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Resource ConceptMap/FHIR Server from package hl7.fhir.uv.v2mappings#current (203 ms)

Package hl7.fhir.uv.v2mappings
Type ConceptMap
Id Id
FHIR Version R4
Source http://hl7.org/fhir/uv/v2mappings/https://build.fhir.org/ig/HL7/v2-to-fhir/ConceptMap-segment-obx-to-observation.html
Url http://hl7.org/fhir/uv/v2mappings/ConceptMap/segment-obx-to-observation
Version 1.0.0
Status active
Date 2025-01-15
Name SegmentOBXToObservation
Title Segment OBX to Observation Map
Experimental True
Realm uv
Authority hl7
Description This ConceptMap represents a mapping from the HL7 V2 Segment OBX to the FHIR Observation Resource.
Copyright Copyright (c) 2025, HL7 International, Inc., All Rights Reserved.

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap segment-obx-to-observation

Mapping from (not specified) to (not specified)


Group 1 Mapping from unspecified code system to unspecified code system

Source CodeRelationshipTarget CodeComment
OBX-3 (Observation Identifier)is equivalent tocodeNote that in Observation there is category field that depending on implementation guide and/or realm is required. MSH-9.2 Trigger Event, the MSH-3 Sending Application and OBX-3 Observation Identifier's code system ontology would inform how to value Observation.category.
OBX-4 (Observation Sub-ID)is equivalent to$thisOBX-4 Sub Identifier would determine how to use Observation.partOf or Observation.hasMember or Observation.DerivedFrom, but is highly dependent on the local implementation of OBX-4 or an implementation guide (e.g., LRI, Clinical Genomics). That is not known at the standard level, so we cannot provide specific mapping guidance here. However, if the mapper does not have access to the syntax used and its meaning, we need to be able to pass on OBX-4 Sub Identifier to the final destination that should know how to then structure it using FHIR attributes.
OBX-5 (Observation Value)is equivalent tovalueQuantity.value
OBX-5 (Observation Value)is equivalent tovalueString
OBX-5 (Observation Value)is equivalent tovalueCodeableConcept[1]
OBX-5 (Observation Value)is equivalent tovalueCodeableConcept
OBX-5 (Observation Value)is equivalent tovalueCodeableConcept
OBX-5 (Observation Value)is equivalent tovalueCodeableConcept
OBX-5 (Observation Value)is equivalent tovalueCodeableConcept
OBX-5 (Observation Value)is equivalent tovaluePeriod
OBX-5 (Observation Value)is equivalent tovalueDateTime
OBX-5 (Observation Value)is equivalent tovalueRange
OBX-5 (Observation Value)is equivalent tovalueString
OBX-5 (Observation Value)is equivalent tovalueTime
OBX-5 (Observation Value)is equivalent tovalueString
OBX-5 (Observation Value)is equivalent tovalueRatio[1]
OBX-5 (Observation Value)is equivalent tovalueRange[1]
OBX-5 (Observation Value)is equivalent tovalueString
OBX-5 (Observation Value)is equivalent tovalueQuantity[1]Note that OBX-5 and OBX-6 resolve to different components for the same Quantity data type.
OBX-5 (Observation Value)is equivalent tovalueString
OBX-5 (Observation Value)is equivalent toextension[1].url
OBX-5 (Observation Value)is equivalent toextension[1].valueAttachmentWe are for now addressing Base64 that cover .pdf, pictures and other binaries. If somebody does this, we will address those.
OBX-5 (Observation Value)is equivalent toextension[1].url
OBX-5 (Observation Value)is equivalent toextension[1].valueAttachmentTo be resolved when we resolve DocumentReference and valueAttachment
OBX-6 (Units)is equivalent tovalueQuantity[1]Note that OBX-5 and OBX-6 resolve to different components for the same Quantity data type.
