HL7 Version 2 to FHIR
1.0.0-ballot - ballot
HL7 Version 2 to FHIR
1.0.0-ballot - ballot
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
| Active as of 2024-04-24 |
{
"resourceType" : "ConceptMap",
"id" : "message-oru-r01-to-bundle",
"text" : {
"status" : "extensions",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Mapping from ORU_R01 to <a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a></p><p>ACTIVE (not intended for production usage). Published on 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 ORU_R01 to the FHIR Message Bundle.</p>\n</div><br/><p><b>Group 1</b> Mapping from <code>unspecified code system</code> to <code>unspecified code system</code></p><table class=\"grid\"><tr><td colspan=\"4\"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan=\"5\"><b>Target Concept Details</b></td><td><b>Comment</b></td><td colspan=\"5\"><b>Properties</b></td></tr><tr><td colspan=\"2\"><b>Codes</b> from </td><td><b>segmentmap</b></td><td><b>references</b></td><td/><td colspan=\"2\"><b>Codes</b> from </td><td><b>narrative</b></td><td><b>antlr</b></td><td><b>fhirpath</b></td><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.MSH</td><td style=\"border-left-width: 0px\">Message Header</td><td>MSH[Bundle]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Bundle</td><td style=\"border-left-width: 0px\">Bundle</td><td/><td/><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.MSH</td><td style=\"border-left-width: 0px\">Message Header</td><td>MSH[MessageHeader]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">MessageHeader[1]</td><td style=\"border-left-width: 0px\">MessageHeader[1]</td><td/><td/><td/><td>Processing of the MSH segment results in the creation of a new MessageHeader resource</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.MSH</td><td style=\"border-left-width: 0px\">Message Header</td><td>MSH[Provenance-Source]</td><td>Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Provenance[1]</td><td style=\"border-left-width: 0px\">Provenance[1]</td><td>If there is a source in MSH-4, or known based on the configuration.</td><td/><td/><td>If the FHIR transformation does not yield a FHIR message, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.MSH</td><td style=\"border-left-width: 0px\">Message Header</td><td>MSH[Provenance-Transformation]</td><td>Provenance[2].target.reference=Bundle.id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Provenance[2]</td><td style=\"border-left-width: 0px\">Provenance[2]</td><td/><td/><td/><td>If the FHIR transformation does not yield a FHIR Bunlde, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.SFT</td><td style=\"border-left-width: 0px\">Software Segment</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id\nProvenance[1].entity.role="derivation"\\</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Provenance[1].entity.what(Device)</td><td style=\"border-left-width: 0px\">Provenance[1].entity.what(Device)</td><td>If the software does represent not the original source system</td><td/><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.SFT</td><td style=\"border-left-width: 0px\">Software Segment</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id\nProvenance[1].entity.role="source"\\</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Provenance[1].entity.what(Device)</td><td style=\"border-left-width: 0px\">Provenance[1].entity.what(Device)</td><td>If the software represents the original source system</td><td/><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PID</td><td style=\"border-left-width: 0px\">Patient Identification</td><td>PID[Patient]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Patient[1]</td><td style=\"border-left-width: 0px\">Patient[1]</td><td/><td/><td/><td>Processing of the PID segment results in the creation of a new Patient resource</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PID</td><td style=\"border-left-width: 0px\">Patient Identification</td><td>PID[Provenance-Patient]</td><td>Provenance.target.reference=Patient[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Provenance[4]</td><td style=\"border-left-width: 0px\">Provenance[4]</td><td>One may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date.</td><td>IF PID-33 AND PID-34 VALUED</td><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PD1</td><td style=\"border-left-width: 0px\">Additional Demographics</td><td>PD1[Patient]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Patient[1]</td><td style=\"border-left-width: 0px\">Patient[1]</td><td/><td/><td/><td>Incorporate PD1 content into the Patient created from the PID segment.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PRT</td><td style=\"border-left-width: 0px\">Participation (for Patient)</td><td>PRT[PractitionerRole]</td><td>Patient[1].generalPractitioner.reference=PractitionerRole[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">PractitionerRole[1]</td><td style=\"border-left-width: 0px\">PractitionerRole[1]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "PP" AND PRT-4.3 EQUALS "HL70443"</td><td>(PRT.element(4.1)="PP")and(PRT.element(4.3)="HL70443")</td><td>Incorporate PRT content into the Patient created from the PID segment when the PRT contains practitioner related data.\nIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\\</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PRT</td><td style=\"border-left-width: 0px\">Participation (for Patient)</td><td>PRT[RelatedPerson]</td><td>RelatedPerson.patient.reference=Patient[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">RelatedPerson[1]</td><td style=\"border-left-width: 0px\">RelatedPerson[1]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 NOT EQUALS "PP" OR PRT-4.3 NOT EQUALS "HL70443"</td><td>(PRT.element(4.1)!="PP")or(PRT.element(4.3)!="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.NK1</td><td style=\"border-left-width: 0px\">Next of Kin/Associated Parties</td><td>NK1[RelatedPerson]</td><td>RelatedPerson.patient.reference=Patient[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">RelatedPerson[2]</td><td style=\"border-left-width: 0px\">RelatedPerson[2]</td><td>The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data</td><td/><td/><td>Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.NK1</td><td style=\"border-left-width: 0px\">Next of Kin/Associated Parties</td><td>NK1[Patient]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Patient[1]</td><td style=\"border-left-width: 0px\">Patient[1]</td><td>The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data</td><td/><td/><td>Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation (for Patient ID)</td><td>OBX[Observation]</td><td>Observation.subject.reference=Patient[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[1]</td><td style=\"border-left-width: 0px\">Observation[1]</td><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1</td><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation (for Patient ID)</td><td>OBX[Observation-Component]</td><td>Observation.subject.reference=Patient[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[1]</td><td style=\"border-left-width: 0px\">Observation[1]</td><td/><td>IF OBX-5 LST.count GREATER THAN 1</td><td/><td>Note that when OBX-5 repeats, the standard mapping is to use Observation.component (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.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (Observation Participation)</td><td>PRT[Device]</td><td>Observation[1].device.reference=Device.id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Device</td><td style=\"border-left-width: 0px\">Device</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-10 VALUED</td><td/><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (Observation Participation)</td><td>PRT[Observation-Location]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[1]</td><td style=\"border-left-width: 0px\">Observation[1]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</td><td/><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (Observation Participation)</td><td>PRT[PractitionerRole]</td><td>Observation.performer.reference=PractitionerRole[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">PractitionerRole[1]</td><td style=\"border-left-width: 0px\">PractitionerRole[1]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-5 VALUED</td><td/><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1</td><td style=\"border-left-width: 0px\">Patient Visit</td><td>PV1[Encounter]</td><td>Encounter.subject.reference=Patient[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Encounter[1]</td><td style=\"border-left-width: 0px\">Encounter[1]</td><td/><td/><td/><td>Processing of the PV1 segment results in the creation of a new Encounter resource</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1</td><td style=\"border-left-width: 0px\">Patient Visit</td><td>PV1[Patient]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Patient[1]</td><td style=\"border-left-width: 0px\">Patient[1]</td><td/><td/><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2</td><td style=\"border-left-width: 0px\">Patient Visit - Additional Info</td><td>PV2[Encounter]</td><td>Encounter.subject.reference=Patient[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Encounter[1]</td><td style=\"border-left-width: 0px\">Encounter[1]</td><td/><td/><td/><td>Incorporate PV2 content into the Encounter created from the PV1 segment.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT</td><td style=\"border-left-width: 0px\">Participation (for Patient Visit)</td><td>PRT[PractitionerRole]</td><td>Encounter[1].participant.individual.reference=PractitionerRole[2].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">PractitionerRole[2]</td><td style=\"border-left-width: 0px\">PractitionerRole[2]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td/><td/><td>Incorporate PRT content into the Encounter created from the PV1 segment.\nIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\\</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC</td><td style=\"border-left-width: 0px\">Order common</td><td>ORC[DiagnosticReport]</td><td>DiagnosticReport[1].encounter.reference=Encounter[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">DiagnosticReport[1]</td><td style=\"border-left-width: 0px\">DiagnosticReport[1]</td><td/><td/><td/><td>Processing of each ORC segment results in the creation of a new DiagnosticReport resource</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC</td><td style=\"border-left-width: 0px\">Order common</td><td>ORC[ServiceRequest]</td><td>DiagnosticReport[1].basedOn.reference=ServiceRequest[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">ServiceRequest[1]</td><td style=\"border-left-width: 0px\">ServiceRequest[1]</td><td>If a ServiceRequest needs to be created for the receiver.