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4.7 SUPPLY ORDERS

The Requisition Detail segment (RQD) is used for ordering medical, surgical , and patient care supplies. It is assumed that these supplies are managed by a materials management application, which contains a Master List of all items the hospital uses.

There are basically two types of supplies, commonly referred to as stock and nonstock.

Stock supplies are, as the name suggests, stocked in the hospital in designated areas, such as the warehouse, Central Supply, Nursing floors, or Operating Room.

When requisitioning stock supplies, the requesting application need only specify the information in the RQD segment. It is assumed that this is enough information for the application receiving to identify the item. If the sending application is not aware whether the supply is stock, it may optionally send an RQ1 along with the RQD. Typically in that case, the item is requested with a free text description.

Nonstock supplies are not stocked anywhere in the hospital and must be ordered from an industry distributor or manufacturer.

When the requesting application knows that it is requisitioning nonstock supplies, it may also send an RQ1 segment with the RQD if at least one field in RQ1 is known to the sending application. This may be necessary in order for the receiving application to properly determine where to get these supplies. This depends on the sophistication of the database of the receiving application, which may contain a history of requisitions from the sending application.

Stock requisition orders use the ORM. RQD replaces the Order Detail Segment of the ORM message as follows:

ORM     Stock Requisition Order Message    Chapter
MSH     Message Header        2
    [{NTE}]   Notes and Comments (for Header)    2
[
    PID    Patient Identification      3
   [PD1]    Additional Patient Identification    3
      [{NTE}]  Notes and Comments (for Patient ID)   2
    [PV1    Patient Visit        3
    [PV2]]   Patient Visit Additional Information   3
    [{IN1   Insurance         6
   [IN2]   Insurance Additional Info      6

[IN3] Insurance Additional Info 6
    }]
    [GT1]   Guarantor         6
    [{AL1}]   Allergy          3
]
{
 ORC     Common Order         4
[
   RQD    Requisition Detail       4
    [{NTE}]   Notes and Comments (for RQD)     2
    [  
     {
      OBX   Observation/Result       7
         [{NTE}]  Notes and Comments (for OBX)     2
     }
    ]
]
   [BLG]    Billing segment        4
}
ORR     General Order Acknowledgment Message  Chapter
MSH     Message Header        2
MSA     Message Acknowledgment      2
[ERR]    Error          2
     [{NTE}]   Notes and Comments (for Header)    2
[  
  [PID    Patient Identification      3
     [{NTE}]]  Notes and Comments (for Patient ID)   2
 {
   ORC    Common Order         4
   RQD    Requisition Detail       4
     [{NTE}]   Notes and Comments (for RQD)     2
  }
]

Nonstock requisitions use the ORM. RQD followed by RQ1 replaces the Order Detail Segment of the ORM message as follows:

ORM     Nonstock Requisition Order Message   Chapter
MSH     Message Header        2
    [{NTE}]   Notes and Comments (for Header)    2
[
  PID    Patient Identification      3
 [PD1]    Additional Patient Identification    3
    [{NTE}]   Notes and Comments (for Patient ID)   2
  [PV1    Patient Visit        3
  [PV2]]    Patient Visit Additional Information   3
   [{IN1    Insurance         6
  [IN2]   Insurance Additional Info      6

[IN3] Insurance Additional Info 6
   }]
   [GT1]    Guarantor         6
   [{AL1}]   Allergy          3
]
{
 ORC     Common Order         4
[
   RQD    Requisition Detail       4
  [RQ1]    Requisition Detail-1       4
    [{NTE}]   Notes and Comments (for RQD)     2
    [
     {
      OBX   Observation/Result       7
         [{NTE}]  Notes and Comments (for OBX)     2
     }
    ]
]
   [BLG]    Billing segment        4
}
ORR     General Order Acknowledgment Message  Chapter
MSH     Message Header        2
MSA     Message Acknowledgment      2
[ERR]    Error          2
     [{NTE}]   Notes and Comments (for Header)    2
[  
  [PID    Patient Identification      3
     [{NTE}]   Notes and Comments (for Patient ID)   2
  ]
 {
   ORC    Common Order         4
   RQD    Requisition Detail       4
  [RQ1]    Requisition Detail-1       4
     [{NTE}]   Notes and Comments (for RQD)     2
 }
]

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