England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: Message Definition - Laboratory Result (R01)

Draft as of 2026-11-04

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{
  "resourceType" : "MessageDefinition",
  "id" : "laboratory-result",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: MessageDefinition laboratory-result</b></p><a name=\"laboratory-result\"> </a><a name=\"hclaboratory-result\"> </a><p><b>url</b>: <a href=\"MessageDefinition-laboratory-result.html\">MessageDefinition Laboratory Result (R01)</a></p><p><b>version</b>: 0.1.0</p><p><b>name</b>: LaboratoryResult</p><p><b>title</b>: Laboratory Result (R01)</p><p><b>status</b>: Draft</p><p><b>experimental</b>: true</p><p><b>date</b>: 2026-11-04</p><p><b>publisher</b>: Kevin Mayfield</p><p><b>contact</b>: <a href=\"https://github.com/KevinMayfield/PathologyAndLaboratory\">https://github.com/KevinMayfield/PathologyAndLaboratory</a></p><p><b>description</b>: </p><div><p>FHIR Message equivalent of the HL7 v2.5.1 <code>ORU^R01^ORU_R01</code> message, sent by the Order\nFiller (LIMS) to the Order Result Tracker (EPR, GP system, shared care record) for\n<a href=\"LAB-3.html\">Order Results Management [LAB-3]</a>, and by a Subcontractor to the Requester\nfor <a href=\"LAB-36.html\">Sub-order Results Delivery [LAB-36]</a>.</p>\n<p>Each OBR becomes a <a href=\"StructureDefinition-LaboratoryReport.html\">Laboratory Report</a> and each\nOBX a <a href=\"StructureDefinition-LaboratoryResult.html\">Laboratory Result</a>. See\n<a href=\"mapping.html\">Mapping HL7 v2 and FHIR</a>.</p>\n<p>The same content can be sent as a FHIR Document - the form used by the\n<a href=\"PathologyReportingAPI.html\">NHS England Pathology Laboratory Reporting API</a>.</p>\n<p>The HL7 v2 acknowledgement <code>ACK^R01</code> is a FHIR response message (<code>MessageHeader.response</code>).</p>\n</div><p><b>jurisdiction</b>: <span title=\"Codes:{urn:iso:std:iso:3166 GB}\">United Kingdom of Great Britain and Northern Ireland</span></p><p><b>event</b>: <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v2-0003.html#v2-0003-R01\">event: R01</a> (ORU/ACK - Unsolicited transmission of an observation message)</p><p><b>category</b>: Consequence</p><h3>Focus</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Code</b></td><td><b>Profile</b></td><td><b>Min</b></td><td><b>Max</b></td></tr><tr><td style=\"display: none\">*</td><td>DiagnosticReport</td><td><a href=\"StructureDefinition-LaboratoryReport.html\">Laboratory Report</a></td><td>1</td><td>*</td></tr></table><p><b>responseRequired</b>: Always</p></div>"
  },
  "url" : "https://examplesihe.org.uk/MessageDefinition/laboratory-result",
  "version" : "0.1.0",
  "name" : "LaboratoryResult",
  "title" : "Laboratory Result (R01)",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-11-04",
  "publisher" : "Kevin Mayfield",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://github.com/KevinMayfield/PathologyAndLaboratory"
        }
      ]
    }
  ],
  "description" : "FHIR Message equivalent of the HL7 v2.5.1 `ORU^R01^ORU_R01` message, sent by the Order\nFiller (LIMS) to the Order Result Tracker (EPR, GP system, shared care record) for\n[Order Results Management [LAB-3]](LAB-3.html), and by a Subcontractor to the Requester\nfor [Sub-order Results Delivery [LAB-36]](LAB-36.html).\n\nEach OBR becomes a [Laboratory Report](StructureDefinition-LaboratoryReport.html) and each\nOBX a [Laboratory Result](StructureDefinition-LaboratoryResult.html). See\n[Mapping HL7 v2 and FHIR](mapping.html).\n\nThe same content can be sent as a FHIR Document - the form used by the\n[NHS England Pathology Laboratory Reporting API](PathologyReportingAPI.html).\n\nThe HL7 v2 acknowledgement `ACK^R01` is a FHIR response message (`MessageHeader.response`).",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "GB",
          "display" : "United Kingdom of Great Britain and Northern Ireland"
        }
      ]
    }
  ],
  "eventCoding" : {
    "system" : "http://terminology.hl7.org/CodeSystem/v2-0003",
    "code" : "R01",
    "display" : "ORU/ACK - Unsolicited transmission of an observation message"
  },
  "category" : "consequence",
  "focus" : [
    {
      "code" : "DiagnosticReport",
      "profile" : "https://examplesihe.org.uk/StructureDefinition/LaboratoryReport",
      "min" : 1,
      "max" : "*"
    }
  ],
  "responseRequired" : "always"
}