HL7 Version 2 to FHIR
1.0.0-ballot - ballot
HL7 Version 2 to FHIR
1.0.0-ballot - ballot
This page is part of the HL7 Version 2 to FHIR (v1.0.0-ballot: STU1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. . For a full list of available versions, see the Directory of published versions
| Active as of 2023-12-19 |
<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"><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 2023-12-19 by HL7 International / Orders and Observations (HL7 Orders and Observations Workgroup: <a href="http://www.hl7.org/Special/committees/orders">http://www.hl7.org/Special/com...</a>, Keith W. Boone: <a href="mailto:kboone@ainq.com">kboone@ainq.com</a>, Rob Hausam: <a href="mailto:rrhausam@gmail.com">rrhausam@gmail.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/><p><b>Group 1</b>Mapping from <code>unspecified code system</code> to <code>unspecified code system</code></p><table class="grid"><tr><td colspan="4"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="5"><b>Target Concept Details</b></td><td><b>Comment</b></td><td colspan="5"><b>Properties</b></td></tr><tr><td colspan="2"><b>Codes</b> from </td><td><b>segmentmap</b></td><td><b>references</b></td><td/><td colspan="2"><b>Codes</b> from </td><td><b>narrative</b></td><td><b>antlr</b></td><td><b>fhirpath</b></td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px">Message Header</td><td>MSH[Bundle]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Bundle</td><td style="border-left-width: 0px">Bundle</td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px">Message Header</td><td>MSH[MessageHeader]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MessageHeader[1]</td><td style="border-left-width: 0px">MessageHeader[1]</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">Message Header</td><td>MSH[Provenance-Source]</td><td>Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[1]</td><td style="border-left-width: 0px">Provenance[1]</td><td>If there is a source in MSH-4, or known based on the configuration.</td><td/><td/><td>If the FHIR transformation does not yield a FHIR message, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px">Message Header</td><td>MSH[Provenance-Transformation]</td><td>Provenance[2].target.reference=Bundle.id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[2]</td><td style="border-left-width: 0px">Provenance[2]</td><td/><td/><td/><td>If the FHIR transformation does not yield a FHIR Bunlde, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.SFT</td><td style="border-left-width: 0px">Software Segment</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role="derivation"\</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[1].entity.what(Device)</td><td style="border-left-width: 0px">Provenance[1].entity.what(Device)</td><td>If the software does represent not the original source system</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.SFT</td><td style="border-left-width: 0px">Software Segment</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role="source"\</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[1].entity.what(Device)</td><td style="border-left-width: 0px">Provenance[1].entity.what(Device)</td><td>If the software represents the original source system</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PID</td><td style="border-left-width: 0px">Patient Identification</td><td>PID[Patient]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px">Patient[1]</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.PID</td><td style="border-left-width: 0px">Patient Identification</td><td>PID[Provenance-Patient]</td><td>Provenance.target.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[4]</td><td style="border-left-width: 0px">Provenance[4]</td><td>One may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date.</td><td>IF PID-33 AND PID-34 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PD1</td><td style="border-left-width: 0px">Additional Demographics</td><td>PD1[Patient]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px">Patient[1]</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">Participation (for Patient)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[1]</td><td style="border-left-width: 0px">PractitionerRole[1]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "PP" AND PRT-4.3 EQUALS "HL70443"</td><td>(PRT.element(4.1)="PP")and(PRT.element(4.3)="HL70443")</td><td>Incorporate PRT content into the Patient created from the PID segment when the PRT contains practitioner related data.