OBX-6 (Units)is equivalent tovalueQuantity[1]Note that OBX-5 and OBX-6 resolve to different components for the same Quantity data type.
OBX-6 (Units)is equivalent tovalueRange[1].low
OBX-6 (Units)is equivalent tovalueRange[1].high
OBX-6 (Units)is equivalent tovalueRatio[1].numerator
OBX-6 (Units)is equivalent tovalueRatio[1].denominator
OBX-7 (References Range)is equivalent toreferenceRange.textIf OBX-7 is sufficiently parseable, then the low, high, type, appliesTo, and/or age may be used.
OBX-8 (Interpretation Codes)is equivalent tointerpretation
OBX-10 (Nature of Abnormal Test)is equivalent toextension[2].uri
OBX-10 (Nature of Abnormal Test)is equivalent toextension[2].valueCodeableConcept
OBX-11 (Observation Result Status)is equivalent tostatus
OBX-11 (Observation Result Status)is equivalent tostatus.extension[1].url
OBX-11 (Observation Result Status)is equivalent tostatus.extension[1].valueCodeableConcept.coding.code
OBX-11 (Observation Result Status)is equivalent tostatus.extension[1].valueCodeableConcept.coding.system
OBX-11 (Observation Result Status)is equivalent todataAbsentReason.coding[2].code
OBX-11 (Observation Result Status)is equivalent todataAbsentReason.coding[2].system
OBX-14 (Date/Time of the Observation)is equivalent toeffectiveDateTime
OBX-15 (Producer's ID)is equivalent toperformer[2](Organization)We are mapping this to an identifier considering the definition (used for a unique identifier of the producer), although that does not fit the use of the CWE data type in HL7 v2. Depending on context (e.g., US CLIA or IHE LTW, or ILW) this may reflect a location (US CLIA) or an organization (IHE LTW or ILW).
OBX-15 (Producer's ID)is equivalent toperformer[2](PractitionerRole)
OBX-16 (Responsible Observer)is equivalent toperformer[1](PractitionerRole.practitioner(Practitioner))
OBX-16 (Responsible Observer)is equivalent toperformer[1](PractitionerRole.code.coding.code)
OBX-16 (Responsible Observer)is equivalent toperformer[1](PractitionerRole.code.coding.system)
OBX-17 (Observation Method)is equivalent tomethodThe cardinality of Observation.method is 0..1 while the source allows for multiple methods. As we are not aware of anybody populating multiples in HL7 v2, we did not provide further mapping guidance. If you need to support multiples, please submit a gForge to OO for the HL7 v2 to FHIR mapping Implementation Guide.
OBX-18 (Equipment Instance Identifier)is equivalent todevice(Device.identifier)
OBX-19 (Date/Time of the Analysis)is equivalent toextension[2].url"http://hl7.org/fhir/StructureDefinition/observation-analysis-date-time"
OBX-19 (Date/Time of the Analysis)is equivalent toextension[2].valueDateTime
OBX-20 (Observation Site)is equivalent tobodySiteThe cardinality of Observation.bodySite is 0..1 while the source allows for multiple body sites. As we are not aware of anybody populating multiples in HL7 v2, we did not provide further mapping guidance. If you need to support multiples, please submit a gForge to OO for the HL7 v2 to FHIR mapping Implementation Guide.
