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