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 2024-10-30 |
<ConceptMap xmlns="http://hl7.org/fhir">
<id value="message-oru-r01-to-bundle"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap message-oru-r01-to-bundle</b></p><a name="message-oru-r01-to-bundle"> </a><a name="hcmessage-oru-r01-to-bundle"> </a><a name="message-oru-r01-to-bundle-en-US"> </a><p>Mapping from ORU_R01 to <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></p><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><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>ORU_R01.MSH (Message Header)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Bundle</td><td/></tr><tr><td>ORU_R01.MSH (Message Header)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>MessageHeader[1]</td><td>Processing of the MSH segment results in the creation of a new MessageHeader resource</td></tr><tr><td>ORU_R01.MSH (Message Header)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Provenance[1]</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>ORU_R01.MSH (Message Header)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Provenance[2]</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>ORU_R01.SFT (Software Segment)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Provenance[1].entity.what(Device)</td><td/></tr><tr><td>ORU_R01.SFT (Software Segment)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Provenance[1].entity.what(Device)</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.PID (Patient Identification)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient[1]</td><td>Processing of the PID segment results in the creation of a new Patient resource</td></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.PID (Patient Identification)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Provenance[4]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.PD1 (Additional Demographics)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient[1]</td><td>Incorporate PD1 content into the Patient created from the PID segment.</td></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.PD1 (Additional Demographics)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[4]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.PRT (Participation (for Patient))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PractitionerRole[1]</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>ORU_R01.PATIENT_RESULT.PATIENT.PRT (Participation (for Patient))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>RelatedPerson[1]</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>ORU_R01.PATIENT_RESULT.PATIENT.NK1 (Next of Kin/Associated Parties)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>RelatedPerson[2]</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>ORU_R01.PATIENT_RESULT.PATIENT.NK1 (Next of Kin/Associated Parties)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient[1]</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>ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX (Observation (for Patient ID))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[1]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX (Observation (for Patient ID))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[1]</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>ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT (Participation (Observation Participation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Device</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>ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT (Participation (Observation Participation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[1]</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>ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT (Participation (Observation Participation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PractitionerRole[1]</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>ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 (Patient Visit)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Encounter[1]</td><td>Processing of the PV1 segment results in the creation of a new Encounter resource</td></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 (Patient Visit)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>EncounterHistory</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 (Patient Visit)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Patient[1]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 (Patient Visit)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Coverage[1]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2 (Patient Visit - Additional Info)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Encounter[1]</td><td>Incorporate PV2 content into the Encounter created from the PV1 segment.</td></tr><tr><td>ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT (Participation (for Patient Visit))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PractitionerRole[2]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC (Order common)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>DiagnosticReport[1]</td><td>Processing of each ORC segment results in the creation of a new DiagnosticReport resource</td></tr><tr><td>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC (Order common)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>ServiceRequest[1]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT (Participation (for Observation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PractitionerRole[3]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR (Observations Request)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>DiagnosticReport[1]</td><td>Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group.</td></tr><tr><td>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR (Observations Request)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Specimen[1]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR (Observations Request)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>ServiceRequest[1]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT (Participation (for Observation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PractitionerRole[4]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT (Participation (for Observation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PractitionerRole[5]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT (Participation (for Observation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PractitionerRole[6]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT (Participation (for Observation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PractitionerRole[3]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX (Observation related to OBR)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[2]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX (Observation related to OBR)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[2]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX (Observation related to OBR)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[2]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX (Observation related to OBR)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[2]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT (Participation (Observation Participation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Device</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT (Participation (Observation Participation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[2]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT (Participation (Observation Participation))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PractitionerRole[7]</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>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE (Notes and comments)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[2].note</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM (Specimen)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Specimen[n]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX (Observation (for Patient ID))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[3]</td><td/></tr><tr><td>ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX (Observation (for Patient ID))</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>Observation[3]</td><td/></tr></table></div>
</text>
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<code value="ORU_R01.PATIENT_RESULT.PATIENT.PID"/>
<display value="Patient Identification"/>
<target>
<code value="Provenance[4]"/>
<display value="Provenance[4]"/>
<equivalence value="equivalent"/>
</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>
<code value="Patient[1]"/>
<display value="Patient[1]"/>
<equivalence value="equivalent"/>
<comment
value="Incorporate PD1 content into the Patient created from the PID segment."/>
</target>
</element>
<element>
<extension
url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
<extension url="cardinalityMin">
<valueInteger value="0"/>
</extension>
<extension url="cardinalityMax">
<valueInteger value="1"/>
</extension>
</extension>
<code value="ORU_R01.PATIENT_RESULT.PATIENT.PD1"/>
<display value="Additional Demographics"/>
<target>
<code value="Observation[4]"/>
<display value="Observation[4]"/>
<equivalence value="equivalent"/>
</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>
<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.\"/>
</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>
<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."/>
</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>
<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."/>
</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>
<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."/>
</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>
<code value="Observation[1]"/>
<display value="Observation[1]"/>
<equivalence value="equivalent"/>
</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>
<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."/>
</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>
<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."/>
</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>
<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."/>
</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>
<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."/>
</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>
<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"/>
</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>
<code value="EncounterHistory"/>
<display value="EncounterHistory"/>
<equivalence value="equivalent"/>
</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>
<code value="Patient[1]"/>
<display value="Patient[1]"/>
<equivalence value="equivalent"/>
</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>
<code value="Coverage[1]"/>
<display value="Coverage[1]"/>
<equivalence value="equivalent"/>
</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>
<code value="Encounter[1]"/>
<display value="Encounter[1]"/>
<equivalence value="equivalent"/>
<comment
value="Incorporate PV2 content into the Encounter created from the PV1 segment."/>
</target>
</element>
<element>
<extension
url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
<extension url="cardinalityMin">
<valueInteger value="0"/>
</extension>
<extension url="cardinalityMax">
<valueInteger value="-1"/>
</extension>
</extension>
<code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT"/>
<display value="Participation (for Patient Visit)"/>
<target>
<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.\"/>
</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>
<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"/>
</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>
<code value="ServiceRequest[1]"/>
<display value="ServiceRequest[1]"/>
<equivalence value="equivalent"/>
</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>
<code value="PractitionerRole[3]"/>
<display value="PractitionerRole[3]"/>
<equivalence value="equivalent"/>
</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>
<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."/>
</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>
<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."/>
</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>
<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."/>
</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>
<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."/>
</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>
<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."/>
</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>
<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."/>
</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>
<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."/>
</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>
<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.\"/>
</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>
<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."/>
</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>
<code value="Observation[2]"/>
<display value="Observation[2]"/>
<equivalence value="equivalent"/>
</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>
<code value="Observation[2]"/>
<display value="Observation[2]"/>
<equivalence value="equivalent"/>
</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>
<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."/>
</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>
<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.\"/>
</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>
<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.\"/>
</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>
<code value="Observation[2].note"/>
<display value="Observation[2].note"/>
<equivalence value="equivalent"/>
</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>
<code value="Specimen[n]"/>
<display value="Specimen[n]"/>
<equivalence value="equivalent"/>
</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>
<code value="Observation[3]"/>
<display value="Observation[3]"/>
<equivalence value="equivalent"/>
</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>
<code value="Observation[3]"/>
<display value="Observation[3]"/>
<equivalence value="equivalent"/>
</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 2024-10-30
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