If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PRT</td><td style="border-left-width: 0px">Participation (for Patient)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">RelatedPerson[1]</td><td style="border-left-width: 0px">RelatedPerson[1]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 NOT EQUALS "PP" OR PRT-4.3 NOT EQUALS "HL70443"</td><td>(PRT.element(4.1)!="PP")or(PRT.element(4.3)!="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.NK1</td><td style="border-left-width: 0px">Next of Kin/Associated Parties</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">RelatedPerson[2]</td><td style="border-left-width: 0px">RelatedPerson[2]</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/><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">Next of Kin/Associated Parties</td><td>NK1[Patient]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px">Patient[1]</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/><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">Observation (for Patient ID)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1]</td><td style="border-left-width: 0px">Observation[1]</td><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1</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">Observation (for Patient ID)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1]</td><td style="border-left-width: 0px">Observation[1]</td><td/><td>IF OBX-5 LST.count GREATER THAN 1</td><td/><td>Note that when OBX-5 repeats, the standard mapping is to use Observation.component rather than creating separate Observation instances. However, we are aware that some profiles and implementation guides do separate the OBX into multiple observations depending on the OBX-2 value. This is an example of a non-standard interpretation as the OBX should have been separated into multiple OBX segments to start. Please consider the local profiles and implementation guides on how to manage these variants.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Device</td><td style="border-left-width: 0px">Device</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-10 VALUED</td><td/><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</td><td>PRT[Observation-Location]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1]</td><td style="border-left-width: 0px">Observation[1]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</td><td/><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[1]</td><td style="border-left-width: 0px">PractitionerRole[1]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-5 VALUED</td><td/><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1</td><td style="border-left-width: 0px">Patient Visit</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Encounter[1]</td><td style="border-left-width: 0px">Encounter[1]</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">Patient Visit</td><td>PV1[Patient]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px">Patient[1]</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">Patient Visit - Additional Info</td><td>PV2[Encounter]</td><td>Encounter.subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Encounter[1]</td><td style="border-left-width: 0px">Encounter[1]</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">Participation (for Patient Visit)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[2]</td><td style="border-left-width: 0px">PractitionerRole[2]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td/><td/><td>Incorporate PRT content into the Encounter created from the PV1 segment.
If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\</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">Order common</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">DiagnosticReport[1]</td><td style="border-left-width: 0px">DiagnosticReport[1]</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">Order common</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest[1]</td><td style="border-left-width: 0px">ServiceRequest[1]</td><td>If a ServiceRequest needs to be created for the receiver.</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">Participation (for Observation)</td><td>PRT[PractitionerRole]</td><td>ServiceRequest[1].requester.reference=PractitionerRole[3].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[3]</td><td style="border-left-width: 0px">PractitionerRole[3]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443"</td><td>(element("4.1")="OP")and(element("4.3")="HL70443")</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style="border-left-width: 0px">Observations Request</td><td>OBR[DiagnosticReport]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">DiagnosticReport[1]</td><td style="border-left-width: 0px">DiagnosticReport[1]</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">Observations Request</td><td>OBR[Specimen]</td><td>DiagnosticReport[1].specimen.reference=Specimen.id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Specimen[1]</td><td style="border-left-width: 0px">Specimen[1]</td><td/><td/><td/><td>The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style="border-left-width: 0px">Observations Request</td><td>OBR[ServiceRequest]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest[1]</td><td style="border-left-width: 0px">ServiceRequest[1]</td><td>If a ServiceRequest needs to be created for the receiver.</td><td>IF ORC VALUED</td><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">Participation (for Observation)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[4]</td><td style="border-left-width: 0px">PractitionerRole[4]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 IN ("ARI","TN","TR") AND PRT-4.3 EQUALS "HL70443"</td><td>PRT.element(4.1) in ("ARI","TN", "TR")and(PRT.element(4.3)="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[5]</td><td style="border-left-width: 0px">PractitionerRole[5]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "PRI" AND PRT-4.3 EQUALS "HL70443"</td><td>(PRT.element(4.1)="PRI")and(PRT.element(4.3)="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[6]</td><td style="border-left-width: 0px">PractitionerRole[6]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "SC" AND PRT-4.3 EQUALS "HL70443"</td><td>(element("4.1")="SC")and(element("4.3")="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[3]</td><td style="border-left-width: 0px">PractitionerRole[3]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443"</td><td>(element("4.1")="OP")and(element("4.3")="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation related to OBR</td><td>OBX[Observation]</td><td>DiagnosticReport.result.reference=Observation[2].id
Observation[2].subject.reference=Patient[1].id;
Observation[2].encounter.reference=Encounter[1].id\</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 NOT IN ("QST", "SCI")</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.
