Medtox EDI: Electronic Data Interchange – Results Delivered Electronically
We’ve made changes to how we report some items for Medox EDI.
Medtox provides EDI in their own proprietary format; quasi HL7 data. The T segment in the Medox EDI data file reports substances and respective results. Technically the T segment is Medtox’s “Observation Segment.” Some Medtox T segments report observed values for items such as Test Names, Price, Status, Units of Measure and others, which are not specific to a particular substance in the panel but represent overall qualitative values associated with the sample.
For Example:
T|1|95000||TEST NAME|ST|MIRTAZAPINE|||||||
T|2|95020||PRICE|ST|?.??|||||||
T|3|95040||RESULT|ST|NEGATIVE|||||||
T|4|95060||FLAG|ST|??|||||||
T|5|95080||NORMAL|ST|Normal Value|||||||
T|6|95100||UNIT OF MEASURE|ST|units|||||||
T|10|2529||DRUG TEST RESULT|ST|NEGATIVE|||||||
T|11|2526||DRUG TEST RESULT|ST|DILUTE|||||||
Some of these observed values do not fit into the standard reporting paradigm for substances; some T segments report qualitative results, such as Negative or Positive and some T segments report quantitative, or numeric values for levels of the drug that was detected.
DTNet now takes some T values and reports them in the Lab Notes.
The observations noted above will report in the Lab Notes section of the data record as:
TEST NAME: MIRTAZAPINE
PRICE: ?.??
RESULT: NEGATIVE
FLAG: ??
NORMAL: Normal Value
UNIT OF MEASURE: units
DRUG TEST RESULT: NEGATIVE
DRUG TEST RESULT: DILUTE
NOTE: Some T segment values are used to set flags in the DTNet result record; If Dilute is detected in these T segments, the boolean value for “Dilute” is set in the report record for the test. Adulterated tests are monitored in a similar manner as well. Medtox reports dilute, adulterated and substituted in multiple ways within a single report and DTNet monitors all the different ways to insure the status is not overlooked.
Previously, DTNet did not include lab comments in the Lab Notes section of the report record. Lab Comments are provided through the “C” segment of their proprietary format. The comments have always been preserved in the EDI Data component of the report record but not specifically in “Lab Notes” included on the standard report.
All C segments are now reported in Lab Notes and appear on the customer copy of the report along with the T segments outlined above.