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