Inbound ####### .. _oru_in_messages: Inbound Messages ================ .. _oru_in_r01: ORU - Unsolicited Observation Result Message (Event R01) -------------------------------------------------------- Supported HL7 version: 2.3.1 (RAD-28), 2.5.1 (RAD-128) Trigger Event ^^^^^^^^^^^^^ When DICOM Structured Reports are verified and finalized by the Report Manager, the Report Manager sends unsolicited ORU transactions to the Image Manager. Image Manager creates/updates the study with the referenced Structured Report in the HL7 message. .. _oru_in_segments: Supported Segments ^^^^^^^^^^^^^^^^^^ The following segments are processed from an incoming ORU^R01^ORU_R01 message: .. csv-table:: Supported segments of ORU^R01^ORU_R01 (HL7 versions 2.3.1) :header: Segment, Meaning, HL7 Chapter :widths: 25, 50, 25 MSH - :ref:`tab_msh_231`, Message Header, 2 PID - :ref:`tab_pid_231`, Patient Identification, 3 NTE - :ref:`tab_nte_231`, Notes and Comments (for PID), 2 PV1 - :ref:`tab_pv1_231`, Patient Visit, 3 OBR - :ref:`tab_obr_231_oru`, Order Detail, 4 OBX - :ref:`tab_obx_231`, Observation Results, 7 .. csv-table:: Supported segments of ORU^R01^ORU_R01 (HL7 v2.5.1) :header: Segment, Meaning, Usage, Card., HL7 chapter :widths: 15, 40, 15, 15, 15 MSH - :ref:`tab_msh_251`, Message Header, R, [1..1], 2 PID - :ref:`tab_pid_251`, Patient Identification, R, [1..1], 3 NTE - :ref:`tab_nte_251`, Notes and Comments (for PID), O, [0..1], 2 PV1 - :ref:`tab_pv1_251`, Patient Visit, O, [0..1], 3 OBR - :ref:`tab_obr_251_oru`, Order Detail, R, [1..*], 4 OBX - :ref:`tab_obx_251`, Order Detail, R, [1..*], 4 Performed Actions ^^^^^^^^^^^^^^^^^ Patient Demographic Information are extracted from the PID segment of the received message and mapped into corresponding DICOM attributes as defined in :ref:`adt_in_pid_dicom`. If a Patient record with the extracted primary Patient ID already exists in the database, that Patient record will get updated. If there is no such Patient record a new Patient record will be inserted into the database [#hl7NoPatientCreateMessageType]_. Based on the information received in the OBR and OBX segments, a SR / PDF / CDA object is stored to the study. .. [#hl7NoPatientCreateMessageType] The creation of new Patient records will be suppressed for message types which are listed by configuration parameter *HL7 No Patient Create Message Type(s)* of |product|. .. _oru_segments: Inbound Message Segments ======================== .. _oru_in_msh: MSH - Message Header segment ---------------------------- Same as specified in :ref:`tab_msh_231` or :ref:`tab_msh_251` .. _oru_in_pid: PID - Patient Identification segment ------------------------------------ Same as specified in :ref:`tab_pid_231` or :ref:`tab_pid_251` .. _oru_in_nte: NTE - Notes and Comments segment (for PID) ------------------------------------------ Same as specified in :ref:`tab_nte_231` or :ref:`tab_nte_251` .. _oru_in_pv1: PV1 - Patient Visit segment --------------------------- Same as specified in :ref:`tab_pv1_231` or :ref:`tab_pv1_251` .. _oru_in_obr: OBR - Observation Request segment --------------------------------- .. csv-table:: OBR - Observation Request segment (HL7 v2.3.1) :name: tab_obr_231_oru :header: SEQ, LEN, DT, OPT, TBL#, ITEM #, Element Name :widths: 8, 8, 8, 8, 8, 12, 48 1, 4, SI, O, , 00237, SetID - OBR 2, 75, EI, R, , 00216, **Placer Order Number** 3, 75, EI, O, , 00217, **Filler Order Number** 4, 200, CE, R, , 00238, **Universal Service ID** 5, 2, ID, O, , 00239, Priority 6, 26, TS, O, , 00240, Requested Date/Time 7, 26, TS, O, , 00241, **Observation Date/Time** 8, 26, TS, O, , 00242, Observation End Date/Time 9, 20, CQ, O, , 00243, Collection Volume 10, 60, XCN, O, , 00244, Collection Identifier 11, 1, ID, O, 0065, 00245, Specimen Action Code 12, 60, CE, R2, , 00246, Danger Code 13, 300, ST, C, , 00247, Relevant Clinical Info 14, 26, TS, O, , 00248, Specimen Received Date/Time 15, 300, CM, C, 0070, 00249, Specimen Source 16, 80, XCN, R, , 00226, Ordering Provider 17, 40, XTN, O, , 00250, Order Callback Phone Number 18, 60, ST, O, , 00251, **Placer Field 1** 19, 60, ST, O, , 00252, Placer Field 2 20, 60, ST, O, , 00253, Filler Field 1 21, 60, ST, O, , 00254, Filler Field 2 22, 26, TS, O, , 00255, Results Rpt/Status Chng - Date/Time 23, 40, CM, O, , 00256, Charge to Practice 24, 10, ID, O, 0074, 00257, Diagnostic Service Sect ID 25, 1, ID, O, 0123, 00258, **Result Status** 26, 400, CM, O, , 00259, Parent Result 27, 200, TQ, R, , 00221, Quantity/Timing 28, 150, XCN, O, , 00260, Result Copies To 29, 150, CM, C, , 00261, Parent 30, 20, ID, R2, 0124, 00262, Transportation Mode 31, 300, CE, R2, , 00263, Reason For Study 32, 200, CM, O, , 00264, **Principal Result Interpreter** 33, 200, CM, O, , 00265, Assistant Result Interpreter 34, 200, CM, O, , 