HL7 Segment [ OBX ] (Segment 11 of 12)
Description: Observation Segment
Data Only Report - (only fields that contain data)
25 Defined HL7 data fields. 11 data fields in the segment. 5 of those fields contain data.
HL7 Vendor: Example Labs Version: 2.5.1
Description: HL7 Definition for Example Laboratory
Raw Value: OBX|1|FT|CD:16059^.||786.2 ~~EXAM:~AP and Lateral Chest~~HISTORY: ~56-year-old female with a cough. There is a history of congestive heart failure of end-stage renal disease for which the patient receives hemodialysis, and main melanoma.~~TECHNIQUE: ~An AP upright view of the chest was performed along with a left lateral view. ~~FINDINGS: ~This study is compared with the prior exam from 09/14/2015.~ ~The patient has taken a less deep inspiration than on the prior exam. The lungs appear hyperexpanded. The heart is mildly enlarged. Again seen is a right pleural effusion layering along the right lateral chest wall. Again seen are loculated effusions in the horizontal fissure and the lower portion of the right oblique fissure. The left lateral costophrenic angle is clear. Again seen is a catheter projecting over the right lung base which probably represents a pleural catheter. There is mild pulmonary vascular congestion. There has been interval development of a new opacity in the right inferior hemithorax inferior to the horizontal fissure.~~IMPRESSION: ~~1. Again seen are hyperexpanded lungs suggestive of emphysema.~2. There is mild pulmonary vascular congestion suggestive of congestive heart failure/fluid overload.~3. Again seen are loculated pleural effusions in the right oblique fissure and the horizontal fissure.~4. There is new opacity in the inferior portion of the right lung which could represent pneumonia involving the middle lobe and the right lower lobe.~5. The patient is being evaluated in the emergency room at Harper University Hospital by Dr. Angela Groves who was contacted by telephone at 1020 hours on 09/25/2015 and informed of the new opacities in the right middle lobe and right lower lobe that could represent pneumonia.||||||R

OBX-1 Data Type: [SI] Components [1] - Set ID - OBX
Component Type Description
# 1 [ST] Sequence ID: 1

OBX-2 Data Type: [ID] Components [1] - Value Type
Component Type Description
# 1 [ST] Coded value for HL7 Tables: FT

OBX-3 Data Type: [CE] Components [6] - Observation Identifier
Raw Value: CD:16059^.
Component Type Description
# 1 [ST] identifier: CD:16059
# 2 [ST] text: .

OBX-5 Data Type: [FT] Components [1] - Observation Value
Raw Value: 786.2 ~~EXAM:~AP and Lateral Chest~~HISTORY: ~56-year-old female with a cough. There is a history of congestive heart failure of end-stage renal disease for which the patient receives hemodialysis, and main melanoma.~~TECHNIQUE: ~An AP upright view of the chest was performed along with a left lateral view. ~~FINDINGS: ~This study is compared with the prior exam from 09/14/2015.~ ~The patient has taken a less deep inspiration than on the prior exam. The lungs appear hyperexpanded. The heart is mildly enlarged. Again seen is a right pleural effusion layering along the right lateral chest wall. Again seen are loculated effusions in the horizontal fissure and the lower portion of the right oblique fissure. The left lateral costophrenic angle is clear. Again seen is a catheter projecting over the right lung base which probably represents a pleural catheter. There is mild pulmonary vascular congestion. There has been interval development of a new opacity in the right inferior hemithorax inferior to the horizontal fissure.~~IMPRESSION: ~~1. Again seen are hyperexpanded lungs suggestive of emphysema.~2. There is mild pulmonary vascular congestion suggestive of congestive heart failure/fluid overload.~3. Again seen are loculated pleural effusions in the right oblique fissure and the horizontal fissure.~4. There is new opacity in the inferior portion of the right lung which could represent pneumonia involving the middle lobe and the right lower lobe.~5. The patient is being evaluated in the emergency room at Harper University Hospital by Dr. Angela Groves who was contacted by telephone at 1020 hours on 09/25/2015 and informed of the new opacities in the right middle lobe and right lower lobe that could represent pneumonia.
Field Instance #1 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: 786.2
Field Instance #2 of 23
<Instance #2 is empty>

Field Instance #3 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: EXAM:
Field Instance #4 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: AP and Lateral Chest
Field Instance #5 of 23
<Instance #5 is empty>

Field Instance #6 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: HISTORY:
Field Instance #7 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: 56-year-old female with a cough. There is a history of congestive heart failure of end-stage renal disease for which the patient receives hemodialysis, and main melanoma.
Field Instance #8 of 23
<Instance #8 is empty>

Field Instance #9 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: TECHNIQUE:
Field Instance #10 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: An AP upright view of the chest was performed along with a left lateral view.
Field Instance #11 of 23
<Instance #11 is empty>

Field Instance #12 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: FINDINGS:
Field Instance #13 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: This study is compared with the prior exam from 09/14/2015.
Field Instance #14 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables:
Field Instance #15 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: The patient has taken a less deep inspiration than on the prior exam. The lungs appear hyperexpanded. The heart is mildly enlarged. Again seen is a right pleural effusion layering along the right lateral chest wall. Again seen are loculated effusions in the horizontal fissure and the lower portion of the right oblique fissure. The left lateral costophrenic angle is clear. Again seen is a catheter projecting over the right lung base which probably represents a pleural catheter. There is mild pulmonary vascular congestion. There has been interval development of a new opacity in the right inferior hemithorax inferior to the horizontal fissure.
Field Instance #16 of 23
<Instance #16 is empty>

Field Instance #17 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: IMPRESSION:
Field Instance #18 of 23
<Instance #18 is empty>

Field Instance #19 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: 1. Again seen are hyperexpanded lungs suggestive of emphysema.
Field Instance #20 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: 2. There is mild pulmonary vascular congestion suggestive of congestive heart failure/fluid overload.
Field Instance #21 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: 3. Again seen are loculated pleural effusions in the right oblique fissure and the horizontal fissure.
Field Instance #22 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: 4. There is new opacity in the inferior portion of the right lung which could represent pneumonia involving the middle lobe and the right lower lobe.
Field Instance #23 of 23
Component Type Description
# 1 [ST] Coded Value for HL7-Defined Tables: 5. The patient is being evaluated in the emergency room at Harper University Hospital by Dr. Angela Groves who was contacted by telephone at 1020 hours on 09/25/2015 and informed of the new opacities in the right middle lobe and right lower lobe that could represent pneumonia.

OBX-11 Data Type: [ID] Components [1] - Observation Result Status
Component Type Description
# 1 [ST] Coded value for HL7 Tables: R