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SCD - Anti-Microbial Cycle Data Segment

The SCD segment contains cycle data representing an instance of a sterilization or decontamination.

HL7 Attribute Table - SCD - Anti-Microbial Cycle Data Segment
Seq# DataElement Description Must Implement Flags Cardinality Length C.LEN Vocabulary DataType
SCD
1 02104 Cycle Start Time [0..1] TM
2 02105 Cycle Count = [0..1] 16 NM
3 02106 Temp Max [0..1] CQ
4 02107 Temp Min [0..1] CQ
5 02108 Load Number = [0..1] 16 NM
6 02109 Condition Time [0..1] CQ
7 02110 Sterilize Time [0..1] CQ
8 02111 Exhaust Time [0..1] CQ
9 02112 Total Cycle Time [0..1] CQ
10 02113 Device Status [0..1] CWE
11 02114 Cycle Start Date/Time [0..1] DTM
12 02115 Dry Time [0..1] CQ
13 02116 Leak Rate [0..1] CQ
14 02117 Control Temperature [0..1] CQ
15 02118 Sterilizer Temperature [0..1] CQ
16 02119 Cycle Complete Time [0..1] TM
17 02120 Under Temperature [0..1] CQ
18 02121 Over Temperature [0..1] CQ
19 02122 Abort Cycle [0..1] CNE
20 02123 Alarm [0..1] CNE
21 02124 Long in Charge Phase [0..1] CNE
22 02125 Long in Exhaust Phase [0..1] CNE
23 02126 Long in Fast Exhaust Phase [0..1] CNE
24 02127 Reset [0..1] CNE
25 02128 Operator - Unload [0..1] XCN
26 02129 Door Open [0..1] CNE
27 02130 Reading Failure [0..1] CNE
28 02131 Cycle Type [0..1] CWE
29 02132 Thermal Rinse Time [0..1] CQ
30 02133 Wash Time [0..1] CQ
31 02134 Injection Rate [0..1] CQ
32 00393 Procedure Code [0..1] CNE
33 00106 Patient Identifier List [0..*] CX
34 00137 Attending Doctor [0..1] XCN
35 01356 Dilution Factor [0..1] SN
36 02139 Fill Time [0..1] CQ
37 02140 Inlet Temperature [0..1] CQ

SCD-1: Cycle Start Time (TM) 02104

Definition: The time that the load cycle begins.

SCD-2: Cycle Count (NM) 02105

Definition: The number of cycles that have been completed.

SCD-3: Temp Max (CQ) 02106

Definition: The maximum temperature achieved during a specific cycle.

SCD-4: Temp Min (CQ) 02107

Definition: The minimum temperature achieved during a specific cycle.

SCD-5: Load Number (NM) 02108

Definition: A number assigned to the load by the anti-microbial device. This number is incremented by the machine per cycle during the day and reset at midnight.

SCD-6: Condition Time (CQ) 02109

Definition: The actual amount of cycle time spent in the conditioning phase. For example, in a pre-vac sterilizer the condition phase is achieved by pulsing the machine six times to create a vacuum.

SCD-7: Sterilize Time (CQ) 02110

Definition: The actual amount of cycle time spent sterilizing supplies.

SCD-8: Exhaust Time (CQ) 02111

Definition: The actual amount of cycle time spent draining pressure from the sterilizer chamber.

SCD-9: Total Cycle Time (CQ) 02112

Definition: The sum of time spent in all phases of a cycle.

SCD-10: Device Status (CWE) 02113

Definition: The status of a device.     Refer to User-defined Table 0682 – Device Status in Chapter 2C, Code Tables, for suggested values.

SCD-11: Cycle Start Date/Time (DTM) 02114

Definition: The date and time that the cycle started.

SCD-12: Dry Time (CQ) 02115

Definition: The amount of cycle time spent drying the load.

SCD-13: Leak Rate (CQ) 02116

Definition: The amount of pressure that the chamber can hold expressed as barometric pressure.

SCD-14: Control Temperature (CQ) 02117

Definition: Amount of overdrive above the sterilize temperature.

SCD-15: Sterilizer Temperature (CQ) 02118

Definition: The current temperature in the anti-microbial device.

SCD-16: Cycle Complete Time (TM) 02119

Definition: The time of day that the cycle completed.

SCD-17: Under Temperature (CQ) 02120

Definition: The temperature reached during a cycle, which fell below the required temperature range.

SCD-18: Over Temperature (CQ) 02121

Definition: The temperature reached during a cycle, which exceeded the required temperature.