00266, **Technician** 35, 200, CM, O, , 00267, Transcriptionist 36, 26, TS, O, , 00268, Scheduled Date/Time 37, 4, NM, O, , 01028, Number of Sample Containers 38, 60, CE, O, , 01029, Transport Logistics of Collected Sample 39, 200, CE, O, , 01030, Collector's Comment 40, 60, CE, O, , 01031, Transport Arrangement Responsibility 41, 30, ID, R2, 0224, 01032, Transport Arranged 42, 1, ID, O, 0225, 01033, Escort Required 43, 200, CE, O, , 01034, Planned Patient Transport Comment 44, 80, CE, O, 0088, 00393, Procedure Code 45, 80, CE, O, 0340, 01036, Procedure Code Modifier .. csv-table:: OBR - Observation Request segment (HL7 v2.5.1) :name: tab_obr_251_oru :header: SEQ, LEN, DT, OPT, TBL#, ITEM #, Element Name :widths: 8, 8, 8, 8, 8, 12, 48 1, 4, SI, O, , 00237, SetID - OBR 2, 22, EI, R, , 00216, **Placer Order Number** 3, 22, EI, O, , 00217, **Filler Order Number** 4, 250, CE, R, , 00238, **Universal Service ID** 5, 2, ID, O, , 00239, Priority 6, 26, TS, O, , 00240, Requested Date/Time 7, 26, TS, O, , 00241, **Observation Date/Time** 8, 26, TS, O, , 00242, Observation End Date/Time 9, 20, CQ, O, , 00243, Collection Volume 10, 250, XCN, O, , 00244, Collection Identifier 11, 1, ID, O, 0065, 00245, Specimen Action Code 12, 250, CE, R2, , 00246, Danger Code 13, 300, ST, C, , 00247, Relevant Clinical Info 14, 26, TS, X, , 00248, Specimen Received Date/Time 15, 300, SPS, X, 0070, 00249, Specimen Source 16, 250, XCN, R, , 00226, Ordering Provider 17, 250, XTN, O, , 00250, Order Callback Phone Number 18, 60, ST, O, , 00251, **Placer Field 1** 19, 60, ST, O, , 00252, Placer Field 2 20, 60, ST, O, , 00253, Filler Field 1 21, 60, ST, O, , 00254, Filler Field 2 22, 26, TS, O, , 00255, Results Rpt/Status Chng - Date/Time 23, 40, MOC, O, , 00256, Charge to Practice 24, 10, ID, O, 0074, 00257, Diagnostic Service Sect ID 25, 1, ID, O, 0123, 00258, **Result Status** 26, 400, PRL, O, , 00259, Parent Result 27, 200, TQ, X, , 00221, Quantity/Timing 28, 250, XCN, O, , 00260, Result Copies To 29, 200, EIP, C, , 00261, Parent 30, 20, ID, R2, 0124, 00262, Transportation Mode 31, 250, CE, R2, , 00263, Reason For Study 32, 200, NDL, O, , 00264, **Principal Result Interpreter** 33, 200, NDL, O, , 00265, Assistant Result Interpreter 34, 200, NDL, O, , 00266, **Technician** 35, 200, NDL, O, , 00267, Transcriptionist 36, 26, TS, O, , 00268, Scheduled Date/Time 37, 4, NM, O, , 01028, Number of Sample Containers 38, 250, CE, O, , 01029, Transport Logistics of Collected Sample 39, 250, CE, O, , 01030, Collector's Comment 40, 250, CE, O, , 01031, Transport Arrangement Responsibility 41, 30, ID, R2, 0224, 01032, Transport Arranged 42, 1, ID, O, 0225, 01033, Escort Required 43, 250, CE, O, , 01034, Planned Patient Transport Comment 44, 250, CE, O, 0088, 00393, Procedure Code 45, 250, CE, O, 0340, 01036, Procedure Code Modifier 46, 250, CE, R2, 0411, 01474, Placer Supplemental Service Information 47, 250, CE, R2, 0411, 01475, Filler Supplemental Service Information 48, 250, CWE, R2, 0476, 01646, Medically Necessary Duplicate Procedure Reason 49, 2, IS, O, 0507, 01647, Result Handling 50, 250, CWE, O, , 02286, Parent Universal Service Identifier .. _oru_in_obx: OBX - Observation Request segment --------------------------------- .. csv-table:: OBX - Observation/Result segment (HL7 v2.3.1) :name: tab_obx_231 :header: SEQ, LEN, DT, OPT, TBL#, ITEM #, Element Name :widths: 8, 8, 8, 8, 8, 12, 48 1, 4, SI, O, , 00569, SetID - OBX 2, 3, ID, C, 0125, 00570, Value Type 3, 80, CE, R, , 00571, **Observation Identifier** 4, 20, ST, C, , 00572, Observation Sub-ID 5, 65536³, *, C, , 00573, **Observation Value** 6, 60, CE, O, , 00574, Units 7, 60, ST, O, , 00575, References Range 8, 5, ID, O, 0078, 00576, Abnormal Flags 9, 5, NM, O, , 00577, Probability 10, 2, ID, O, 0080, 00578, Nature of Abnormal Test 11, 1, ID, R, 0085, 00579, Observation Result Status 12, 26, TS, O, , 00580, Date Last Obs Normal Values 13, 20, ST, O, , 00581, User Defined Access Checks 14, 26, TS, O, , 00582, Date/Time of the Observation 15, 60, CE, O, , 00583, Producer's ID 16, 80, XCN, O, , 00584, Responsible Observer 17, 60, CE, O, , 00936, Observation Method .. csv-table:: OBX - Observation/Result segment (HL7 v2.5.1) :name: tab_obx_251 :header: SEQ, LEN, DT, OPT, TBL#, ITEM #, Element Name :widths: 8, 8, 8, 8, 8, 12, 48 1, 4, SI, O, , 00569, SetID - OBX 2, 2, ID, C, 0125, 00570, Value Type 3, 250, CE, R, , 00571, **Observation Identifier** 4, 20, ST, C, , 00572, Observation Sub-ID 5, 99999, Varies, C, , 00573, **Observation Value** 6, 250, CE, O, , 00574, Units 7, 60, ST, O, , 00575, References Range 8, 5, IS, O, 0078, 00576, Abnormal Flags 9, 5, NM, O, , 00577, Probability 10, 2, ID, O, 0080, 00578, Nature of Abnormal Test 11, 1, ID, R, 0085, 00579, Observation Result Status 12, 26, TS, O, , 