Note that it is not clear that every OBX represents a results that can be associated with the encounter during which it was ordered/performed.\</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation related to OBR</td><td>OBX[Observation-Component]</td><td>DiagnosticReport.result.reference=Observation[2].id
Observation[2].subject.reference=Patient[1].id;
Observation[2].encounter.reference=Encounter[1].id\</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td/><td>IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 NOT IN ("QST", "SCI")</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.OBX</td><td style="border-left-width: 0px">Observation related to OBR</td><td>OBX[Observation]</td><td>ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 IN ("QST", "SCI")</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">Observation related to OBR</td><td>OBX[Observation-Component]</td><td>ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td/><td>IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 AND OBX-29 IN ("QST", "SCI")</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">Participation (Observation Participation)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Device</td><td style="border-left-width: 0px">Device</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-10 VALUED</td><td/><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</td><td>PRT[Observation-Location]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</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.
If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</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" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[7]</td><td style="border-left-width: 0px">PractitionerRole[7]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-5 VALUED</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.
If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE</td><td style="border-left-width: 0px">Notes and comments</td><td>NTE[ServiceRequest]</td><td/><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2].note</td><td style="border-left-width: 0px">Observation[2].note</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">Specimen</td><td>SPM[Specimen]</td><td>DiagnosticReport[1].specimen.reference=Specimen[n].id</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Specimen[n]</td><td style="border-left-width: 0px">Specimen[n]</td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation (for Patient ID)</td><td>OBX[Observation]</td><td>Observation[3].subject.reference=Patient[1].id
Observation[3].focus.reference=Specimen[n].id\</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[3]</td><td style="border-left-width: 0px">Observation[3]</td><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1</td><td/><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation (for Patient ID)</td><td>OBX[Observation-Component]</td><td>Observation[3].subject.reference=Patient[1].id
Observation[3].focus.reference=Specimen[n].id\</td><td><a href="http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[3]</td><td style="border-left-width: 0px">Observation[3]</td><td/><td>IF OBX-5 LST.count GREATER THAN 1</td><td/><td/></tr></table></div>
</text>
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<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>
<extension
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<url value="http://hl7.org/fhir/uv/v2mappings/message-oru-r01-to-bundle"/>
<version value="1.0.0-ballot"/>
<name value="MessageORU_R01ToBundle"/>
<title value="Message ORU_R01 to Bundle Map"/>
<status value="active"/>
<experimental value="true"/>
<date value="2023-12-19"/>
<publisher value="HL7 International / Orders and Observations"/>
<contact>
<name value="HL7 Orders and Observations Workgroup"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/orders"/>
</telecom>
</contact>
<contact>
<name value="Keith W. Boone"/>
<telecom>
<system value="email"/>
<value value="kboone@ainq.com"/>
</telecom>
</contact>
<contact>
<name value="Rob Hausam"/>
<telecom>
<system value="email"/>
<value value="rrhausam@gmail.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
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<sourceUri value="ORU_R01"/>
<targetUri value="Bundle"/>
<group>
<element>
<extension
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<extension url="cardinalityMin">
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<extension url="cardinalityMax">
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<target>
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<code value="Bundle"/>
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<comment
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<display value="Provenance[1]"/>
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<comment
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<dependsOn>
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<value value="MSH[Provenance-Source]"/>
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<product>
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<code value="Provenance[2]"/>
<display value="Provenance[2]"/>
<equivalence value="equivalent"/>
<comment
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<dependsOn>
<property value="segment-map"/>
<value value="MSH[Provenance-Transformation]"/>
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<dependsOn>
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<dependsOn>
<property value="segment-map"/>
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<dependsOn>
<property value="references"/>
<value
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Provenance[1].entity.role="derivation"\"/>
</dependsOn>
<product>
<property value="narrative"/>
<value
value="If the software does represent not the original source system"/>
</product>
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<element>
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<code value="ORU_R01.SFT"/>
<display value="Software Segment"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Provenance[1].entity.what(Device)"/>
<display value="Provenance[1].entity.what(Device)"/>
<equivalence value="equivalent"/>
<dependsOn>
<property value="segment-map"/>
<value value="SFT[Device]"/>
</dependsOn>
<dependsOn>
<property value="references"/>
<value
value="Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role="source"\"/>
</dependsOn>
<product>
<property value="narrative"/>
<value
value="If the software represents the original source system"/>
</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.PID"/>
<display value="Patient Identification"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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="1"/>
</extension>
<extension url="cardinalityMax">
<valueInteger value="1"/>
</extension>
</extension>
<code value="ORU_R01.PATIENT_RESULT.PATIENT.PID"/>
<display value="Patient Identification"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Provenance[4]"/>
<display value="Provenance[4]"/>
<equivalence value="equivalent"/>
<dependsOn>
<property value="segment-map"/>
<value value="PID[Provenance-Patient]"/>
</dependsOn>
<dependsOn>
<property value="references"/>
<value value="Provenance.target.reference=Patient[1].id"/>
</dependsOn>
<product>
<property value="antlr"/>
<value value="IF PID-33 AND PID-34 VALUED"/>
</product>
<product>
<property value="narrative"/>
<value
value="One may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date."/>
</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.PD1"/>
<display value="Additional Demographics"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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.
