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11.6.6 RQC inquiry message using an I05 event with an immediate response

In this example, Dr. Blake is querying a reference laboratory for the results of all lab work performed on Cary Joe Brown between the dates of 03/20/94 and 03/22/94 and requests that the data be returned in a record or data elemented format. The message request contains all of the patient identification, as well as the provider identification necessary for the responding facility to qualify the request.

MSH|^~\&|BLAKEMD|EWHIN|EHS_LAB|EWHIN|19940410113142||RQC^I05|BLAKEM7899|P|2.3|||NE|AL<CR>
QRD|19940504144501|R|I|BLAKEM7899|||5^RD|PATIENT|RES|ALL<CR>
QRF|EHS_LAB^EWHIN|19940320000000|19940322235959<CR>
PRD|RP|BLAKE^BEVERLY^^^DR^MD|N.12828NEWPORT HIGHWAY^^MEAD^WA^99021|^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER|BLAKEM7899<CR>
CTD|PR|JONES^BUCK|N. 12828 NEWPORT HIGHWAY^^MEAD^WA^99021|^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER<CR>
PRD|RT|EMPLAB^EMPIRE LAB||^^^EHS_LAB&EWHIN^^^^^EIMPIRE LABORATORIES<CR>
PID|||1234567891^1^M10||BROWN^CARY^JOE||19600309|M||C|N.12345SOME STREET^^MEAD^WA^ 99021^USA|SPO|(509)466-6801|(509)466-0396|ENGL|M|M||402941703|BROWN*CJ4298^WA<CR>
MSH|^~\&|EHS_LAB|EWHIN|BLAKEMD|EWHIN|19940411152401||RPI^I05|EHSLAB4250|P|2.3|||ER|ER<CR>
MSA|AA|BLAKEM7899<CR>
QRD|19940504144501|R|I|BLAKEM7899|||5^RD|PATIENT|RES|ALL<CR>
QRF|EHS_LAB^EWHIN|19940320000000|19940322235959<CR>
PRD|RP|BLAKE^BEVERLY^^^DR^MD|N. 12828 NEWPORT HIGHWAY^^MEAD^WA^99021|^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER|BLAKEM7899<CR>
CTD|PR|JONES^BUCK|N. 12828 NEWPORT HIGHWAY^^MEAD^WA^99021|^^^BLAKEMD&EWHIN^^^^^BLAKE MEDICAL CENTER<CR>
PRD|RT|EMPLAB^EMPIRE LAB||^^^EHS_LAB&EWHIN^^^^^EIMPIRE LABORATORIES<CR>
PID|||1234567891^1^M10||BROWN^CARY^JOE||19600309|M||C|N. 12345 SOME STREET^^MEAD^WA^ 99021^USA|SPO|(509)466-6801|(509)466-0396|ENGL|M|M||402941703|BROWN*CJ4298^WA<CR>
OBR|1||1045813^LAB|L1505.003^COMPLETE BLOOD COUNT (D)|||19940320104700|""|1^EA|||| |19940320112400||CARMI||||||19940320104955|||F<CR>
OBX|1|ST|L1550.000^HEMOGLOBIN, AUTO HEME||11.6|g/dl|12.0-16.0|L|||F<CR>
OBX|2|ST|L1551.003^HEMATOCRIT (D)||36.4|%|36-45||||F<CR>
OBX|3|ST|L1552.000^RBC, AUTO HEME||3.94|mil/ul|4.1-5.1|L|||F<CR>
OBX|4|ST|L1553.000^MCV, AUTO HEME||92.3|fl|80-100||||F<CR>
OBX|5|ST|L1554.000^MCH, AUTO HEME||29.3|pg|26-34||||F<CR>
OBX|6|ST|L1555.000^MCHC, AUTO HEME||31.8|g/dl|31-37||||F<CR>
OBX|7|ST|L1557.000^RBC DISTRIBUTION WIDTH||15.3|%|0-14.8|H|||F<CR>
OBX|8|ST|L1558.003^PLATELET COUNT (D)||279|th/ul|140-440||||F<CR>
OBX|9|ST|L1559.000^WBC, AUTO HEME||7.9|th/ul|4.5-11.0||||F<CR>
OBX|10|ST|L1561.100^NEUTROPHILS, % AUTO||73.8|%|||||F<CR>
OBX|11|ST|L1561.510^LYMPHOCYTES, % AUTO||16.6|%|||||F<CR>
OBX|12|ST|L1562.010^MONOCYTES, % AUTO||7.3|%|||||F<CR>
OBX|13|ST|L1563.010^EOSINOPHILS, % AUTO||1.7|%|||||F<CR>
OBX|14|ST|L1564.010^BASOPHILS, % AUTO||0.7|%|||||F<CR>
OBX|15|ST|L1565.010^NEUTROPHILS, ABS AUTO||5.8|th/ul|1.8-7.7||||F<CR>
OBX|16|ST|L1566.010^LYMPHOCYTES, ABS AUTO||1.3|th/ul|1.0-4.8||||F<CR>