OBX-21 (Observation Instance Identifier)is equivalent toidentifier
OBX-21 (Observation Instance Identifier)is equivalent toidentifier.type.coding.code
OBX-23 (Performing Organization Name)is equivalent toperformer[2](Organization)
OBX-23 (Performing Organization Name)is equivalent toperformer[2](PractitionerRole[1].organization(Organization))
OBX-24 (Performing Organization Address)is equivalent toperformer[2](Organization.address)
OBX-24 (Performing Organization Address)is equivalent toperformer[2](PractitionerRole[1].organization(Organization.address))
OBX-25 (Performing Organization Medical Director)is equivalent toperformer[2](PractitionerRole[1].practitioner)
OBX-25 (Performing Organization Medical Director)is equivalent toperformer[2](PractitionerRole[1].code.coding.code)
OBX-25 (Performing Organization Medical Director)is equivalent toperformer[2](PractitionerRole[1].code.coding.system)
OBX-29 (Observation Type)is equivalent tocategory[1].coding.code
OBX-29 (Observation Type)is equivalent tocategory[1].coding.system
OBX-30 (Observation Sub-Type)is equivalent toextension[2].urlThe sub type was necessary in v2 to distinguish purpose of the observation when it appears in a message in the same group (e.g., answers to ask at order entry questions with actual results ). Within FHIR flagging the observation may not be necessary, but that is not yet clear. Until then, we will keep the thought of needing an extension, but not create it yet.
OBX-30 (Observation Sub-Type)is equivalent toextension[2].valueCodeableConcept.coding.code
OBX-30 (Observation Sub-Type)is equivalent toextension[2].valueCodeableConcept.coding.system
OBX-33 (Observation Related Specimen Identifier)is equivalent toextension[1].uriNote that in v2 messages the observations that a calculated observation is derived from on and involve multiple specimens are typically not included with the message. To enable relating the calculated observation to the correct specimens it relates to, the v2 message should include the originating observations that in turn use OBX-33 to link to the correct specimens. Without that, and if there are multiple specimens in OBX-33, there is no standard method to correctly associate the observation with the correct specimens. The implementer will have to devise an appropriate method for that in their context.
OBX-33 (Observation Related Specimen Identifier)is equivalent toextension[1].valueReference(Group.member.entity(Specimen.identifier[1])
OBX-33 (Observation Related Specimen Identifier)is equivalent toextension[2].uri
OBX-33 (Observation Related Specimen Identifier)is equivalent toextension[2].valueReference(Group.member.entity(Specimen.identifier[2]))
OBX-33 (Observation Related Specimen Identifier)is equivalent tospecimen(Specimen.identifier[1])
OBX-33 (Observation Related Specimen Identifier)is equivalent tospecimen(Specimen.identifier[2])

Source

{
  "resourceType" : "ConceptMap",
  "id" : "segment-obx-to-observation",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap segment-obx-to-observation</b></p><a name=\"segment-obx-to-observation\"> </a><a name=\"hcsegment-obx-to-observation\"> </a><a name=\"segment-obx-to-observation-en-US\"> </a><p>Mapping from (not specified) to (not specified)</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>OBX-3 (Observation Identifier)</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>code</td><td>Note that in Observation there is category field that depending on implementation guide and/or realm is required. MSH-9.2 Trigger Event, the MSH-3 Sending Application and OBX-3 Observation Identifier's code system ontology would inform how to value Observation.category.</td></tr><tr><td>OBX-4 (Observation Sub-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>$this</td><td>OBX-4 Sub Identifier would determine how to use Observation.partOf or Observation.hasMember or Observation.DerivedFrom, but is highly dependent on the local implementation of OBX-4 or an implementation guide (e.g., LRI, Clinical Genomics). That is not known at the standard level, so we cannot provide specific mapping guidance here. However, if the mapper does not have access to the syntax used and its meaning, we need to be able to pass on OBX-4 Sub Identifier to the final destination that should know how to then structure it using FHIR attributes.</td></tr><tr><td>OBX-5 (Observation Value)</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>valueQuantity.value</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueString</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueCodeableConcept[1]</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueCodeableConcept</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueCodeableConcept</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueCodeableConcept</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueCodeableConcept</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valuePeriod</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueDateTime</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueRange</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueString</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueTime</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueString</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueRatio[1]</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueRange[1]</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueString</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>valueQuantity[1]</td><td>Note that OBX-5 and OBX-6 resolve to different components for the same Quantity data type.