</td><td/><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT</td><td style=\"border-left-width: 0px\">Participation (for Observation)</td><td>PRT[PractitionerRole]</td><td>ServiceRequest[1].requester.reference=PractitionerRole[3].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">PractitionerRole[3]</td><td style=\"border-left-width: 0px\">PractitionerRole[3]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443"</td><td>(element("4.1")="OP")and(element("4.3")="HL70443")</td><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style=\"border-left-width: 0px\">Observations Request</td><td>OBR[DiagnosticReport]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">DiagnosticReport[1]</td><td style=\"border-left-width: 0px\">DiagnosticReport[1]</td><td/><td/><td/><td>Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style=\"border-left-width: 0px\">Observations Request</td><td>OBR[Specimen]</td><td>DiagnosticReport[1].specimen.reference=Specimen.id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Specimen[1]</td><td style=\"border-left-width: 0px\">Specimen[1]</td><td/><td/><td/><td>The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style=\"border-left-width: 0px\">Observations Request</td><td>OBR[ServiceRequest]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">ServiceRequest[1]</td><td style=\"border-left-width: 0px\">ServiceRequest[1]</td><td>If a ServiceRequest needs to be created for the receiver.</td><td>IF ORC VALUED</td><td/><td>Mapping to ServiceRequest as well is needed if the receiver is not the originator of the order to which this results message responds. This mapping will be completed once OMG/OML mapping is sufficiently completed. We will add the other segment mappings below to ServiceRequest then as well.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (for Observation)</td><td>PRT[PractitionerRole]</td><td>DiagnosticReport[1].performer.reference=PractitionerRole[4].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">PractitionerRole[4]</td><td style=\"border-left-width: 0px\">PractitionerRole[4]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 IN ("ARI","TN","TR") AND PRT-4.3 EQUALS "HL70443"</td><td>PRT.element(4.1) in ("ARI","TN", "TR")and(PRT.element(4.3)="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (for Observation)</td><td>PRT[PractitionerRole]</td><td>DiagnosticReport[1].resultsInterpreter.reference=PractitionerRole[5].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">PractitionerRole[5]</td><td style=\"border-left-width: 0px\">PractitionerRole[5]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "PRI" AND PRT-4.3 EQUALS "HL70443"</td><td>(PRT.element(4.1)="PRI")and(PRT.element(4.3)="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (for Observation)</td><td>PRT[PractitionerRole]</td><td>DiagnosticReport[1].specimen[1](Specimen.collection.collector.reference)=PractitionerRole[6].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">PractitionerRole[6]</td><td style=\"border-left-width: 0px\">PractitionerRole[6]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "SC" AND PRT-4.3 EQUALS "HL70443"</td><td>(element("4.1")="SC")and(element("4.3")="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (for Observation)</td><td>PRT[PractitionerRole]</td><td>DiagnosticReport[1].requester.reference=PractitionerRole[3].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">PractitionerRole[3]</td><td style=\"border-left-width: 0px\">PractitionerRole[3]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443"</td><td>(element("4.1")="OP")and(element("4.3")="HL70443")</td><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation related to OBR</td><td>OBX[Observation]</td><td>DiagnosticReport.result.reference=Observation[2].id\nObservation[2].subject.reference=Patient[1].id; \nObservation[2].encounter.reference=Encounter[1].id\\</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[2]</td><td style=\"border-left-width: 0px\">Observation[2]</td><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 NOT IN ("QST", "SCI")</td><td/><td>Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation.\nNote that it is not clear that every OBX represents a results that can be associated with the encounter during which it was ordered/performed.\\</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation related to OBR</td><td>OBX[Observation-Component]</td><td>DiagnosticReport.result.reference=Observation[2].id\nObservation[2].subject.reference=Patient[1].id;\nObservation[2].encounter.reference=Encounter[1].id\\</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[2]</td><td style=\"border-left-width: 0px\">Observation[2]</td><td/><td>IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 NOT IN ("QST", "SCI")</td><td/><td>Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation. When multiple OBX segments are tranformed into Observation components in a single Observation resource, implementers should consider how the metadata associated with the result (eg performer, status, date/time, etc) are populated. If the OBX segments being combined into a single resource contain different metadata, it must be considered whether or not the use of components is appropriate.