Discussions on how to indicate the different steps of the workflow (as illustrated here). The following conclusions were made:

  • The acute facility will identify the requested date and time for the patient transfer in the TQ1 segment (starting time). The SNF can also idicate the exact time they can accept the patient using ORC-27 in their accept message.
  • The confirmation will be indicated by the ORC-1 and ORC-5 fields: ORC-1 set to SC and ORC-5 set to SC. A reminder that all other accepted facilitites need to receive a cancelation.
  • The discharge transaction will have the HL7 OSU message as follows: ORC-1 set to SC and ORC-5 set to CM. The current agreement is that once the patient is discharged, the loop is closed.

There is a need to clarify that the transaction diagram reflects the multiple recipients of the request. Need to change the diagram. 

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