PHC Hub logo  PHC Hub User Guide (v. July 2018)

Best Practices for VXQ

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

Tier 1

PHC Hub always first attempts to identify a patient using values sent in QRD-8.1. 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 QRD-8.1 are:

Example HL7 General Settings

QRD-8.1, 8-13

SEQ LEN DT OPT RP/# TBL# ITEM# Element Name
8 60 XCN R Y   00032 Who Subject Filter

Source: Table 2.24.4: Original - Style Query Definition Segment, from the HL7 Version 2.3.1 Final Standard 05/1999, pp. 2-112.

SEQ LEN DT OPT RP/# TBL# ITEM# Element Name
1   ST R       ID Number
13   IS R       Identifier Type Code

Source: Table 2.8.49: XCN - Extended Composite ID Number and Name for Persons, from the HL7 Version 2.3.1 Final Standard 05/1999, pp. 2-112.

Example:

QRD||||||||123456789^^^^^^^^^^^^MR

Tier 2

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
QRD-8.2 Patient Last Name Required
QRD-8.3 Patient First Name Required
QRF-5.2 Patient's Date Of Birth Required
QRF-5.6.2 Patient Mother's First Name Not Required. Searches for Guardian First Name using Mother's First Name.
QRF-5.7 Patient Mother's Maiden Name Not Required.

QRD-8.2, 8-3

SEQ LEN DT OPT RP/# TBL# ITEM# Element Name
8 60 XCN R Y   00032 Who Subject Filter

Source: Table 2.24.4: Original - Style Query Definition Segment, from the HL7 Version 2.3.1 Final Standard 05/1999, pp. 2-112.

SEQ LEN DT OPT RP/# TBL# ITEM# Element Name
2   ST R       Family Name
3   ST R       Given Name

Source: Table 2.8.49 XCN - Extended Composite ID Number and Name for Persons, from the HL7 Version 2.3.1 Final Standard 05/1999, pp. 2-56.

Example:

QRD||||||||^SMITH^JOHN

QRF-5

SEQ LEN DT OPT RP/# TBL# ITEM# Element Name
5 60 See below R Y   00041 Other QRY Subject Filter

Source: Table 2.24.5: QRF - Original Style Query Filter Segment, from the HL7 Version 2.3.1 Final Standard 05/1999, pp. 2-115.

SEQ LEN DT OPT RP/# TBL# ITEM# Element Name
2 8 ST R       Patient Date of Birth
6 60 PN O       Patient Mother's Name
7 60 ST O       Patient Mother's Maiden Name

Source: Table 2.24.5: QRF-5 Local Data Type Definition, from the HL7 Version 2.3.1 Final Standard 05/1999, pp. 2-115.

SEQ LEN DT OPT RP/# TBL# ITEM# Element Name
2 60 ST R       Given Name

Source: Table 2.8.29: PN - Person Name, from the HL7 Version 2.3.1 Final Standard 05/1999,pp. 2-37.

Example:

QRF|||||~20150217~~~~^JANE~BANKS

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
QRD-8.4 Patient Middle  
QRF-5.1 Patient SSN  
QRF-5.4 Patient Birth File Number  
QRF-5.5 Patient Medicaid Number  
QRF-5.7.1 Mother's Maiden Name This will search for the guardian last name, using the mother's maiden name.
QRF-5.11 Patient Phone  
QRF-5.12.1 Patient Address  
QRF-5.12.3 Patient City  
QRF-5.12.4 Patient State  
QRF-5.12.5 Patient Zip  

Example:

QRD||||||||^SMITH^JOHN^MAY
QRF|||||555120000~20150217~~1234456~MA123323~~BANKS^JANE~~~~8005551212~123 Main St^^ANYTOWN^TN^55123

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