</td></tr><tr><td>OBX-5 (Observation Value)</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>valueString</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>extension[1].url</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>extension[1].valueAttachment</td><td>We are for now addressing Base64 that cover .pdf, pictures and other binaries. If somebody does this, we will address those.</td></tr><tr><td>OBX-5 (Observation Value)</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>extension[1].url</td><td/></tr><tr><td>OBX-5 (Observation Value)</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>extension[1].valueAttachment</td><td>To be resolved when we resolve DocumentReference and valueAttachment</td></tr><tr><td>OBX-6 (Units)</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>valueQuantity[1]</td><td>Note that OBX-5 and OBX-6 resolve to different components for the same Quantity data type.</td></tr><tr><td>OBX-6 (Units)</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>valueQuantity[1]</td><td>Note that OBX-5 and OBX-6 resolve to different components for the same Quantity data type.</td></tr><tr><td>OBX-6 (Units)</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>valueRange[1].low</td><td/></tr><tr><td>OBX-6 (Units)</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>valueRange[1].high</td><td/></tr><tr><td>OBX-6 (Units)</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>valueRatio[1].numerator</td><td/></tr><tr><td>OBX-6 (Units)</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>valueRatio[1].denominator</td><td/></tr><tr><td>OBX-7 (References Range)</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>referenceRange.text</td><td>If OBX-7 is sufficiently parseable, then the low, high, type, appliesTo, and/or age may be used.</td></tr><tr><td>OBX-8 (Interpretation Codes)</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>interpretation</td><td/></tr><tr><td>OBX-10 (Nature of Abnormal Test)</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>extension[2].uri</td><td/></tr><tr><td>OBX-10 (Nature of Abnormal Test)</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>extension[2].valueCodeableConcept</td><td/></tr><tr><td>OBX-11 (Observation Result Status)</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>status</td><td/></tr><tr><td>OBX-11 (Observation Result Status)</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>status.extension[1].url</td><td/></tr><tr><td>OBX-11 (Observation Result Status)</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>status.extension[1].valueCodeableConcept.coding.code</td><td/></tr><tr><td>OBX-11 (Observation Result Status)</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>status.extension[1].valueCodeableConcept.coding.system</td><td/></tr><tr><td>OBX-11 (Observation Result Status)</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>dataAbsentReason.coding[2].code</td><td/></tr><tr><td>OBX-11 (Observation Result Status)</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>dataAbsentReason.coding[2].system</td><td/></tr><tr><td>OBX-14 (Date/Time of the 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>effectiveDateTime</td><td/></tr><tr><td>OBX-15 (Producer's 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>performer[2](Organization)</td><td>We are mapping this to an identifier considering the definition (used for a unique identifier of the producer), although that does not fit the use of the CWE data type in HL7 v2. Depending on context (e.g., US CLIA or IHE LTW, or ILW) this may reflect a location (US CLIA) or an organization (IHE LTW or ILW).</td></tr><tr><td>OBX-15 (Producer's 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>performer[2](PractitionerRole)</td><td/></tr><tr><td>OBX-16 (Responsible Observer)</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>performer[1](PractitionerRole.practitioner(Practitioner))</td><td/></tr><tr><td>OBX-16 (Responsible Observer)</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>performer[1](PractitionerRole.code.coding.code)</td><td/></tr><tr><td>OBX-16 (Responsible Observer)</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>performer[1](PractitionerRole.code.coding.system)</td><td/></tr><tr><td>OBX-17 (Observation Method)</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>method</td><td>The cardinality of Observation.method is 0..1 while the source allows for multiple methods. As we are not aware of anybody populating multiples in HL7 v2, we did not provide further mapping guidance. If you need to support multiples, please submit a gForge to OO for the HL7 v2 to FHIR mapping Implementation Guide.