HL7 Parser
Parse Message
Something wrong with HL7 Message. 'Can't parse message beginning SH|^~\&|SIM_LAB|MEDSCHOOL|EHR_SIM|CAMPUS|202405011'
Parsed HL7v2 Message
Original Message
SH|^~\&|SIM_LAB|MEDSCHOOL|EHR_SIM|CAMPUS|20240501120000||ORU^R01|MSG00001|P|2.5.1 PID|1||SIMPAT001^^^MEDSIM^MR||Doe^Jane^A||19850315|F OBR|1|ORD001|ACC001|BMP^Basic Metabolic Panel^L|||20240501080000 NTE|1||Collection Date: 2024-05-01 - Initial presentation with multiple abnormalities OBX|1|NM|2951-2^Sodium^LN|1|132|mEq/L|136-145|L|||F|||20240501090000 NTE|1||ANSWER KEY: Hyponatremia - Value 132 is below reference range 136-145 OBX|2|NM|2951-2^Sodium^LN|1.SI|132|mmol/L|136-145|L|||F|||20240501090000 NTE|1||SI equivalent - same numeric value with different units OBX|3|NM|2823-3^Potassium^LN|1|3.2|mEq/L|3.5-5.0|L|||F|||20240501090000 NTE|1||ANSWER KEY: Hypokalemia - Value 3.2 is below reference range 3.5-5.0 OBX|4|NM|2823-3^Potassium^LN|1.SI|3.2|mmol/L|3.5-5.0|L|||F|||20240501090000 OBX|5|NM|3094-0^BUN^LN|1|22|mg/dL|7-20|H|||F|||20240501090000 NTE|1||ANSWER KEY: Elevated BUN - Value 22 exceeds upper limit of 20 NTE|2||Clinical correlation: Consider prerenal azotemia or renal dysfunction OBX|6|NM|3094-0^BUN^LN|1.SI|7.9|mmol/L|2.5-7.1|H|||F|||20240501090000 NTE|1||SI calculation: 22 mg/dL × 0.357 = 7.9 mmol/L OBX|7|NM|2160-0^Creatinine^LN|1|1.35|mg/dL|0.6-1.2|H|||F|||20240501090000 NTE|1||ANSWER KEY: Elevated creatinine - Value 1.35 exceeds upper limit of 1.2 NTE|2||Clinical correlation: Acute kidney injury vs CKD OBX|8|NM|2160-0^Creatinine^LN|1.SI|119.3|umol/L|53-106|H|||F|||20240501090000 NTE|1||SI calculation: 1.35 mg/dL × 88.4 = 119.3 umol/L OBR|2|ORD002|ACC002|CBC^Complete Blood Count^L|||20240501080000 NTE|1||CBC shows anemia with leukopenia OBX|9|NM|6690-2^WBC^LN|1|3.1|x10^3/uL|3.4-10.8|L|||F|||20240501090000 NTE|1||ANSWER KEY: Leukopenia - Value 3.1 is below reference range 3.4-10.8 OBX|10|NM|6690-2^WBC^LN|1.SI|3.1|x10^9/L|3.4-10.8|L|||F|||20240501090000 OBX|11|NM|789-8^RBC^LN|1|3.60|x10^6/uL|3.77-5.28|L|||F|||20240501090000 NTE|1||ANSWER KEY: Low RBC count - Value 3.60 is below reference range 3.77-5.28 OBX|12|NM|789-8^RBC^LN|1.SI|3.60|x10^12/L|3.77-5.28|L|||F|||20240501090000 OBX|13|NM|718-7^Hemoglobin^LN|1|10.8|g/dL|11.1-15.9|L|||F|||20240501090000 NTE|1||ANSWER KEY: Anemia - Hemoglobin 10.8 is below reference range 11.1-15.9 OBX|14|NM|718-7^Hemoglobin^LN|1.SI|108|g/L|111-159|L|||F|||20240501090000 NTE|1||SI calculation: 10.8 g/dL × 10 = 108 g/L OBX|15|NM|4544-3^Hematocrit^LN|1|31.0|%|32.0-47.0|L|||F|||20240501090000 NTE|1||ANSWER KEY: Low hematocrit consistent with anemia OBX|16|NM|4544-3^Hematocrit^LN|1.SI|0.310|L/L|0.32-0.47|L|||F|||20240501090000 OBR|3|ORD003|ACC003|DIFF^Differential^L|||20240501080000 OBX|17|NM|751-8^Neutrophils Abs^LN|1|1.20|x10^3/uL|1.4-7.0|L|||F|||20240501090000 NTE|1||ANSWER KEY: Neutropenia - Value 1.20 is below reference range 1.4-7.0 NTE|2||Clinical significance: Increased infection risk OBX|18|NM|751-8^Neutrophils Abs^LN|1.SI|1.20|x10^9/L|1.4-7.0|L|||F|||20240501090000 OBR|4|ORD004|ACC004|LFT^Liver Function Tests^L|||20240501080000 NTE|1||LFTs within normal limits at baseline OBX|19|NM|1742-6^ALT^LN|1|28|U/L|7-56||||F|||20240501090000 OBX|20|NM|1920-8^AST^LN|1|22|U/L|10-40||||F|||20240501090000 OBX|21|NM|1975-2^Total Bilirubin^LN|1|0.8|mg/dL|0.1-1.2||||F|||20240501090000 OBX|22|NM|1975-2^Total Bilirubin^LN|1.SI|13.7|umol/L|1.7-20.5||||F|||20240501090000 MSH|^~\&|SIM_LAB|MEDSCHOOL|EHR_SIM|CAMPUS|20240515120000||ORU^R01|MSG00002|P|2.5.1 PID|1||SIMPAT001^^^MEDSIM^MR||Doe^Jane^A||19850315|F OBR|1|ORD005|ACC005|BMP^Basic Metabolic Panel^L|||20240515080000 NTE|1||Collection Date: 2024-05-15 - Follow-up, most values normalized OBX|1|NM|2951-2^Sodium^LN|1|138|mEq/L|136-145||||F|||20240515090000 OBX|2|NM|2823-3^Potassium^LN|1|4.8|mEq/L|3.5-5.0||||F|||20240515090000 OBX|3|NM|3094-0^BUN^LN|1|18|mg/dL|7-20||||F|||20240515090000 OBX|4|NM|3094-0^BUN^LN|1.SI|6.4|mmol/L|2.5-7.1||||F|||20240515090000 OBX|5|NM|2160-0^Creatinine^LN|1|0.92|mg/dL|0.6-1.2||||F|||20240515090000 OBX|6|NM|2160-0^Creatinine^LN|1.SI|81.3|umol/L|53-106||||F|||20240515090000 OBR|2|ORD006|ACC006|CBC^Complete Blood Count^L|||20240515080000 OBX|7|NM|6690-2^WBC^LN|1|4.2|x10^3/uL|3.4-10.8||||F|||20240515090000 OBX|8|NM|6690-2^WBC^LN|1.SI|4.2|x10^9/L|3.4-10.8||||F|||20240515090000 OBX|9|NM|789-8^RBC^LN|1|4.05|x10^6/uL|3.77-5.28||||F|||20240515090000 OBX|10|NM|789-8^RBC^LN|1.SI|4.05|x10^12/L|3.77-5.28||||F|||20240515090000 OBX|11|NM|718-7^Hemoglobin^LN|1|12.8|g/dL|11.1-15.9||||F|||20240515090000 OBX|12|NM|718-7^Hemoglobin^LN|1.SI|128|g/L|111-159||||F|||20240515090000 OBX|13|NM|4544-3^Hematocrit^LN|1|39.5|%|32.0-47.0||||F|||20240515090000 OBX|14|NM|4544-3^Hematocrit^LN|1.SI|0.395|L/L|0.32-0.47||||F|||20240515090000 OBR|3|ORD007|ACC007|DIFF^Differential^L|||20240515080000 OBX|15|NM|751-8^Neutrophils Abs^LN|1|2.70|x10^3/uL|1.4-7.0||||F|||20240515090000 OBX|16|NM|751-8^Neutrophils Abs^LN|1.SI|2.70|x10^9/L|1.4-7.0||||F|||20240515090000 OBR|4|ORD008|ACC008|LFT^Liver Function Tests^L|||20240515080000 NTE|1||New finding: Isolated hyperbilirubinemia OBX|17|NM|1742-6^ALT^LN|1|32|U/L|7-56||||F|||20240515090000 OBX|18|NM|1920-8^AST^LN|1|25|U/L|10-40||||F|||20240515090000 