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation related to OBR</td><td>OBX[Observation]</td><td>ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[2]</td><td style=\"border-left-width: 0px\">Observation[2]</td><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 IN ("QST", "SCI")</td><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation related to OBR</td><td>OBX[Observation-Component]</td><td>ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[2]</td><td style=\"border-left-width: 0px\">Observation[2]</td><td/><td>IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 AND OBX-29 IN ("QST", "SCI")</td><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (Observation Participation)</td><td>PRT[Device]</td><td>Observation[2].device.reference=Device.id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Device</td><td style=\"border-left-width: 0px\">Device</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-10 VALUED</td><td/><td>If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (Observation Participation)</td><td>PRT[Observation-Location]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[2]</td><td style=\"border-left-width: 0px\">Observation[2]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</td><td/><td>Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation location information.\nIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\\</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style=\"border-left-width: 0px\">Participation (Observation Participation)</td><td>PRT[PractitionerRole]</td><td>Observation[2].performer.reference=PractitionerRole[7].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">PractitionerRole[7]</td><td style=\"border-left-width: 0px\">PractitionerRole[7]</td><td>If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".</td><td>IF PRT-5 VALUED</td><td/><td>Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation practitioner information.\nIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\\</td></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE</td><td style=\"border-left-width: 0px\">Notes and comments</td><td>NTE[ServiceRequest]</td><td/><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[2].note</td><td style=\"border-left-width: 0px\">Observation[2].note</td><td/><td/><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM</td><td style=\"border-left-width: 0px\">Specimen</td><td>SPM[Specimen]</td><td>DiagnosticReport[1].specimen.reference=Specimen[n].id</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Specimen[n]</td><td style=\"border-left-width: 0px\">Specimen[n]</td><td/><td/><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation (for Patient ID)</td><td>OBX[Observation]</td><td>Observation[3].subject.reference=Patient[1].id\nObservation[3].focus.reference=Specimen[n].id\\</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[3]</td><td style=\"border-left-width: 0px\">Observation[3]</td><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1</td><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation (for Patient ID)</td><td>OBX[Observation-Component]</td><td>Observation[3].subject.reference=Patient[1].id\nObservation[3].focus.reference=Specimen[n].id\\</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td style=\"border-right-width: 0px\">Observation[3]</td><td style=\"border-left-width: 0px\">Observation[3]</td><td/><td>IF OBX-5 LST.count GREATER THAN 1</td><td/><td/></tr></table></div>"
},
"extension" : [
{
"extension" : [
{
"url" : "type",
"valueCode" : "derived-from"
},
{
"url" : "label",
"valueString" : "Message ORU:R01 to Bundle.fsh"
},
{
"url" : "url",
"valueUri" : "https://docs.google.com/spreadsheets/d/1gHK6_PFyr7PXns7wLDs0LSLsbjm0x-4bWUu3crXMKMI/edit#gid=0"
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/RelatedArtifact"
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/message-oru-r01-to-bundle",
"version" : "1.0.0-ballot",
"name" : "MessageORU_R01ToBundle",
"title" : "Message ORU_R01 to Bundle Map",
"status" : "active",
"experimental" : true,
"date" : "2024-04-24",
"publisher" : "HL7 International / Orders and Observations",
"contact" : [
{
"name" : "HL7 Orders and Observations Workgroup",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/orders"
}
]
},
{
"name" : "Keith W. Boone",
"telecom" : [
{
"system" : "email",
"value" : "kboone@ainq.com"
}
]
},
{
"name" : "Rob Hausam",
"telecom" : [
{
"system" : "email",
"value" : "rrhausam@gmail.com"
}
]
}
],
"description" : "This ConceptMap represents a mapping from the HL7 V2 Message ORU_R01 to the FHIR Message Bundle.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001"
}
]
}
],
"copyright" : "Copyright (c) 2020, HL7 International, Inc., All Rights Reserved.",
"sourceUri" : "ORU_R01",
"targetUri" : "Bundle",
"group" : [
{
"element" : [
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.MSH",
"display" : "Message Header",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Bundle",
"display" : "Bundle",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "MSH[Bundle]"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.MSH",
"display" : "Message Header",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "MessageHeader[1]",
"display" : "MessageHeader[1]",
"equivalence" : "equivalent",
"comment" : "Processing of the MSH segment results in the creation of a new MessageHeader resource",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "MSH[MessageHeader]"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.MSH",
"display" : "Message Header",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Provenance[1]",
"display" : "Provenance[1]",
"equivalence" : "equivalent",
"comment" : "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" : "segment-map",
