HL7 Version 2 to FHIR
1.0.0-ballot - ballot International flag

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

ConceptMap: Message ORU_R01 to Bundle Map (Experimental)

Official URL: http://hl7.org/fhir/uv/v2mappings/message-oru-r01-to-bundle Version: 1.0.0-ballot
Active as of 2024-12-29 Computable Name: MessageORU_R01ToBundle

Copyright/Legal: Copyright (c) 2020, HL7 International, Inc., All Rights Reserved.

This ConceptMap represents a mapping from the HL7 V2 Message ORU_R01 to the FHIR Message Bundle.

This ConceptMap represents the mapping from the HL7 V2 ORU_R01 Message to the FHIR Message Bundle. See also the FHIR Shorthand or the CSV Source.

HL7 v2Condition (IF True, args)HL7 FHIRComments
Sort OrderIdentifierSyntaxNameCardinality - MinCardinality - MaxComputable ANTLRComputable FHIRPathNarrativePrimary TargetSegment MapReferences
1ORU_R01.MSHMSHMessage Header11BundleMSH[Bundle]
1ORU_R01.MSHMSHMessage Header11MessageHeaderMSH[MessageHeader]Processing of the MSH segment results in the creation of a new MessageHeader resource
1ORU_R01.MSHMSHMessage Header11If there is a source in MSH-4, or known based on the configuration.ProvenanceMSH[Provenance-Source]Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].idIf 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.
1ORU_R01.MSHMSHMessage Header11ProvenanceMSH[Provenance-Transformation]Provenance[2].target.reference=Bundle.idIf 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.
2ORU_R01.SFT[{ SFT }]Software Segment0-1If the software does represent not the original source systemProvenance.entity.what(Device)SFT[Device]Provenance[1].entity.what.reference=Device.id Provenance[1].entity.role="derivation"
2ORU_R01.SFT[{ SFT }]Software Segment0-1If the software represents the original source systemProvenance.entity.what(Device)SFT[Device]Provenance[1].entity.what.reference=Device.id Provenance[1].entity.role="source"
3ORU_R01.UAC[UAC]User Authentication Credential01
4ORU_R01.PATIENT_RESULT{--- PATIENT_RESULT begin1-1
4.1ORU_R01.PATIENT_RESULT.PATIENT[--- PATIENT begin01
4.1.1ORU_R01.PATIENT_RESULT.PATIENT.PIDPIDPatient Identification11PatientPID[Patient]Processing of the PID segment results in the creation of a new Patient resource
bORU_R01.PATIENT_RESULT.PATIENT.PIDPIDPatient Identification11IF PID-33 AND PID-34 VALUEDOne may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date.ProvenancePID[Provenance-Patient]Provenance.target.reference=Patient[1].id
4.1.2ORU_R01.PATIENT_RESULT.PATIENT.PD1[PD1]Additional Demographics01PatientPD1[Patient]Incorporate PD1 content into the Patient created from the PID segment.
4.1.2ORU_R01.PATIENT_RESULT.PATIENT.PD1[PD1]Additional Demographics01IF PD1-7 VALUEDObservationPD1[Observation-LivingWill]Observation[4].subject.reference=Patient[1].id
4.1.3ORU_R01.PATIENT_RESULT.PATIENT.PRT[{PRT}]Participation (for Patient)0-1IF PRT-4.1 EQUALS "PP" AND PRT-4.3 EQUALS "HL70443"(PRT.element(4.1)="PP")and(PRT.element(4.3)="HL70443")If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRolePRT[PractitionerRole]Patient[1].generalPractitioner.reference=PractitionerRole[1].idIncorporate 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.
4.1.3ORU_R01.PATIENT_RESULT.PATIENT.PRT[{PRT}]Participation (for Patient)0-1IF PRT-4.1 NOT EQUALS "PP" OR PRT-4.3 NOT EQUALS "HL70443"(PRT.element(4.1)!="PP")or(PRT.element(4.3)!="HL70443")If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".RelatedPersonPRT[RelatedPerson]RelatedPerson.patient.reference=Patient[1].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.1.4ORU_R01.PATIENT_RESULT.PATIENT.NTE[{NTE}]Notes and Comments0-1
4.1.5ORU_R01.PATIENT_RESULT.PATIENT.NK1[{NK1}]Next of Kin/Associated Parties0-1The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin dataRelatedPersonNK1[RelatedPerson]RelatedPerson.patient.reference=Patient[1].idTypically, 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.
4.1.5ORU_R01.PATIENT_RESULT.PATIENT.NK1[{NK1}]Next of Kin/Associated Parties0-1The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin dataPatientNK1[Patient]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.
4.1.6ORU_R01.PATIENT_RESULT.PATIENT.ARV[{ARV}]Access Restrictions0-1
4.1.7ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION[{--- PATIENT_OBSERVATION begin0-1
4.1.7.1ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBXOBXObservation (for Patient ID)11IF OBX-5 LST.count LESS THAN OR EQUALS 1ObservationOBX[Observation]Observation[1].subject.reference=Patient[1].id
4.1.7.1ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBXOBXObservation (for Patient ID)11IF OBX-5 LST.count GREATER THAN 1ObservationOBX[Observation-Component]Observation[1].subject.reference=Patient[1].idNote that when OBX-5 repeats, the standard mapping is to use Observation.component (see OBX[Observation-Component] map) 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.