00580, Effective Date of Reference Range 13, 20, ST, O, , 00581, User Defined Access Checks 14, 26, TS, O, , 00582, Date/Time of the Observation 15, 250, CE, O, , 00583, Producer's ID 16, 250, XCN, O, , 00584, Responsible Observer 17, 250, CE, O, , 00936, Observation Method 18, 22, EI, O, , 01479, Equipment Instance Identifier 19, 26, TS, O, , 01480, Date/Time of Analysis 20, 0, ST, X, , , Reserved for harmonization with V2.6 21, 0, ST, X, , , Reserved for harmonization with V2.6 22, 0, ST, X, , , Reserved for harmonization with V2.6 23, 567, XON, O, , , **Performing Organization Name** 24, 631, XAD, O, , , Performing Organization Address 25, 3002, XCN, O, , , Performing Organization Medical Director Element names in **bold** indicates that the field is used by |product|. .. _oru_in_dicom: HL7 ORU to DICOM Mapping ======================== Mappings between HL7 and DICOM are illustrated in the following manner: - Element Name (HL7 item_number.component.sub-component #/ DICOM (group, element)) - The component / sub-component value is not listed if the HL7 element does not contain multiple components / sub-components. .. _oru_in_dicom_rad28: HL7 ORU Text Report to DICOM SR Mapping (RAD-28) ------------------------------------------------ Inverse of the mapping specified by `IHE Transaction Structured Report Export [RAD-28] `_ has been used. .. _oru_in_txt_report_dicom_sr_rad28: Mapping of HL7 ORU Text Report to DICOM SR Attributes ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ .. csv-table:: HL7 ORU Text Report to DICOM Structured Report Attributes mapping :name: oru_obr_obx_dicom :header: DICOM Attribute, DICOM Tag, HL7 Field, HL7 Item #, HL7 Segment, Notes/Default values **SOP Common** Specific Character Set, "(0008, 0005)", Character Set, 00692, MSH:18, [#Note9]_ **Patient Identification** Same as Patient Identification in :ref:`adt_in_pid_dicom` **Patient Demographic** Same as Patient Demographic in :ref:`adt_in_pid_dicom` **Patient Visit** Same as Visit Identification in :ref:`orm_to_dicom` **Patient Medical** Pregnancy Status, "(0010, 21C0)", Ambulatory Status, 00145, PV1:15, [#Note18]_ **Structured Report** Content Date, "(0008, 0023)", Observation Date/Time, 00241, OBR:7 Content Time, "(0008, 0033)", Observation Date/Time, 00241, OBR:7 Accession Number, "(0008, 0050)", Placer field 1, 00251, OBR:18 SOP Class UID, "(0008, 0016)",,,, 1.2.840.10008.5.1.4.1.1.88.11 Request Attributes Sequence, "(0040, 0275)" >Study Instance UID, "(0020, 000D)",,, OBX[1]:5, [#Note4]_ >Requesting Physician, "(0032, 1032)", Ordering Provider, 00226, OBR:16 >Accession Number, "(0008, 0050)", Placer Field 1, 00251, OBR:18 >Requested Procedure ID, "(0040, 1001)", Placer Field 2, 00252, OBR:19 >Requested Procedure Description, "(0032, 1060)", Universal Service ID, 00238, OBR:4.2 >Requested Procedure Code Sequence, "(0032, 1064)", Universal Service ID >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 >Placer Order Number Imaging Service Request, "(0040, 2016)", Placer Order Number, 00216, OBR:2, [#Note7]_ >Filler Order Number Imaging Service Request, "(0040, 2017)", Filler Order Number, 00217, OBR:3, [#Note7]_ Modality, "(0008, 0060)",,,, SR Institution Name, "(0008, 0080)",Performing Organization Name or Sending Facility,,OBX:23 or MSH:4, [#Note16]_ SOP Instance UID, "(0008, 0018)",,, OBX[1]:5, [#Note6]_ Study Instance UID, "(0020, 000D)",,, OBX[2]:5, [#Note4]_ Series Instance UID, "(0020, 000E)",,, OBX[3]:5, [#Note5]_ Instance Number, "(0020, 0013)",,,, 1 Value Type, "(0040, A040)",,,, CONTAINER Continuity Of Content, "(0040, A050)",,,, SEPARATE Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 11528-7 >>Code Scheme Designator, "(0008, 0102)",,,, LN >>Code Meaning, "(0008, 0104)",,,, Radiology Report Verifying Observer Sequence, "(0040, A073)" >Verifying Organization, "(0040, A027)",,,, Default Value : Verifying Organization >Verifying Observer Name, "(0040, A075)", Principal Result Interpreter, 00264, OBR:32.1, [#Note8]_ >Verification DateTime, "(0040, A030)", Observation Date/Time, 00241, OBR:7 Referenced Request Sequence, "(0040, A370)" >Study Instance UID, "(0020, 000D)",,, OBX[1]:5, [#Note4]_ >Requesting Physician, "(0032, 1032)", Ordering Provider, 00226, OBR:16 >Accession Number, "(0008, 0050)", Placer Field 1, 00251, OBR:18 >Requested Procedure ID, "(0040, 1001)", Placer Field 2, 00252, OBR:19 >Requested Procedure Description, "(0032, 1060)", Universal Service ID, 00238, OBR:4.2 >Requested Procedure Code Sequence, "(0032, 1064)", Universal Service ID >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 >Placer Order Number Imaging Service Request, "(0040, 2016)", Placer Order Number, 00216, OBR:2, [#Note7]_ >Filler Order Number Imaging Service Request, "(0040, 2017)", Filler Order Number, 00217, OBR:3, [#Note7]_ Completion Flag, "(0040, A491)", Result Status, 00258, OBR:25, [#Note1]_ Verification Flag, "(0040, A493)", Result Status, 00258, OBR:25, [#Note2]_ Content Sequence, "(0040, A730)",,,, [#Note3]_ Item 1 >Relationship Type, "(0040, A010)",,,, HAS CONCEPT MOD >Value Type, "(0040, A040)",,,, CODE >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121049 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Language of Content Item and Descendants >Concept Code Sequence, "(0040, A168)" >>Code Value, "(0008, 0100)",,,, eng >>Code Scheme Designator, "(0008, 0102)",,,, ISO639_2 >>Code Meaning, "(0008, 0104)",,,, English Item 2 >Relationship Type, "(0040, A010)",,,, HAS OBS CONTEXT >Value Type, "(0040, A040)",,,, PNAME >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121008 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Person Observer Name >Person Name, "(0040, A123)", Principal Result Interpreter, 00264, OBR:32.1 Item 3 >Relationship Type, "(0040, A010)",,,, HAS OBS CONTEXT >Value Type, "(0040, A040)",,,, CODE >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121023 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Procedure Code >Concept Code Sequence, "(0040, A168)" >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 Item 4 >Relationship Type, "(0040, A010)",,,, CONTAINS >Value Type, "(0040, A040)",,,, CONTAINER >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121060 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, History >Continuity Of Content, "(0040, A050)",,,, SEPARATE >Content Sequence, "(0040, A730)" >>Relationship Type, "(0040, A010)",,,, CONTAINS >>Value Type, "(0040, A040)",,,, TEXT >>Concept Name Code Sequence, "(0040, A043)" >>>Code Value, "(0008, 0100)",,,, 121060 >>>Code Scheme Designator, "(0008, 0102)",,,, DCM >>>Code Meaning, "(0008, 0104)",,,, History >>Text Value, "(0040, A160)",,, OBX:3/component='SR Text' Item 5 >Relationship Type, "(0040, A010)",,,, CONTAINS >Value Type, "(0040, A040)",,,, CONTAINER >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121070 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Findings >Continuity Of Content, "(0040, A050)",,,, SEPARATE >Content Sequence, "(0040, A730)" >>Relationship Type, "(0040, A010)",,,, CONTAINS >>Value Type, "(0040, A040)",,,, TEXT >>Concept Name Code Sequence, "(0040, A043)" >>>Code Value, "(0008, 0100)",,,, 121071 >>>Code Scheme Designator, "(0008, 0102)",,,, DCM >>>Code Meaning, "(0008, 0104)",,,, Finding >>Text Value, "(0040, A160)",,, OBX:3/component='SR Text' Item 6 >Relationship Type, "(0040, A010)",,,, CONTAINS >Value Type, "(0040, A040)",,,, CONTAINER >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121076 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Conclusions >Continuity Of Content, "(0040, A050)",,,, SEPARATE >Content Sequence, "(0040, A730)" >>Relationship Type, "(0040, A010)",,,, CONTAINS >>Value Type, "(0040, A040)",,,, TEXT >>Concept Name Code Sequence, "(0040, A043)" >>>Code Value, "(0008, 0100)",,,, 121077 >>>Code Scheme Designator, "(0008, 0102)",,,, DCM >>>Code Meaning, "(0008, 0104)",,,, Conclusion >>Text Value, "(0040, A160)",,, OBX:3/component='SR Text' .. _oru_in_dicom_rad128: HL7 ORU Report to DICOM Mapping (RAD-128) ----------------------------------------- Inverse of the mapping specified by `IHE Transaction Send Imaging Result [RAD-128] `_ has been used. .. _oru_in_txt_report_dicom_sr_rad128: Mapping of HL7 ORU Text Report to DICOM SR Attributes ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ .. csv-table:: HL7 ORU Text Report to DICOM Structured Report Attributes mapping :name: oru_obr_obx_dicom_sr_rad128 :header: DICOM Attribute, DICOM Tag, HL7 Field, HL7 Item #, HL7 Segment, Notes/Default values **SOP Common** Specific Character Set, "(0008, 0005)", Character Set, 00692, MSH:18, [#Note9]_ **Patient Identification** Same as Patient Identification in :ref:`adt_in_pid_dicom` **Patient Demographic** Same as Patient Demographic in :ref:`adt_in_pid_dicom` **Patient Visit** Same as Visit Identification in :ref:`orm_to_dicom` **Patient Medical** Pregnancy Status, "(0010, 21C0)", Ambulatory Status, 00145, PV1:15, [#Note18]_ **Structured Report** Content Date, "(0008, 0023)", Observation Date/Time, 00241, OBR:7 Content Time, "(0008, 0033)", Observation Date/Time, 00241, OBR:7 Accession Number, "(0008, 0050)", Placer field 1, 00251, OBR:18 SOP Class UID, "(0008, 0016)",,,, 1.2.840.10008.5.1.4.1.1.88.11 Request Attributes Sequence, "(0040, 0275)" >Study Instance UID, "(0020, 000D)",,, OBX[1]:5, [#Note4]_ >Requesting Physician, "(0032, 1032)", Ordering Provider, 00226, OBR:16 >Accession Number, "(0008, 0050)", Placer Field 1, 00251, OBR:18 >Requested Procedure ID, "(0040, 1001)", Placer Field 2, 00252, OBR:19 >Requested Procedure Description, "(0032, 1060)", Universal