Package | hl7.fhir.uv.v2mappings |
Type | ConceptMap |
Id | message-oru-r01-to-bundle |
FHIR Version | R4 |
Source | http://hl7.org/fhir/uv/v2mappings/https://build.fhir.org/ig/HL7/v2-to-fhir/ConceptMap-message-oru-r01-to-bundle.html |
URL | http://hl7.org/fhir/uv/v2mappings/ConceptMap/message-oru-r01-to-bundle |
Version | 1.0.0 |
Status | active |
Date | 2025-07-22 |
Name | MessageORU_R01ToBundle |
Title | Message ORU_R01 to Bundle Map |
Realm | uv |
Authority | hl7 |
Description | This ConceptMap represents a mapping from the HL7 V2 Message ORU_R01 to the FHIR Message Bundle. |
Copyright | Copyright (c) 2025, HL7 International, Inc., All Rights Reserved. |
No resources found
No resources found
Note: links and images are rebased to the (stated) source
Generated Narrative: ConceptMap message-oru-r01-to-bundle
Mapping from (not specified) to (not specified)
Group 1 Mapping from unspecified code system
to unspecified code system
Source Concept Details | Relationship | Target Concept Details | Comment | |||||
Codes from | NarrativeCondition | ComputableFHIRPath | ComputableANTLR | Codes from | ||||
ORU_R01.MSH | Message Header | is equivalent to | Bundle | Bundle | ||||
ORU_R01.MSH | Message Header | is equivalent to | MessageHeader[1] | MessageHeader[1] | Processing of the MSH segment results in the creation of a new MessageHeader resource | |||
ORU_R01.MSH | Message Header | If there is a source in MSH-4, or known based on the configuration. | is equivalent to | Provenance[1] | Provenance[1] | If the FHIR transformation does not yield a FHIR message, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated. | ||
ORU_R01.MSH | Message Header | is equivalent to | Provenance[2] | Provenance[2] | If the FHIR transformation does not yield a FHIR Bunlde, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated. | |||
ORU_R01.SFT | Software Segment | If the software does represent not the original source system | is equivalent to | Provenance[1].entity.what(Device) | Provenance[1].entity.what(Device) | |||
ORU_R01.SFT | Software Segment | If the software represents the original source system | is equivalent to | Provenance[1].entity.what(Device) | Provenance[1].entity.what(Device) | |||
ORU_R01.PATIENT_RESULT.PATIENT.PID | Patient Identification | is equivalent to | Patient[1] | Patient[1] | Processing of the PID segment results in the creation of a new Patient resource | |||
ORU_R01.PATIENT_RESULT.PATIENT.PID | Patient Identification | One may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date. | IF PID-33 AND PID-34 VALUED | is equivalent to | Provenance[4] | Provenance[4] | ||
ORU_R01.PATIENT_RESULT.PATIENT.PD1 | Additional Demographics | is equivalent to | Patient[1] | Patient[1] | Incorporate PD1 content into the Patient created from the PID segment. | |||
ORU_R01.PATIENT_RESULT.PATIENT.PD1 | Additional Demographics | IF PD1-7 VALUED | is equivalent to | Observation[4] | Observation[4] | |||
ORU_R01.PATIENT_RESULT.PATIENT.PRT | Participation (for Patient) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | (PRT.element(4.1)="PP")and(PRT.element(4.3)="HL70443") | IF PRT-4.1 EQUALS "PP" AND PRT-4.3 EQUALS "HL70443" | is equivalent to | PractitionerRole[1] | PractitionerRole[1] | Incorporate PRT content into the Patient created from the PID segment when the PRT contains practitioner related data. If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\ |
ORU_R01.PATIENT_RESULT.PATIENT.PRT | Participation (for Patient) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | (PRT.element(4.1)!="PP")or(PRT.element(4.3)!="HL70443") | IF PRT-4.1 NOT EQUALS "PP" OR PRT-4.3 NOT EQUALS "HL70443" | is equivalent to | RelatedPerson[1] | RelatedPerson[1] | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale. |
ORU_R01.PATIENT_RESULT.PATIENT.NK1 | Next of Kin/Associated Parties | The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data | is equivalent to | RelatedPerson[2] | RelatedPerson[2] | Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures. | ||
ORU_R01.PATIENT_RESULT.PATIENT.NK1 | Next of Kin/Associated Parties | The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data | is equivalent to | Patient[1] | Patient[1] | Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures. | ||
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX | Observation (for Patient ID) | IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA" | is equivalent to | Observation[1] | Observation[1] | |||
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX | Observation (for Patient ID) | IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA" | is equivalent to | Observation[1] | Observation[1] | Note that when OBX-5 repeats, the standard mapping is to use Observation.component (see OBX[Observation-Component] map) rather than creating separate Observation instances. However, we are aware that some profiles and implementation guides do separate the OBX into multiple observations depending on the OBX-2 value. This is an example of a non-standard interpretation as the OBX should have been separated into multiple OBX segments to start. Please consider the local profiles and implementation guides on how to manage these variants. | ||
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT | Participation (Observation Participation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | IF PRT-10 VALUED | is equivalent to | Device | Device | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale. | |
