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HL7 V2 | TRIGGER EVENT R01

ORU^R01: Unsolicited transmission of an observation message

The standard results message: lab results, radiology and pathology reports, and other observations. OBR describes the order or report, and each OBX carries one result value, with units, reference range and abnormal flag.

Message type
ORU · Unsolicited transmission of an observation message
Trigger event
R01
Message structure
ORU_R01 · per HL7's current table 0354; older versions sometimes paired events differently
In MSH-9
ORU^R01^ORU_R01
Response
ACK · General acknowledgment message

Segments in ORU_R01 and their FHIR resources

The segments of the ORU_R01 structure as listed in the HL7 v2-to-FHIR Implementation Guide, with the FHIR resources each one maps to. Square brackets mean optional and braces mean the segment can repeat. Indented segments belong to the group above them; “required” means required whenever that group is present.

SegmentNameRequiredFHIR resources
MSHMessage HeaderYesBundle MessageHeader Provenance
[{ SFT }]Software SegmentNo · repeatsProvenance
[UAC]User Authentication CredentialNo—
PATIENT_RESULT groupYes · repeats
PATIENT groupNo
PIDPatient IdentificationYesPatient Provenance
[PD1]Additional DemographicsNoPatient Observation
[{PRT}]Participation (for Patient)No · repeatsPractitionerRole RelatedPerson
[{NTE}]Notes and CommentsNo · repeats—
[{NK1}]Next of Kin/Associated PartiesNo · repeatsRelatedPerson Patient
[{ARV}]Access RestrictionsNo · repeats—
PATIENT_OBSERVATION groupNo · repeats
OBXObservation (for Patient ID)YesObservation
[{PRT}]Participation (Observation Participation)No · repeatsDevice Observation PractitionerRole
VISIT groupNo
PV1Patient VisitYesEncounter Basic Patient Coverage
[PV2]Patient Visit - Additional InfoNoEncounter
[{PRT}]Participation (for Patient Visit)No · repeatsPractitionerRole
ORDER_OBSERVATION groupYes · repeats
COMMON_ORDER groupNo
ORCOrder commonYesDiagnosticReport ServiceRequest
[{PRT}]Participation (for Observation)No · repeatsPractitionerRole
ORDER_DOCUMENT groupNo
OBXObservation containing DocumentYes—
[{PRT}]ParticipationNo · repeats—
TXATranscription Document HeaderYes—
OBRObservations RequestYesDiagnosticReport Specimen ServiceRequest
{[NTE]}Notes and commentsNo · repeats—
[{PRT}]Participation (for Observation)No · repeatsPractitionerRole
TIMING_QTY groupNo · repeats
TQ1Timing/QuantityYes—
[{TQ2}]Timing/Quantity Order SequenceNo · repeats—
[CTD]Contact DataNo—
OBSERVATION groupNo · repeats
OBXObservation related to OBRYesObservation
[{PRT}]Participation (Observation Participation)No · repeatsDevice Observation PractitionerRole
{[NTE]}Notes and commentsNo · repeatsObservation
[{FT1}]Financial TransactionNo · repeats—
{[CTI]}Clinical Trial IdentificationNo · repeats—
SPECIMEN groupNo · repeats
SPMSpecimenYesSpecimen
SPECIMEN_OBSERVATION groupNo · repeats
OBXObservation (for Patient ID)YesObservation
[{PRT}]Participation (Observation Participation)No · repeats—
[DSC]Continuation PointerNo—

Source: HL7 Terminology (THO) 7.4.0 and the HL7 v2-to-FHIR Implementation Guide 1.0.0, published by HL7 International under CC0. Check your trading partner's specification for the values they actually send.