If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\"/>
<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 "PP" AND PRT-4.3 EQUALS "HL70443""/>
</product>
<product>
<property value="fhirpath"/>
<value
value="(PRT.element(4.1)="PP")and(PRT.element(4.3)="HL70443")"/>
</product>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="RelatedPerson[1]"/>
<display value="RelatedPerson[1]"/>
<equivalence value="equivalent"/>
<comment
value="If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale."/>
<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 "PP" OR PRT-4.3 NOT EQUALS "HL70443""/>
</product>
<product>
<property value="fhirpath"/>
<value
value="(PRT.element(4.1)!="PP")or(PRT.element(4.3)!="HL70443")"/>
</product>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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'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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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'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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation[1]"/>
<display value="Observation[1]"/>
<equivalence value="equivalent"/>
<comment
value="Note that when OBX-5 repeats, the standard mapping is to use Observation.component rather than creating separate Observation instances. However, we are aware that some profiles and implementation guides do separate the OBX into multiple observations depending on the OBX-2 value. This is an example of a non-standard interpretation as the OBX should have been separated into multiple OBX segments to start. Please consider the local profiles and implementation guides on how to manage these variants."/>
<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="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT"/>
<display value="Participation (Observation Participation)"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Device"/>
<display value="Device"/>
<equivalence value="equivalent"/>
<comment
value="If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale."/>
<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>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation[1]"/>
<display value="Observation[1]"/>
<equivalence value="equivalent"/>
<comment
value="If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale."/>
<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>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="PractitionerRole[1]"/>
<display value="PractitionerRole[1]"/>
<equivalence value="equivalent"/>
<comment
value="If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale."/>
<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>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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>
<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="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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="PractitionerRole[2]"/>
<display value="PractitionerRole[2]"/>
<equivalence value="equivalent"/>
<comment
value="Incorporate PRT content into the Encounter created from the PV1 segment.
If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\"/>
<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>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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.COMMON_ORDER.ORC"/>
<display value="Order common"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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>
<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.COMMON_ORDER.PRT"/>
<display value="Participation (for Observation)"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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="ServiceRequest[1].requester.reference=PractitionerRole[3].id"/>
</dependsOn>
<product>
<property value="antlr"/>
<value
value="IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443""/>
</product>
<product>
<property value="fhirpath"/>
<value
value="(element("4.1")="OP")and(element("4.3")="HL70443")"/>
</product>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Specimen[1]"/>
<display value="Specimen[1]"/>
<equivalence value="equivalent"/>
<comment
value="The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference."/>
<dependsOn>
<property value="segment-map"/>
<value value="OBR[Specimen]"/>
</dependsOn>
<dependsOn>
<property value="references"/>
<value value="DiagnosticReport[1].specimen.reference=Specimen.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.OBR"/>
<display value="Observations Request"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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="antlr"/>
<value value="IF ORC VALUED"/>
</product>
<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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="PractitionerRole[4]"/>
<display value="PractitionerRole[4]"/>
<equivalence value="equivalent"/>
<comment
value="If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale."/>
<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 ("ARI","TN","TR") AND PRT-4.3 EQUALS "HL70443""/>
</product>
<product>
<property value="fhirpath"/>
<value
value="PRT.element(4.1) in ("ARI","TN", "TR")and(PRT.element(4.3)="HL70443")"/>
</product>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="PractitionerRole[5]"/>
<display value="PractitionerRole[5]"/>
<equivalence value="equivalent"/>
<comment
value="If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale."/>
<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 "PRI" AND PRT-4.3 EQUALS "HL70443""/>
</product>
<product>
<property value="fhirpath"/>
<value
value="(PRT.element(4.1)="PRI")and(PRT.element(4.3)="HL70443")"/>
</product>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="PractitionerRole[6]"/>
<display value="PractitionerRole[6]"/>
<equivalence value="equivalent"/>
<comment
value="If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale."/>
<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 "SC" AND PRT-4.3 EQUALS "HL70443""/>
</product>
<product>
<property value="fhirpath"/>
<value
value="(element("4.1")="SC")and(element("4.3")="HL70443")"/>
</product>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="PractitionerRole[3]"/>
<display value="PractitionerRole[3]"/>
<equivalence value="equivalent"/>
<comment
value="If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale."/>
<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 "OP" AND PRT-4.3 EQUALS "HL70443""/>
</product>
<product>
<property value="fhirpath"/>
<value
value="(element("4.1")="OP")and(element("4.3")="HL70443")"/>
</product>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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.
