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HL7 ORU sending edits

I use HL7 ORU message to send clinical notes. At present, I just send notes as they are created and saved. But now I need to support edit and delete of the notes and convey the same to the receiving system.

How can I achieve edit / delete with this? I use ORU^R01 structure and use OBR and multiple OBX segments for my information. Thanks.

Solution

  • You will need to confirm with the receiving system how they want edits and deletes conveyed to them. But it is common to use the result status code in OBR-25 and/or the observation result status code in OBX-11.

    For example, if the clinical note is edited (aka. corrected or modified) send a C in OBR-25. If the clinical note is deleted send a X in OBR-25. Ultimately you will need to coordinate with the receiving system.

    FWIW, I commonly see these values in OBR-25:

    • P = preliminary
    • F = final
    • C = corrected / modified
    • X = cancelled / deleted / in-error