Service ID, 00238, OBR:4.2 >Requested Procedure Code Sequence, "(0032, 1064)", Universal Service ID >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 >Placer Order Number Imaging Service Request, "(0040, 2016)", Placer Order Number, 00216, OBR:2, [#Note7]_ >Filler Order Number Imaging Service Request, "(0040, 2017)", Filler Order Number, 00217, OBR:3, [#Note7]_ Modality, "(0008, 0060)",,,, SR Institution Name, "(0008, 0080)",Performing Organization Name or Sending Facility,,OBX:23 or MSH:4, [#Note16]_ Study Instance UID, "(0020, 000D)",,, OBX[2]:5, [#Note10]_ Instance Number, "(0020, 0013)",,,, 1 Value Type, "(0040, A040)",,,, CONTAINER Continuity Of Content, "(0040, A050)",,,, SEPARATE Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 11528-7 >>Code Scheme Designator, "(0008, 0102)",,,, LN >>Code Meaning, "(0008, 0104)",,,, Radiology Report Verifying Observer Sequence, "(0040, A073)" >Verifying Organization, "(0040, A027)",,,, Default Value : Verifying Organization >Verifying Observer Name, "(0040, A075)", Principal Result Interpreter, 00264, OBR:32.1, [#Note8]_ >Verification DateTime, "(0040, A030)", Observation Date/Time, 00241, OBR:7 Referenced Request Sequence, "(0040, A370)" >Study Instance UID, "(0020, 000D)",,, OBX[1]:5, [#Note4]_ >Requesting Physician, "(0032, 1032)", Ordering Provider, 00226, OBR:16 >Accession Number, "(0008, 0050)", Placer Field 1, 00251, OBR:18 >Requested Procedure ID, "(0040, 1001)", Placer Field 2, 00252, OBR:19 >Requested Procedure Description, "(0032, 1060)", Universal Service ID, 00238, OBR:4.2 >Requested Procedure Code Sequence, "(0032, 1064)", Universal Service ID >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 >Placer Order Number Imaging Service Request, "(0040, 2016)", Placer Order Number, 00216, OBR:2, [#Note7]_ >Filler Order Number Imaging Service Request, "(0040, 2017)", Filler Order Number, 00217, OBR:3, [#Note7]_ Completion Flag, "(0040, A491)", Result Status, 00258, OBR:25, [#Note1]_ Verification Flag, "(0040, A493)", Result Status, 00258, OBR:25, [#Note2]_ Content Sequence, "(0040, A730)",,,, [#Note3]_ Item 1 >Relationship Type, "(0040, A010)",,,, HAS CONCEPT MOD >Value Type, "(0040, A040)",,,, CODE >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121049 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Language of Content Item and Descendants >Concept Code Sequence, "(0040, A168)" >>Code Value, "(0008, 0100)",,,, eng >>Code Scheme Designator, "(0008, 0102)",,,, ISO639_2 >>Code Meaning, "(0008, 0104)",,,, English Item 2 >Relationship Type, "(0040, A010)",,,, HAS OBS CONTEXT >Value Type, "(0040, A040)",,,, PNAME >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121008 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Person Observer Name >Person Name, "(0040, A123)", Principal Result Interpreter, 00264, OBR:32.1 Item 3 >Relationship Type, "(0040, A010)",,,, HAS OBS CONTEXT >Value Type, "(0040, A040)",,,, CODE >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121023 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Procedure Code >Concept Code Sequence, "(0040, A168)" >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 Item 4 >Relationship Type, "(0040, A010)",,,, CONTAINS >Value Type, "(0040, A040)",,,, CONTAINER >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, OBX:3.1 >>Code Scheme Designator, "(0008, 0102)",,,, OBX:3.3 >>Code Meaning, "(0008, 0104)",,,, OBX:3.2 >Continuity Of Content, "(0040, A050)",,,, SEPARATE >Content Sequence, "(0040, A730)" >>Relationship Type, "(0040, A010)",,,, CONTAINS >>Value Type, "(0040, A040)",,,, TEXT or CODE, [#Note11]_ >>Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, OBX:3.1 >>Code Scheme Designator, "(0008, 0102)",,,, OBX:3.3 >>Code Meaning, "(0008, 0104)",,,, OBX:3.2 >>Text Value, "(0040, A160)",,, OBX:5, [#Note12]_ >>Concept Code Sequence, "(0040, A168)",,,,, [#Note13]_ >>>Code Value, "(0008, 0100)",,,, OBX:5.1 >>>Code Scheme Designator, "(0008, 0102)",,,, OBX:5.3 >>>Code Meaning, "(0008, 0104)",,,, OBX:5.2 .. _oru_in_cda_dicom_sr_rad128: Mapping of HL7 ORU containing CDA to Encapsulated CDA DICOM SR Attributes ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ .. csv-table:: HL7 ORU containing CDA to Encapsulated CDA DICOM Structured Report Attributes mapping :name: oru_obr_obx_dicom_cda_rad128 :header: DICOM Attribute, DICOM Tag, HL7 Field, HL7 Item #, HL7 Segment, Notes/Default values **SOP Common** Specific Character Set, "(0008, 0005)", Character Set, 00692, MSH:18, [#Note9]_ **Patient Identification** Same as Patient Identification in :ref:`adt_in_pid_dicom` **Patient Demographic** Same as Patient Demographic in :ref:`adt_in_pid_dicom` **Patient Visit** Same as Visit Identification in :ref:`orm_to_dicom` **Patient Medical** Pregnancy Status, "(0010, 21C0)", Ambulatory