OBX|17|ST|L1567.010^MONOYCYTES, ABS AUTO||0.6|th/ul|0.1-0.8||||F<CR>
OBX|18|ST|L1568.010^EOSINOPHILS, ABS AUTO||0.1|th/ul|0-0.7||||F<CR>
OBX|19|ST|L1569.000^BASOPHILS, ABS AUTO||0.1|th/ul|0-0.2||||F<CR>
OBX|20|ST|L2110.003^PROTHROMBIN TIME (D)||30.7|sec|11.1-14.0|HH|||F<CR>
NTE|1|L|COAGULATION CRITICAL VALUES CALLED TO VICKIE QUASCHNICK~AT 1130 BY VON~Therapeutic Ranges(oral anticoagulant):~Most clinical situations:  16.1 - 21.1 sec -~  (1.3 - 1.7 times the mean of the normal range)~Mech heart valve, recurrent embolism:  18.6 - 23.6 sec -~  (1.5 - 1.9 times the mean of the normal range)<CR>
OBX|21|ST|L2110.500^INR||5.95||||||F<CR>
NTE|1|L|Therapeutic Range (oral anticoagulant):~  Most clinical situations:  2.0 - 3.0~  Mech heart valve, recurrent embolism:  3.0 - 4.0<CR>
OBX|22|ST|L3110.003^SODIUM (D)||141|mmol/l|135-146||||F<CR>
OBX|23|ST|L3111.003^POTASSIUM (D)||3.8|mmol/l|3.5-5.1||||F<CR>
OBX|24|ST|L3112.003^CHLORIDE (D)||111|mmol/l|98-108|H|||F<CR>
OBX|25|ST|L3113.003^CO2 (TOTAL) (D)||23.7|mmol/l|23-30||||F<CR>
OBX|26|ST|L3114.000^ANION GAP||6||7-17|L|||F<CR>
OBX|27|ST|L3120.003^CREATININE (D)||1.4|mg/dl|0.5-1.2|H|||F<CR>
OBX|28|ST|L3121.003^UREA NITROGEN (D)||24|mg/dl|7-25||||F<CR>
OBX|29|ST|L3123.003^GLUCOSE (D)||123|mg/dl|65-115|H|||F<CR>
OBX|30|ST|L3126.003^CALCIUM (D)||8.7|mg/dl|8.4-10.2||||F<CR>
OBR|2||1045825^LAB|L2560.000^BLOOD GAS, ARTERIAL (R)|||19940320105800|""| 1^EA|||||19940320105800||CARMI||||||19940320105844|||F<CR>
OBX|1|ST|L2565.000^PH, ARTERIAL BLD GAS (R)||7.46||7.35-7.45|H|||F<CR>
OBX|2|ST|L2566.000^PCO2, ARTERIAL BLOOD GAS||28|mm/Hg|35-45|LL|||F<CR>
NTE|1|L|BLOOD GAS ANALYSIS CRITICAL VALUE(S) CALLED TO~DR. CARLSON.<CR>
OBX|3|ST|L2567.000^PO2, ARTERIAL BLOOD GAS||83|mm/Hg|80-100||||F<CR>
OBX|4|ST|L2568.000^O2 SAT, ART BLD GAS (R)||96|%|95-99||||F<CR>
OBX|5|ST|L2569.000^BASE EX, ARTERIAL BLD GAS||-2.1|mEq/l|-2.0-2.0|L|||F<CR>
OBX|6|ST|L2570.000^HCO3, ARTERIAL BLD GAS||19.4|mEq/l|22-26|L|||F<CR>
OBX|7|ST|L2571.000^PATIENT TEMP, ABG||96.2|deg F|||||F<CR>
OBX|8|ST|L2572.000^MODE, ABG||ROOM AIR||||||F<CR>
OBR|3||1045812^LAB|L2310.003^URINALYSISD)|||19940320121800|""|1^EA|||||19940320121800||CARMI||||||19940320104953|||F<CR>
OBX|1|ST|L2320.303^SPECIFIC GRAVITY, UR (D)||1.015||1.002-1.030||||F<CR>
OBX|2|ST|L2320.403^PH, UR (D)||7.0||5.0-7.5||||F<CR>
OBX|3|ST|L2320.503^PROTEIN, QUAL, UR (D)||NEG|mg/dl|||||F<CR>
OBX|4|ST|L2320.703^GLUCOSE, QUAL, UR (D)||0|mg/dl|0-30||||F<CR>
OBX|5|ST|L2320.803^KETONES, UR (D)||NEG|mg/dl|||||F<CR>
OBX|6|ST|L2320.903^OCCULT BLOOD, UR (D)||SMALL|||A|||F<CR>
OBX|7|ST|L2321.003^BILIRUBIN, UR (D)||NEG||||||F<CR>
OBX|8|ST|L2321.100^LEUKOCYTES, UR||MOD|||A|||F<CR>
OBX|9|ST|L2321.200^NITRITES, UR||NEG||||||F<CR>
OBX|10|ST|L2321.300^UROBILINOGEN, UR||NEG||||||F<CR>
OBX|11|ST|L2342.000^MICRO SPUN VOLUME, UR||8|ml|8-8||||F<CR>
OBX|12|ST|L2350.003^RBC, UR (D)||5-10|/hpf|||||F<CR>
OBX|13|ST|L2350.100^WBC, UR||>100|/hpf|||||F<CR>
OBX|14|ST|L2350.200^EPITHELIAL CELLS, UR||2+||||||F<CR>
OBX|15|ST|L2350.300^BACTERIA, UR||2+|||A|||F<CR>

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