Laboratory interoperability glossary for hospital IT | Medrara

Concise definitions for ADT, ORM, ORU, ASTM, middleware, and LIS responsibilities to align hospital IT and laboratory informatics teams.

ADT: Admit/discharge/transfer messages that anchor patient location and attending context for laboratory collections.

ORM: General order messages that may represent lab orders; mapping to the LIS dictionary is a joint laboratory–IT responsibility.

ORU: Observation result messages carrying structured results back to consuming systems.

ASTM: Common framing for point-to-point analyzer conversations, complementary to enterprise HL7 routes described on our ASTM analyzer interface page.

For API-oriented programs, see healthcare API platform considerations.

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