The OBX segment is used to transmit a single observation or observation fragment. It represents the smallest indivisible unit of a report. The OBX segment can also contain encapsulated data, e.g., a CDA document or a DICOM image.

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 4.4, _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.LenElementv2.4FHIR
1..4-SIO1-00569OBX-1Set ID - OBX-
2..2-IDC1012500570OBX-2Value Type-
3..250-CER1-00571OBX-3Observation Identifier3 mappings
4..20-STC1-00572OBX-4Observation Sub-IDName2 mappings
5..99999-variesC*-00573OBX-5Observation ValueLength53 mappings
6..250-CEO1-00574OBX-6Units12 mappings
7..60-STO1-00575OBX-7References Range2 mappings
8..5-ISO*007800576OBX-8Abnormal FlagsRepetition2 mappings
9..5-NMO1-00577OBX-9ProbabilityRepetition-
10..2-IDO*008000578OBX-10Nature of Abnormal TestRepetition4 mappings
11..1-IDR1008500579OBX-11Observation Result Status12 mappings
12..26-TSO1-00580OBX-12Effective Date of Reference RangeName-
13..20-STO1-00581OBX-13User Defined Access Checks-
14..26-TSO1-00582OBX-14Date/Time of the Observation2 mappings
15..250-CEO1-00583OBX-15Producer's ID2 mappings
16..250-XCNO*-00584OBX-16Responsible ObserverRepetition6 mappings
17..250-CEO*-00936OBX-17Observation Method2 mappings
18..22-EIO*-01479OBX-18Equipment Instance Identifier2 mappings
19..26-TSO1-01480OBX-19Date/Time of the Analysis4 mappings
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Also Referenced In(5)