Example #1
In the following message, the name of the patient is mentioned in the patient update note (NTE.3).
MSH|^~&|SYSTEM-A|1|||20100404210829||ADT^A08|20100404000000645509|P|2.3|||||CA|ASCII
PID|0001|ID53572812^^^|0126271^^^^^1||SMITH^JOHN||195307280000|M|SMITH^JOHN||1 FIFTH AVENUE^NEW YORK^NEW YORK^^33333^USA^P^53052^16||(555)555-5555|(555)555-5555|^|2|||238898464|||||||||C1||N
NTE|||Mr. Smith provided new phone numbers
If the patient name (PID.5.1 field) is listed among the de-identification rules, you can configure a new field to detect the patient name within NTE.3
| Segment |
Field |
Component |
Subcomponent |
ID |
Generator |
| PID |
5 – Patient Name |
1 – Family Name |
|
|
Excel File |
| NTE |
3 – Comment |
|
|
|
Unstructured Data |
Using these settings, the de-identified message will look like this:
MSH|^~&|SYSTEM-A|1|||20100404210829||ADT^A08|20100404000000645509|P|2.3|||||CA|ASCII
PID|0001|ID53572812^^^|0126271^^^^^1||Doe^JOHN||195307280000|M|SMITH^JOHN||1 FIFTH AVENUE^NEW YORK^NEW YORK^^33333^USA^P^53052^16||(555)555-5555|(555)555-5555|^|2|||238898464|||||||||C1||N
NTE|||Mr Doe provided new phone numbers
Example #2
MSH|^~&|SYSTEM-A|1|||20100404210829||ADT^A08|20100404000000645509|P|2.3|||||CA|ASCII
PID|0001|ID53572812^^^|0126271^^^^^1||SMITH^JOHN||195307280000|M|SMITH^JOHN||1 FIFTH AVENUE^NEW YORK^NEW YORK^^33333^USA^P^53052^16||(555)555-5555|(555)555-5555|^|2|||238898464|||||||||C1||N
NTE|||Mr Smith ( ID53572812 ) provided new phone numbers
NTE|||Mr Smith also provided a new address
If the patient name (PID.2 field) is listed among the de-identification rules, you can configure a new field to detect the patient ID within NTE.3
| Segment |
Field |
Component |
Subcomponent |
ID |
Generator |
| PID |
2 – Patient ID |
|
|
|
Numeric |
| PID |
5 – Patient Name |
1 – Family Name |
|
|
Excel File |
| NTE |
3 – Comment |
|
|
|
Unstructured Data |
Using these settings, the de-identified message will look like this:
MSH|^~&|SYSTEM-A|1|||20100404210829||ADT^A08|20100404000000645509|P|2.3|||||CA|ASCII
PID|0001|123459876^^^|0126271^^^^^1||Doe^JOHN||195307280000|M|SMITH^JOHN||1 FIFTH AVENUE^NEW YORK^NEW YORK^^33333^USA^P^53052^16||(555)555-5555|(555)555-5555|^|2|||238898464|||||||||C1||N
NTE|||Mr Doe (123459876) provided new phone numbers
NTE|||Mr Doe also provided a new address
Example #3
Sometimes, a field may be Base64-encoded, as seen below.
MSH|^~&|SYSTEM-A|1|||20100404210829||ADT^A08|20100404000000645509|P|2.3|||||CA|ASCII
PID|0001|ID53572812^^^|0126271^^^^^1||SMITH^JOHN||195307280000|M|SMITH^JOHN||1 FIFTH AVENUE^NEW YORK^NEW YORK^^33333^USA^P^53052^16||(555)555-5555|(555)555-5555|^|2|||238898464|||||||||C1||N
NTE|||TXIuIFNtaXRoIHByb3ZpZGVkIG5ldyBwaG9uZSBudW1iZXJz
In the above message, the decoded value of the NTE.3 field is “Mr. Smith provided new phone numbers”. To detect and de-identify the patient’s name, in addition to including the patient name (PID.5.1 field) into the de-identification rules, you need to tick the “Decode message field from base 64 format before De-Identifying” checkbox. This will decode the field, de-identify it, and then re-encode it into Base64.
| Segment |
Field |
Component |
Subcomponent |
ID |
Generator |
| PID |
5 – Patient Name |
1 – Family Name |
|
|
Excel File |
| NTE |
3 – Comment |
|
|
|
Unstructured Data |
Using these settings, the de-identified message will look like this:
MSH|^~&|SYSTEM-A|1|||20100404210829||ADT^A08|20100404000000645509|P|2.3|||||CA|ASCII
PID|0001|ID53572812^^^|0126271^^^^^1||Doe^JOHN||195307280000|M|SMITH^JOHN||1 FIFTH AVENUE^NEW YORK^NEW YORK^^33333^USA^P^53052^16||(555)555-5555|(555)555-5555|^|2|||238898464|||||||||C1||N
NTE|||TXIuIERvZSBwcm92aWRlZCBuZXcgcGhvbmUgbnVtYmVycw==
The decoded value of the above NTE.3 field is “Mr. Doe provided new phone numbers.”