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.LenElementv2.3.1FHIR
1..4-SIO1-00569OBX-1Set ID - OBX-
2..2-IDC1012500570OBX-2Value TypeLength-
3..250-CER1-00571OBX-3Observation IdentifierLength3 mappings
4..20-STC1-00572OBX-4Observation Sub-IdName2 mappings
5..65536-variesC*-00573OBX-5Observation Value53 mappings
6..250-CEO1-00574OBX-6UnitsLength12 mappings
7..60-STO1-00575OBX-7References Range2 mappings
8..5-ISO1007800576OBX-8Abnormal Flags22 mappings
9..5-NMO5-00577OBX-9Probability-
10..2-IDO1008000578OBX-10Nature of Abnormal Test4 mappings
11..1-IDR1008500579OBX-11Observation Result Status12 mappings
12..26-TSO1-00580OBX-12Date Last Observation Normal ValueName-
13..20-STO1-00581OBX-13User Defined Access Checks-
14..26-TSO1-00582OBX-14Date/Time of the Observation2 mappings
15..250-CEO1-00583OBX-15Producer's IDLength2 mappings
16..250-XCNO1-00584OBX-16Responsible Observer26 mappings
17..250-CEO*-00936OBX-17Observation MethodLength2 mappings
18..22-EIO*-01479OBX-18Equipment Instance IdentifierNEW2 mappings
19..26-TSO1-01480OBX-19Date/Time of the AnalysisNEW4 mappings
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