</td></tr><tr><td>OBX-18 (Equipment Instance Identifier)</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(Device.identifier)</td><td/></tr><tr><td>OBX-19 (Date/Time of the Analysis)</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>extension[2].url</td><td>&quot;http://hl7.org/fhir/StructureDefinition/observation-analysis-date-time&quot;</td></tr><tr><td>OBX-19 (Date/Time of the Analysis)</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>extension[2].valueDateTime</td><td/></tr><tr><td>OBX-20 (Observation Site)</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>bodySite</td><td>The cardinality of Observation.bodySite is 0..1 while the source allows for multiple body sites. As we are not aware of anybody populating multiples in HL7 v2, we did not provide further mapping guidance. If you need to support multiples, please submit a gForge to OO for the HL7 v2 to FHIR mapping Implementation Guide.</td></tr><tr><td>OBX-21 (Observation Instance Identifier)</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>identifier</td><td/></tr><tr><td>OBX-21 (Observation Instance Identifier)</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>identifier.type.coding.code</td><td/></tr><tr><td>OBX-23 (Performing Organization Name)</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>performer[2](Organization)</td><td/></tr><tr><td>OBX-23 (Performing Organization Name)</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>performer[2](PractitionerRole[1].organization(Organization))</td><td/></tr><tr><td>OBX-24 (Performing Organization Address)</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>performer[2](Organization.address)</td><td/></tr><tr><td>OBX-24 (Performing Organization Address)</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>performer[2](PractitionerRole[1].organization(Organization.address))</td><td/></tr><tr><td>OBX-25 (Performing Organization Medical Director)</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>performer[2](PractitionerRole[1].practitioner)</td><td/></tr><tr><td>OBX-25 (Performing Organization Medical Director)</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>performer[2](PractitionerRole[1].code.coding.code)</td><td/></tr><tr><td>OBX-25 (Performing Organization Medical Director)</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>performer[2](PractitionerRole[1].code.coding.system)</td><td/></tr><tr><td>OBX-29 (Observation Type)</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>category[1].coding.code</td><td/></tr><tr><td>OBX-29 (Observation Type)</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>category[1].coding.system</td><td/></tr><tr><td>OBX-30 (Observation Sub-Type)</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>extension[2].url</td><td>The sub type was necessary in v2 to distinguish purpose of the observation when it appears in a message in the same group (e.g., answers to ask at order entry questions with actual results ). Within FHIR flagging the observation may not be necessary, but that is not yet clear. Until then, we will keep the thought of needing an extension, but not create it yet.</td></tr><tr><td>OBX-30 (Observation Sub-Type)</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>extension[2].valueCodeableConcept.coding.code</td><td/></tr><tr><td>OBX-30 (Observation Sub-Type)</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>extension[2].valueCodeableConcept.coding.system</td><td/></tr><tr><td>OBX-33 (Observation Related Specimen Identifier)</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>extension[1].uri</td><td>Note that in v2 messages the observations that a calculated observation is derived from on and involve multiple specimens are typically not included with the message. To enable relating the calculated observation to the correct specimens it relates to, the v2 message should include the originating observations that in turn use OBX-33 to link to the correct specimens. Without that, and if there are multiple specimens in OBX-33, there is no standard method to correctly associate the observation with the correct specimens. The implementer will have to devise an appropriate method for that in their context.</td></tr><tr><td>OBX-33 (Observation Related Specimen Identifier)</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>extension[1].valueReference(Group.member.entity(Specimen.identifier[1])</td><td/></tr><tr><td>OBX-33 (Observation Related Specimen Identifier)</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>extension[2].uri</td><td/></tr><tr><td>OBX-33 (Observation Related Specimen Identifier)</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>extension[2].valueReference(Group.member.entity(Specimen.identifier[2]))</td><td/></tr><tr><td>OBX-33 (Observation Related Specimen Identifier)</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(Specimen.identifier[1])</td><td/></tr><tr><td>OBX-33 (Observation Related Specimen Identifier)</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(Specimen.identifier[2])</td><td/></tr></table></div>"
  },
  "extension" : [
    {
      "extension" : [
        {
          "url" : "type",
          "valueCode" : "derived-from"
        },
        {
          "url" : "label",
          "valueString" : "Segment OBX to Observation.fsh"
        },
        {
          "url" : "url",
          "valueUri" : "https://docs.google.com/spreadsheets/d/1--KYCqp4IKrDO4NyW6ieA69pJylKfnGYHoOTAU7Rkyk/edit#gid=0"
        }
      ],
