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 VXU_V04 to Bundle Map - XML Representation

Active as of 2024-04-24

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="message-vxu-v04-to-bundle"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap message-vxu-v04-to-bundle</b></p><a name="message-vxu-v04-to-bundle"> </a><a name="hcmessage-vxu-v04-to-bundle"> </a><a name="message-vxu-v04-to-bundle-en-US"> </a><p>Mapping from VXU_V04 to <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></p><p>ACTIVE (not intended for production usage). Published on 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 VXU_V04 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">VXU_V04.MSH</td><td style="border-left-width: 0px">Message Header</td><td>MSH[Bundle]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.MSH</td><td style="border-left-width: 0px">Message Header Segment</td><td>MSH[MessageHeader]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.MSH</td><td style="border-left-width: 0px">Message Header Segment</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/extensions/5.1.0/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">VXU_V04.MSH</td><td style="border-left-width: 0px">Message Header Segment</td><td>MSH[Provenance-Transformation]</td><td>Provenance[2].target.reference=Bundle.id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.SFT</td><td style="border-left-width: 0px">Software</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role=&quot;derivation&quot;\</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.SFT</td><td style="border-left-width: 0px">Software</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role=&quot;source&quot;\</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.PID</td><td style="border-left-width: 0px">Patient Identification Segment</td><td>PID[Patient]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.PID</td><td style="border-left-width: 0px">Patient Identification Segment</td><td>PID[Provenance-Patient]</td><td>Provenance.target.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.PD1</td><td style="border-left-width: 0px">Additional Demographics</td><td>PD1[Patient]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.NK1</td><td style="border-left-width: 0px">Next of Kin/Associated Parties</td><td>NK1[RelatedPerson]</td><td>RelatedPerson.patient.reference=Patient[PID].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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/><td/><td/><td>Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures.</td></tr><tr><td style="border-right-width: 0px">VXU_V04.NK1</td><td style="border-left-width: 0px">Next of Kin/Associated Parties</td><td>NK1[Patient]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.PATIENT_VISIT.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td>PV1[Encounter]</td><td>Encounter.subject.reference=Patient[PID].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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>Only if the system wants to know about the encounter related to the immunization event</td><td/><td/><td>Processing of the PV1 segment results in the creation of a new Encounter resource</td></tr><tr><td style="border-right-width: 0px">VXU_V04.PATIENT_VISIT.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td>PV1[Patient]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.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/extensions/5.1.0/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">VXU_V04.PERSON_OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation/Result</td><td>OBX[Observation]</td><td>Observation.subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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">VXU_V04.PERSON_OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation/Result</td><td>OBX[Observation-Component]</td><td>Observation.subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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/></tr><tr><td style="border-right-width: 0px">VXU_V04.PERSON_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>PRT[Device]</td><td>Observation[1].device.reference=Device.id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Device[1]</td><td style="border-left-width: 0px">Device[1]</td><td/><td>IF PRT-10 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.PERSON_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>PRT[Observation-Location]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/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 PRT-9 VALUED OR IF PRT-14 VALUED</td><td/><td>At this time we don't know of a use case for sending a location PRT to a patient level observations. We've provided a mapping from PRT to Location but not way to link it to other resources in the Bundle. If there is a known use case, please comment on it so that we can develop a solution.</td></tr><tr><td style="border-right-width: 0px">VXU_V04.PERSON_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>PRT[PractitionerRole]</td><td>Observation.performer.reference=PractitionerRole[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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/><td>IF PRT-5 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.PERSON_OBSERVATION.NTE</td><td style="border-left-width: 0px">Notes (Regarding Patient Observation)</td><td>NTE[ServiceRequest]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1].note</td><td style="border-left-width: 0px">Observation[1].note</td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.ORC</td><td style="border-left-width: 0px">Common Order</td><td>ORC[Immunization]</td><td>Immunzation.patient.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Immunization[1]</td><td style="border-left-width: 0px">Immunization[1]</td><td/><td/><td/><td>Processing of each ORC segment results in the creation of a new Immunization resource</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.ORC</td><td style="border-left-width: 0px">Common Order</td><td>ORC[ServiceRequest]</td><td>ServiceRequest.subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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>Only if the system wants to know about the order that lead to the immunization event</td><td/><td/><td>Processing of each ORC segment results in the creation of a new ServiceRequest resource if the receiving system wants to know about the order that lead to the immunization event</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px">Participation (for ORC)</td><td>PRT[PractitionerRole]</td><td>Immunization.performer.actor.reference=PractitionerRole[2].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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/><td>IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td>Processing of each PRT segment typically results in the creation of a new Practitioner or PractitionerRole resource. 