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT | Participation (Observation Participation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | IF PRT-9 VALUED OR IF PRT-14 VALUED | is equivalent to | Observation[1] | Observation[1] | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale. | |
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT | Participation (Observation Participation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | IF PRT-5 VALUED | is equivalent to | PractitionerRole[1] | PractitionerRole[1] | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale. | |
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 | Patient Visit | is equivalent to | Encounter[1] | Encounter[1] | Processing of the PV1 segment results in the creation of a new Encounter resource | |||
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 | Patient Visit | IF PV1-43 VALUED | is equivalent to | Basic | Basic | |||
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 | Patient Visit | is equivalent to | Patient[1] | Patient[1] | ||||
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 | Patient Visit | IF PV1-20 VALUE | is equivalent to | Coverage[1] | Coverage[1] | |||
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2 | Patient Visit - Additional Info | is equivalent to | Encounter[1] | Encounter[1] | Incorporate PV2 content into the Encounter created from the PV1 segment. | |||
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT | Participation (for Patient Visit) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | is equivalent to | PractitionerRole[2] | PractitionerRole[2] | Incorporate PRT content into the Encounter created from the PV1 segment. If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\ | ||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC | Order common | is equivalent to | DiagnosticReport[1] | DiagnosticReport[1] | Processing of each ORC segment results in the creation of a new DiagnosticReport resource | |||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC | Order common | If a ServiceRequest needs to be created for the receiver. | is equivalent to | ServiceRequest[1] | ServiceRequest[1] | |||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT | Participation (for Observation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | (element("4.1")="OP")and(element("4.3")="HL70443") | IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443" | is equivalent to | PractitionerRole[3] | PractitionerRole[3] | |
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR | Observations Request | is equivalent to | DiagnosticReport[1] | DiagnosticReport[1] | Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group. | |||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR | Observations Request | is equivalent to | Specimen[1] | Specimen[1] | The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference. | |||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR | Observations Request | If a ServiceRequest needs to be created for the receiver. | IF ORC VALUED | is equivalent to | ServiceRequest[1] | ServiceRequest[1] | Mapping to ServiceRequest as well is needed if the receiver is not the originator of the order to which this results message responds. This mapping will be completed once OMG/OML mapping is sufficiently completed. We will add the other segment mappings below to ServiceRequest then as well. | |
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT | Participation (for Observation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PRT.element(4.1) in ("ARI","TN", "TR")and(PRT.element(4.3)="HL70443") | IF PRT-4.1 IN ("ARI","TN","TR") AND PRT-4.3 EQUALS "HL70443" | is equivalent to | PractitionerRole[4] | PractitionerRole[4] | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale. |
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT | Participation (for Observation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | (PRT.element(4.1)="PRI")and(PRT.element(4.3)="HL70443") | IF PRT-4.1 EQUALS "PRI" AND PRT-4.3 EQUALS "HL70443" | is equivalent to | PractitionerRole[5] | PractitionerRole[5] | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale. |
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT | Participation (for Observation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | (element("4.1")="SC")and(element("4.3")="HL70443") | IF PRT-4.1 EQUALS "SC" AND PRT-4.3 EQUALS "HL70443" | is equivalent to | PractitionerRole[6] | PractitionerRole[6] | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale. |
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT | Participation (for Observation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | (element("4.1")="OP")and(element("4.3")="HL70443") | IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443" | is equivalent to | PractitionerRole[3] | PractitionerRole[3] | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale. |
