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

• Narrative Content
• XML
• JSON
• TTL

: Message VXU_V04 to Bundle Map - XML Representation

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="message-vxu-v04-to-bundle"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap message-vxu-v04-to-bundle</b></p><a name="message-vxu-v04-to-bundle"> </a><a name="hcmessage-vxu-v04-to-bundle"> </a><a name="message-vxu-v04-to-bundle-en-US"> </a><p>Mapping from VXU_V04 to <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></p><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>VXU_V04.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>VXU_V04.MSH (Message Header 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>MessageHeader[1]</td><td>Processing of the MSH segment results in the creation of a new MessageHeader resource</td></tr><tr><td>VXU_V04.MSH (Message Header 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]</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>VXU_V04.MSH (Message Header 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[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>VXU_V04.SFT (Software)</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>VXU_V04.SFT (Software)</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>VXU_V04.PID (Patient Identification 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>Patient[1]</td><td>Processing of the PID segment results in the creation of a new Patient resource</td></tr><tr><td>VXU_V04.PID (Patient Identification 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[4]</td><td/></tr><tr><td>VXU_V04.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>VXU_V04.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[3]</td><td/></tr><tr><td>VXU_V04.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[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>VXU_V04.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/></tr><tr><td>VXU_V04.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>VXU_V04.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>VXU_V04.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>VXU_V04.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>VXU_V04.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>VXU_V04.PERSON_OBSERVATION.OBX (Observation/Result)</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>VXU_V04.PERSON_OBSERVATION.OBX (Observation/Result)</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>VXU_V04.PERSON_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>Device[1]</td><td/></tr><tr><td>VXU_V04.PERSON_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>Observation[1]</td><td>At this time we don't know of a use case for sending a location PRT to a patient level observations. We've provided a mapping from PRT to Location but not way to link it to other resources in the Bundle. If there is a known use case, please comment on it so that we can develop a solution.</td></tr><tr><td>VXU_V04.PERSON_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[1]</td><td/></tr><tr><td>VXU_V04.PERSON_OBSERVATION.NTE (Notes (Regarding Patient 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>Observation[1].note</td><td/></tr><tr><td>VXU_V04.ORDER.ORC (Common Order)</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>Immunization[1]</td><td>Processing of each ORC segment results in the creation of a new Immunization resource</td></tr><tr><td>VXU_V04.ORDER.ORC (Common Order)</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>Processing of each ORC segment results in the creation of a new ServiceRequest resource if the receiving system wants to know about the order that lead to the immunization event</td></tr><tr><td>VXU_V04.ORDER.PRT (Participation (for ORC))</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>Processing of each PRT segment typically results in the creation of a new Practitioner or PractitionerRole resource. 

