| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | date/time specimen taken(+) | 0;1 | DATE-TIME | This is the date/time the specimen was taken. | ||
| .011 | specimen submitted by | 0;5 | FREE TEXT | This is the person submitting the specimen. | ||
| .012 | specimen | .1;0 | MULTIPLE | 63.812 | These are the specimens submitted. | |
| .013 | brief clinical history | .2;0 | WORD-PROCESSING | This is a brief clinical history of the specimen. | ||
| .014 | preoperative diagnosis | .3;0 | WORD-PROCESSING | This is the pre-operative diagnosis of the specimen. | ||
| .015 | operative findings | .4;0 | WORD-PROCESSING | These are the operative findings of the specimen. | ||
| .016 | postoperative diagnosis | .5;0 | WORD-PROCESSING | |||
| .02 | pathologist | 0;2 | POINTER | 200 | This is the pathologist performing the procedure. | |
| .021 | resident pathologist | 0;4 | POINTER | 200 | This is the resident pathologist performing the procedure. | |
| .03 | date report completed | 0;3 | DATE-TIME | This is the date the report is completed. | ||
| .06 | surgical path acc #(+) | 0;6 | FREE TEXT | This is the accession number of the surgical pathology specimen. | ||
| .07 | surgeon/physician | 0;7 | POINTER | 200 | This is the requesting provider. | |
| .08 | patient location | 0;8 | FREE TEXT | This is the requesting location. | ||
| .09 | typist | 0;9 | FREE TEXT | These are the initials of the typist entering the data. | ||
| .1 | date/time specimen received(+) | 0;10 | DATE-TIME | This is the date/time the specimen was received. | ||
| .11 | report release date/time | 0;11 | DATE-TIME | YES indicates the report was released. | ||
| .13 | released by | 0;13 | POINTER | 200 | ||
| .14 | tc code | 0;14 | SET OF CODES | 1:1 2:2 3:3 4:4 5:5 6:6 7:7 8:8 9:9 0:0 | Tissue committee codes The meaning of each code is identified by each site. | |
| .15 | original release date | 0;15 | DATE-TIME | If report was modified after release the original release date is kept here. | ||
| .16 | tiu reference date/time - sp | .05;0 | MULTIPLE | 63.19 | This multiple stores TIU information for corresponding SF515 surgical pathology reports that have been electronically signed and stored in TIU. This information is used to access the reports in TIU. | |
| .17 | date report modified - sp | .07;1 | DATE-TIME | This is the date the report was modified if it was modified after it was electronically signed/released. | ||
| .171 | person modifying text | .07;2 | POINTER | 200 | Stores the DUZ of the person who modified the report AFTER it was electronically signed/released. | |
| .172 | diagnosis modified | .07;3 | BOOLEAN | 1:YES 0:NO | 1 = Diagnosis modified AFTER report was electronically signed/released. | |
| .31 | uid | ORU;1 | FREE TEXT | This is the UID used by the HOST LEDI system for this order/accession. This field is used by LEDI software. | ||
| .32 | ordering site | ORU;2 | POINTER | 4 | This field contains the pointer to the INSTITUTION file for the MailMan domain location of the computer system. All LEDI results are returned to the Ordering computer system. Location to send LEDI HL7 result messages. This field is used by LEDI software. | |
| .33 | collecting site | ORU;3 | POINTER | 4 | This field contains the pointer to the INSTITUTION file for the actual collection site. The ordering site is the MailMan location of the computer system. MailMan domain location and the collecting site may be different. This field is used by LEDI software. | |
| .34 | host uid | ORU;4 | FREE TEXT | Each Order/Accession is given a HOST UID. The UID is stored in this location. If LEDI software is used to accession specimens, usually the collecting sites UID is used to track specimens. If the collecting UID conflicts with the HOST system number sequence, the HOST UID will be used instead of the collecting site's UID. This field is used by LEDI software. | ||
| .342 | ordering site uid | ORU;5 | FREE TEXT | This field contains the collecting site's UID for this specimen. this field is used by LEDI software. | ||
| .345 | releasing site | RF;1 | POINTER | 4 | This field indicates the site that released the clinical report. This field can be used to determine the information required to correctly indicate the address/location of the laboratory responsible for releasing the report. | |
| .35 | ordered test | ORUT;0 | MULTIPLE | 63.53 | This subfile contains information about the ordered test(s) for this accession. The .01 field contains the ordered test NLT code requested by the clinical provider. If this test is a panel, all atomic tests within the panel will be associated with the ordered test using this NLT code. | |
| .97 | delayed report comment | 97;0 | MULTIPLE | 63.0897 | If a report is delayed, reason(s) for delay may be entered here. They will appear on the log book report and the clinician screen display. | |
| .99 | comment | 99;0 | MULTIPLE | 63.98 | These are the comments on the specimen. | |
| 1 | gross description | 1;0 | WORD-PROCESSING | This is the gross description of the specimen. | ||
| 1.1 | microscopic description | 1.1;0 | WORD-PROCESSING | This is the microscopic examination diagnosis. | ||
| 1.2 | supplementary report | 1.2;0 | MULTIPLE | 63.817 | These are supplementary reports on the specimen. | |
| 1.3 | frozen section | 1.3;0 | WORD-PROCESSING | Frozen section descriptions can optionally be entered in this field. | ||
| 1.4 | surgical path diagnosis | 1.4;0 | WORD-PROCESSING | Surgical pathology diagnoses are entered here. | ||
| 4 | date microscopic exam modified | 4;0 | MULTIPLE | 63.84 | These are the dates of modification of the microscopic examination diagnosis. | |
| 5 | date diagnosis modified | 5;0 | MULTIPLE | 63.085 | These are the dates of modification of the diagnosis field (DD(63.08,1.4)) | |
| 6 | date frozen section modified | 6;0 | MULTIPLE | 63.086 | These are the dates of modification of the frozen section field. | |
| 7 | date gross description changed | 7;0 | MULTIPLE | 63.087 | These are the dates of modification of the gross description field. | |
| 9 | qa code | 9;0 | MULTIPLE | 63.089 | ||
| 10 | organ/tissue | 2;0 | MULTIPLE | 63.12 | These are the organ/tissue(s) being examined. | |
| 80 | icd diagnosis | 3;0 | MULTIPLE | 63.88 | These are the ICD diagnoses associated with this organ/tissue(s). | |
| 2005 | image | 2005;0 | MULTIPLE | 63.82005 | Images associated with Surgical Pathology reports are stored in this multiple within the Surgical Pathology field of the Lab Data (#63) file. |
Error: Invalid Global File Type: 63.08