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

It may be possible to reuse a Practitioner resource in the bundle created from somewhere else in the bundle rather than creating a new resource for each PRT segment (eg, the same administering practictioner resource could be pointed to from multiple order segment groups) - if an implementer decides to do this, the system must be certain that it's the same person (same name, ID, etc) potentially even playing the same role (if the bundle uses PractitionerRole in addition to Practitioner).\</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px">Participation (for ORC)</td><td/><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Immunization[1].performer.function.coding.code</td><td style="border-left-width: 0px">= &quot;OP'&quot;</td><td/><td>IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px">Participation (for ORC)</td><td/><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Immunization[1].performer.function.coding.system</td><td style="border-left-width: 0px">= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;</td><td/><td>IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px">Participation (for ORC)</td><td>PRT[PractitionerRole]</td><td>Immunization.performer.actor.reference=PractitionerRole[3].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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/><td>IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;AP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px">Participation (for ORC)</td><td/><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Immunization[1].performer.function.coding.code</td><td style="border-left-width: 0px">= &quot;AP'&quot;</td><td/><td>IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;AP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.PRT</td><td style="border-left-width: 0px">Participation (for ORC)</td><td/><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Immunization[1].performer.function.coding.system</td><td style="border-left-width: 0px">= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;</td><td/><td>IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;4.1&quot;)=&quot;AP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.RXA</td><td style="border-left-width: 0px">Pharmacy Administration Segment</td><td>RXA[Immunization]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Immunization[1]</td><td style="border-left-width: 0px">Immunization[1]</td><td/><td/><td/><td>Incorporate RXA content into the Immunization created from the ORC segment in the same segment group.</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.RXR</td><td style="border-left-width: 0px">Pharmacy Route</td><td>RXR[Immunization]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Immunization[1]</td><td style="border-left-width: 0px">Immunization[1]</td><td/><td/><td/><td>Incorporate RXR content into the Immunization created from the ORC segment in the same segment group.</td></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation/Result</td><td>OBX[Observation]</td><td>Observation.subject.reference=Patient[1].id; Observation.partOf.reference=Immunization[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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>Some observations about the immunization may map to elements within the Immuniation resource rather than an independent Observation resource. For example, funding source, patient eligibility and educational material are often sent as OBX segments but map to Immunization elements.  Specific guidance on how to map, e.g., the US CDC implementation guide on immunizations, will be provided separately at a future time TBD.</td><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation/Result</td><td>OBX[Observation-Component]</td><td>Observation.subject.reference=Patient[1].id; Observation.partOf.reference=Immunization[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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>Some observations about the immunization may map to elements within the Immuniation resource rather than an independent Observation resource. For example, funding source, patient eligibility and educational material are often sent as OBX segments but map to Immunization elements.  Specific guidance on how to map, e.g., the US CDC implementation guide on immunizations, will be provided separately at a future time TBD.</td><td>IF OBX-5 LST.count GREATER THAN 1</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>PRT[Device]</td><td>Observation[1].device.reference=Device.id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Device[2]</td><td style="border-left-width: 0px">Device[2]</td><td/><td>IF PRT-10 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>PRT[Observation-Location]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/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 PRT-9 VALUED OR IF PRT-14 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>PRT[PractitionerRole]</td><td>Observation.performer.reference=PractitionerRole[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/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/><td>IF PRT-5 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">VXU_V04.ORDER.OBSERVATION.NTE</td><td style="border-left-width: 0px">Notes (Regarding Immunization)</td><td>NTE[ServiceRequest]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/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></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/RelatedArtifact">
    <extension url="type">
      <valueCode value="derived-from"/>
    </extension>
    <extension url="label">
      <valueString value="Message VXU:V04 to Bundle.fsh"/>
    </extension>
    <extension url="url">
      <valueUri
                value="https://docs.google.com/spreadsheets/d/1_7maXDpc_qMMRzMm0x6d90-Hj6vvhGyO2kyFX0tpuZs/edit#gid=0"/>
    </extension>
  </extension>
  <url value="http://hl7.org/fhir/uv/v2mappings/message-vxu-v04-to-bundle"/>
  <version value="1.0.0-ballot"/>
  <name value="MessageVXU_V04ToBundle"/>
  <title value="Message VXU_V04 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 VXU_V04 to the FHIR Message Bundle."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Copyright (c) 2020, HL7 International, Inc., All Rights Reserved."/>
  <sourceUri value="VXU_V04"/>
  <targetUri value="Bundle"/>
  <group>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.MSH"/>
      <display value="Message Header"/>
      <target>
        <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="VXU_V04.MSH"/>
      <display value="Message Header Segment"/>
      <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="VXU_V04.MSH"/>
      <display value="Message Header Segment"/>
      <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="VXU_V04.MSH"/>
      <display value="Message Header Segment"/>
      <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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.SFT"/>
      <display value="Software"/>
      <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=&quot;derivation&quot;\"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="If the software does represent not the original source system"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.SFT"/>
      <display value="Software"/>
      <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=&quot;source&quot;\"/>
        </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="VXU_V04.PID"/>
      <display value="Patient Identification Segment"/>
      <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="VXU_V04.PID"/>
      <display value="Patient Identification Segment"/>
      <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="VXU_V04.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="VXU_V04.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[1]"/>
        <display value="RelatedPerson[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="NK1[RelatedPerson]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="RelatedPerson.patient.reference=Patient[PID].id"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.NK1"/>
      <display value="Next of Kin/Associated Parties"/>
      <target>
        <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="NK1[Patient]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PATIENT_VISIT.PV1"/>
      <display value="Patient Visit"/>
      <target>
        <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[PID].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="Only if the system wants to know about the encounter related to the immunization event"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PATIENT_VISIT.PV1"/>
      <display value="Patient Visit"/>
      <target>
        <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="VXU_V04.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="VXU_V04.PERSON_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="Observation.subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count LESS THAN OR EQUALS 1"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <target>
        <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="Observation.subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count GREATER THAN 1"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Device[1]"/>
        <display value="Device[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[Device]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Observation[1].device.reference=Device.id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-10 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <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="At this time we don't know of a use case for sending a location PRT to a patient level observations. We've provided a mapping from PRT to Location but not way to link it to other resources in the Bundle. If there is a known use case, please comment on it so that we can develop a solution."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[Observation-Location]"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-9 VALUED OR IF PRT-14 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <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"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Observation.performer.reference=PractitionerRole[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-5 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.NTE"/>
      <display value="Notes (Regarding Patient Observation)"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Observation[1].note"/>
        <display value="Observation[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="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.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="Immunization[1]"/>
        <display value="Immunization[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of each ORC segment results in the creation of a new Immunization resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ORC[Immunization]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Immunzation.patient.reference=Patient[1].id"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.ORC"/>
      <display value="Common Order"/>
      <target>
        <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 if the receiving system wants to know about the order that lead to the immunization event"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ORC[ServiceRequest]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="ServiceRequest.subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="Only if the system wants to know about the order that lead to the immunization event"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <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="Processing of each PRT segment typically results in the creation of a new Practitioner or PractitionerRole resource. 

