HL7 Version 2 to FHIR
0.1.0 - STU1 Ballot

This page is part of the HL7 Version 2 to FHIR (v0.1.0: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

: Message ORU_R01 to Bundle Map - XML Representation

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="message-oru-r01-to-bundle"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>MessageORU_R01toBundle (http://hl7.org/fhir/uv/v2mappings/message-oru-r01-to-bundle)</h2><p>Mapping from ORU_R01 to <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></p><p>ACTIVE (not intended for production usage). Published on 2020-08-12 by HL7 International (HL7 Orders and Observations Workgroup: <a href="http://hl7.org/Special/committees/orders/index.cfm">http://hl7.org/Special/committ...</a>, Keith W. Boone: <a href="mailto:kboone@ainq.com">kboone@ainq.com</a>). Copyright (c) 2020, HL7 International, Inc., All Rights Reserved.</p><div><p>This ConceptMap represents a mapping from the HL7 V2 Message ORU_R01 to the FHIR Message Bundle.</p>
</div><br/><table class="grid"><tr><td colspan="4"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="5"><b>Destination Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Code</b> from </td><td><b>Code</b> from </td><td><b>Code</b> from </td><td/><td colspan="2"><b>Code</b> from </td><td><b>Code</b> from </td><td><b>Code</b> from </td><td><b>Code</b> from </td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px"></td><td>MSH[Bundle]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Bundle</td><td style="border-left-width: 0px"></td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px"></td><td>MSH[MessageHeader]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MessageHeader[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Processing of the MSH segment results in the creation of a new MessageHeader resource</td></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px"></td><td>MSH[Provenance]</td><td>Provenance.target=Bundle; Provenance.target=MessageHeader[MSH]</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.SFT</td><td style="border-left-width: 0px"></td><td>SFT[MessageHeader]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MessageHeader[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Incorporate SFT content for each of the SFT instances into the MessageHeader created from the MSH segment.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PID</td><td style="border-left-width: 0px"></td><td>PID[Patient]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Processing of the PID segment results in the creation of a new Patient resource</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PD1</td><td style="border-left-width: 0px"></td><td>PD1[Patient]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Incorporate PD1 content into the Patient created from the PID segment.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>Patient[1].generalPractitioner.reference=PractitionerRole[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[1]</td><td style="border-left-width: 0px"></td><td>IF PRT-4.1 EQUALS &quot;PP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(PRT.element(4.1)=&quot;PP&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)</td><td/><td>Incorporate PRT content into the Patient created from the PID segment when the PRT contains practitioner related data.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PRT</td><td style="border-left-width: 0px"></td><td>PRT[RelatedPerson]</td><td>RelatedPerson.patient.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">RelatedPerson[1]</td><td style="border-left-width: 0px"></td><td>IF PRT-4.1 NOT EQUALS &quot;PP&quot; OR PRT-4.3 NOT EQUALS &quot;HL70443&quot;</td><td>(PRT.element(4.1)!=&quot;PP&quot;)or(PRT.element(4.3)!=&quot;HL70443&quot;)</td><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.NK1</td><td style="border-left-width: 0px"></td><td>NK1[RelatedPerson]</td><td>RelatedPerson.patient.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">RelatedPerson[2]</td><td style="border-left-width: 0px"></td><td/><td/><td>The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data</td><td>Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.NK1</td><td style="border-left-width: 0px"></td><td>NK1[Patient]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px"></td><td/><td/><td>The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data</td><td>Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX</td><td style="border-left-width: 0px"></td><td>OBX[Observation]</td><td>Observation.subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1]</td><td style="border-left-width: 0px"></td><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX</td><td style="border-left-width: 0px"></td><td>OBX[Observation-Component]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1]</td><td style="border-left-width: 0px"></td><td>IF OBX-5 LST.count GREATER THAN 1</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[Device]</td><td>Observation[1].device.reference=Device.id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Device</td><td style="border-left-width: 0px"></td><td>IF PRT-10 VALUED</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[Observation-Location]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1]</td><td style="border-left-width: 0px"></td><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>Observation.performer.reference=PractitionerRole[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[1]</td><td style="border-left-width: 0px"></td><td>IF PRT-5 VALUED</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1</td><td style="border-left-width: 0px"></td><td>PV1[Encounter]</td><td>Encounter.subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Encounter[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Processing of the PV1 segment results in the creation of a new Encounter resource</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1</td><td style="border-left-width: 0px"></td><td>PV1[Patient]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2</td><td style="border-left-width: 0px"></td><td>PV2[Encounter]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Encounter[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Incorporate PV2 content into the Encounter created from the PV1 segment.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>Encounter[1].participant.individual.reference=PractitionerRole[2].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[2]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Incorporate PRT content into the Encounter created from the PV1 segment.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC</td><td style="border-left-width: 0px"></td><td>ORC[DiagnosticReport]</td><td>DiagnosticReport[1].encounter.reference=Encounter[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">DiagnosticReport[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Processing of each ORC segment results in the creation of a new DiagnosticReport resource</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC</td><td style="border-left-width: 0px"></td><td>ORC[ServiceRequest]</td><td>DiagnosticReport[1].basedOn.reference=ServiceRequest[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>DiagnosticReport[1].requester.reference=PractitionerRole[3].