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX | Observation related to OBR | IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA") AND OBX-29 NOT IN ("QST", "SCI") | is equivalent to | Observation[2] | Observation[2] | Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation. Note that it is not clear that every OBX represents a results that can be associated with the encounter during which it was ordered/performed.\ | ||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX | Observation related to OBR | IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA") AND OBX-29 NOT IN ("QST", "SCI") | is equivalent to | Observation[2] | Observation[2] | Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation. When multiple OBX segments are tranformed into Observation components in a single Observation resource, implementers should consider how the metadata associated with the result (eg performer, status, date/time, etc) are populated. If the OBX segments being combined into a single resource contain different metadata, it must be considered whether or not the use of components is appropriate. | ||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX | Observation related to OBR | IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA") AND OBX-29 IN ("QST", "SCI") | is equivalent to | Observation[2] | Observation[2] | |||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX | Observation related to OBR | IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA") AND OBX-29 AND OBX-29 IN ("QST", "SCI") | is equivalent to | Observation[2] | Observation[2] | |||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT | Participation (Observation Participation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | IF PRT-10 VALUED | is equivalent to | Device | Device | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale. | |
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT | Participation (Observation Participation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | IF PRT-9 VALUED OR IF PRT-14 VALUED | is equivalent to | Observation[2] | Observation[2] | Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation location information. If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\ | |
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT | Participation (Observation Participation) | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | IF PRT-5 VALUED | is equivalent to | PractitionerRole[7] | PractitionerRole[7] | Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation practitioner information. If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.\ | |
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE | Notes and comments | is equivalent to | Observation[2].note | Observation[2].note | ||||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM | Specimen | is equivalent to | Specimen[n] | Specimen[n] | ||||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX | Observation (for Patient ID) | IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA" | is equivalent to | Observation[3] | Observation[3] | |||
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX | Observation (for Patient ID) | IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA" | is equivalent to | Observation[3] | Observation[3] |
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"Narrative-Condition", "value": "One may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.PD1", "display": "Additional Demographics", "target": [ { "code": "Patient[1]", "display": "Patient[1]", "equivalence": "equivalent", "comment": "Incorporate PD1 content into the Patient created from the PID segment." } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.PD1", "display": "Additional Demographics", "target": [ { "code": "Observation[4]", "display": "Observation[4]", "equivalence": "equivalent", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PD1-7 VALUED" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.PRT", "display": "Participation (for Patient)", "target": [ { "code": "PractitionerRole[1]", "display": "PractitionerRole[1]", "equivalence": "equivalent", "comment": "Incorporate PRT content into the Patient created from the PID segment when the PRT contains practitioner related data.\nIf PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.\\", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-4.1 EQUALS \"PP\" AND PRT-4.3 EQUALS \"HL70443\"" }, { "property": "Computable-FHIRPath", "value": "(PRT.element(4.1)=\"PP\")and(PRT.element(4.3)=\"HL70443\")" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.PRT", "display": "Participation (for Patient)", "target": [ { "code": "RelatedPerson[1]", "display": "RelatedPerson[1]", "equivalence": "equivalent", "comment": "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-4.1 NOT EQUALS \"PP\" OR PRT-4.3 NOT EQUALS \"HL70443\"" }, { "property": "Computable-FHIRPath", "value": "(PRT.element(4.1)!=\"PP\")or(PRT.element(4.3)!