HL7 Version 2 to FHIR
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HL7 Version 2 to FHIR, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/v2-to-fhir/ and changes regularly. See the Directory of published versions

: Message ORM_O01 to Bundle Map - XML Representation

Active as of 2024-04-24

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="message-orm-o01-to-bundle"/>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>Mapping from ORM_O01 to <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></p><p>ACTIVE (not intended for production usage). Published on 2024-04-24 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 ORM_O01 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="4"><b>Target Concept Details</b></td><td><b>Comment</b></td><td colspan="4"><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/></tr><tr><td style="border-right-width: 0px">ORM_O01.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/></tr><tr><td style="border-right-width: 0px">ORM_O01.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>Processing of the MSH segment results in the creation of a new MessageHeader resource</td></tr><tr><td style="border-right-width: 0px">ORM_O01.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>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">ORM_O01.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>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">ORM_O01.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>Processing of the PID segment results in the creation of a new Patient resource</td></tr><tr><td style="border-right-width: 0px">ORM_O01.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/></tr><tr><td style="border-right-width: 0px">ORM_O01.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>Incorporate PD1 content into the Patient created from the PID segment.</td></tr><tr><td style="border-right-width: 0px">ORM_O01.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>Processing of the PV1 segment results in the creation of a new Encounter resource</td></tr><tr><td style="border-right-width: 0px">ORM_O01.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/></tr><tr><td style="border-right-width: 0px">ORM_O01.PATIENT.VISIT.PV2</td><td style="border-left-width: 0px">Patient Visit- Additional Info</td><td>PV2[Encounter]</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">Encounter[1]</td><td style="border-left-width: 0px">Encounter[1]</td><td/><td/><td>Incorporate PV2 content into the Encounter created from the PV1 segment.</td></tr><tr><td style="border-right-width: 0px">ORM_O01.PATIENT.INSURANCE.IN1</td><td style="border-left-width: 0px">Insurance</td><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">Coverage[1]</td><td style="border-left-width: 0px">Coverage[1]</td><td/><td/><td>Processing of the IN1 segment results in the creation of a new Coverage resource</td></tr><tr><td style="border-right-width: 0px">ORM_O01.PATIENT.INSURANCE.IN2</td><td style="border-left-width: 0px">Insurance Additional Info</td><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">Coverage[1]</td><td style="border-left-width: 0px">Coverage[1]</td><td/><td/><td>Incorporate IN2 content into the Coverage created from the IN1 segment.</td></tr><tr><td style="border-right-width: 0px">ORM_O01.PATIENT.INSURANCE.IN3</td><td style="border-left-width: 0px">Insurance Add'l Info – Cert.</td><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">Coverage[1]</td><td style="border-left-width: 0px">Coverage[1]</td><td/><td/><td>Incorporate IN3 content into the Coverage created from the IN1 segment.</td></tr><tr><td style="border-right-width: 0px">ORM_O01.PATIENT.AL1</td><td style="border-left-width: 0px">Allergy Information</td><td>AL1[AllergyIntolerance]</td><td>AllergyIntolerance.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">AllergyIntolerance</td><td style="border-left-width: 0px">AllergyIntolerance</td><td/><td/><td>Processing of the AL1 segment results in the creation of a new AllergyIntolerance resource</td></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER.ORC</td><td style="border-left-width: 0px">Common Order</td><td>ORC[ServiceRequest]</td><td>ServiceRequest[1].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">ServiceRequest[1]</td><td style="border-left-width: 0px">ServiceRequest[1]</td><td/><td/><td>Processing of each ORC segment results in the creation of a new ServiceRequest resource</td></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER.ORC</td><td style="border-left-width: 0px">Common Order</td><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">Task[1]</td><td style="border-left-width: 0px">Task[1]</td><td/><td/><td>Processing of each ORC segment results in the creation of a new Task resource which is linked back to the ServiceRequest created for the same ORC segment. =*= The creation of a Task resource and its inclusion in the FHIR bundle should only happen when the receiving system is responsible for fulfillment of the ServiceRequest. Other systems may receive notification of the order, but should not receive a Task Resource if they are not the intended filler system. =*= The actual value of the ORC-1 Order Control Code will yield different population of the Task resource.</td></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER.ORC</td><td style="border-left-width: 0px">Common Order</td><td>ORC[Provenance]</td><td>Provenance[2].target=ServiceRequest[1]</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/></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER_DETAIL.CHOICE.OBR</td><td style="border-left-width: 0px">Order Detail Segment OBR, etc.