OBX|19|NM|1975-2^Total Bilirubin^LN|1|1.5|mg/dL|0.1-1.2|H|||F|||20240515090000 NTE|1||ANSWER KEY: Hyperbilirubinemia - Value 1.5 exceeds upper limit of 1.2 NTE|2||Clinical correlation: Gilbert syndrome vs hemolysis vs hepatic dysfunction OBX|20|NM|1975-2^Total Bilirubin^LN|1.SI|25.7|umol/L|1.7-20.5|H|||F|||20240515090000 NTE|1||SI calculation: 1.5 mg/dL × 17.1 = 25.7 umol/L MSH|^~\&|SIM_LAB|MEDSCHOOL|EHR_SIM|CAMPUS|20240601120000||ORU^R01|MSG00003|P|2.5.1 PID|1||SIMPAT001^^^MEDSIM^MR||Doe^Jane^A||19850315|F OBR|1|ORD009|ACC009|BMP^Basic Metabolic Panel^L|||20240601080000 NTE|1||Collection Date: 2024-06-01 - New electrolyte abnormalities OBX|1|NM|2951-2^Sodium^LN|1|147|mEq/L|136-145|H|||F|||20240601090000 NTE|1||ANSWER KEY: Hypernatremia - Value 147 exceeds upper limit of 145 OBX|2|NM|2951-2^Sodium^LN|1.SI|147|mmol/L|136-145|H|||F|||20240601090000 OBX|3|NM|2823-3^Potassium^LN|1|5.6|mEq/L|3.5-5.0|H|||F|||20240601090000 NTE|1||ANSWER KEY: Hyperkalemia - Value 5.6 exceeds upper limit of 5.0 NTE|2||Clinical significance: Cardiac monitoring recommended OBX|4|NM|2823-3^Potassium^LN|1.SI|5.6|mmol/L|3.5-5.0|H|||F|||20240601090000 OBX|5|NM|3094-0^BUN^LN|1|25|mg/dL|7-20|H|||F|||20240601090000 NTE|1||ANSWER KEY: Elevated BUN - Value 25 exceeds upper limit of 20 OBX|6|NM|3094-0^BUN^LN|1.SI|8.9|mmol/L|2.5-7.1|H|||F|||20240601090000 OBX|7|NM|2160-0^Creatinine^LN|1|1.10|mg/dL|0.6-1.2||||F|||20240601090000 OBX|8|NM|2160-0^Creatinine^LN|1.SI|97.2|umol/L|53-106||||F|||20240601090000 OBR|2|ORD010|ACC010|CBC^Complete Blood Count^L|||20240601080000 NTE|1||Leukocytosis with left shift OBX|9|NM|6690-2^WBC^LN|1|11.5|x10^3/uL|3.4-10.8|H|||F|||20240601090000 NTE|1||ANSWER KEY: Leukocytosis - Value 11.5 exceeds upper limit of 10.8 NTE|2||Clinical correlation: Infection vs inflammation vs stress response OBX|10|NM|6690-2^WBC^LN|1.SI|11.5|x10^9/L|3.4-10.8|H|||F|||20240601090000 OBX|11|NM|789-8^RBC^LN|1|4.22|x10^6/uL|3.77-5.28||||F|||20240601090000 OBX|12|NM|789-8^RBC^LN|1.SI|4.22|x10^12/L|3.77-5.28||||F|||20240601090000 OBX|13|NM|718-7^Hemoglobin^LN|1|13.0|g/dL|11.1-15.9||||F|||20240601090000 OBX|14|NM|718-7^Hemoglobin^LN|1.SI|130|g/L|111-159||||F|||20240601090000 OBX|15|NM|4544-3^Hematocrit^LN|1|40.8|%|32.0-47.0||||F|||20240601090000 OBX|16|NM|4544-3^Hematocrit^LN|1.SI|0.408|L/L|0.32-0.47||||F|||20240601090000 OBR|3|ORD011|ACC011|DIFF^Differential^L|||20240601080000 OBX|17|NM|751-8^Neutrophils Abs^LN|1|7.8|x10^3/uL|1.4-7.0|H|||F|||20240601090000 NTE|1||ANSWER KEY: Neutrophilia - Value 7.8 exceeds upper limit of 7.0 NTE|2||Correlates with leukocytosis - bacterial infection likely OBX|18|NM|751-8^Neutrophils