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 VXU_V04 to Bundle Map - XML Representation

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="message-vxu-v04-to-bundle"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h2>MessageVXU_V04toBundle (http://hl7.org/fhir/uv/v2mappings/message-vxu-v04-to-bundle)</h2><p>Mapping from VXU_V04 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 VXU_V04 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">VXU_V04.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">VXU_V04.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">VXU_V04.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">VXU_V04.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">VXU_V04.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">VXU_V04.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">VXU_V04.NK1</td><td style="border-left-width: 0px"></td><td>NK1[RelatedPerson]</td><td>RelatedPerson.patient.reference=Patient[PID].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/><td/><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">VXU_V04.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/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.PATIENT_VISIT.PV1</td><td style="border-left-width: 0px"></td><td>PV1[Encounter]</td><td>Encounter.subject.reference=Patient[PID].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>Only if the system wants to know about the encounter related to the immunization event</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">VXU_V04.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">VXU_V04.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">VXU_V04.PERSON_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/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.PERSON_OBSERVATION.OBX</td><td style="border-left-width: 0px"></td><td>OBX[Observation-Component]</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/><td>IF OBX-5 LST.count GREATER THAN 1</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.PERSON_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[1]</td><td style="border-left-width: 0px"></td><td/><td>IF PRT-10 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.PERSON_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/><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</td><td/><td>At this time we don't know of a use case for sending a location PRT to a patient level observations. We've provided a mapping from PRT to Location but not way to link it to other resources in the Bundle. If there is a known use case, please comment on it so that we can develop a solution.</td></tr><tr><td style="border-right-width: 0px">VXU_V04.PERSON_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/><td>IF PRT-5 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.PERSON_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[1].note</td><td style="border-left-width: 0px"></td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.ORC</td><td style="border-left-width: 0px"></td><td>ORC[Immunization]</td><td>Immunzation.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">Immunization[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 Immunization resource</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.ORC</td><td style="border-left-width: 0px"></td><td>ORC[ServiceRequest]</td><td>ServiceRequest.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">ServiceRequest[1]</td><td style="border-left-width: 0px"></td><td>Only if the system wants to know about the order that lead to the immunization event</td><td/><td/><td>Processing of each ORC segment results in the creation of a new ServiceRequest resource if the receiving system wants to know about the order that lead to the immunization event</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>Immunization.performer.actor.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>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>Processing of each PRT segment typically results in the creation of a new Practitioner or PractitionerRole resource. 

The decision between creating a Practitioner or PractitionerRole resource may depend on the availability of data related to the practitioner's role elsewhere in the message.