4.1.7.2ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT[{PRT}]Participation (Observation Participation)0-1IF PRT-10 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".DevicePRT[Device]Observation[1].device.reference=Device.idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.1.7.2ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT[{PRT}]Participation (Observation Participation)0-1IF PRT-9 VALUED OR IF PRT-14 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".ObservationPRT[Observation-Location]If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.1.7.2ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT[{PRT}]Participation (Observation Participation)0-1IF PRT-5 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRolePRT[PractitionerRole]Observation.performer.reference=PractitionerRole[1].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.1.7.3/ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION}]--- PATIENT_OBSERVATION end
4.1.8ORU_R01.PATIENT_RESULT.PATIENT.VISIT[--- VISIT begin01
4.1.8.1ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1PV1Patient Visit11EncounterPV1[Encounter]Encounter.subject.reference=Patient[1].idProcessing of the PV1 segment results in the creation of a new Encounter resource
4.1.8.1ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1PV1Patient Visit11IF PV1-43 VALUEDBasicPV1[Basic-EncounterHistory]Basic.extension-EncounterHistory.subject.reference=Patient[1].id
4.1.8.1ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1PV1Patient Visit11PatientPV1[Patient]
4.1.8.1ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1PV1Patient Visit11IF PV1-20 VALUECoveragePV1[Coverage]Coverage.beneficiary.reference=Patient[1].id
4.1.8.2ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2[PV2]Patient Visit - Additional Info01EncounterPV2[Encounter]Encounter.subject.reference=Patient[1].idIncorporate PV2 content into the Encounter created from the PV1 segment.
4.1.8.3ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT[{PRT}]Participation (for Patient Visit)0-1If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRolePRT[PractitionerRole]Encounter[1].participant.individual.reference=PractitionerRole[2].idIncorporate 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.
4.1.8.4/ORU_R01.PATIENT_RESULT.PATIENT.VISIT]--- VISIT end
4.1.9/ORU_R01.PATIENT_RESULT.PATIENT]--- PATIENT end
4.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION{--- ORDER_OBSERVATION begin1-1
4.2.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER[--- COMMON_ORDER begin01
4.2.1.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORCORCOrder common11DiagnosticReportORC[DiagnosticReport]DiagnosticReport[1].encounter.reference=Encounter[1].idProcessing of each ORC segment results in the creation of a new DiagnosticReport resource
4.2.1.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORCORCOrder common11If a ServiceRequest needs to be created for the receiver.ServiceRequestORC[ServiceRequest]DiagnosticReport[1].basedOn.reference=ServiceRequest[1].id
4.2.1.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT[{PRT}]Participation (for Observation)0-1IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443"(element("4.1")="OP")and(element("4.3")="HL70443")If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRolePRT[PractitionerRole]ServiceRequest[1].requester.reference=PractitionerRole[3].id
4.2.1.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT[--- ORDER_DOCUMENT begin01Will be addressed with FHIR R5.
4.2.1.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT.OBXOBXObservation containing Document11
4.2.1.3.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT.PRT[{PRT}]Participation0-1If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.1.3.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT.TXATXATranscription Document Header11
4.2.1.3.4/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT]--- ORDER DOCUMENT end
4.2.1.4/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER]--- COMMON ORDER end
4.2.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBROBRObservations Request11DiagnosticReportOBR[DiagnosticReport]Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group.
4.2.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBROBRObservations Request11SpecimenOBR[Specimen]DiagnosticReport[1].specimen.reference=Specimen.idThe OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference.
4.2.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBROBRObservations Request11IF ORC VALUEDIf a ServiceRequest needs to be created for the receiver.ServiceRequestOBR[ServiceRequest]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.
4.2.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.NTE{[NTE]}Notes and comments0-1
