OBR

OBSERVATION REQUEST

...

In the reporting of clinical data, the OBR serves as the report header. It identifies the observation set represented by the following atomic observations. It includes the relevant ordering information when that applies. It contains many of the attributes that usually apply to all of the included observations.

When a set of observations is ordered, the order message contains an OBR segment. However, observations can be collected and reported without an antecedent order. When observations are reported, the report message also includes one or more OBR segments. So, the OBR segment is like a turn-around document. Some fields in the OBR segment apply only to the ordering message and some to the reporting message. To those familiar with health care procedures, these should be obvious from their names (e.g., transcriptionist or principal result interpreter could only apply to the reporting phase). However, we have also flagged them in Table 7.6 to indicate whether placer, filler, or both may send data in a given field.

RRequiredOOptionalCConditionalWWithdrawn|#Date/Time*Backward compat.+Filler

		C.Len						Element		v2.1	FHIR
1	..4	-	SI	O	1	-	00237	OBR-1	Set ID - Observation Request	2	-
2	..75	-	CM_PLACER	C	1	-	00216	OBR-2	Placer Order Number	3	7 mappings
3	..75	-	CM_FILLER	C	1	-	00217	OBR-3	Filler Order Number	3	6 mappings
4	..200	-	CE	R	1	-	00238	OBR-4	Universal Service ID	Name	2 mappings
5	..2	-	ID	O	1	-	00239	OBR-5	Priority (not used)	3	priority
6	..26	-	TS	O	1	-	00240	OBR-6	Requested date / time (not used)	3	occurrenceDateTime
7	..26	-	TS	C	1	-	00241	OBR-7	Observation date / time	3	4 mappings
8	..26	-	TS	C	1	-	00242	OBR-8	Observation end date / time	3	2 mappings
9	..20	-	CQ_QUANTITY	C	1	-	00243	OBR-9	Collection Volume	4	collection.quantity
10	..60	-	CN_PERSON	O	*	-	00244	OBR-10	Collector Identifier	3	collection.collector(Practitioner)
11	..1	-	ID	O	1	0065	00245	OBR-11	Specimen action code	3	3 mappings
12	..60	-	CE	O	1	-	00246	OBR-12	Danger Code	4	-
13	..300	-	ST	O	1	-	00247	OBR-13	Relevant clinical information	2	4 mappings
14	..26	-	TS	C	1	-	00248	OBR-14	Specimen received date / time	3	receivedTime
15	..300	-	CM_SPS	O	1	0070	00249	OBR-15	Specimen source	3	$this
16	..80	-	CN_PERSON	O	1	-	00226	OBR-16	Ordering Provider	6	requester(Practitioner)
17	..40	-	TN	O	2	-	00250	OBR-17	Order Callback Phone Number	2	2 mappings
18	..60	-	ST	O	1	-	00251	OBR-18	Placer field 1	2	-
19	..60	-	ST	O	1	-	00252	OBR-19	Placer field 2	2	-
20	..60	-	ST	O	1	-	00253	OBR-20	Filler Field 1	2	-
21	..60	-	ST	O	1	-	00254	OBR-21	Filler Field 2	2	-
22	..26	-	TS	C	1	-	00255	OBR-22	Results report / status change - date / time	3	issued
23	..40	-	CM_MOC	O	1	-	00256	OBR-23	Charge to Practice	3	-
24	..10	-	ID	O	1	0074	00257	OBR-24	Diagnostic service section ID	2	category
25	..1	-	ID	C	1	0123	00258	OBR-25	Result Status	2	status
26	..200	-	CM_UNDEFINED	O	1	-	00259	OBR-26	Parent Result	3	-
27	..200	-	TQ	O	*	-	00221	OBR-27	Quantity / timing	3	$this
28	..150	-	CN_PERSON	O	5	-	00260	OBR-28	Result Copies To	4	-
29	..150	-	CM_EIP	O	1	-	00261	OBR-29	Parent Number	3	4 mappings
30	..20	-	ID	O	1	0124	00262	OBR-30	Transportation Mode	2	-
31	..300	-	CE	O	*	-	00263	OBR-31	Reason for Study	2	reasonCode
32	..60	-	CM_NDL	O	1	-	00264	OBR-32	Principal Result Interpreter	3	resultsInterpreter(PractitionerRole)
33	..60	-	CM_NDL	O	*	-	00265	OBR-33	Assistant Result Interpreter	4	-
34	..60	-	CM_NDL	O	*	-	00266	OBR-34	Technician	4	4 mappings
35	..60	-	CM_NDL	O	*	-	00267	OBR-35	Transcriptionist	4	4 mappings
36	..26	-	TS	O	1	-	00268	OBR-36	Scheduled date / time	3	-

Editorial Comments for OBR10

Field 5

--> 4.5.1.5

BSW

Field 2

= ORC-2 --> 4.5.1.2, 4.3.1.2

BSW

Field 3

= ORC-3 --> 4.5.1.3, 4.3.1.3

BSW

Field 6

--> 4.5.1.6

BSW

Field 16

= ORC-12 --> 4.5.1.16

BSW

Field 17

= ORC-14. Daher sollte die Itemnummer 228 sein --> 4.3.1.14

BSW

Field 18

compare with OBR-2, ORC-2

BSW

Field 19

compare with OBR-2, ORC-2

BSW

Field 22

--> 4.5.1.22

BSW

Field 27

= ORC-7 --> 4.3.1.7

BSW