Status Codes for Analytes (OBX-11)
Typical
I – Specimen in lab, results pending
P – Preliminary results
F – Final results
C – Record coming over is a correction and thus replaces a final result
Alternate with result
AB
Service not delivered / or delete
N – Not asked
X – Results cannot be obtained for this observation
D – Deletes the OBX record
Wrong Patient
W – Post original as wrong
Status Codes for Orders (OBR-25)
Typical
I – No results available; specimen received, procedure incomplete
A– Some, but not all results available
P – Preliminary: A verified early result is available
F – Final results
C – Correction to results
Service not delivered
X- No results available,; Order canceled
Status Codes for Orders (ORC-5)
Limited to
IP – In process, unspecified
A – Some, but not all results available
CM – Order is completed
CA – Order was canceled
Allowed OBX-11 transitions when data in the OBX changes:
I
P
F
C
From OBX-11
(existing result)
In Process
Preliminary
Final
Corrected
A
B
Amended
Appended
N
X
D
Not Asked
Not Possible
Delete
W
Wrong
I
A
P
A
A
F
A
A
To OBX-11 (new result)
C
A
B
N
A
X
A
A
A
A
A
A
A
D
A
A
A
A
W
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Note: This is the status on one OBX, depending on changes being applied – when an OBX is sent
unaltered in an update message the status remains the same.
Not Allowed
Allowed
Allowed Status Codes (ORC-5, OBR-25, and OBX-11) for Orders and Results
ORC-5
IP
A
CM
CA
In Process
Partial
Completed
Canceled
R
R
R
R
R
R
R
OBR-25
I
P
F
C
OBX-11
In Process
Preliminary
Final
Corrected
A
B
Amended
Appended
N
X
D
Not Asked
Not Possible
Delete
W
Wrong
1
I
In Process
R
requires at least one of any R
Not Allowed
Allowed
Required
TBD
A
Partial
A
A
A
A
P
Preliminary
A
R
A
A
A
F
Final
C
Corrected
X
Canceled
A
A
A
R
A
A
R1
A
R1
R1
R1
R1
R1
A
A
R1
A
A
R1
Note: need to determine behavior for status W for OBX-11 and potentially for OBR-25
OBX-OBR conformance statements
EHR-S-LRI-11: When OBX-11 is valued “I” for all OBXs for an OBR, then its OBR-25 SHALL be
valued “I”.
EHR-S-LRI-12: When OBX-11 is valued “F” for all OBXs for an OBR, then its OBR-25 SHALL be
valued “F”.
EHR-S-LRI-13: When OBX-11 is valued “F” for at least one OBX for an OBR and all other OBXs for
the same OBR are “N” or “D”, then its OBR-25 SHALL be valued “F”.
EHR-S-LRI-14: When OBX-11 is valued “C” or “A” or “B” or “D” for at least one OBX for an OBR,
then its OBR-25 SHALL be valued “C”.
EHR-S-LRI-15: When OBX-11 is valued “P” for at least one OBX for an OBR and no OBX-11 is “C”
or “A” or “B” or “D” for the same OBR, then its OBR-25 SHALL be valued “P”.
EHR-S-LRI-15: When OBX-11 is “I” for at least one OBX for an OBR and no OBX-11 is “P” or “C” or
“A” or “B” or “D” for the same OBR, then its OBR-25 SHALL be valued “A”.
EHR-S-LRI-14: When OBR-25 is valued “X”, then there SHALL be NO OBX, or OBX-11 SHALL be
valued “I” for all OBXs for the OBR.
OBR-ORC conformance statements (includes OBX for corrected)
EHR-S-LRI-31: When OBR-25 is valued “I”, then ORC-5 SHALL be valued “IP”.
EHR-S-LRI-32: When OBR-25 is valued “A”, then ORC-5 SHALL be valued “A”.
EHR-S-LRI-33: When OBR-25 is valued “P”, then ORC-5 SHALL be valued “A”.
EHR-S-LRI-34: When OBR-25 is valued “X”, then ORC-5 SHALL be valued “CA”
EHR-S-LRI-35: When OBR-25 is valued “F”, then ORC-5 SHALL be valued “CM”.
EHR-S-LRI-36: When OBR-25 is valued “C” and OBX-11 is not valued “I” or “P” for any OBX for the
OBR, then ORC-5 SHALL be valued “CM”.
EHR-S-LRI-37: When OBR-25 is valued “C” and OBX-11 is valued “I” or “P” for any OBX for the OBR,
then ORC-5 SHALL be valued “A”.