Status, 00145, PV1:15, [#Note18]_ **Structured Report** Content Date, "(0008, 0023)", Observation Date/Time, 00241, OBR:7 Content Time, "(0008, 0033)", Observation Date/Time, 00241, OBR:7 Accession Number, "(0008, 0050)", Placer field 1, 00251, OBR:18 SOP Class UID, "(0008, 0016)",,,, 1.2.840.10008.5.1.4.1.1.104.2 Request Attributes Sequence, "(0040, 0275)" >Study Instance UID, "(0020, 000D)",,, OBX[1]:5, [#Note4]_ >Requesting Physician, "(0032, 1032)", Ordering Provider, 00226, OBR:16 >Accession Number, "(0008, 0050)", Placer Field 1, 00251, OBR:18 >Requested Procedure ID, "(0040, 1001)", Placer Field 2, 00252, OBR:19 >Requested Procedure Description, "(0032, 1060)", Universal Service ID, 00238, OBR:4.2 >Requested Procedure Code Sequence, "(0032, 1064)", Universal Service ID >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 >Placer Order Number Imaging Service Request, "(0040, 2016)", Placer Order Number, 00216, OBR:2, [#Note7]_ >Filler Order Number Imaging Service Request, "(0040, 2017)", Filler Order Number, 00217, OBR:3, [#Note7]_ Modality, "(0008, 0060)",,,, SR Institution Name, "(0008, 0080)",Performing Organization Name or Sending Facility,,OBX:23 or MSH:4, [#Note16]_ Conversion Type, "(0008, 0064)",,,, WSD Burned In Annotation, "(0028, 0301)",,,, NO Encapsulated Document, "(0042, 0011)",,,, OBX:5.5, [#Note14]_ MIME Type of Encapsulated Document, "(0042, 0012)",,,, text/xml Study Instance UID, "(0020, 000D)",,, OBX[2]:5, [#Note10]_ Instance Number, "(0020, 0013)",,,, 1 Value Type, "(0040, A040)",,,, CONTAINER Continuity Of Content, "(0040, A050)",,,, SEPARATE Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 11528-7 >>Code Scheme Designator, "(0008, 0102)",,,, LN >>Code Meaning, "(0008, 0104)",,,, Radiology Report Verifying Observer Sequence, "(0040, A073)" >Verifying Organization, "(0040, A027)",,,, Default Value : Verifying Organization >Verifying Observer Name, "(0040, A075)", Principal Result Interpreter, 00264, OBR:32.1, [#Note8]_ >Verification DateTime, "(0040, A030)", Observation Date/Time, 00241, OBR:7 Referenced Request Sequence, "(0040, A370)" >Study Instance UID, "(0020, 000D)",,, OBX[1]:5, [#Note4]_ >Requesting Physician, "(0032, 1032)", Ordering Provider, 00226, OBR:16 >Accession Number, "(0008, 0050)", Placer Field 1, 00251, OBR:18 >Requested Procedure ID, "(0040, 1001)", Placer Field 2, 00252, OBR:19 >Requested Procedure Description, "(0032, 1060)", Universal Service ID, 00238, OBR:4.2 >Requested Procedure Code Sequence, "(0032, 1064)", Universal Service ID >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 >Placer Order Number Imaging Service Request, "(0040, 2016)", Placer Order Number, 00216, OBR:2, [#Note7]_ >Filler Order Number Imaging Service Request, "(0040, 2017)", Filler Order Number, 00217, OBR:3, [#Note7]_ Completion Flag, "(0040, A491)", Result Status, 00258, OBR:25, [#Note1]_ Verification Flag, "(0040, A493)", Result Status, 00258, OBR:25, [#Note2]_ Content Sequence, "(0040, A730)",,,, [#Note3]_ Item 1 >Relationship Type, "(0040, A010)",,,, HAS CONCEPT MOD >Value Type, "(0040, A040)",,,, CODE >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121049 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Language of Content Item and Descendants >Concept Code Sequence, "(0040, A168)" >>Code Value, "(0008, 0100)",,,, eng >>Code Scheme Designator, "(0008, 0102)",,,, ISO639_2 >>Code Meaning, "(0008, 0104)",,,, English Item 2 >Relationship Type, "(0040, A010)",,,, HAS OBS CONTEXT >Value Type, "(0040, A040)",,,, PNAME >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121008 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Person Observer Name >Person Name, "(0040, A123)", Principal Result Interpreter, 00264, OBR:32.1 Item 3 >Relationship Type, "(0040, A010)",,,, HAS OBS CONTEXT >Value Type, "(0040, A040)",,,, CODE >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121023 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Procedure Code >Concept Code Sequence, "(0040, A168)" >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 Item 4 >Relationship Type, "(0040, A010)",,,, CONTAINS >Value Type, "(0040, A040)",,,, CONTAINER >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, OBX:3.1 >>Code Scheme Designator, "(0008, 0102)",,,, OBX:3.3 >>Code Meaning, "(0008, 0104)",,,, OBX:3.2 >Continuity Of Content, "(0040, A050)",,,, SEPARATE >Content Sequence, "(0040, A730)" >>Relationship Type, "(0040, A010)",,,, CONTAINS >>Value Type, "(0040, A040)",,,, TEXT or CODE, [#Note11]_ >>Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, OBX:3.1 >>Code Scheme Designator, "(0008, 0102)",,,, OBX:3.3 >>Code Meaning, "(0008, 0104)",,,, OBX:3.2 >>Text Value, "(0040, A160)",,, OBX:5, [#Note12]_ >>Concept Code Sequence, "(0040, A168)",,,,, [#Note13]_ >>>Code Value, "(0008, 