The ORU message transmits observations and results from the producing system (such as an EKG or MRI system) to the ordering system (such as a physician’s office).
These mappings build on the mappings specified in the ADT message for the common segments.
Note
The Common Order segment (ORC) is used to transmit fields that are common to all orders (all types of services that are requested).
| Seq | ORC Element | Salesforce Object | Field |
|---|---|---|---|
| 2 | Placer Order Number | EhrProcedure | SourceSystem, SourceSystemID |
| 3 | Filler Order Number | EhrObservation | SourceSystem, SourceSystemId |
| 5 | Order Status | EhrProcedure | Status |
| 5 | Order Status | EhrProcedureRequest | Status |
| 9 | Date/Time of Transaction | EhrProcedure | PerformedDateTime |
| 9 | Date/Time of Transaction | EhrProcedureRequest | ScheduledDateTime |
| 12 | Ordering Provider | EhrProcedureRequest | OrderedBy |
| 13 | Enterer’s Location | EhrProcedure | Location |
| 21 | Ordering Facility Name | EhrProcedure | Location |
In the reporting of clinical data, the OBR serves as the report header. It identifies the observation set represented by a series of atomic observations.
| Seq | HL7 Element | Salesforce Object | Field |
|---|---|---|---|
| 2 | Placer Order Number | EHRProcedure | SourceSystem, SourceSystemID |
| 3 | Filler Order Number | EhrObservation | SourceSystem, SourceSystemId |
| 4 | Universal Service Identifier | EhrProcedure | Code, odeLabel |
| 6 | Requested Date/Time | EHRProcedureRequest | OrderedOn |
| 7 | Observation Date/Time | EhrProcedure | PerformedDateTime |
| 7 | Observation Date/Time | EhrObservation | AppliesDateTime |
| 13 | Relevant Clinical Information | EhrCondition | No specific field, but can be mapped to EhrCondition |
| 14 | Specimen Received Date/Time | EhrProcedure | PerformedDateTime |
| 14 | Specimen Received Date/Time | EhrObservation | AppliesDateTime |
| 15 | Specimen Source | EhrObservation | BodySiteCode, BodySiteLabel, BodySiteSystem |
| 16 | Ordering Provider | EhrProcedureRequest | OrderedBy |
| 22 | Results Rpt/Status Chng - Date/Time | EhrProcedure | SourceSystemModified |
| 22 | Results Rpt/Status Chng - Date/Time | EhrObservation | SourceSystemModified |
| 25 | Result Status | EhrObservation | Status, StatusCode |
| 32 | Principal Result Interpreter | EhrObservation | Practitioner |
| 39 | Collector’s Comment | EhrObservation | Comments |
| Seq | HL7 Element | Salesforce Object | Field |
|---|---|---|---|
| 3 | Comment | EHRProcedure | Notes |
The OBX segment is used to transmit a single observation or observation fragment. It represents the smallest indivisible unit of a report.
| Seq | HL7 Element | Salesforce Object | Field |
|---|---|---|---|
| 3 | Observation Identifier | EhrObservation | MethodCode, MethodLabel, MethodSystem |
| 5 | Observation Value | EhrObservation | ValueLabel, ValueQuantity |
| 6 | Units | EhrObservation | ValueQuantityUnit |
| 7 | References Range | EhrObservation | ReferenceRangeHighValue, ReferenceRangeHighUnit, |
| 7 | References Range | EhrObservation | ReferenceRangeLowValue, ReferenceRangeLowUnit |
| 8 | Abnormal Flags | EhrObservation | InterpretationCode, InterpretationLabel, InterpretationSystem |
| 11 | Observation Result Status | EhrObservation | Status, StatusCode |
| 14 | Date/Time of the Observation | EhrObservation | AppliesDateTime |
| 16 | Responsible Observer | EhrObservation | Practitioner |
| 17 | Observation Method | EhrObservation | MethodCode, MethodLabel |
| 18 | Equipment Instance Identifier | EhrObservation | Device |
| 25 | Performing Organization Medical Director | Potentially mapped through Performing Practitioner/ address on EHR Practitioner |
| Seq | HL7 Element | Salesforce Object | Field |
|---|---|---|---|
| 3 | Comment | EhrObservation | Comments |
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