EXPIRATION^L^2.46^NA^Blood product unit expiration [Date and time]|1| ||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|9|TX|933-2^Blood product type^LN^UNIT^Red Blood Cells^L^2.46^NA^Blood product type ||W Issued||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|10|ST|933-2^Blood product type^LN^UPROD^PRODUCT CODE^L^2.46^NA^Blood product type |2|Apheresis Red Cell AS3 #2 LR||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|11|ST|934-0^Blood product unit ID [#]^LN^UNIT^DONATION NUMBER^L^2.46^NA^Blood product unit ID [#]|2|W ||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|12|ST|936-5^Blood product unit [Identifier]^LN^UBPRD^BARCODED PRODUCT CODE^L^2.46^NA^Blood product unit [Identifier]|2|=<E0686V00||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|13|ST|925-8^Blood product disposition [Type]^LN^USTAT^UNIT STATUS^L^2.46^NA^Blood product disposition [Type]|2|Issued||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|14|ST| ^ABO and Rh group [Type] in Blood from donor^LN^UBTYP^BARCODED ABO/RH^L^2.46^NA^ ABO and Rh group [Type] in Blood from donor|2|5100||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|15|ST| ^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH^L^2.46^NA^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH |2|O POSITIVE||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
OBX|16|ST| ^Blood product unit expiration [Date and time]^LN^UEXP^UNIT EXPIRATION^L^2.46^NA^Blood product unit expiration [Date and time]|2| ||||||P||| ||||| ||||HOME MAIN HOSPITAL^D^^^^MLAB& ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& ####&ISO
SPM|1|^&CLIENT& ####&ISO~^&ORDNUM& &ISO~^&ORDNUM& &ISO~^&ORDNUM& &ISO|||||VENIP^Venipuncture^HL70488^D^Venipuncture^L^2.5.1^NA^Venipuncture|||||||||| |

24. HL7 v2.4 vs v2.5.1 OBR segment
OBR|1| | SCC |RC^Red Blood Cells||| |||NUR|L|||||SCCDOC^DOCT OR^SOFT|(727) ^^^^^727^ ||||PROD UCT|
OBR|1| ^NSID^ ^ISO|SCC ^ORDNUM^ ##^I SO|933-2^Blood product type^LN^RC^Red Blood Cells^L^2.46^NA^Red Blood Cells||| |||NUR|L|||||SCCDOC^ DOCTOR^SOFT^^^MD^^^DRIDAA& &ISO^L^^^DN^CLIENT& # ###&ISO|^WPN^PH^^^727^ ~^ORN^FX mputer.com||||PRODUCT| ||MB LB|P||||||||||||||||||||||

25. Non-Interface Scenarios
Most Downtime scenarios involve paper requisitions and paper workflow. Variations in Client Policy and Procedures lead to many different Scenarios
Mass-Transfusion Protocols, Trauma Protocols and Emergency Release Protocols vary significantly depending on Client workflow and foreign system limitations. This can lead to not utilizing the interface for these events.
Work with you HIS implementer to see which workflows will work with the interfaces and which will not.

26. High-Level Epic Beaker

27. High-Level McKesson HLAB

28. High-Level Sunquest

29. High-Level GE HIS

30. High-Level CPSI HIS

31. Low-Level Epic Beaker Orders/Results/Billing Only

32. Low-Level Epic Beaker Orders/Results/Billing/Hematology Query/ MFN Doctor/SoftDonor