      "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/RelatedArtifact"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "oo"
    }
  ],
  "url" : "http://hl7.org/fhir/uv/v2mappings/ConceptMap/segment-obx-to-observation",
  "version" : "1.0.0",
  "name" : "SegmentOBXToObservation",
  "title" : "Segment OBX to Observation Map",
  "status" : "active",
  "experimental" : true,
  "date" : "2025-01-15",
  "publisher" : "HL7 International / Orders and Observations",
  "contact" : [
    {
      "name" : "HL7 Orders and Observations Workgroup",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/orders"
        }
      ]
    }
  ],
  "description" : "This ConceptMap represents a mapping from the HL7 V2 Segment OBX to the FHIR Observation Resource.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code" : "001"
        }
      ]
    }
  ],
  "copyright" : "Copyright (c) 2025, HL7 International, Inc., All Rights Reserved.",
  "group" : [
    {
      "element" : [
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-3",
          "display" : "Observation Identifier",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 1
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "code",
              "display" : "code",
              "equivalence" : "equivalent",
              "comment" : "Note that in Observation there is category field that depending on implementation guide and/or realm is required. MSH-9.2 Trigger Event, the MSH-3 Sending Application and OBX-3 Observation Identifier's code system ontology would inform how to value Observation.category."
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "OG"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-4",
          "display" : "Observation Sub-ID",
          "target" : [
            {
              "code" : "$this",
              "display" : "$this",
              "equivalence" : "equivalent",
              "comment" : "OBX-4 Sub Identifier would determine how to use Observation.partOf or Observation.hasMember or Observation.DerivedFrom, but is highly dependent on the local implementation of OBX-4 or an implementation guide (e.g., LRI, Clinical Genomics). That is not known at the standard level, so we cannot provide specific mapping guidance here. However, if the mapper does not have access to the syntax used and its meaning, we need to be able to pass on OBX-4 Sub Identifier to the final destination that should know how to then structure it using FHIR attributes."
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "quantity"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueQuantity.value",
              "display" : "valueQuantity.value",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "string"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueString",
              "display" : "valueString",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueCodeableConcept[1]",
              "display" : "valueCodeableConcept[1]",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueCodeableConcept",
              "display" : "valueCodeableConcept",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueCodeableConcept",
              "display" : "valueCodeableConcept",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueCodeableConcept",
              "display" : "valueCodeableConcept",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueCodeableConcept",
              "display" : "valueCodeableConcept",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Period"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valuePeriod",
              "display" : "valuePeriod",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "dateTime"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueDateTime",
              "display" : "valueDateTime",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Range"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueRange",
              "display" : "valueRange",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "string"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueString",
              "display" : "valueString",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "time"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueTime",
              "display" : "valueTime",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "string"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueString",
              "display" : "valueString",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Ratio"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueRatio[1]",
              "display" : "valueRatio[1]",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Range"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueRange[1]",
              "display" : "valueRange[1]",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "string"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueString",
              "display" : "valueString",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Quantity"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueQuantity[1]",
              "display" : "valueQuantity[1]",
              "equivalence" : "equivalent",
              "comment" : "Note that OBX-5 and OBX-6 resolve to different components for the same Quantity data type."
