Multiple ORC/OBR segments seems to work e.g.
MSH|^~\&|Test-RIS|Test Site|TESTPACS|TESTPACS -TEST SITE|20230926134433||ORM^O01^ORM_O01|353254-39408|P|2.4||||||||
EVN|O01|20230926133745|20230926133801|02||
PID|||SRS11096^^^TEST SITE||AL MAHROOQI^KHALIL^SAIF MOHD||19780101000000|M
PV1||I||R||||-1001^*^DOC^ADMIN USER *|||||||||||1587818||||||||||||||||||||||||||||||||V
ORC|NW|353254^Test-RIS|234100|234100^TEST-RIS|SC|F|1^^^20230926133801^^R||20230926133745|-1001^*^DOC^ADMIN USER *||-1001^*^DOC^ADMIN USER *|||20230926133801||530^GENERAL MEDICINE
OBR|1|353254^TEST-RIS|353254|Pelvis X-Ray :: Left :: A.P.|||20230926133801||||||TEST||^^^A.P.^Left|-1001^*^DOC^ADMIN USER *||234100|XRAY1|353254|1.2.826.0.1.3680043.2.1048.4030022234100|||DX|||1^^^20230926133801^^R||||TEST|||0^^^||||||||||280^Pelvis X-Ray
ORC|NW|353255^TEST-RIS|234100|234100^TEST-RIS|SC|F|1^^^20230926133801^^R||20230926133745|-1001^*^DOC^ADMIN USER *||-1001^*^DOC^ADMIN USER *|||20230926133801||530^GENERAL MEDICINE
OBR|2|353255^TEST-RIS|353255|Pelvis X-Ray :: Left :: Other Views|||20230926133801||||||TEST||^^^Other Views^Left|-1001^*^DOC^ADMIN USER *||234100|XRAY1|353255|1.2.826.0.1.3680043.2.1048.4030022234100|||DX|||1^^^20230926133801^^R||||TEST|||0^^^||||||||||280^Pelvis X-Ray
ORC|NW|353256^TEST-RIS|234100|234100^TEST-RIS|SC|F|1^^^20230926133801^^R||20230926133745|-1001^*^DOC^ADMIN USER *||-1001^*^DOC^ADMIN USER *|||20230926133801||530^GENERAL MEDICINE
OBR|3|353256^TEST-RIS|353256|Pelvis X-Ray :: Left :: Lateral|||20230926133801||||||TEST||^^^Lateral^Left|-1001^*^DOC^ADMIN USER *||234100|XRAY1|353256|1.2.826.0.1.3680043.2.1048.4030022234100|||DX|||1^^^20230926133801^^R||||TEST|||0^^^||||||||||280^Pelvis X-Ray
ZDS|1.2.826.0.1.3680043.2.1048.4030022234100^TEST-RIS^Application^DICOM