Clinical flowsheets are critical operational data streams that power real-time patient communication and predictive capabilities. In the ED, flowsheet data (particularly ESI, vitals, and triage documentation) forms the foundation of our wait time predictions and patient flow modeling. For inpatient stays, flowsheet data drives our automated whiteboard updates and helps identify potential discharge barriers.
Across both settings, flowsheet data enables:
Personalized patient education based on clinical context
Real-time status updates without requiring staff intervention
Enhanced discharge planning and readmission risk assessment
Automated tracking of patient progress against care milestones
AI-powered translation of clinical events into patient-friendly updates
Required Rows
ESI
Vital Signs
Triage & Assessment Forms
Medication Administration
Discharge Forms
Deceased Forms
Inpatient Goals & Plans
We support all event types and we support all segments and fields. Below is our minimum required segment and field specification.
Segment | Field | Field / Expected Value | Comments |
MSH | 1 | Field Separator |
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MSH | 2 | ^~& |
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MSH | 3 | Sending Application |
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MSH | 4 | Facility Identifier | Unique identifier per facility, e.g. ACME |
MSH | 5 | Receiving Application |
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MSH | 6 | Interface Identifier | FLOW |
MSH | 7 | Date/Time of Message |
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MSH | 9 | Message Type |
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MSH | 10 | Message Control ID |
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MSH | 11 | Processing ID | T for Test, P for Prod |
MSH | 12 | Version ID |
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Segment | Field | Field / Expected Value | Comments |
EVN | 1 | Event Type Code |
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EVN | 2 | Recorded Date/Time |
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EVN | 4 | Event Reason Code |
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Segment | Field | Field / Expected Value | Comments |
PID | 1 | Set ID |
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PID | 2 | Patient ID | Enterprise MRN |
PID | 3 | Patient Identifier List | Facility MRN |
PID | 18 | Patient Account Number |
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Segment | Field | Field / Expected Value | Comments |
PV1 | 1 | Set ID |
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PV1 | 2 | Patient Class | Values table required |
PV1 | 10 | Hospital Service | Values table required |
PV1 | 18 | Patient Type |
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PV1 | 19 | Visit Number |
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Segment | Field | Field / Expected Value | Comments |
OBR | 1 | Set ID |
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OBR | 3 | Filler Order Number |
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OBR | 4 | Universal Service Identifier |
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OBR | 7 | Observation Date/Time |
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OBR | 21 | Filler Field |
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OBR | 22 | Result Date/Time |
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OBR | 24 | Diagnostic Service ID |
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OBR | 25 | Result Status |
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OBR | 27 | Quantity/Timing |
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Segment | Field | Field / Expected Value | Comments |
OBX | 1 | Set ID |
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OBX | 2 | Value Type |
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OBX | 3 | Observation Identifier | LOINC or CPT code |
OBX | 5 | Observation Value |
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OBX | 6 | Units |
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OBX | 7 | Reference Range |
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OBX | 8 | Abnormal Flags | Values table required |
OBX | 11 | Observation Result Status |
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OBX | 14 | Date/Time of Observation |
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Segment | Field | Field / Expected Value | Comments |
NTE | 1 | Set ID |
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NTE | 2 | Source of Comment |
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NTE | 3 | Comment |
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