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

It may be possible to reuse a Practitioner resource in the bundle created from somewhere else in the bundle rather than creating a new resource for each PRT segment (eg, the same administering practictioner resource could be pointed to from multiple order segment groups) - if an implementer decides to do this, the system must be certain that it's the same person (same name, ID, etc) potentially even playing the same role (if the bundle uses PractitionerRole in addition to Practitioner).\</td></tr><tr><td>VXU_V04.ORDER.PRT (Participation (for ORC))</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>Immunization[1].performer.function.coding.code (= &quot;OP'&quot;)</td><td/></tr><tr><td>VXU_V04.ORDER.PRT (Participation (for ORC))</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>Immunization[1].performer.function.coding.system (= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;)</td><td/></tr><tr><td>VXU_V04.ORDER.PRT (Participation (for ORC))</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>VXU_V04.ORDER.PRT (Participation (for ORC))</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>Immunization[1].performer.function.coding.code (= &quot;AP'&quot;)</td><td/></tr><tr><td>VXU_V04.ORDER.PRT (Participation (for ORC))</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>Immunization[1].performer.function.coding.system (= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;)</td><td/></tr><tr><td>VXU_V04.ORDER.RXA (Pharmacy Administration 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>Immunization[1]</td><td>Incorporate RXA content into the Immunization created from the ORC segment in the same segment group.</td></tr><tr><td>VXU_V04.ORDER.RXR (Pharmacy Route)</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>Immunization[1]</td><td>Incorporate RXR content into the Immunization created from the ORC segment in the same segment group.</td></tr><tr><td>VXU_V04.ORDER.OBSERVATION.OBX (Observation/Result)</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>VXU_V04.ORDER.OBSERVATION.OBX (Observation/Result)</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>VXU_V04.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>Device[2]</td><td/></tr><tr><td>VXU_V04.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>Observation[2]</td><td/></tr><tr><td>VXU_V04.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/></tr><tr><td>VXU_V04.ORDER.OBSERVATION.NTE (Notes (Regarding Immunization))</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></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/RelatedArtifact">
    <extension url="type">
      <valueCode value="derived-from"/>
    </extension>
    <extension url="label">
      <valueString value="Message VXU:V04 to Bundle.fsh"/>
    </extension>
    <extension url="url">
      <valueUri
                value="https://docs.google.com/spreadsheets/d/1_7maXDpc_qMMRzMm0x6d90-Hj6vvhGyO2kyFX0tpuZs/edit#gid=0"/>
    </extension>
  </extension>
  <url value="http://hl7.org/fhir/uv/v2mappings/message-vxu-v04-to-bundle"/>
  <version value="1.0.0-ballot"/>
  <name value="MessageVXU_V04ToBundle"/>
  <title value="Message VXU_V04 to Bundle Map"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2024-10-30"/>
  <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>
  <description
               value="This ConceptMap represents a mapping from the HL7 V2 Message VXU_V04 to the FHIR Message Bundle."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
    </coding>
  </jurisdiction>
  <copyright
             value="Copyright (c) 2020, HL7 International, Inc., All Rights Reserved."/>
  <sourceUri value="VXU_V04"/>
  <targetUri value="Bundle"/>
  <group>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.MSH"/>
      <display value="Message Header"/>
      <target>
        <code value="Bundle"/>
        <display value="Bundle"/>
        <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="VXU_V04.MSH"/>
      <display value="Message Header Segment"/>
      <target>
        <code value="MessageHeader[1]"/>
        <display value="MessageHeader[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the MSH segment results in the creation of a new MessageHeader resource"/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.MSH"/>
      <display value="Message Header Segment"/>
      <target>
        <code value="Provenance[1]"/>
        <display value="Provenance[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="If the FHIR transformation does not yield a FHIR message, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated."/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.MSH"/>
      <display value="Message Header Segment"/>
      <target>
        <code value="Provenance[2]"/>
        <display value="Provenance[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="If the FHIR transformation does not yield a FHIR Bunlde, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated."/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.SFT"/>
      <display value="Software"/>
      <target>
        <code value="Provenance[1].entity.what(Device)"/>
        <display value="Provenance[1].entity.what(Device)"/>
        <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="VXU_V04.SFT"/>
      <display value="Software"/>
      <target>
        <code value="Provenance[1].entity.what(Device)"/>
        <display value="Provenance[1].entity.what(Device)"/>
        <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="VXU_V04.PID"/>
      <display value="Patient Identification Segment"/>
      <target>
        <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"/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PID"/>
      <display value="Patient Identification Segment"/>
      <target>
        <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="VXU_V04.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="VXU_V04.PD1"/>
      <display value="Additional Demographics"/>
      <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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.NK1"/>
      <display value="Next of Kin/Associated Parties"/>
      <target>
        <code value="RelatedPerson[1]"/>
        <display value="RelatedPerson[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures."/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.NK1"/>
      <display value="Next of Kin/Associated Parties"/>
      <target>
        <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="VXU_V04.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="VXU_V04.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="VXU_V04.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="VXU_V04.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="VXU_V04.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="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <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="VXU_V04.PERSON_OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="Device[1]"/>
        <display value="Device[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="VXU_V04.PERSON_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="Observation[1]"/>
        <display value="Observation[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="At this time we don't know of a use case for sending a location PRT to a patient level observations. We've provided a mapping from PRT to Location but not way to link it to other resources in the Bundle. If there is a known use case, please comment on it so that we can develop a solution."/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.PERSON_OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="PractitionerRole[1]"/>
        <display value="PractitionerRole[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="VXU_V04.PERSON_OBSERVATION.NTE"/>
      <display value="Notes (Regarding Patient Observation)"/>
      <target>
        <code value="Observation[1].note"/>
        <display value="Observation[1].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="VXU_V04.ORDER.ORC"/>
      <display value="Common Order"/>
      <target>
        <code value="Immunization[1]"/>
        <display value="Immunization[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of each ORC segment results in the creation of a new Immunization resource"/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.ORC"/>
      <display value="Common Order"/>
      <target>
        <code value="ServiceRequest[1]"/>
        <display value="ServiceRequest[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of each ORC segment results in the creation of a new ServiceRequest resource if the receiving system wants to know about the order that lead to the immunization event"/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="PractitionerRole[2]"/>
        <display value="PractitionerRole[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of each PRT segment typically results in the creation of a new Practitioner or PractitionerRole resource. 

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

It may be possible to reuse a Practitioner resource in the bundle created from somewhere else in the bundle rather than creating a new resource for each PRT segment (eg, the same administering practictioner resource could be pointed to from multiple order segment groups) - if an implementer decides to do this, the system must be certain that it's the same person (same name, ID, etc) potentially even playing the same role (if the bundle uses PractitionerRole in addition to Practitioner).\"/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="Immunization[1].performer.function.coding.code"/>
        <display value="= &quot;OP'&quot;"/>
        <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="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="Immunization[1].performer.function.coding.system"/>
        <display
                 value="= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;"/>
        <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="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <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="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="-1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="Immunization[1].performer.function.coding.code"/>
        <display value="= &quot;AP'&quot;"/>
        <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="VXU_V04.ORDER.PRT"/>
      <display value="Participation (for ORC)"/>
      <target>
        <code value="Immunization[1].performer.function.coding.system"/>
        <display
                 value="= &quot;http://terminology.hl7.org/CodeSystem/v2-0443&quot;"/>
        <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="VXU_V04.ORDER.RXA"/>
      <display value="Pharmacy Administration Segment"/>
      <target>
        <code value="Immunization[1]"/>
        <display value="Immunization[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate RXA content into the Immunization created from the ORC segment in the same segment group."/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="0"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.RXR"/>
      <display value="Pharmacy Route"/>
      <target>
        <code value="Immunization[1]"/>
        <display value="Immunization[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate RXR content into the Immunization created from the ORC segment in the same segment group."/>
      </target>
    </element>
    <element>
      <extension
                 url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
        <extension url="cardinalityMin">
          <valueInteger value="1"/>
        </extension>
        <extension url="cardinalityMax">
          <valueInteger value="1"/>
        </extension>
      </extension>
      <code value="VXU_V04.ORDER.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <target>
        <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="VXU_V04.ORDER.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <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="VXU_V04.ORDER.OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="Device[2]"/>
        <display value="Device[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="VXU_V04.ORDER.OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <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="VXU_V04.ORDER.OBSERVATION.PRT"/>
      <display value="Participation (for Observation)"/>
      <target>
        <code value="PractitionerRole[4]"/>
        <display value="PractitionerRole[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="VXU_V04.ORDER.OBSERVATION.NTE"/>
      <display value="Notes (Regarding Immunization)"/>
      <target>
        <code value="Observation[2].note"/>
        <display value="Observation[2].note"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
</ConceptMap>