0100)",,,, OBX:5.1 >>>Code Scheme Designator, "(0008, 0102)",,,, OBX:5.3 >>>Code Meaning, "(0008, 0104)",,,, OBX:5.2 .. _oru_in_pdf_dicom_doc_rad128: Mapping of HL7 ORU containing PDF to Encapsulated PDF DICOM Attributes ^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^^ .. csv-table:: HL7 ORU containing PDF to Encapsulated PDF DICOM Attributes mapping :name: oru_obr_obx_dicom_pdf_rad128 :header: DICOM Attribute, DICOM Tag, HL7 Field, HL7 Item #, HL7 Segment, Notes/Default values **SOP Common** Specific Character Set, "(0008, 0005)", Character Set, 00692, MSH:18, [#Note9]_ **Patient Identification** Same as Patient Identification in :ref:`adt_in_pid_dicom` **Patient Demographic** Same as Patient Demographic in :ref:`adt_in_pid_dicom` **Patient Visit** Same as Visit Identification in :ref:`orm_to_dicom` **Patient Medical** Pregnancy Status, "(0010, 21C0)", Ambulatory Status, 00145, PV1:15, [#Note18]_ **Structured Report** Content Date, "(0008, 0023)", Observation Date/Time, 00241, OBR:7 Content Time, "(0008, 0033)", Observation Date/Time, 00241, OBR:7 Accession Number, "(0008, 0050)", Placer field 1, 00251, OBR:18 SOP Class UID, "(0008, 0016)",,,, 1.2.840.10008.5.1.4.1.1.104.1 Request Attributes Sequence, "(0040, 0275)" >Study Instance UID, "(0020, 000D)",,, OBX[1]:5, [#Note4]_ >Requesting Physician, "(0032, 1032)", Ordering Provider, 00226, OBR:16 >Accession Number, "(0008, 0050)", Placer Field 1, 00251, OBR:18 >Requested Procedure ID, "(0040, 1001)", Placer Field 2, 00252, OBR:19 >Requested Procedure Description, "(0032, 1060)", Universal Service ID, 00238, OBR:4.2 >Requested Procedure Code Sequence, "(0032, 1064)", Universal Service ID >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 >Placer Order Number Imaging Service Request, "(0040, 2016)", Placer Order Number, 00216, OBR:2, [#Note7]_ >Filler Order Number Imaging Service Request, "(0040, 2017)", Filler Order Number, 00217, OBR:3, [#Note7]_ Modality, "(0008, 0060)",,,, DOC Institution Name, "(0008, 0080)",Performing Organization Name or Sending Facility,,OBX:23 or MSH:4, [#Note16]_ Conversion Type, "(0008, 0064)",,,, SD Burned In Annotation, "(0028, 0301)",,,, NO Encapsulated Document, "(0042, 0011)",,,, OBX:5.5, [#Note15]_ MIME Type of Encapsulated Document, "(0042, 0012)",,,, application/pdf Study Instance UID, "(0020, 000D)",,, OBX[2]:5, [#Note10]_ Instance Number, "(0020, 0013)",,,, 1 Value Type, "(0040, A040)",,,, CONTAINER Continuity Of Content, "(0040, A050)",,,, SEPARATE Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 11528-7 >>Code Scheme Designator, "(0008, 0102)",,,, LN >>Code Meaning, "(0008, 0104)",,,, Radiology Report Verifying Observer Sequence, "(0040, A073)" >Verifying Organization, "(0040, A027)",,,, Default Value : Verifying Organization >Verifying Observer Name, "(0040, A075)", Principal Result Interpreter, 00264, OBR:32.1, [#Note8]_ >Verification DateTime, "(0040, A030)", Observation Date/Time, 00241, OBR:7 Referenced Request Sequence, "(0040, A370)" >Study Instance UID, "(0020, 000D)",,, OBX[1]:5, [#Note4]_ >Requesting Physician, "(0032, 1032)", Ordering Provider, 00226, OBR:16 >Accession Number, "(0008, 0050)", Placer Field 1, 00251, OBR:18 >Requested Procedure ID, "(0040, 1001)", Placer Field 2, 00252, OBR:19 >Requested Procedure Description, "(0032, 1060)", Universal Service ID, 00238, OBR:4.2 >Requested Procedure Code Sequence, "(0032, 1064)", Universal Service ID >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 >Placer Order Number Imaging Service Request, "(0040, 2016)", Placer Order Number, 00216, OBR:2, [#Note7]_ >Filler Order Number Imaging Service Request, "(0040, 2017)", Filler Order Number, 00217, OBR:3, [#Note7]_ Completion Flag, "(0040, A491)", Result Status, 00258, OBR:25, [#Note1]_ Verification Flag, "(0040, A493)", Result Status, 00258, OBR:25, [#Note2]_ Content Sequence, "(0040, A730)",,,, [#Note3]_ Item 1 >Relationship Type, "(0040, A010)",,,, HAS CONCEPT MOD >Value Type, "(0040, A040)",,,, CODE >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121049 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Language of Content Item and Descendants >Concept Code Sequence, "(0040, A168)" >>Code Value, "(0008, 0100)",,,, eng >>Code Scheme Designator, "(0008, 0102)",,,, ISO639_2 >>Code Meaning, "(0008, 0104)",,,, English Item 2 >Relationship Type, "(0040, A010)",,,, HAS OBS CONTEXT >Value Type, "(0040, A040)",,,, PNAME >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121008 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Person Observer Name >Person Name, "(0040, A123)", Principal Result Interpreter, 00264, OBR:32.1 Item 3 >Relationship Type, "(0040, A010)",,,, HAS OBS CONTEXT >Value Type, "(0040, A040)",,,, CODE >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, 121023 >>Code Scheme