It may be possible to reuse a Practitioner resource in the bundle created from somewhere else in the bundle rather than creating a new resource for each PRT segment (eg, the same administering practictioner resource could be pointed to from multiple order segment groups) - if an implementer decides to do this, the system must be certain that it's the same person (same name, ID, etc) potentially even playing the same role (if the bundle uses PractitionerRole in addition to Practitioner).\</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px"></td><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">Immunization[1].performer.function.coding.code</td><td style="border-left-width: 0px"></td><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/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px"></td><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">Immunization[1].performer.function.coding.system</td><td style="border-left-width: 0px"></td><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/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px"></td><td>PRT[PractitionerRole]</td><td>Immunization.performer.actor.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/><td>IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;AP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px"></td><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">Immunization[1].performer.function.coding.code</td><td style="border-left-width: 0px"></td><td/><td>IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;AP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px"></td><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">Immunization[1].performer.function.coding.system</td><td style="border-left-width: 0px"></td><td/><td>IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;AP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.RXA</td><td style="border-left-width: 0px"></td><td>RXA[Immunization]</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">Immunization[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Incorporate RXA content into the Immunization created from the ORC segment in the same segment group.</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.RXR</td><td style="border-left-width: 0px"></td><td>RXR[Immunization]</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">Immunization[1]</td><td style="border-left-width: 0px"></td><td/><td/><td/><td>Incorporate RXR content into the Immunization created from the ORC segment in the same segment group.</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.OBSERVATION.OBX</td><td style="border-left-width: 0px"></td><td>OBX[Observation]</td><td>Observation.subject.reference=Patient[1].id; Observation.partOf.reference=Immunization[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[2]</td><td style="border-left-width: 0px"></td><td>Some observations about the immunization may map to elements within the Immuniation resource rather than an independent Observation resource. For example, funding source, patient eligibility and educational material are often sent as OBX segments but map to Immunization elements.  Specific guidance on how to map, e.g., the US CDC implementation guide on immunizations, will be provided separately at a future time TBD.</td><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.OBSERVATION.OBX</td><td style="border-left-width: 0px"></td><td>OBX[Observation-Component]</td><td>Observation.subject.reference=Patient[1].id; Observation.partOf.reference=Immunization[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[2]</td><td style="border-left-width: 0px"></td><td>Some observations about the immunization may map to elements within the Immuniation resource rather than an independent Observation resource. For example, funding source, patient eligibility and educational material are often sent as OBX segments but map to Immunization elements.  Specific guidance on how to map, e.g., the US CDC implementation guide on immunizations, will be provided separately at a future time TBD.</td><td>IF OBX-5 LST.count GREATER THAN 1</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.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[2]</td><td style="border-left-width: 0px"></td><td/><td>IF PRT-10 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.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/><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.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[4]</td><td style="border-left-width: 0px"></td><td/><td>IF PRT-5 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.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></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 VXU:V04 to Bundle.fsh"/>
    </extension>
    <extension url="url">
      <valueUri
                value="https://docs.google.com/spreadsheets/d/1_7maXDpc_qMMRzMm0x6d90-Hj6vvhGyO2kyFX0tpuZs/edit#gid=0"/>
    </extension>
  </extension>
  <url value="http://hl7.org/fhir/uv/v2mappings/message-vxu-v04-to-bundle"/>
  <version value="0.1.0"/>
  <name value="MessageVXU_V04toBundle"/>
  <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 VXU_V04 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="VXU_V04"/>
  <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="VXU_V04.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="VXU_V04.MSH"/>
      <display value="Message Header Segment"/>
      <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="VXU_V04.MSH"/>
      <display value="Message Header Segment"/>
      <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="VXU_V04.SFT"/>
      <display value="Software"/>
      <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="VXU_V04.PID"/>
      <display value="Patient Identification Segment"/>
      <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="VXU_V04.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="VXU_V04.NK1"/>
      <display value="Next of Kin/Associated Parties"/>
      <target>
        <code value="RelatedPerson[1]"/>
        <display value="RelatedPerson[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[RelatedPerson]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="RelatedPerson.patient.reference=Patient[PID].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="VXU_V04.NK1"/>
      <display value="Next of Kin/Associated Parties"/>
      <target>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="NK1[Patient]"/>
        </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="VXU_V04.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[PID].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="Only if the system wants to know about the encounter related to the immunization event"/>
        </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="VXU_V04.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="VXU_V04.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="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <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="VXU_V04.PERSON_OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <target>
        <code value="Observation[1]"/>
        <display value="Observation[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBX[Observation-Component]"/>
        </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 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="VXU_V04.PERSON_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="Device[1]"/>
        <display value="Device[1]"/>
        <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="VXU_V04.PERSON_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="Observation[1]"/>
        <display value="Observation[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="At this time we don&#39;t know of a use case for sending a location PRT to a patient level observations. We&#39;ve provided a mapping from PRT to Location but not way to link it to other resources in the Bundle. If there is a known use case, please comment on it so that we can develop a solution."/>
        <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="VXU_V04.PERSON_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.NTE"/>
      <display value="Notes (Regarding Patient Observation)"/>
      <target>
        <code value="Observation[1].note"/>
        <display value="Observation[1].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="VXU_V04.ORDER.ORC"/>
      <display value="Common Order"/>
      <target>
        <code value="Immunization[1]"/>
        <display value="Immunization[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of each ORC segment results in the creation of a new Immunization resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ORC[Immunization]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Immunzation.patient.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="VXU_V04.ORDER.ORC"/>
      <display value="Common Order"/>
      <target>
        <code value="ServiceRequest[1]"/>
        <display value="ServiceRequest[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of each ORC segment results in the creation of a new ServiceRequest resource if the receiving system wants to know about the order that lead to the immunization event"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ORC[ServiceRequest]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="ServiceRequest.subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="Only if the system wants to know about the order that lead to the immunization event"/>
        </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="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="PractitionerRole[2]"/>
        <display value="PractitionerRole[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of each PRT segment typically results in the creation of a new Practitioner or PractitionerRole resource. 