=\"HL70443\")" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.NK1", "display": "Next of Kin/Associated Parties", "target": [ { "code": "RelatedPerson[2]", "display": "RelatedPerson[2]", "equivalence": "equivalent", "comment": "Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures.", "dependsOn": [ { "property": "Narrative-Condition", "value": "The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.NK1", "display": "Next of Kin/Associated Parties", "target": [ { "code": "Patient[1]", "display": "Patient[1]", "equivalence": "equivalent", "comment": "Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures.", "dependsOn": [ { "property": "Narrative-Condition", "value": "The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX", "display": "Observation (for Patient ID)", "target": [ { "code": "Observation[1]", "display": "Observation[1]", "equivalence": "equivalent", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS \"NA\"" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX", "display": "Observation (for Patient ID)", "target": [ { "code": "Observation[1]", "display": "Observation[1]", "equivalence": "equivalent", "comment": "Note that when OBX-5 repeats, the standard mapping is to use Observation.component (see OBX[Observation-Component] map) rather than creating separate Observation instances. However, we are aware that some profiles and implementation guides do separate the OBX into multiple observations depending on the OBX-2 value. This is an example of a non-standard interpretation as the OBX should have been separated into multiple OBX segments to start. Please consider the local profiles and implementation guides on how to manage these variants.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT \"NA\"" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT", "display": "Participation (Observation Participation)", "target": [ { "code": "Device", "display": "Device", "equivalence": "equivalent", "comment": "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-10 VALUED" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT", "display": "Participation (Observation Participation)", "target": [ { "code": "Observation[1]", "display": "Observation[1]", "equivalence": "equivalent", "comment": "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-9 VALUED OR IF PRT-14 VALUED" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT", "display": "Participation (Observation Participation)", "target": [ { "code": "PractitionerRole[1]", "display": "PractitionerRole[1]", "equivalence": "equivalent", "comment": "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-5 VALUED" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1", "display": "Patient Visit", "target": [ { "code": "Encounter[1]", "display": "Encounter[1]", "equivalence": "equivalent", "comment": "Processing of the PV1 segment results in the creation of a new Encounter resource" } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1", "display": "Patient Visit", "target": [ { "code": "Basic", "display": "Basic", "equivalence": "equivalent", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PV1-43 VALUED" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1", "display": "Patient Visit", "target": [ { "code": "Patient[1]", "display": "Patient[1]", "equivalence": "equivalent" } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1", "display": "Patient Visit", "target": [ { "code": "Coverage[1]", "display": "Coverage[1]", "equivalence": "equivalent", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PV1-20 VALUE" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2", "display": "Patient Visit - Additional Info", "target": [ { "code": "Encounter[1]", "display": "Encounter[1]", "equivalence": "equivalent", "comment": "Incorporate PV2 content into the Encounter created from the PV1 segment." } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT", "display": "Participation (for Patient Visit)", "target": [ { "code": "PractitionerRole[2]", "display": "PractitionerRole[2]", "equivalence": "equivalent", "comment": "Incorporate PRT content into the Encounter created from the PV1 segment.\nIf PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.\\", "dependsOn": [ { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC", "display": "Order common", "target": [ { "code": "DiagnosticReport[1]", "display": "DiagnosticReport[1]", "equivalence": "equivalent", "comment": "Processing of each ORC segment results in the creation of a new DiagnosticReport resource" } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC", "display": "Order common", "target": [ { "code": "ServiceRequest[1]", "display": "ServiceRequest[1]", "equivalence": "equivalent", "dependsOn": [ { "property": "Narrative-Condition", "value": "If a ServiceRequest needs to be created for the receiver." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT", "display": "Participation (for Observation)", "target": [ { "code": "PractitionerRole[3]", "display": "PractitionerRole[3]", "equivalence": "equivalent", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-4.1 EQUALS \"OP\" AND PRT-4.3 EQUALS \"HL70443\"" }, { "property": "Computable-FHIRPath", "value": "(element(\"4.1\")=\"OP\")and(element(\"4.3\")=\"HL70443\")" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR", "display": "Observations Request", "target": [ { "code": "DiagnosticReport[1]", "display": "DiagnosticReport[1]", "equivalence": "equivalent", "comment": "Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group." } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR", "display": "Observations Request", "target": [ { "code": "Specimen[1]", "display": "Specimen[1]", "equivalence": "equivalent", "comment": "The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference." } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR", "display": "Observations Request", "target": [ { "code": "ServiceRequest[1]", "display": "ServiceRequest[1]", "equivalence": "equivalent", "comment": "Mapping to ServiceRequest as well is needed if the receiver is not the originator of the order to which this results message responds. This mapping will be completed once OMG/OML mapping is sufficiently completed. We will add the other segment mappings below to ServiceRequest then as well.