"value" : "MSH[Provenance-Source]"
},
{
"property" : "references",
"value" : "Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].id"
}
],
"product" : [
{
"property" : "narrative",
"value" : "If there is a source in MSH-4, or known based on the configuration."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.MSH",
"display" : "Message Header",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Provenance[2]",
"display" : "Provenance[2]",
"equivalence" : "equivalent",
"comment" : "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" : "segment-map",
"value" : "MSH[Provenance-Transformation]"
},
{
"property" : "references",
"value" : "Provenance[2].target.reference=Bundle.id"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.SFT",
"display" : "Software Segment",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Provenance[1].entity.what(Device)",
"display" : "Provenance[1].entity.what(Device)",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "SFT[Device]"
},
{
"property" : "references",
"value" : "Provenance[1].entity.what.reference=Device.id\nProvenance[1].entity.role=\"derivation\"\\"
}
],
"product" : [
{
"property" : "narrative",
"value" : "If the software does represent not the original source system"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.SFT",
"display" : "Software Segment",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Provenance[1].entity.what(Device)",
"display" : "Provenance[1].entity.what(Device)",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "SFT[Device]"
},
{
"property" : "references",
"value" : "Provenance[1].entity.what.reference=Device.id\nProvenance[1].entity.role=\"source\"\\"
}
],
"product" : [
{
"property" : "narrative",
"value" : "If the software represents the original source system"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PID",
"display" : "Patient Identification",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Patient[1]",
"display" : "Patient[1]",
"equivalence" : "equivalent",
"comment" : "Processing of the PID segment results in the creation of a new Patient resource",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PID[Patient]"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PID",
"display" : "Patient Identification",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Provenance[4]",
"display" : "Provenance[4]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PID[Provenance-Patient]"
},
{
"property" : "references",
"value" : "Provenance.target.reference=Patient[1].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PID-33 AND PID-34 VALUED"
},
{
"property" : "narrative",
"value" : "One may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PD1",
"display" : "Additional Demographics",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Patient[1]",
"display" : "Patient[1]",
"equivalence" : "equivalent",
"comment" : "Incorporate PD1 content into the Patient created from the PID segment.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PD1[Patient]"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PRT",
"display" : "Participation (for Patient)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "PractitionerRole[1]",
"display" : "PractitionerRole[1]",
"equivalence" : "equivalent",
"comment" : "Incorporate PRT content into the Patient created from the PID segment when the PRT contains practitioner related data.\nIf PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.\\",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[PractitionerRole]"
},
{
"property" : "references",
"value" : "Patient[1].generalPractitioner.reference=PractitionerRole[1].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-4.1 EQUALS \"PP\" AND PRT-4.3 EQUALS \"HL70443\""
},
{
"property" : "fhirpath",
"value" : "(PRT.element(4.1)=\"PP\")and(PRT.element(4.3)=\"HL70443\")"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PRT",
"display" : "Participation (for Patient)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "RelatedPerson[1]",
"display" : "RelatedPerson[1]",
"equivalence" : "equivalent",
"comment" : "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[RelatedPerson]"
},
{
"property" : "references",
"value" : "RelatedPerson.patient.reference=Patient[1].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-4.1 NOT EQUALS \"PP\" OR PRT-4.3 NOT EQUALS \"HL70443\""
},
{
"property" : "fhirpath",
"value" : "(PRT.element(4.1)!=\"PP\")or(PRT.element(4.3)!=\"HL70443\")"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.NK1",
"display" : "Next of Kin/Associated Parties",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "RelatedPerson[2]",
"display" : "RelatedPerson[2]",
"equivalence" : "equivalent",
"comment" : "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" : "segment-map",
"value" : "NK1[RelatedPerson]"
},
{
"property" : "references",
"value" : "RelatedPerson.patient.reference=Patient[1].id"
}
],
"product" : [
{
"property" : "narrative",
"value" : "The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.NK1",
"display" : "Next of Kin/Associated Parties",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Patient[1]",
"display" : "Patient[1]",
"equivalence" : "equivalent",
"comment" : "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" : "segment-map",
"value" : "NK1[Patient]"
}
],
"product" : [
{
"property" : "narrative",
"value" : "The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX",