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "string"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueString",
              "display" : "valueString",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "uri"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 1
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[1].url",
              "display" : "extension[1].url",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Attachment"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 1
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[1].valueAttachment",
              "display" : "extension[1].valueAttachment",
              "equivalence" : "equivalent",
              "comment" : "We are for now addressing Base64 that cover .pdf, pictures and other binaries. If somebody does this, we will address those."
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "uri"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 1
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[1].url",
              "display" : "extension[1].url",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "varies"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-5",
          "display" : "Observation Value",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Attachment"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 1
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[1].valueAttachment",
              "display" : "extension[1].valueAttachment",
              "equivalence" : "equivalent",
              "comment" : "To be resolved when we resolve DocumentReference and valueAttachment"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-6",
          "display" : "Units",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Quantity"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueQuantity[1]",
              "display" : "valueQuantity[1]",
              "equivalence" : "equivalent",
              "comment" : "Note that OBX-5 and OBX-6 resolve to different components for the same Quantity data type."
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-6",
          "display" : "Units",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Quantity"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueQuantity[1]",
              "display" : "valueQuantity[1]",
              "equivalence" : "equivalent",
              "comment" : "Note that OBX-5 and OBX-6 resolve to different components for the same Quantity data type."
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-6",
          "display" : "Units",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "SimpleQuantity"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueRange[1].low",
              "display" : "valueRange[1].low",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-6",
          "display" : "Units",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "SimpleQuantity"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueRange[1].high",
              "display" : "valueRange[1].high",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-6",
          "display" : "Units",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Quantity"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueRatio[1].numerator",
              "display" : "valueRatio[1].numerator",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-6",
          "display" : "Units",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Quantity"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "valueRatio[1].denominator",
              "display" : "valueRatio[1].denominator",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ST"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-7",
          "display" : "References Range",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "string"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "referenceRange.text",
              "display" : "referenceRange.text",
              "equivalence" : "equivalent",
              "comment" : "If OBX-7 is sufficiently parseable, then the low, high, type, appliesTo, and/or age may be used."
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "CWE"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-8",
          "display" : "Interpretation Codes",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "interpretation",
              "display" : "interpretation",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-10",
          "display" : "Nature of Abnormal Test",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "uri"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[2].uri",
              "display" : "extension[2].uri",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-10",
          "display" : "Nature of Abnormal Test",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[2].valueCodeableConcept",
              "display" : "extension[2].valueCodeableConcept",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-11",
          "display" : "Observation Result Status",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "code"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 1
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "status",
              "display" : "status",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-11",
          "display" : "Observation Result Status",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "uri"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "status.extension[1].url",
              "display" : "status.extension[1].url",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-11",
          "display" : "Observation Result Status",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "CodeableConcept"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "status.extension[1].valueCodeableConcept.coding.code",
              "display" : "status.extension[1].valueCodeableConcept.coding.code",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-11",
          "display" : "Observation Result Status",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url"                    "valueCode" : "code"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "identifier.type.coding.code",
              "display" : "identifier.type.coding.code",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XON"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-23",
          "display" : "Performing Organization Name",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Reference(Organization)"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "performer[2](Organization)",
              "display" : "performer[2](Organization)",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XON"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-23",
          "display" : "Performing Organization Name",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Reference(Organization)"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "performer[2](PractitionerRole[1].organization(Organization))",
              "display" : "performer[2](PractitionerRole[1].organization(Organization))",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XAD"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-24",
          "display" : "Performing Organization Address",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Address"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "performer[2](Organization.address)",
              "display" : "performer[2](Organization.address)",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XAD"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-24",
          "display" : "Performing Organization Address",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Address"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "performer[2](PractitionerRole[1].organization(Organization.address))",
              "display" : "performer[2](PractitionerRole[1].organization(Organization.address))",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XCN"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-25",
          "display" : "Performing Organization Medical Director",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Reference(PractitionerRole)"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "performer[2](PractitionerRole[1].practitioner)",
              "display" : "performer[2](PractitionerRole[1].practitioner)",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XCN"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-25",
          "display" : "Performing Organization Medical Director",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "code"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "performer[2](PractitionerRole[1].code.coding.code)",
              "display" : "performer[2](PractitionerRole[1].code.coding.code)",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "XCN"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-25",
          "display" : "Performing Organization Medical Director",
          "target" : [
            {
              "code" : "performer[2](PractitionerRole[1].code.coding.system)",
              "display" : "performer[2](PractitionerRole[1].code.coding.system)",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-29",
          "display" : "Observation Type",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "code"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "category[1].coding.code",
              "display" : "category[1].coding.code",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-29",
          "display" : "Observation Type",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "uri"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : -1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "category[1].coding.system",
              "display" : "category[1].coding.system",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-30",
          "display" : "Observation Sub-Type",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "uri"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[2].url",
              "display" : "extension[2].url",
              "equivalence" : "equivalent",
              "comment" : "The sub type was necessary in v2 to distinguish purpose of the observation when it appears in a message in the same group (e.g., answers to ask at order entry questions with actual results ). Within FHIR flagging the observation may not be necessary, but that is not yet clear. Until then, we will keep the thought of needing an extension, but not create it yet."