Abs^LN|1.SI|7.8|x10^9/L|1.4-7.0|H|||F|||20240601090000 OBR|4|ORD012|ACC012|LFT^Liver Function Tests^L|||20240601080000 NTE|1||Hepatocellular pattern of injury OBX|19|NM|1742-6^ALT^LN|1|65|U/L|7-56|H|||F|||20240601090000 NTE|1||ANSWER KEY: Elevated ALT - Value 65 exceeds upper limit of 56 NTE|2||Clinical correlation: Hepatocellular injury - viral vs toxic vs ischemic OBX|20|NM|1920-8^AST^LN|1|19|U/L|10-40||||F|||20240601090000 OBX|21|NM|1975-2^Total Bilirubin^LN|1|0.9|mg/dL|0.1-1.2||||F|||20240601090000 OBX|22|NM|1975-2^Total Bilirubin^LN|1.SI|15.4|umol/L|1.7-20.5||||F|||20240601090000 MSH|^~\&|SIM_LAB|MEDSCHOOL|EHR_SIM|CAMPUS|20240615120000||ORU^R01|MSG00004|P|2.5.1 PID|1||SIMPAT001^^^MEDSIM^MR||Doe^Jane^A||19850315|F OBR|1|ORD013|ACC013|BMP^Basic Metabolic Panel^L|||20240615080000 OBX|1|NM|2951-2^Sodium^LN|1|140|mEq/L|136-145||||F|||20240615090000 OBX|2|NM|2951-2^Sodium^LN|1.SI|140|mmol/L|136-145||||F|||20240615090000 OBX|3|NM|2823-3^Potassium^LN|1|4.1|mEq/L|3.5-5.0||||F|||20240615090000 OBX|4|NM|2823-3^Potassium^LN|1.SI|4.1|mmol/L|3.5-5.0||||F|||20240615090000 OBX|5|NM|3094-0^BUN^LN|1|19|mg/dL|7-20||||F|||20240615090000 OBX|6|NM|3094-0^BUN^LN|1.SI|6.8|mmol/L|2.5-7.1||||F|||20240615090000 OBX|7|NM|2160-0^Creatinine^LN|1|0.88|mg/dL|0.6-1.2||||F|||20240615090000 OBX|8|NM|2160-0^Creatinine^LN|1.SI|77.8|umol/L|53-106||||F|||20240615090000 OBR|2|ORD014|ACC014|CBC^Complete Blood Count^L|||20240615080000 NTE|1||Mild anemia persists OBX|9|NM|6690-2^WBC^LN|1|4.8|x10^3/uL|3.4-10.8||||F|||20240615090000 OBX|10|NM|6690-2^WBC^LN|1.SI|4.8|x10^9/L|3.4-10.8||||F|||20240615090000 OBX|11|NM|789-8^RBC^LN|1|3.55|x10^6/uL|3.77-5.28|L|||F|||20240615090000 NTE|1||ANSWER KEY: Low RBC - Value 3.55 is below reference range 3.77-5.28 OBX|12|NM|789-8^RBC^LN|1.SI|3.55|x10^12/L|3.77-5.28|L|||F|||20240615090000 OBX|13|NM|718-7^Hemoglobin^LN|1|11.0|g/dL|11.1-15.9|L|||F|||20240615090000 NTE|1||ANSWER KEY: Borderline anemia - Value 11.0 just below reference range 11.1 OBX|14|NM|718-7^Hemoglobin^LN|1.SI|110|g/L|111-159|L|||F|||20240615090000 OBX|15|NM|4544-3^Hematocrit^LN|1|32.5|%|32.0-47.0||||F|||20240615090000 OBX|16|NM|4544-3^Hematocrit^LN|1.SI|0.325|L/L|0.32-0.47||||F|||20240615090000 OBR|3|ORD015|ACC015|DIFF^Differential^L|||20240615080000 OBX|17|NM|751-8^Neutrophils Abs^LN|1|2.90|x10^3/uL|1.4-7.0||||F|||20240615090000 OBX|18|NM|751-8^Neutrophils Abs^LN|1.SI|2.90|x10^9/L|1.4-7.0||||F|||20240615090000 OBR|4|ORD016|ACC016|LFT^Liver Function Tests^L|||20240615080000 NTE|1||New AST elevation OBX|19|NM|1742-6^ALT^LN|1|35|U/L|7-56||||F|||20240615090000 OBX|20|NM|1920-8^AST^LN|1|48|U/L|10-40|H|||F|||20240615090000 