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I need to combine two messages together into one HL7 message to go to a downstream system. One part of the message is text in OBXs to post to a report and the other part has a combination of OBRs and OBXs so the organisms and antibiotics will post to a grid. The OBRs cannot come before any of the text part of the message other wise the downstream system cuts everything off at the OBR for the text report. I cannot have two seperate messages go to the downstream system because they over write each other. I basically need the text message at the top and the message with the OBRs at the bottom. Please help.
I’ve included an example of what the final message should look like. This is not a real patient.
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