</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/><td>IF PID VALUED</td><td>Incorporate OBR content into the ServiceRequest created from the ORC segment in the same segment group.</td></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER_DETAIL.CHOICE.OBR</td><td style="border-left-width: 0px">Order Detail Segment OBR, etc.</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">SupplyRequest[1]</td><td style="border-left-width: 0px">SupplyRequest[1]</td><td/><td>IF PID NOT VALUED</td><td/></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER_DETAIL.CHOICE.RXO</td><td style="border-left-width: 0px">Pharmacy/Treatment Order</td><td>RXO[MedicationRequest]</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">MedicationRequest</td><td style="border-left-width: 0px">MedicationRequest</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER_DETAIL.CHOICE.ODS</td><td style="border-left-width: 0px">Dietary Orders, Supplements, and Preferences</td><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">SupplyRequest[2]</td><td style="border-left-width: 0px">SupplyRequest[2]</td><td/><td>IF PID NOT VALUED</td><td/></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER_DETAIL.NTE</td><td style="border-left-width: 0px">Notes and Comments (for Detail)</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">ServiceRequest[1].note</td><td style="border-left-width: 0px">ServiceRequest[1].note</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER_DETAIL.DG1</td><td style="border-left-width: 0px">Diagnosis</td><td>DG1[Condition]</td><td>Condition.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">ServiceRequest[1].reasonReference(Condition)</td><td style="border-left-width: 0px">ServiceRequest[1].reasonReference(Condition)</td><td/><td/><td>Processing of the DG1 segment results in the creation of a new Condition resource which is referenced in the ServiceRequest created by the ORC segment</td></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER_DETAIL.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation/Result</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[1]</td><td style="border-left-width: 0px">Observation[1]</td><td/><td>IF  OBX-5 LST.count GREATER THAN 1</td><td/></tr><tr><td style="border-right-width: 0px">ORM_O01.ORDER_DETAIL.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation/Result</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[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/></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 ORM:O01 to Bundle.fsh"/>
    </extension>
    <extension url="url">
      <valueUri
                value="https://docs.google.com/spreadsheets/d/19C2jjzXZ8D7Um1iB-e6NmLfZVPvyZNkgwU8IxCJiwGs/edit#gid=0"/>
    </extension>
  </extension>
  <url value="http://hl7.org/fhir/uv/v2mappings/message-orm-o01-to-bundle"/>
  <version value="1.0.0-ballot"/>
  <name value="MessageORM_O01ToBundle"/>
  <title value="Message ORM_O01 to Bundle Map"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2024-04-24"/>
  <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 ORM_O01 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="ORM_O01"/>
  <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="ORM_O01.MSH"/>
      <display value="Message Header"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <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="ORM_O01.MSH"/>
      <display value="Message Header"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <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="ORM_O01.MSH"/>
      <display value="Message Header"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Provenance[1]"/>
        <display value="Provenance[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MSH[Provenance-Source]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="If there is a source in MSH-4, or known based on the configuration."/>
        </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="ORM_O01.MSH"/>
      <display value="Message Header"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Provenance[2]"/>
        <display value="Provenance[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="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."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MSH[Provenance-Transformation]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Provenance[2].target.reference=Bundle.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="ORM_O01.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="ORM_O01.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="ORM_O01.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="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="ORM_O01.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="ORM_O01.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="ORM_O01.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>
      </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="ORM_O01.PATIENT.INSURANCE.IN1"/>
      <display value="Insurance"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Coverage[1]"/>
        <display value="Coverage[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the IN1 segment results in the creation of a new Coverage resource"/>
      </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="ORM_O01.PATIENT.INSURANCE.IN2"/>
      <display value="Insurance Additional Info"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Coverage[1]"/>
        <display value="Coverage[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate IN2 content into the Coverage created from the IN1 segment."/>