"display" : "Observation (for Patient ID)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[1]",
"display" : "Observation[1]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBX[Observation]"
},
{
"property" : "references",
"value" : "Observation.subject.reference=Patient[1].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF OBX-5 LST.count LESS THAN OR EQUALS 1"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX",
"display" : "Observation (for Patient ID)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[1]",
"display" : "Observation[1]",
"equivalence" : "equivalent",
"comment" : "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.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBX[Observation-Component]"
},
{
"property" : "references",
"value" : "Observation.subject.reference=Patient[1].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF OBX-5 LST.count GREATER THAN 1"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT",
"display" : "Participation (Observation Participation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Device",
"display" : "Device",
"equivalence" : "equivalent",
"comment" : "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[Device]"
},
{
"property" : "references",
"value" : "Observation[1].device.reference=Device.id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-10 VALUED"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT",
"display" : "Participation (Observation Participation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[1]",
"display" : "Observation[1]",
"equivalence" : "equivalent",
"comment" : "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[Observation-Location]"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-9 VALUED OR IF PRT-14 VALUED"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT",
"display" : "Participation (Observation Participation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "PractitionerRole[1]",
"display" : "PractitionerRole[1]",
"equivalence" : "equivalent",
"comment" : "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[PractitionerRole]"
},
{
"property" : "references",
"value" : "Observation.performer.reference=PractitionerRole[1].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-5 VALUED"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1",
"display" : "Patient Visit",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Encounter[1]",
"display" : "Encounter[1]",
"equivalence" : "equivalent",
"comment" : "Processing of the PV1 segment results in the creation of a new Encounter resource",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PV1[Encounter]"
},
{
"property" : "references",
"value" : "Encounter.subject.reference=Patient[1].id"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1",
"display" : "Patient Visit",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Patient[1]",
"display" : "Patient[1]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PV1[Patient]"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2",
"display" : "Patient Visit - Additional Info",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Encounter[1]",
"display" : "Encounter[1]",
"equivalence" : "equivalent",
"comment" : "Incorporate PV2 content into the Encounter created from the PV1 segment.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PV2[Encounter]"
},
{
"property" : "references",
"value" : "Encounter.subject.reference=Patient[1].id"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT",
"display" : "Participation (for Patient Visit)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "PractitionerRole[2]",
"display" : "PractitionerRole[2]",
"equivalence" : "equivalent",
"comment" : "Incorporate PRT content into the Encounter created from the PV1 segment.\nIf PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.\\",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[PractitionerRole]"
},
{
"property" : "references",
"value" : "Encounter[1].participant.individual.reference=PractitionerRole[2].id"
}
],
"product" : [
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC",
"display" : "Order common",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "DiagnosticReport[1]",
"display" : "DiagnosticReport[1]",
"equivalence" : "equivalent",
"comment" : "Processing of each ORC segment results in the creation of a new DiagnosticReport resource",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "ORC[DiagnosticReport]"
},
{
"property" : "references",
"value" : "DiagnosticReport[1].encounter.reference=Encounter[1].id"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC",
"display" : "Order common",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "ServiceRequest[1]",
"display" : "ServiceRequest[1]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "ORC[ServiceRequest]"
},
{
"property" : "references",
"value" : "DiagnosticReport[1].basedOn.reference=ServiceRequest[1].id"
}
],
"product" : [
{
"property" : "narrative",
"value" : "If a ServiceRequest needs to be created for the receiver."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT",
"display" : "Participation (for Observation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "PractitionerRole[3]",
"display" : "PractitionerRole[3]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[PractitionerRole]"
},
{
"property" : "references",
"value" : "ServiceRequest[1].requester.reference=PractitionerRole[3].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-4.1 EQUALS \"OP\" AND PRT-4.3 EQUALS \"HL70443\""
