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Idea about “decoupling” of atomic results (OBXs) from their Universal Service Identifiers (OBRs) for the purpose of display ?

The following has been seen in two EMR systems:

The results grouping that is determined and sent by the Laboratory system is being ignored by the receiving EMR system.  Rather, the EMR presents the result under a laboratory discipline group.

For example, a haemoglobin result might be presented under a generic “Haematology” group rather than it’s “Full Blood Count” panel name that is sent in OBR-4. Coagulation results may also appear under “Haematology”.

Another example is the Lymphocyte Subsets panel results being presented under an “Immunology” group, with the White Cell Count that is sent with this panel being separated and presented under “Haematology”.

This seems to be messing with the integrity of the results but I can’t see anything specific in the O&O standard that states that the results must retain the grouping as sent by the Laboratory.

Dalisay Giffard



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