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[3]</td><td style="border-left-width: 0px"></td><td>IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style="border-left-width: 0px"></td><td>OBR[DiagnosticReport]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">DiagnosticReport[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style="border-left-width: 0px"></td><td>OBR[ServiceRequest]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest[1]</td><td style="border-left-width: 0px"></td><td/><td/><td>If a ServiceRequest needs to be created for the receiver.</td><td>Mapping to ServiceRequest as well is needed if the receiver is not the originator of the order to which this results message responds.  This mapping will be completed once OMG/OML mapping is sufficiently completed.  We will add the other segment mappings below to ServiceRequest then as well.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>DiagnosticReport[1].performer.reference=PractitionerRole[4].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[4]</td><td style="border-left-width: 0px"></td><td>IF PRT-4.1 IN (&quot;ARI&quot;,&quot;TN&quot;,&quot;TR&quot;) AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>PRT.element(4.1) in (&quot;ARI&quot;,&quot;TN&quot;, &quot;TR&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)</td><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>DiagnosticReport[1].resultsInterpreter.reference=PractitionerRole[5].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[5]</td><td style="border-left-width: 0px"></td><td>IF PRT-4.1 EQUALS &quot;PRI&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(PRT.element(4.1)=&quot;PRI&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)</td><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>DiagnosticReport[1].specimen[1](Specimen.collection.collector.reference)=PractitionerRole[6].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[6]</td><td style="border-left-width: 0px"></td><td>IF PRT-4.1 EQUALS &quot;SC&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;SC&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>DiagnosticReport[1].requester.reference=PractitionerRole[3].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[3]</td><td style="border-left-width: 0px"></td><td>IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style="border-left-width: 0px"></td><td>OBX[Observation]</td><td>DiagnosticReport.result.reference=Observation[2].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px"></td><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1</td><td/><td/><td>Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style="border-left-width: 0px"></td><td>OBX[Observation-Component]</td><td>DiagnosticReport.result.reference=Observation[2].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px"></td><td>IF OBX-5 LST.count GREATER THAN 1</td><td/><td/><td>Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation. When multiple OBX segments are tranformed into Observation components in a single Observation resource, implementers should consider how the metadata associated with the result (eg performer, status, date/time, etc) are populated. If the OBX segments being combined into a single resource contain different metadata, it must be considered whether or not the use of components is appropriate.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[Device]</td><td>Observation[2].device.reference=Device.id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Device</td><td style="border-left-width: 0px"></td><td>IF PRT-10 VALUED</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[Observation-Location]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px"></td><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</td><td/><td/><td>Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation location information.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>Observation[2].performer.reference=PractitionerRole[7].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[7]</td><td style="border-left-width: 0px"></td><td>IF PRT-5 VALUED</td><td/><td/><td>Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation practitioner information.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE</td><td style="border-left-width: 0px"></td><td>NTE[Annotation]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2].note</td><td style="border-left-width: 0px"></td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM</td><td style="border-left-width: 0px"></td><td>SPM[Specimen]</td><td>DiagnosticReport[1].specimen.reference=Specimen[SPM].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Specimen[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td/></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/RelatedArtifact">
    <extension url="type">
      <valueCode value="derived-from"/>
    </extension>
    <extension url="label">
      <valueString value="Message ORU:R01 to Bundle.fsh"/>
    </extension>
    <extension url="url">
      <valueUri
                value="https://docs.google.com/spreadsheets/d/1gHK6_PFyr7PXns7wLDs0LSLsbjm0x-4bWUu3crXMKMI/edit#gid=0"/>
    </extension>
  </extension>
  <url value="http://hl7.org/fhir/uv/v2mappings/message-oru-r01-to-bundle"/>
  <version value="0.1.0"/>
  <name value="MessageORU_R01toBundle"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2020-08-12"/>
  <publisher value="HL7 International"/>
  <contact>
    <name value="HL7 Orders and Observations Workgroup"/>
    <telecom>
      <system value="url"/>
      <value value="http://hl7.org/Special/committees/orders/index.cfm"/>
    </telecom>
  </contact>
  <contact>
    <name value="Keith W. Boone"/>
    <telecom>
      <system value="email"/>
      <value value="kboone@ainq.com"/>
    </telecom>
  </contact>
  <description
               value="This ConceptMap represents a mapping from the HL7 V2 Message ORU_R01 to the FHIR Message Bundle."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Copyright (c) 2020, HL7 International, Inc., All Rights Reserved."/>
  <sourceUri value="ORU_R01"/>
  <targetUri value="Bundle"/>
  <group>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.MSH"/>
      <display value="Message Header"/>
      <target>
        <code value="Bundle"/>
        <display value="Bundle"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MSH[Bundle]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.MSH"/>
      <display value="Message Header"/>
      <target>
        <code value="MessageHeader[1]"/>