SCD-19: Abort Cycle (CNE) 02122

Definition: A notification that the cycle was aborted. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

SCD-20: Alarm (CNE) 02123

Definition: A notification that the time, temperature, or pressure reached is invalid for a specific phase of a cycle. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

SCD-21: Long in Charge Phase (CNE) 02124

Definition: A notification that the charge phase in the cycle has exceeded the maximum time allowed. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

SCD-22: Long in Exhaust Phase (CNE) 02125

Definition: A notification that the exhaust phase in the cycle has exceeded the maximum time allowed. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

SCD-23: Long in Fast Exhaust Phase (CNE) 02126

Definition: A notification that the fast exhaust phase in the cycle has exceeded the maximum time allowed. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

SCD-24: Reset (CNE) 02127

Definition: An indicator that specific anti-microbial device parameters have been set to system defaults. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

SCD-25: Operator - Unload (XCN) 02128

Definition: The name of the operator that unloaded the anti-microbial device.

SCD-26: Door Open (CNE) 02129

Definition: An indicator that the door is open. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

SCD-27: Reading Failure (CNE) 02130

Definition: A notification that an error was encountered while reading the cycle data for a specific cycle. Refer to HL7 Table 0532 - Expanded Yes/no Indicator in Chapter 2C, Code Tables, for valid values.

SCD-28: Cycle Type (CWE) 02131

Definition: The type of cycle that is being executed. A cycle type is a specific sterilization method used for a specific type of supply item. Refer to User-defined Table 0702 – Cycle Type in Chapter 2C, Code Tables, for suggested values.

SCD-29: Thermal Rinse Time (CQ) 02132

Definition: The amount of time spent in the thermal rinse phase of a decontamination cycle.

SCD-30: Wash Time (CQ) 02133

Definition: The amount of time spent in the wash phase of a decontamination cycle.

SCD-31: Injection Rate (CQ) 02134

Definition: The injection rate of a wash or dry agent.

SCD-32: Procedure Code (CNE) 00393

(Definition from OBR.44 in Ch. 4)

Definition: This field contains a unique identifier assigned to the procedure, if any, associated with the charge. Refer to Externally-defined table 0088 – Procedure code in Chapter 2C, Code Tables, for suggested values. This field is a coded data type for compatibility with clinical and ancillary systems.

As of version 2.6, applicable external coding systems include those in the referenced table. If the code set used is in the referenced table, then the coding scheme designation in the table shall be used.

(Definition from FT1.25 in Ch. 6)

Definition: This field contains a unique identifier assigned to the procedure, if any, associated with the charge. Refer to Externally-defined Table 0088 - Procedure Code in Chapter 2C, Code Tables, for suggested values. This field is a coded data type for compatibility with clinical and ancillary systems.

As of v 2.6, the known applicable external coding systems include those in the table below. If the code set you are using is in this table, then you must use that designation.

Procedure Code Coding Systems (from HL7 Table 0396)

Code

Description

Comment / Source

C4

CPT-4

American Medical Association, P.O. Box 10946, Chicago IL 60610.

C5

CPT-5

(under development – same contact as above)

HCPCS

CMS (formerly HCFA) Common Procedure Coding System

HCPCS: contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.

HPC

CMS (formerly HCFA )Procedure Codes (HCPCS)

Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.

I10P

ICD-10 Procedure Codes

Procedure Coding System (ICD-10-PCS.) See http://www/hcfa.gov/stats/icd10.icd10.htm for more information.


(Definition from PR1.3 in Ch. 6)

Definition: This field contains a unique identifier assigned to the procedure. Refer to Externally-defined Table 0088 - Procedure Code in Chapter 2C, Code Tables, for suggested values. This field is a CNE data type for compatibility with clinical and ancillary systems.

(Definition from OBR.44 in Ch. 7)

Definition: This field contains a unique identifier assigned to the procedure, if any, associated with the charge. Refer to Externally-defined table 0088 – Procedure code in Chapter 2C, Code Tables, for suggested values. This field is a coded data type for compatibility with clinical and ancillary systems.

As of version 2.6, applicable external coding systems include those in the referenced table. If the code set used is in the referenced table, then the coding scheme designation in the table shall be used.

(Definition from CDM.7 in Ch. 8)

Definition: This field contains the procedure code for procedure, if any, associated with this charge description. Repeating field allows for different procedure coding systems such as CPT4, ICD9. Coded entry made up of code plus coding schema. Refer to Externally-defined Table 0088 - Procedure Code in Chapter 2C, Code Tables, for suggested values.