4.2.4ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT[{PRT}]Participation (for Observation)0-1IF PRT-4.1 IN ("ARI","TN","TR") AND PRT-4.3 EQUALS "HL70443"PRT.element(4.1) in ("ARI","TN", "TR")and(PRT.element(4.3)="HL70443")If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRolePRT[PractitionerRole]DiagnosticReport[1].performer.reference=PractitionerRole[4].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT[{PRT}]Participation (for Observation)0-1IF PRT-4.1 EQUALS "PRI" AND PRT-4.3 EQUALS "HL70443"(PRT.element(4.1)="PRI")and(PRT.element(4.3)="HL70443")If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRolePRT[PractitionerRole]DiagnosticReport[1].resultsInterpreter.reference=PractitionerRole[5].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT[{PRT}]Participation (for Observation)0-1IF PRT-4.1 EQUALS "SC" AND PRT-4.3 EQUALS "HL70443"(element("4.1")="SC")and(element("4.3")="HL70443")If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRolePRT[PractitionerRole]DiagnosticReport[1].specimen[1](Specimen.collection.collector.reference)=PractitionerRole[6].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT[{PRT}]Participation (for Observation)0-1IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443"(element("4.1")="OP")and(element("4.3")="HL70443")If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRolePRT[PractitionerRole]DiagnosticReport[1].requester.reference=PractitionerRole[3].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY[{--- TIMING_QTY begin0-1
4.2.4.1.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY.TQ1TQ1Timing/Quantity11
4.2.4.1.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY.TQ2[{TQ2}]Timing/Quantity Order Sequence0-1
4.2.4.1.3/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY}]--- TIMING_QTY end
4.2.4.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.CTD[CTD]Contact Data01
4.2.4.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION[{--- OBSERVATION begin0-1
4.2.4.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBXOBXObservation related to OBR11IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 NOT IN ("QST", "SCI")ObservationOBX[Observation]DiagnosticReport.result.reference=Observation[2].id Observation[2].subject.reference=Patient[1].id; Observation[2].encounter.reference=Encounter[1].idImplementers 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.
4.2.4.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBXOBXObservation related to OBR11IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 NOT IN ("QST", "SCI")ObservationOBX[Observation-Component]DiagnosticReport.result.reference=Observation[2].id Observation[2].subject.reference=Patient[1].id; Observation[2].encounter.reference=Encounter[1].idImplementers 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.
4.2.4.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBXOBXObservation related to OBR11IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 IN ("QST", "SCI")ObservationOBX[Observation]ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id
4.2.4.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBXOBXObservation related to OBR11IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 AND OBX-29 IN ("QST", "SCI")ObservationOBX[Observation-Component]ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id
4.2.4.3.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT[{PRT}]Participation (Observation Participation)0-1IF PRT-10 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".DevicePRT[Device]Observation[2].device.reference=Device.idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4.3.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT[{PRT}]Participation (Observation Participation)0-1IF PRT-9 VALUED OR IF PRT-14 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".ObservationPRT[Observation-Location]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.
4.2.4.3.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT[{PRT}]Participation (Observation Participation)0-1IF PRT-5 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRolePRT[PractitionerRole]Observation[2].performer.reference=PractitionerRole[7].idIncorporate 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.
4.2.4.3.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE{[NTE]}Notes and comments0-1Observation.noteNTE[ServiceRequest]
4.2.4.3/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION}]--- OBSERVATION end
4.2.5ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.FT1[{FT1}]Financial Transaction0-1
4.2.6ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.CTI{[CTI]}Clinical Trial Identification0-1
4.2.7ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN[{--- SPECIMEN begin0-1
4.2.7.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPMSPMSpecimen11SpecimenSPM[Specimen]DiagnosticReport[1].specimen.reference=Specimen[n].id
4.2.7.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION[{--- SPECIMEN_OBSERVATION begin0-1
4.2.7.2.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBXOBXObservation (for Patient ID)11IF OBX-5 LST.count LESS THAN OR EQUALS 1ObservationOBX[Observation]Observation[3].subject.reference=Patient[1].id Observation[3].focus.reference=Specimen[n].id
4.2.7.2.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBXOBXObservation (for Patient ID)11IF OBX-5 LST.count GREATER THAN 1ObservationOBX[Observation-Component]Observation[3].subject.reference=Patient[1].id Observation[3].focus.reference=Specimen[n].id
4.2.7.2.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.PRT[{PRT}]Participation (Observation Participation)0-1
4.2.7.2.3/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION}]--- SPECIMEN_OBSERVATION end
4.2.7.3/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN}]--- SPECIMEN end
4.2.8/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION}--- ORDER_OBSERVATION end
4.3/ORU_R01.PATIENT_RESULT}--- PATIENT_RESULT end
5ORU_R01.DSC[DSC]Continuation Pointer

