The OBX segment is used to transmit a single observation or observation fragment. It represents the smallest indivisible unit of a report. Its structure is summarized in Figure 7-5.

Its principal mission is to carry information about observations in report messages. But the OBX can also be part of an observation order (see Section 4.2, "Order Message Definitions"). In this case, the OBX carries clinical information needed by the filler to interpret the observation the filler makes. For example, an OBX is needed to report the inspired oxygen on an order for a blood oxygen to a blood gas lab, or to report the menstrual phase information which should be included on an order for a pap smear to a cytology lab. Appendix 7A includes codes for identifying many of pieces of information needed by observation producing services to properly interpret a test result. OBX is also found in other HL7 messages that need to include patient clinical information.

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C.LenElementv2.2FHIR
1..4-SIO1-00569OBX-1Set ID - OBX2-
2..2-IDR1012500570OBX-2Value Type-
3..590-CER1-00571OBX-3Observation IdentifierLength3 mappings
4..20-STC1-00572OBX-4Observation Sub-ID2 mappings
5..65536-variesC*-00573OBX-5Observation ValueRepetition53 mappings
6..60-CEO1-00574OBX-6UnitsOptionality12 mappings
7..10-STO1-00575OBX-7References Range22 mappings
8..5-IDO5007800576OBX-8Abnormal Flags22 mappings
9..5-NMO1-00577OBX-9ProbabilityOptionality-
10..2-IDO1008000578OBX-10Nature of Abnormal TestLength4 mappings
11..1-IDR1008500579OBX-11Observ Result Status212 mappings
12..26-TSC1-00580OBX-12Date Last Obs Normal Values2-
13..20-STO1-00581OBX-13User Defined Access ChecksOptionality-
14..26-TSO1-00582OBX-14Date/Time of the Observation22 mappings
15..60-CEC1-00583OBX-15Producer's IDOptionality2 mappings
16..80-XCNO1-00584OBX-16Responsible Observer36 mappings
17..80-CEO*-00936OBX-17Observation MethodNEW2 mappings
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