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-30",
          "display" : "Observation Sub-Type",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "code"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[2].valueCodeableConcept.coding.code",
              "display" : "extension[2].valueCodeableConcept.coding.code",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "ID"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : 1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : 1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-30",
          "display" : "Observation Sub-Type",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "uri"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[2].valueCodeableConcept.coding.system",
              "display" : "extension[2].valueCodeableConcept.coding.system",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "EIP"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-33",
          "display" : "Observation Related Specimen Identifier",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Reference"
                    },
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[1].uri",
              "display" : "extension[1].uri",
              "equivalence" : "equivalent",
              "comment" : "Note that in v2 messages the observations that a calculated observation is derived from on and involve multiple specimens are typically not included with the message. To enable relating the calculated observation to the correct specimens it relates to, the v2 message should include the originating observations that in turn use OBX-33 to link to the correct specimens. Without that, and if there are multiple specimens in OBX-33, there is no standard method to correctly associate the observation with the correct specimens. The implementer will have to devise an appropriate method for that in their context."
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "EIP"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-33",
          "display" : "Observation Related Specimen Identifier",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[1].valueReference(Group.member.entity(Specimen.identifier[1])",
              "display" : "extension[1].valueReference(Group.member.entity(Specimen.identifier[1])",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "EIP"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-33",
          "display" : "Observation Related Specimen Identifier",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[2].uri",
              "display" : "extension[2].uri",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "EIP"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-33",
          "display" : "Observation Related Specimen Identifier",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "cardinalityMin",
                      "valueInteger" : 0
                    },
                    {
                      "url" : "cardinalityMax",
                      "valueInteger" : 1
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "extension[2].valueReference(Group.member.entity(Specimen.identifier[2]))",
              "display" : "extension[2].valueReference(Group.member.entity(Specimen.identifier[2]))",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "EIP"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-33",
          "display" : "Observation Related Specimen Identifier",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Identifier"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "specimen(Specimen.identifier[1])",
              "display" : "specimen(Specimen.identifier[1])",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "extension" : [
            {
              "extension" : [
                {
                  "url" : "type",
                  "valueCode" : "EIP"
                },
                {
                  "url" : "cardinalityMin",
                  "valueInteger" : -1
                },
                {
                  "url" : "cardinalityMax",
                  "valueInteger" : -1
                }
              ],
              "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code" : "OBX-33",
          "display" : "Observation Related Specimen Identifier",
          "target" : [
            {
              "extension" : [
                {
                  "extension" : [
                    {
                      "url" : "type",
                      "valueCode" : "Identifier"
                    }
                  ],
                  "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
                }
              ],
              "code" : "specimen(Specimen.identifier[2])",
              "display" : "specimen(Specimen.identifier[2])",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    }
  ]
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.