Generated Narrative: ConceptMap message-oru-r01-to-bundle

Mapping from ORU_R01 to Bundle


Group 1 Mapping from unspecified code system to unspecified code system

Source CodeRelationshipTarget CodeComment
ORU_R01.MSH (Message Header)is equivalent toBundle
ORU_R01.MSH (Message Header)is equivalent toMessageHeader[1]Processing of the MSH segment results in the creation of a new MessageHeader resource
ORU_R01.MSH (Message Header)is equivalent toProvenance[1]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.
ORU_R01.MSH (Message Header)is equivalent toProvenance[2]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.
ORU_R01.SFT (Software Segment)is equivalent toProvenance[1].entity.what(Device)
ORU_R01.SFT (Software Segment)is equivalent toProvenance[1].entity.what(Device)
ORU_R01.PATIENT_RESULT.PATIENT.PID (Patient Identification)is equivalent toPatient[1]Processing of the PID segment results in the creation of a new Patient resource
ORU_R01.PATIENT_RESULT.PATIENT.PID (Patient Identification)is equivalent toProvenance[4]
ORU_R01.PATIENT_RESULT.PATIENT.PD1 (Additional Demographics)is equivalent toPatient[1]Incorporate PD1 content into the Patient created from the PID segment.
ORU_R01.PATIENT_RESULT.PATIENT.PD1 (Additional Demographics)is equivalent toObservation[4]
ORU_R01.PATIENT_RESULT.PATIENT.PRT (Participation (for Patient))is equivalent toPractitionerRole[1]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.\
ORU_R01.PATIENT_RESULT.PATIENT.PRT (Participation (for Patient))is equivalent toRelatedPerson[1]If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
ORU_R01.PATIENT_RESULT.PATIENT.NK1 (Next of Kin/Associated Parties)is equivalent toRelatedPerson[2]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.
ORU_R01.PATIENT_RESULT.PATIENT.NK1 (Next of Kin/Associated Parties)is equivalent toPatient[1]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.
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX (Observation (for Patient ID))is equivalent toObservation[1]
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX (Observation (for Patient ID))is equivalent toObservation[1]Note that when OBX-5 repeats, the standard mapping is to use Observation.component (see OBX[Observation-Component] map) 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.
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT (Participation (Observation Participation))is equivalent toDeviceIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT (Participation (Observation Participation))is equivalent toObservation[1]If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT (Participation (Observation Participation))is equivalent toPractitionerRole[1]If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 (Patient Visit)is equivalent toEncounter[1]Processing of the PV1 segment results in the creation of a new Encounter resource
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 (Patient Visit)is equivalent toBasic
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 (Patient Visit)is equivalent toPatient[1]
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 (Patient Visit)is equivalent toCoverage[1]
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2 (Patient Visit - Additional Info)is equivalent toEncounter[1]Incorporate PV2 content into the Encounter created from the PV1 segment.
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT (Participation (for Patient Visit))is equivalent toPractitionerRole[2]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.\
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC (Order common)is equivalent toDiagnosticReport[1]Processing of each ORC segment results in the creation of a new DiagnosticReport resource
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC (Order common)is equivalent toServiceRequest[1]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT (Participation (for Observation))is equivalent toPractitionerRole[3]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR (Observations Request)is equivalent toDiagnosticReport[1]Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group.
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR (Observations Request)is equivalent toSpecimen[1]The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference.
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR (Observations Request)is equivalent toServiceRequest[1]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.
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT (Participation (for Observation))is equivalent toPractitionerRole[4]If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT (Participation (for Observation))is equivalent toPractitionerRole[5]If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT (Participation (for Observation))is equivalent toPractitionerRole[6]If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT (Participation (for Observation))is equivalent toPractitionerRole[3]If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX (Observation related to OBR)is equivalent toObservation[2]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.\
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX (Observation related to OBR)is equivalent toObservation[2]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.
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX (Observation related to OBR)is equivalent toObservation[2]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX (Observation related to OBR)is equivalent toObservation[2]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT (Participation (Observation Participation))is equivalent toDeviceIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT (Participation (Observation Participation))is equivalent toObservation[2]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.\
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT (Participation (Observation Participation))is equivalent toPractitionerRole[7]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.\
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE (Notes and comments)is equivalent toObservation[2].note
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM (Specimen)is equivalent toSpecimen[n]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX (Observation (for Patient ID))is equivalent toObservation[3]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX (Observation (for Patient ID))is equivalent toObservation[3]

Notes: