PHC-Hub logo  PHC-Hub 4.17.3 User Guide

Best Practices for QBP

PHC-Hub uses three tiers to gauge the usefulness of a value in making an exact patient match.

Tier 1: QPD-3.1, QPD-3.5

Field Seq(Query ID=Z34)

Name

Key/Search

Sort

LEN

TYPE

Usage

Rep

Match Op

TBL

Segment Field Name

Service Identifier Code

Element Name or Value

3

PatientList

 

 

 

CX

RE

Y

 

 

PID.3

 

PID-3: Patient Identifier List

Source: Table 7-5: QPD Input Parameter Specification, from the HL7 Version 2.5.1 Implementation Guide: Immunization Messaging (Release 1.5) 10/1/2014, p. 145.

SEQ

Component Name

Data Type

Usage

 LEN

Conditional Predicate

Value Set

Comments

1

ID Number

ST

R

15

 

 

 

5

Identifier Type

ID

R

2.5

 

HL70203

 

Source: Table 4-6: Extended Composite ID with Check Digit (CX), from the Table HL7 Version 2.5.1 Implementation Guide: Immunization Messaging (Release 1.5) 10/1/2014, p. 36.

Example:

QPD|||123456789^^^^MR

PHC-Hub always first attempts to identify a patient using values sent in QPD-3. The values submitted in this field can be used to uniquely identify a patient independently of other submitted values. It is recommended to use these values to identify a patient if they are available.

Typical values used in QPD-3.5 are:

Example HL7 General Settings

Tier 2: QPD-4.1, QPD-4.2, QPD-5.1, QPD-6.1, NK1-2.2 & NK1-3.1

Field Seq (Query ID=Z34)

Name

Key/Search

Sort

LEN

TYPE

Usage

Rep

Match Op

TBL

Segment Field Name

Service Identifier Code

Element Name or Value

4

PatientName

   

 

XPN

RE

     

PID.5

 

PID-5: Patient Name

5

PatientMotherMaidenName

   

 

XPN_M

RE

     

PID.6

 

PID-6: Mother's Maiden Name

6

Patient Date of Birth

 

 

26

TS_NZ

RE

 

 

 

PID.7

 

PID-7: Patient date of birth

Source: Table 7-5: QBD Input Parameter Specification, from the HL7 Version 2.5.1 Implementation Guide: Immunization Messaging (Release 1.5) 10/1/2014, p. 145.

SEQ

Component Name

Data Type

Usage

 LEN

Conditional Predicate

Value Sets

Comments

1

Family Name

FN

R

 

 

 

 

2

Given Name

ST

R

30

 

 

 

Source: Table 4-31: Extended Person Name (XPN), from the HL7 Version 2.5.1 Implementation Guide: Immunization Messaging (Release 1.5) 10/1/2014, p. 61.

SEQ

Component Name

Data Type

Usage

 LEN

Conditional Predicate

Value Sets

Comments

1

Family Name

FN

R

 

 

 

 

2

Given Name

ST

RE

30

 

 

 

Source: Table 4-32: Extended Person Name (XPN_M), from the HL7 Version 2.5.1 Implementation Guide: Immunization Messaging (Release 1.5) 10/1/2014, p. 63.

SEQ

Component Name

Data Type

Usage

 LEN

Conditional Predicate

Value Set

Comments

1

Time

DTM

R

 

 

 

 

Source: Table 4-25: Time Stamp No Time Zone (TS_NZ), from the HL7 Version 2.5.1 Implementation Guide: Immunization Messaging (Release 1.5) 10/1/2014, p. 52.

If the Tier 1 values are insufficient to determine a match, PHC-Hub uses Tier 2 values to try to determine a match.

Location Name Comments

QPD-4.1

Patient Last Name

Required

QPD-4.2

Patient First Name

Required

QPD-5.1

Patient Mother's Maiden Name

Not Required

QPD-5.2

Patient's Date Of Birth

Not Required. Searches for Guardian First Name using Mother's First Name.

QPD-6.1

 

Required

Example:

QPD||||SMITH^JOHN|JONES^AMANDA|20150122

Tier 3

Should an exact match be made based on Tier 2 values alone, Tier 3 values are not considered. If Tier 2 results in the return of multiple patients, the following values are used to help filter the patients in the attempt to return a singular exact match:

Location Name Comments

QPD-3.1

Patient SSN

QPD-3.5 must be SS

QPD-3.1

Patient Medicaid Number

QPD-3.5 must be MA

QPD-3.1

Patient Birth File Number

QPD-3.5 must be BR

QPD-4.3

Patient Middle

 

QPD-5.1

Mother's Maiden Name

This will search for the guardian last name, using the mother's maiden name.

QPD-7

Patient Gender

 

QPD-8.1

Patient Address

 

QPD-8.3

Patient City

 

QPD-8.4

Patient State

 

QPD-8.5

Patient Zip

 

QPD-9

Patient Phone

 

QPD-11

Birth Order

 

Example:

QPD|||999887777^^^^SS~0123456789^^^^MA~5672354^^^^BR|SMITH^JOHN^JACOB|JONES^AMANDA|20150122|M|123 MAIN ST^^NASHVILLE^TN^37201|8005551212||1