      </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="ORM_O01.PATIENT.INSURANCE.IN3"/>
      <display value="Insurance Add'l Info – Cert."/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Coverage[1]"/>
        <display value="Coverage[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate IN3 content into the Coverage created from the IN1 segment."/>
      </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="ORM_O01.PATIENT.AL1"/>
      <display value="Allergy Information"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="AllergyIntolerance"/>
        <display value="AllergyIntolerance"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the AL1 segment results in the creation of a new AllergyIntolerance resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="AL1[AllergyIntolerance]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="AllergyIntolerance.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="ORM_O01.ORDER.ORC"/>
      <display value="Common Order"/>
      <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="Processing of each ORC segment results in the creation of a new ServiceRequest resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ORC[ServiceRequest]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="ServiceRequest[1].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="ORM_O01.ORDER.ORC"/>
      <display value="Common Order"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Task[1]"/>
        <display value="Task[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of each ORC segment results in the creation of a new Task resource which is linked back to the ServiceRequest created for the same ORC segment. =*= The creation of a Task resource and its inclusion in the FHIR bundle should only happen when the receiving system is responsible for fulfillment of the ServiceRequest. Other systems may receive notification of the order, but should not receive a Task Resource if they are not the intended filler system. =*= The actual value of the ORC-1 Order Control Code will yield different population of the Task resource."/>
      </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="ORM_O01.ORDER.ORC"/>
      <display value="Common Order"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Provenance[2]"/>
        <display value="Provenance[2]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ORC[Provenance]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Provenance[2].target=ServiceRequest[1]"/>
        </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="ORM_O01.ORDER_DETAIL.CHOICE.OBR"/>
      <display value="Order Detail Segment OBR, etc."/>
      <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="Incorporate OBR content into the ServiceRequest created from the ORC segment in the same segment group."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBR[ServiceRequest]"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PID 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="ORM_O01.ORDER_DETAIL.CHOICE.OBR"/>
      <display value="Order Detail Segment OBR, etc."/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="SupplyRequest[1]"/>
        <display value="SupplyRequest[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBR[ServiceRequest]"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PID NOT 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="ORM_O01.ORDER_DETAIL.CHOICE.RXO"/>
      <display value="Pharmacy/Treatment Order"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="MedicationRequest"/>
        <display value="MedicationRequest"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="RXO[MedicationRequest]"/>
        </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="ORM_O01.ORDER_DETAIL.CHOICE.ODS"/>
      <display value="Dietary Orders, Supplements, and Preferences"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="SupplyRequest[2]"/>
        <display value="SupplyRequest[2]"/>
        <equivalence value="equivalent"/>
        <product>
          <property value="antlr"/>
          <value value="IF PID NOT 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="ORM_O01.ORDER_DETAIL.NTE"/>
      <display value="Notes and Comments (for Detail)"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="ServiceRequest[1].note"/>
        <display value="ServiceRequest[1].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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="ORM_O01.ORDER_DETAIL.DG1"/>
      <display value="Diagnosis"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="ServiceRequest[1].reasonReference(Condition)"/>
        <display value="ServiceRequest[1].reasonReference(Condition)"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the DG1 segment results in the creation of a new Condition resource which is referenced in the ServiceRequest created by the ORC segment"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="DG1[Condition]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Condition.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="ORM_O01.ORDER_DETAIL.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <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="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"/>
        </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="ORM_O01.ORDER_DETAIL.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <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-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 LESS THAN OR EQUALS 1"/>
        </product>
      </target>
    </element>
  </group>
</ConceptMap>