The decision between creating a Practitioner or PractitionerRole resource may depend on the availability of data related to the practitioner&#39;s role elsewhere in the message.

It may be possible to reuse a Practitioner resource in the bundle created from somewhere else in the bundle rather than creating a new resource for each PRT segment (eg, the same administering practictioner resource could be pointed to from multiple order segment groups) - if an implementer decides to do this, the system must be certain that it&#39;s the same person (same name, ID, etc) potentially even playing the same role (if the bundle uses PractitionerRole in addition to Practitioner).\"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Immunization.performer.actor.reference=PractitionerRole[2].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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="Immunization[1].performer.function.coding.code"/>
        <display value="= &quot;OP&#39;&quot;"/>
        <equivalence value="equivalent"/>
        <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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="Immunization[1].performer.function.coding.system"/>
        <display
                 value="= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;"/>
        <equivalence value="equivalent"/>
        <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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <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="Immunization.performer.actor.reference=PractitionerRole[3].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;AP&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="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="Immunization[1].performer.function.coding.code"/>
        <display value="= &quot;AP&#39;&quot;"/>
        <equivalence value="equivalent"/>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;AP&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="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="Immunization[1].performer.function.coding.system"/>
        <display
                 value="= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;"/>
        <equivalence value="equivalent"/>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;AP&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="VXU_V04.ORDER.RXA"/>
      <display value="Pharmacy Administration Segment"/>
      <target>
        <code value="Immunization[1]"/>
        <display value="Immunization[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate RXA content into the Immunization created from the ORC segment in the same segment group."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="RXA[Immunization]"/>
        </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="VXU_V04.ORDER.RXR"/>
      <display value="Pharmacy Route"/>
      <target>
        <code value="Immunization[1]"/>
        <display value="Immunization[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate RXR content into the Immunization created from the ORC segment in the same segment group."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="RXR[Immunization]"/>
        </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="VXU_V04.ORDER.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <target>
        <code value="Observation[2]"/>
        <display value="Observation[2]"/>
        <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; Observation.partOf.reference=Immunization[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count LESS THAN OR EQUALS 1"/>
        </product>
        <product>
          <property value="narrative"/>
          <value
                 value="Some observations about the immunization may map to elements within the Immuniation resource rather than an independent Observation resource. For example, funding source, patient eligibility and educational material are often sent as OBX segments but map to Immunization elements.  Specific guidance on how to map, e.g., the US CDC implementation guide on immunizations, will be provided separately at a future time TBD."/>
        </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="VXU_V04.ORDER.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <target>
        <code value="Observation[2]"/>
        <display value="Observation[2]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBX[Observation-Component]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Observation.subject.reference=Patient[1].id; Observation.partOf.reference=Immunization[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count GREATER THAN 1"/>
        </product>
        <product>
          <property value="narrative"/>
          <value
                 value="Some observations about the immunization may map to elements within the Immuniation resource rather than an independent Observation resource. For example, funding source, patient eligibility and educational material are often sent as OBX segments but map to Immunization elements.  Specific guidance on how to map, e.g., the US CDC implementation guide on immunizations, will be provided separately at a future time TBD."/>
        </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="VXU_V04.ORDER.OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="Device[2]"/>
        <display value="Device[2]"/>
        <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="VXU_V04.ORDER.OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="Observation[2]"/>
        <display value="Observation[2]"/>
        <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="VXU_V04.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="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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.OBSERVATION.NTE"/>
      <display value="Notes (Regarding Immunization)"/>
      <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>
  </group>
</ConceptMap>