I work on an interface where we convert MDMs into ORUs. In our case, the unique document number (TXA:12) from the MDM gets copied into the OBR:3 (Filler Order Number) field of the ORU, we drop the TXA segment, and the OBXs are passed along with some ordinary transformation along the way.
But the real answer to your question is yes, there’s a difference – MDM is for notes/transcriptions, and ORUs are for results (which may contain descriptive text in the OBXs, or may contain discrete values).
Lori
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