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF ORC VALUED" }, { "property": "Narrative-Condition", "value": "If a ServiceRequest needs to be created for the receiver." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT", "display": "Participation (for Observation)", "target": [ { "code": "PractitionerRole[4]", "display": "PractitionerRole[4]", "equivalence": "equivalent", "comment": "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-4.1 IN (\"ARI\",\"TN\",\"TR\") AND PRT-4.3 EQUALS \"HL70443\"" }, { "property": "Computable-FHIRPath", "value": "PRT.element(4.1) in (\"ARI\",\"TN\", \"TR\")and(PRT.element(4.3)=\"HL70443\")" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT", "display": "Participation (for Observation)", "target": [ { "code": "PractitionerRole[5]", "display": "PractitionerRole[5]", "equivalence": "equivalent", "comment": "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-4.1 EQUALS \"PRI\" AND PRT-4.3 EQUALS \"HL70443\"" }, { "property": "Computable-FHIRPath", "value": "(PRT.element(4.1)=\"PRI\")and(PRT.element(4.3)=\"HL70443\")" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT", "display": "Participation (for Observation)", "target": [ { "code": "PractitionerRole[6]", "display": "PractitionerRole[6]", "equivalence": "equivalent", "comment": "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-4.1 EQUALS \"SC\" AND PRT-4.3 EQUALS \"HL70443\"" }, { "property": "Computable-FHIRPath", "value": "(element(\"4.1\")=\"SC\")and(element(\"4.3\")=\"HL70443\")" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT", "display": "Participation (for Observation)", "target": [ { "code": "PractitionerRole[3]", "display": "PractitionerRole[3]", "equivalence": "equivalent", "comment": "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-4.1 EQUALS \"OP\" AND PRT-4.3 EQUALS \"HL70443\"" }, { "property": "Computable-FHIRPath", "value": "(element(\"4.1\")=\"OP\")and(element(\"4.3\")=\"HL70443\")" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX", "display": "Observation related to OBR", "target": [ { "code": "Observation[2]", "display": "Observation[2]", "equivalence": "equivalent", "comment": "Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation.\nNote that it is not clear that every OBX represents a results that can be associated with the encounter during which it was ordered/performed.\\", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS \"NA\") AND OBX-29 NOT IN (\"QST\", \"SCI\")" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX", "display": "Observation related to OBR", "target": [ { "code": "Observation[2]", "display": "Observation[2]", "equivalence": "equivalent", "comment": "Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation. When multiple OBX segments are tranformed into Observation components in a single Observation resource, implementers should consider how the metadata associated with the result (eg performer, status, date/time, etc) are populated. If the OBX segments being combined into a single resource contain different metadata, it must be considered whether or not the use of components is appropriate.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT \"NA\") AND OBX-29 NOT IN (\"QST\", \"SCI\")" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX", "display": "Observation related to OBR", "target": [ { "code": "Observation[2]", "display": "Observation[2]", "equivalence": "equivalent", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS \"NA\") AND OBX-29 IN (\"QST\", \"SCI\")" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 1 }, { "url": "cardinalityMax", "valueInteger": 1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX", "display": "Observation related to OBR", "target": [ { "code": "Observation[2]", "display": "Observation[2]", "equivalence": "equivalent", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT \"NA\") AND OBX-29 AND OBX-29 IN (\"QST\", \"SCI\")" } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT", "display": "Participation (Observation Participation)", "target": [ { "code": "Device", "display": "Device", "equivalence": "equivalent", "comment": "If PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA with context and rationale.", "dependsOn": [ { "property": "Computable-ANTLR", "value": "IF PRT-10 VALUED" }, { "property": "Narrative-Condition", "value": "If PRT-2 is valued to \"D\", delete, then the implementer needs to consider whether to create a Device with Device.status = \"inactive\"." } ] } ] }, { "extension": [ { "extension": [ { "url": "cardinalityMin", "valueInteger": 0 }, { "url": "cardinalityMax", "valueInteger": -1 } ], "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" } ], "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT", "display": "Participation (Observation Participation)", "target": [ { "code": "Observation[2]", "display": "Observation[2]", "equivalence": "equivalent", "comment": "Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation location information.\nIf PRT-2 is set to \"D\" and \"inactive\" cannot be used, please submit a JIRA 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