},
{
"property" : "fhirpath",
"value" : "(element(\"4.1\")=\"OP\")and(element(\"4.3\")=\"HL70443\")"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR",
"display" : "Observations Request",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "DiagnosticReport[1]",
"display" : "DiagnosticReport[1]",
"equivalence" : "equivalent",
"comment" : "Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBR[DiagnosticReport]"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR",
"display" : "Observations Request",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Specimen[1]",
"display" : "Specimen[1]",
"equivalence" : "equivalent",
"comment" : "The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBR[Specimen]"
},
{
"property" : "references",
"value" : "DiagnosticReport[1].specimen.reference=Specimen.id"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR",
"display" : "Observations Request",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "ServiceRequest[1]",
"display" : "ServiceRequest[1]",
"equivalence" : "equivalent",
"comment" : "Mapping to ServiceRequest as well is needed if the receiver is not the originator of the order to which this results message responds. This mapping will be completed once OMG/OML mapping is sufficiently completed. We will add the other segment mappings below to ServiceRequest then as well.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBR[ServiceRequest]"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF ORC VALUED"
},
{
"property" : "narrative",
"value" : "If a ServiceRequest needs to be created for the receiver."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT",
"display" : "Participation (for Observation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "PractitionerRole[4]",
"display" : "PractitionerRole[4]",
"equivalence" : "equivalent",
"comment" : "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[PractitionerRole]"
},
{
"property" : "references",
"value" : "DiagnosticReport[1].performer.reference=PractitionerRole[4].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-4.1 IN (\"ARI\",\"TN\",\"TR\") AND PRT-4.3 EQUALS \"HL70443\""
},
{
"property" : "fhirpath",
"value" : "PRT.element(4.1) in (\"ARI\",\"TN\", \"TR\")and(PRT.element(4.3)=\"HL70443\")"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT",
"display" : "Participation (for Observation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "PractitionerRole[5]",
"display" : "PractitionerRole[5]",
"equivalence" : "equivalent",
"comment" : "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[PractitionerRole]"
},
{
"property" : "references",
"value" : "DiagnosticReport[1].resultsInterpreter.reference=PractitionerRole[5].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-4.1 EQUALS \"PRI\" AND PRT-4.3 EQUALS \"HL70443\""
},
{
"property" : "fhirpath",
"value" : "(PRT.element(4.1)=\"PRI\")and(PRT.element(4.3)=\"HL70443\")"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT",
"display" : "Participation (for Observation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "PractitionerRole[6]",
"display" : "PractitionerRole[6]",
"equivalence" : "equivalent",
"comment" : "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[PractitionerRole]"
},
{
"property" : "references",
"value" : "DiagnosticReport[1].specimen[1](Specimen.collection.collector.reference)=PractitionerRole[6].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-4.1 EQUALS \"SC\" AND PRT-4.3 EQUALS \"HL70443\""
},
{
"property" : "fhirpath",
"value" : "(element(\"4.1\")=\"SC\")and(element(\"4.3\")=\"HL70443\")"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT",
"display" : "Participation (for Observation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "PractitionerRole[3]",
"display" : "PractitionerRole[3]",
"equivalence" : "equivalent",
"comment" : "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[PractitionerRole]"
},
{
"property" : "references",
"value" : "DiagnosticReport[1].requester.reference=PractitionerRole[3].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-4.1 EQUALS \"OP\" AND PRT-4.3 EQUALS \"HL70443\""
},
{
"property" : "fhirpath",
"value" : "(element(\"4.1\")=\"OP\")and(element(\"4.3\")=\"HL70443\")"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX",
"display" : "Observation related to OBR",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[2]",
"display" : "Observation[2]",
"equivalence" : "equivalent",
"comment" : "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.\nNote that it is not clear that every OBX represents a results that can be associated with the encounter during which it was ordered/performed.\\",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBX[Observation]"
},
{
"property" : "references",
"value" : "DiagnosticReport.result.reference=Observation[2].id\nObservation[2].subject.reference=Patient[1].id; \nObservation[2].encounter.reference=Encounter[1].id\\"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 NOT IN (\"QST\", \"SCI\")"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX",
"display" : "Observation related to OBR",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[2]",
"display" : "Observation[2]",
"equivalence" : "equivalent",