Note that it is not clear that every OBX represents a results that can be associated with the encounter during which it was ordered/performed.\"/>
<dependsOn>
<property value="segment-map"/>
<value value="OBX[Observation]"/>
</dependsOn>
<dependsOn>
<property value="references"/>
<value
value="DiagnosticReport.result.reference=Observation[2].id
Observation[2].subject.reference=Patient[1].id;
Observation[2].encounter.reference=Encounter[1].id\"/>
</dependsOn>
<product>
<property value="antlr"/>
<value
value="IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 NOT IN ("QST", "SCI")"/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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
Observation[2].subject.reference=Patient[1].id;
Observation[2].encounter.reference=Encounter[1].id\"/>
</dependsOn>
<product>
<property value="antlr"/>
<value
value="IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 NOT IN ("QST", "SCI")"/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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="ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id"/>
</dependsOn>
<product>
<property value="antlr"/>
<value
value="IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 IN ("QST", "SCI")"/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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="ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id"/>
</dependsOn>
<product>
<property value="antlr"/>
<value
value="IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 AND OBX-29 IN ("QST", "SCI")"/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Device"/>
<display value="Device"/>
<equivalence value="equivalent"/>
<comment
value="If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale."/>
<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>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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.
If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\"/>
<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>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<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.
If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\"/>
<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>
<product>
<property value="narrative"/>
<value
value="If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive"."/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation[2].note"/>
<display value="Observation[2].note"/>
<equivalence value="equivalent"/>
<dependsOn>
<property value="segment-map"/>
<value value="NTE[ServiceRequest]"/>
</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>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Specimen[n]"/>
<display value="Specimen[n]"/>
<equivalence value="equivalent"/>
<dependsOn>
<property value="segment-map"/>
<value value="SPM[Specimen]"/>
</dependsOn>
<dependsOn>
<property value="references"/>
<value
value="DiagnosticReport[1].specimen.reference=Specimen[n].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.SPECIMEN.SPECIMEN_OBSERVATION.OBX"/>
<display value="Observation (for Patient ID)"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation[3]"/>
<display value="Observation[3]"/>
<equivalence value="equivalent"/>
<dependsOn>
<property value="segment-map"/>
<value value="OBX[Observation]"/>
</dependsOn>
<dependsOn>
<property value="references"/>
<value
value="Observation[3].subject.reference=Patient[1].id
Observation[3].focus.reference=Specimen[n].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.SPECIMEN.SPECIMEN_OBSERVATION.OBX"/>
<display value="Observation (for Patient ID)"/>
<target>
<modifierExtension
url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
<valueCode value="equivalent"/>
</modifierExtension>
<code value="Observation[3]"/>
<display value="Observation[3]"/>
<equivalence value="equivalent"/>
<dependsOn>
<property value="segment-map"/>
<value value="OBX[Observation-Component]"/>
</dependsOn>
<dependsOn>
<property value="references"/>
<value
value="Observation[3].subject.reference=Patient[1].id
Observation[3].focus.reference=Specimen[n].id\"/>
</dependsOn>
<product>
<property value="antlr"/>
<value value="IF OBX-5 LST.count GREATER THAN 1"/>
</product>
</target>
</element>
</group>
</ConceptMap>
IG © 2020+ HL7 International / Orders and Observations. Package hl7.fhir.uv.v2mappings#1.0.0-ballot based on FHIR 4.0.1. Generated 2023-12-20
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