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

It may be possible to reuse a Practitioner resource in the bundle created from somewhere else in the bundle rather than creating a new resource for each PRT segment (eg, the same administering practictioner resource could be pointed to from multiple order segment groups) - if an implementer decides to do this, the system must be certain that it's the same person (same name, ID, etc) potentially even playing the same role (if the bundle uses PractitionerRole in addition to Practitioner).\"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Immunization.performer.actor.reference=PractitionerRole[2].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Immunization[1].performer.function.coding.code"/>
        <display value="= &quot;OP'&quot;"/>
        <equivalence value="equivalent"/>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Immunization[1].performer.function.coding.system"/>
        <display
                 value="= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;"/>
        <equivalence value="equivalent"/>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <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="Immunization.performer.actor.reference=PractitionerRole[3].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;AP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Immunization[1].performer.function.coding.code"/>
        <display value="= &quot;AP'&quot;"/>
        <equivalence value="equivalent"/>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;AP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Immunization[1].performer.function.coding.system"/>
        <display
                 value="= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;"/>
        <equivalence value="equivalent"/>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4.1 EQUALS &quot;AP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;4.1&quot;)=&quot;AP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.RXA"/>
      <display value="Pharmacy Administration Segment"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Immunization[1]"/>
        <display value="Immunization[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate RXA content into the Immunization created from the ORC segment in the same segment group."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="RXA[Immunization]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.RXR"/>
      <display value="Pharmacy Route"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Immunization[1]"/>
        <display value="Immunization[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate RXR content into the Immunization created from the ORC segment in the same segment group."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="RXR[Immunization]"/>
        </dependsOn>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <target>
        <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="Observation.subject.reference=Patient[1].id; Observation.partOf.reference=Immunization[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count LESS THAN OR EQUALS 1"/>
        </product>
        <product>
          <property value="narrative"/>
          <value
                 value="Some observations about the immunization may map to elements within the Immuniation resource rather than an independent Observation resource. For example, funding source, patient eligibility and educational material are often sent as OBX segments but map to Immunization elements.  Specific guidance on how to map, e.g., the US CDC implementation guide on immunizations, will be provided separately at a future time TBD."/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <target>
        <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="Observation.subject.reference=Patient[1].id; Observation.partOf.reference=Immunization[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF OBX-5 LST.count GREATER THAN 1"/>
        </product>
        <product>
          <property value="narrative"/>
          <value
                 value="Some observations about the immunization may map to elements within the Immuniation resource rather than an independent Observation resource. For example, funding source, patient eligibility and educational material are often sent as OBX segments but map to Immunization elements.  Specific guidance on how to map, e.g., the US CDC implementation guide on immunizations, will be provided separately at a future time TBD."/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Device[2]"/>
        <display value="Device[2]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[Device]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Observation[1].device.reference=Device.id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-10 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <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="PRT[Observation-Location]"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-9 VALUED OR IF PRT-14 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <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"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[PractitionerRole]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Observation.performer.reference=PractitionerRole[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-5 VALUED"/>
        </product>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.OBSERVATION.NTE"/>
      <display value="Notes (Regarding Immunization)"/>
      <target>
        <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>
  </group>
</ConceptMap>