        <display value="MessageHeader[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the MSH segment results in the creation of a new MessageHeader resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MSH[MessageHeader]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.MSH"/>
      <display value="Message Header"/>
      <target>
        <code value="Provenance[1]"/>
        <display value="Provenance[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MSH[Provenance]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Provenance.target=Bundle; Provenance.target=MessageHeader[MSH]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.SFT"/>
      <display value="Software Segment"/>
      <target>
        <code value="MessageHeader[1]"/>
        <display value="MessageHeader[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate SFT content for each of the SFT instances into the MessageHeader created from the MSH segment."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="SFT[MessageHeader]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.PID"/>
      <display value="Patient Identification"/>
      <target>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the PID segment results in the creation of a new Patient resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PID[Patient]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.PD1"/>
      <display value="Additional Demographics"/>
      <target>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate PD1 content into the Patient created from the PID segment."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PD1[Patient]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.PRT"/>
      <display value="Participation (for Patient)"/>
      <target>
        <code value="PractitionerRole[1]"/>
        <display value="PractitionerRole[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate PRT content into the Patient created from the PID segment when the PRT contains practitioner related data."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Patient[1].generalPractitioner.reference=PractitionerRole[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;PP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(PRT.element(4.1)=&quot;PP&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.PRT"/>
      <display value="Participation (for Patient)"/>
      <target>
        <code value="RelatedPerson[1]"/>
        <display value="RelatedPerson[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[RelatedPerson]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="RelatedPerson.patient.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 NOT EQUALS &quot;PP&quot; OR PRT-4.3 NOT EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(PRT.element(4.1)!=&quot;PP&quot;)or(PRT.element(4.3)!=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.NK1"/>
      <display value="Next of Kin/Associated Parties"/>
      <target>
        <code value="RelatedPerson[2]"/>
        <display value="RelatedPerson[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it&#39;s possible to insert the NK1 data into both structures."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="NK1[RelatedPerson]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="RelatedPerson.patient.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.NK1"/>
      <display value="Next of Kin/Associated Parties"/>
      <target>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it&#39;s possible to insert the NK1 data into both structures."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="NK1[Patient]"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX"/>
      <display value="Observation (for Patient ID)"/>
      <target>
        <code value="Observation[1]"/>
        <display value="Observation[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBX[Observation]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Observation.subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count LESS THAN OR EQUALS 1"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX"/>
      <display value="Observation (for Patient ID)"/>
      <target>
        <code value="Observation[1]"/>
        <display value="Observation[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBX[Observation-Component]"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count GREATER THAN 1"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT"/>
      <display value="Participation (Observation Participation)"/>
      <target>
        <code value="Device"/>
        <display value="Device"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[Device]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Observation[1].device.reference=Device.id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-10 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT"/>
      <display value="Participation (Observation Participation)"/>
      <target>
        <code value="Observation[1]"/>
        <display value="Observation[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[Observation-Location]"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-9 VALUED OR IF PRT-14 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT"/>
      <display value="Participation (Observation Participation)"/>
      <target>
        <code value="PractitionerRole[1]"/>
        <display value="PractitionerRole[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Observation.performer.reference=PractitionerRole[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-5 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1"/>
      <display value="Patient Visit"/>
      <target>
        <code value="Encounter[1]"/>
        <display value="Encounter[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the PV1 segment results in the creation of a new Encounter resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PV1[Encounter]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Encounter.subject.reference=Patient[1].id"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1"/>
      <display value="Patient Visit"/>
      <target>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PV1[Patient]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2"/>
      <display value="Patient Visit - Additional Info"/>
      <target>
        <code value="Encounter[1]"/>
        <display value="Encounter[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate PV2 content into the Encounter created from the PV1 segment."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PV2[Encounter]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT"/>
      <display value="Participation (for Patient Visit)"/>
      <target>
        <code value="PractitionerRole[2]"/>
        <display value="PractitionerRole[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate PRT content into the Encounter created from the PV1 segment."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Encounter[1].participant.individual.reference=PractitionerRole[2].id"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC"/>