"comment" : "Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation. When multiple OBX segments are tranformed into Observation components in a single Observation resource, implementers should consider how the metadata associated with the result (eg performer, status, date/time, etc) are populated. If the OBX segments being combined into a single resource contain different metadata, it must be considered whether or not the use of components is appropriate.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBX[Observation-Component]"
},
{
"property" : "references",
"value" : "DiagnosticReport.result.reference=Observation[2].id\nObservation[2].subject.reference=Patient[1].id;\nObservation[2].encounter.reference=Encounter[1].id\\"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 NOT IN (\"QST\", \"SCI\")"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX",
"display" : "Observation related to OBR",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[2]",
"display" : "Observation[2]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBX[Observation]"
},
{
"property" : "references",
"value" : "ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF OBX-5 LST.count LESS THAN OR EQUALS 1 AND OBX-29 IN (\"QST\", \"SCI\")"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX",
"display" : "Observation related to OBR",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[2]",
"display" : "Observation[2]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBX[Observation-Component]"
},
{
"property" : "references",
"value" : "ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF OBX-5 LST.count GREATER THAN 1 AND OBX-29 AND OBX-29 IN (\"QST\", \"SCI\")"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT",
"display" : "Participation (Observation Participation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Device",
"display" : "Device",
"equivalence" : "equivalent",
"comment" : "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[Device]"
},
{
"property" : "references",
"value" : "Observation[2].device.reference=Device.id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-10 VALUED"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT",
"display" : "Participation (Observation Participation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[2]",
"display" : "Observation[2]",
"equivalence" : "equivalent",
"comment" : "Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation location information.\nIf PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.\\",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[Observation-Location]"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-9 VALUED OR IF PRT-14 VALUED"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT",
"display" : "Participation (Observation Participation)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "PractitionerRole[7]",
"display" : "PractitionerRole[7]",
"equivalence" : "equivalent",
"comment" : "Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation practitioner information.\nIf PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.\\",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "PRT[PractitionerRole]"
},
{
"property" : "references",
"value" : "Observation[2].performer.reference=PractitionerRole[7].id"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF PRT-5 VALUED"
},
{
"property" : "narrative",
"value" : "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"."
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 0
},
{
"url" : "cardinalityMax",
"valueInteger" : -1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE",
"display" : "Notes and comments",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[2].note",
"display" : "Observation[2].note",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "NTE[ServiceRequest]"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM",
"display" : "Specimen",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Specimen[n]",
"display" : "Specimen[n]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "SPM[Specimen]"
},
{
"property" : "references",
"value" : "DiagnosticReport[1].specimen.reference=Specimen[n].id"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX",
"display" : "Observation (for Patient ID)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[3]",
"display" : "Observation[3]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBX[Observation]"
},
{
"property" : "references",
"value" : "Observation[3].subject.reference=Patient[1].id\nObservation[3].focus.reference=Specimen[n].id\\"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF OBX-5 LST.count LESS THAN OR EQUALS 1"
}
]
}
]
},
{
"extension" : [
{
"extension" : [
{
"url" : "cardinalityMin",
"valueInteger" : 1
},
{
"url" : "cardinalityMax",
"valueInteger" : 1
}
],
"url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
}
],
"code" : "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX",
"display" : "Observation (for Patient ID)",
"target" : [
{
"modifierExtension" : [
{
"url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
"valueCode" : "equivalent"
}
],
"code" : "Observation[3]",
"display" : "Observation[3]",
"equivalence" : "equivalent",
"dependsOn" : [
{
"property" : "segment-map",
"value" : "OBX[Observation-Component]"
},
{
"property" : "references",
"value" : "Observation[3].subject.reference=Patient[1].id\nObservation[3].focus.reference=Specimen[n].id\\"
}
],
"product" : [
{
"property" : "antlr",
"value" : "IF OBX-5 LST.count GREATER THAN 1"
}
]
}
]
}
]
}
]
}
IG © 2020+ HL7 International / Orders and Observations. Package hl7.fhir.uv.v2mappings#1.0.0-ballot based on FHIR 4.0.1. Generated 2024-04-24
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