England Pathology and Laboratory Medicine (PaLM) Technical Framework - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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: Message Definition - Laboratory Result (R01)

Draft as of 2026-11-04

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<MessageDefinition xmlns="http://hl7.org/fhir">
  <id value="laboratory-result"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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
Filler (LIMS) to the Order Result Tracker (EPR, GP system, shared care record) for
<a href="LAB-3.html">Order Results Management [LAB-3]</a>, and by a Subcontractor to the Requester
for <a href="LAB-36.html">Sub-order Results Delivery [LAB-36]</a>.</p>
<p>Each OBR becomes a <a href="StructureDefinition-LaboratoryReport.html">Laboratory Report</a> and each
OBX a <a href="StructureDefinition-LaboratoryResult.html">Laboratory Result</a>. See
<a href="mapping.html">Mapping HL7 v2 and FHIR</a>.</p>
<p>The same content can be sent as a FHIR Document - the form used by the
<a href="PathologyReportingAPI.html">NHS England Pathology Laboratory Reporting API</a>.</p>
<p>The HL7 v2 acknowledgement <code>ACK^R01</code> is a FHIR response message (<code>MessageHeader.response</code>).</p>
</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>
  </text>
  <url
       value="https://examplesihe.org.uk/MessageDefinition/laboratory-result"/>
  <version value="0.1.0"/>
  <name value="LaboratoryResult"/>
  <title value="Laboratory Result (R01)"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-11-04"/>
  <publisher value="Kevin Mayfield"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://github.com/KevinMayfield/PathologyAndLaboratory"/>
    </telecom>
  </contact>
  <description
               value="FHIR Message equivalent of the HL7 v2.5.1 `ORU^R01^ORU_R01` message, sent by the Order
Filler (LIMS) to the Order Result Tracker (EPR, GP system, shared care record) for
[Order Results Management [LAB-3]](LAB-3.html), and by a Subcontractor to the Requester
for [Sub-order Results Delivery [LAB-36]](LAB-36.html).

Each OBR becomes a [Laboratory Report](StructureDefinition-LaboratoryReport.html) and each
OBX a [Laboratory Result](StructureDefinition-LaboratoryResult.html). See
[Mapping HL7 v2 and FHIR](mapping.html).

The same content can be sent as a FHIR Document - the form used by the
[NHS England Pathology Laboratory Reporting API](PathologyReportingAPI.html).

The HL7 v2 acknowledgement `ACK^R01` is a FHIR response message (`MessageHeader.response`)."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <eventCoding>
    <system value="http://terminology.hl7.org/CodeSystem/v2-0003"/>
    <code value="R01"/>
    <display
             value="ORU/ACK - Unsolicited transmission of an observation message"/>
  </eventCoding>
  <category value="consequence"/>
  <focus>
    <code value="DiagnosticReport"/>
    <profile
             value="https://examplesihe.org.uk/StructureDefinition/LaboratoryReport"/>
    <min value="1"/>
    <max value="*"/>
  </focus>
  <responseRequired value="always"/>
</MessageDefinition>