      <display value="Order common"/>
      <target>
        <code value="DiagnosticReport[1]"/>
        <display value="DiagnosticReport[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of each ORC segment results in the creation of a new DiagnosticReport resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ORC[DiagnosticReport]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="DiagnosticReport[1].encounter.reference=Encounter[1].id"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC"/>
      <display value="Order common"/>
      <target>
        <code value="ServiceRequest[1]"/>
        <display value="ServiceRequest[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ORC[ServiceRequest]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="DiagnosticReport[1].basedOn.reference=ServiceRequest[1].id"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="PractitionerRole[3]"/>
        <display value="PractitionerRole[3]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="DiagnosticReport[1].requester.reference=PractitionerRole[3].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR"/>
      <display value="Observations Request"/>
      <target>
        <code value="DiagnosticReport[1]"/>
        <display value="DiagnosticReport[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBR[DiagnosticReport]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR"/>
      <display value="Observations Request"/>
      <target>
        <code value="ServiceRequest[1]"/>
        <display value="ServiceRequest[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Mapping to ServiceRequest as well is needed if the receiver is not the originator of the order to which this results message responds.  This mapping will be completed once OMG/OML mapping is sufficiently completed.  We will add the other segment mappings below to ServiceRequest then as well."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBR[ServiceRequest]"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="If a ServiceRequest needs to be created for the receiver."/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="PractitionerRole[4]"/>
        <display value="PractitionerRole[4]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="DiagnosticReport[1].performer.reference=PractitionerRole[4].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 IN (&quot;ARI&quot;,&quot;TN&quot;,&quot;TR&quot;) AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="PRT.element(4.1) in (&quot;ARI&quot;,&quot;TN&quot;, &quot;TR&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="PractitionerRole[5]"/>
        <display value="PractitionerRole[5]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="DiagnosticReport[1].resultsInterpreter.reference=PractitionerRole[5].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;PRI&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(PRT.element(4.1)=&quot;PRI&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="PractitionerRole[6]"/>
        <display value="PractitionerRole[6]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="DiagnosticReport[1].specimen[1](Specimen.collection.collector.reference)=PractitionerRole[6].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;SC&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;SC&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="PractitionerRole[3]"/>
        <display value="PractitionerRole[3]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="DiagnosticReport[1].requester.reference=PractitionerRole[3].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX"/>
      <display value="Observation related to OBR"/>
      <target>
        <code value="Observation[2]"/>
        <display value="Observation[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBX[Observation]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="DiagnosticReport.result.reference=Observation[2].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count LESS THAN OR EQUALS 1"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX"/>
      <display value="Observation related to OBR"/>
      <target>
        <code value="Observation[2]"/>
        <display value="Observation[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation. When multiple OBX segments are tranformed into Observation components in a single Observation resource, implementers should consider how the metadata associated with the result (eg performer, status, date/time, etc) are populated. If the OBX segments being combined into a single resource contain different metadata, it must be considered whether or not the use of components is appropriate."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBX[Observation-Component]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="DiagnosticReport.result.reference=Observation[2].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count GREATER THAN 1"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT"/>
      <display value="Participation (Observation Participation)"/>
      <target>
        <code value="Device"/>
        <display value="Device"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[Device]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Observation[2].device.reference=Device.id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-10 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT"/>
      <display value="Participation (Observation Participation)"/>
      <target>
        <code value="Observation[2]"/>
        <display value="Observation[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation location information."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[Observation-Location]"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-9 VALUED OR IF PRT-14 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT"/>
      <display value="Participation (Observation Participation)"/>
      <target>
        <code value="PractitionerRole[7]"/>
        <display value="PractitionerRole[7]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation practitioner information."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Observation[2].performer.reference=PractitionerRole[7].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-5 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE"/>
      <display value="Notes and comments"/>
      <target>
        <code value="Observation[2].note"/>
        <display value="Observation[2].note"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="NTE[Annotation]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM"/>
      <display value="Specimen"/>
      <target>
        <code value="Specimen[1]"/>
        <display value="Specimen[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="SPM[Specimen]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="DiagnosticReport[1].specimen.reference=Specimen[SPM].id"/>
        </dependsOn>
      </target>
    </element>
  </group>
</ConceptMap>