NTE|1||ANSWER KEY: Elevated AST - Value 48 exceeds upper limit of 40 NTE|2||ALT normalized but AST now elevated - consider muscle source vs alcohol OBX|21|NM|1975-2^Total Bilirubin^LN|1|0.7|mg/dL|0.1-1.2||||F|||20240615090000 OBX|22|NM|1975-2^Total Bilirubin^LN|1.SI|12.0|umol/L|1.7-20.5||||F|||20240615090000 MSH|^~\&|SIM_LAB|MEDSCHOOL|EHR_SIM|CAMPUS|20240701120000||ORU^R01|MSG00005|P|2.5.1 PID|1||SIMPAT001^^^MEDSIM^MR||Doe^Jane^A||19850315|F OBR|1|ORD017|ACC017|BMP^Basic Metabolic Panel^L|||20240701080000 NTE|1||Collection Date: 2024-07-01 - Mostly normalized OBX|1|NM|2951-2^Sodium^LN|1|135|mEq/L|136-145|L|||F|||20240701090000 NTE|1||ANSWER KEY: Borderline hyponatremia - Value 135 is 1 below cutoff NTE|2||Clinical significance: May not require treatment OBX|2|NM|2951-2^Sodium^LN|1.SI|135|mmol/L|136-145|L|||F|||20240701090000 OBX|3|NM|2823-3^Potassium^LN|1|3.9|mEq/L|3.5-5.0||||F|||20240701090000 OBX|4|NM|2823-3^Potassium^LN|1.SI|3.9|mmol/L|3.5-5.0||||F|||20240701090000 OBX|5|NM|3094-0^BUN^LN|1|17|mg/dL|7-20||||F|||20240701090000 OBX|6|NM|3094-0^BUN^LN|1.SI|6.1|mmol/L|2.5-7.1||||F|||20240701090000 OBX|7|NM|2160-0^Creatinine^LN|1|0.95|mg/dL|0.6-1.2||||F|||20240701090000 OBX|8|NM|2160-0^Creatinine^LN|1.SI|83.9|umol/L|53-106||||F|||20240701090000 OBR|2|ORD018|ACC018|CBC^Complete Blood Count^L|||20240701080000 OBX|9|NM|6690-2^WBC^LN|1|3.9|x10^3/uL|3.4-10.8||||F|||20240701090000 OBX|10|NM|6690-2^WBC^LN|1.SI|3.9|x10^9/L|3.4-10.8||||F|||20240701090000 OBX|11|NM|789-8^RBC^LN|1|4.10|x10^6/uL|3.77-5.28||||F|||20240701090000 OBX|12|NM|789-8^RBC^LN|1.SI|4.10|x10^12/L|3.77-5.28||||F|||20240701090000 OBX|13|NM|718-7^Hemoglobin^LN|1|13.1|g/dL|11.1-15.9||||F|||20240701090000 OBX|14|NM|718-7^Hemoglobin^LN|1.SI|131|g/L|111-159||||F|||20240701090000 OBX|15|NM|4544-3^Hematocrit^LN|1|41.2|%|32.0-47.0||||F|||20240701090000 OBX|16|NM|4544-3^Hematocrit^LN|1.SI|0.412|L/L|0.32-0.47||||F|||20240701090000 OBR|3|ORD019|ACC019|DIFF^Differential^L|||20240701080000 OBX|17|NM|751-8^Neutrophils Abs^LN|1|2.75|x10^3/uL|1.4-7.0||||F|||20240701090000 OBX|18|NM|751-8^Neutrophils Abs^LN|1.SI|2.75|x10^9/L|1.4-7.0||||F|||20240701090000 OBR|4|ORD020|ACC020|LFT^Liver Function Tests^L|||20240701080000 NTE|1||All liver enzymes normalized OBX|19|NM|1742-6^ALT^LN|1|29|U/L|7-56||||F|||20240701090000 OBX|20|NM|1920-8^AST^LN|1|24|U/L|10-40||||F|||20240701090000 OBX|21|NM|1975-2^Total Bilirubin^LN|1|0.8|mg/dL|0.1-1.2||||F|||20240701090000 OBX|22|NM|1975-2^Total Bilirubin^LN|1.SI|13.7|umol/L|1.7-20.5||||F|||20240701090000
Parsed Message
No locations have been defined yet!
Parse another Message