Designator, "(0008, 0102)",,,, DCM >>Code Meaning, "(0008, 0104)",,,, Procedure Code >Concept Code Sequence, "(0040, A168)" >>Code Value, "(0008, 0100)",, 00238.1, OBR:4.1 >>Code Scheme Designator, "(0008, 0102)",, 00238.3, OBR:4.3 >>Code Meaning, "(0008, 0104)",, 00238.2, OBR:4.2 Item 4 >Relationship Type, "(0040, A010)",,,, CONTAINS >Value Type, "(0040, A040)",,,, CONTAINER >Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, OBX:3.1 >>Code Scheme Designator, "(0008, 0102)",,,, OBX:3.3 >>Code Meaning, "(0008, 0104)",,,, OBX:3.2 >Continuity Of Content, "(0040, A050)",,,, SEPARATE >Content Sequence, "(0040, A730)" >>Relationship Type, "(0040, A010)",,,, CONTAINS >>Value Type, "(0040, A040)",,,, TEXT or CODE, [#Note11]_ >>Concept Name Code Sequence, "(0040, A043)" >>Code Value, "(0008, 0100)",,,, OBX:3.1 >>Code Scheme Designator, "(0008, 0102)",,,, OBX:3.3 >>Code Meaning, "(0008, 0104)",,,, OBX:3.2 >>Text Value, "(0040, A160)",,, OBX:5, [#Note12]_ >>Concept Code Sequence, "(0040, A168)",,,,, [#Note13]_ >>>Code Value, "(0008, 0100)",,,, OBX:5.1 >>>Code Scheme Designator, "(0008, 0102)",,,, OBX:5.3 >>>Code Meaning, "(0008, 0104)",,,, OBX:5.2 .. _oru_in_err: HL7 ORU - Error Mapping ======================= Following table gives an overview of error codes and messages sent by |product| for incoming HL7 ADT messages triggering error conditions. .. csv-table:: Error Codes Mapping and Usage :name: tab_hl7_oru_error :header: Error Code,Error Code Meaning,Error Location,User Message,Notes **Error Common** Same as Error Codes Mapping and Usage in :ref:`tab_hl7_error` **Patient Management specific** Same as Error Codes Mapping and Usage in :ref:`tab_hl7_adt_error` specific to PID segment. **Observation Reporting Management specific** 101,Required Field Missing,OBX^1^5^1^2,Invalid encoding of encapsulated document in components 2 and/or 3 and/or 4 of field 5",[#Note17]_ ,,OBX^1^5^1^5,Encapsulated document data missing,[#Note17]_ ,,OBX^1^5^1^1,Missing study instance uid, ,,OBR^1^18^1^1,Missing accession number, ,,PV1^1^19^1^1,Missing admission ID, 206,Application Record Locked,,No HL7 Message Listener configured,[#Note3]_ .. [#Note1] If the value of this field is P, then CompletionFlag is set to PARTIAL. In all other cases it is set to COMPLETE .. [#Note2] If the value of this field is P or F, then VerificationFlag is set to VERIFIED. In all other cases it is set to UNVERIFIED .. [#Note3] This sequence is present only if Field 32 (i.e. Principal Result Interpreter) is present in OBR segment. .. [#Note4] If OBX field[3] component 1 is **Study Instance UID**, then value is taken from OBX:5; else value is system generated. .. [#Note5] If OBX field[3] component 1 is **Series Instance UID**, then value is taken from OBX:5; else value is system generated. .. [#Note6] If OBX field[3] component 1 is **SR Instance UID**, then value is taken from OBX:5; else value is system generated. .. [#Note7] If the Placer and/or Filler order number are not provided by the Referenced Request Sequence, it is assumed that the Report Manager is able to obtain values. .. [#Note8] If absent "UNKNOWN" is used. .. [#Note9] `HL7 DICOM Character Set `_ if configured, is selected to specify Specific Character Set. Else, MSH-18 if present in the incoming HL7 message, :ref:`tab_hl7_dicom_charset` is selected to specify Specific Character Set. If MSH-18 is absent, then `HL7 Default Character Set `_ is selected to specify Specific Character Set. .. [#Note10] If OBX field[3] component 1 is **DICOM Study**, then value is taken from OBX:5; else value is system generated. .. [#Note11] If OBX:2 is **TX** then the value is **TEXT** else if OBX:2 is **CE** then the value is **CODE** .. [#Note12] If OBX:2 is **TX**, **only then** Text Value (0040, A160) is set in this item with text value taken from OBX:5 .. [#Note13] If OBX:2 is **CE**, **only then** Concept Code Sequence (0040, A168) is set in this item with code item taken from OBX:5 .. [#Note14] OBX:5.5 shall contain the CDA document which is then encapsulated into a DICOM object. Though the value for this attribute shall contain the Retrieve URL path to this bulkdata. .. [#Note15] OBX:5.5 shall contain the base 64 encoded PDF document which is then encapsulated into a DICOM object. Though the value for this attribute shall contain the Retrieve URL path to this bulkdata. .. [#Note16] OBX:23 - Performing Organization Name : This field contains the name of the organization/service responsible for performing the service. When this field is null, the receiving system assumes that the observations were produced by the sending organization (MSH:4). .. [#Note17] Applicable only for HL7 ORU^O01 messages containing encapsulated documents .. [#Note18] "B6" must be mapped to DICOM. Enumerated value "3" (definitely pregnant)