(Definition from IIM.14 in Ch. 17)

Definition: This field contains a unique identifier assigned to the service item, if any, associated with the charge. In the United States this is often the HCPCS code. Refer to Externally Defined Table 0088 - Procedure Code in Chapter 2C, Code Tables, for suggested values. This field is a CNE data type for compatibility with clinical and ancillary systems.

As of v2.6, the known applicable external coding systems include those in the table below. If the code set you are using is in this table, then you must use that designation.

Procedure Code Coding Systems

Coding System

Description

Comment

C4

CPT-4

American Medical Association, P.O. Box 10946, Chicago IL 60610.

C5

CPT-5

(under development – same contact as above)

HCPCS

CMS (formerly HCFA) Common Procedure Coding System

HCPCS: contains codes for medical equipment, injectable drugs, transportation services, and other services not found in CPT4.

HPC

CMS (formerly HCFA) Procedure Codes (HCPCS)

Health Care Financing Administration (HCFA) Common Procedure Coding System (HCPCS) including modifiers.


(Definition from ITM.27 in Ch. 17)

Definition: This field contains a unique identifier assigned to the service item, if any, associated with the charge. In the United States this is often the HCPCS code. Refer to Externally defined Table 0088 - Procedure code for suggested values. This field is a CNE data type for compatibility with clinical and ancillary systems. Refer to HL7 Table 0088 – Procedure Coding Systems in Chapter 2C, Code Tables, for valid values.

As of v2.6, the known applicable external coding systems include those in the table below. If the code set you are using is in this table, then you must use that designation.

(Definition from SCD.32 in Ch. 17)

Definition: The unique identifier indicating the type of procedure performed on the patient with the supplies being sterilized.

Refer to HL7 Table 0088 – Procedure Code in Chapter 2C, Code Tables, for suggested values.

As of v2.6, the known applicable external coding systems include those in the referenced table. If the code set you are using is in this table, then you must use that designation.

SCD-33: Patient Identifier List (CX) 00106

(Definition from PID.3 in Ch. 3)

Definition: This field contains the list of identifiers (one or more) used by the healthcare facility to uniquely identify a patient (e.g., medical record number, billing number, birth registry, national unique individual identifier, etc.). In Canada, the Canadian Provincial Healthcare Number should be sent in this field. The arbitrary term of "internal ID" has been removed from the name of this field for clarity.

(Definition from SCD.33 in Ch. 17)

Definition: The unique identifier associating the patient with the supplies being sterilized.

SCD-34: Attending Doctor (XCN) 00137

(Definition from PV1.7 in Ch. 3)

Definition: This field contains the attending physician information. Multiple names and identifiers for the same physician may be sent. The field sequences are not used to indicate multiple attending doctors. As of v2.7, if XCN.1 ID Number is populated, then the XCN.13 Identifier Type Code and the XCN.9 Assigning Authority or XCN.22 Assigning Jurisdiction or XCN.23 Assigning Agency or Department are required. If XCN.2 Family Name is populated, then the XCN.10 Name Type Code is required. No assumptions can be safely made based on position or sequence. Specification of meaning based on sequence is deprecated. Depending on local agreements, either ID or the name may be absent in this field. Refer to User-defined Table 0010 - Physician ID in Chapter 2C, Code Tables, for suggested values.

(Definition from SCD.34 in Ch. 17)

Definition: The unique identifier associating the physician with the supplies being sterilized, used for the procedure and patient identified in this message. Refer to User-defined Table 0010 - Physician ID in Chapter 2C, Code Tables, for suggested values.

SCD-35: Dilution Factor (SN) 01356

(Definition from SAC.29 in Ch. 13)

Definition: This field identifies the factor of dilution already performed on the specimen. The equipment entity that changes the dilution is responsible for sending this information to other equipment. If the endogenous content of the test (analyte) in the diluent is required for the calculation of the test (analyte) concentration, then the test (analyte) specific values should be exchanged between the systems via Master Files or other means.

Examples of use:

|^1^:^5|    - means dilution 1 to 5, i.e., 1 part sample, 4 parts diluent

|^1^+|    - sample is diluted, but the factor is unknown

|^1^:^1|    - not diluted sample

||    - dilution not changed

(Definition from SCD.35 in Ch. 17)

Definition: The dilution ratio of peracetic acid to water.

SCD-36: Fill Time (CQ) 02139

Definition: The amount of time spent in filling the sterilizer chamber with dilutant.

SCD-37: Inlet Temperature (CQ) 02140

Definition: The temperature of the dilutant upon entering the sterilizer chamber.