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Packagehl7.fhir.uv.v2mappings.r4b
Resource TypeConceptMap
IdConceptMap-message-oru-r01-to-bundle.json
FHIR VersionR4B

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Narrative

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 DetailsRelationshipTarget Concept DetailsComment
Codes from NarrativeConditionComputableFHIRPathComputableANTLRCodes from
ORU_R01.MSHMessage Headeris equivalent toBundleBundle
ORU_R01.MSHMessage Headeris equivalent toMessageHeader[1]MessageHeader[1]Processing of the MSH segment results in the creation of a new MessageHeader resource
ORU_R01.MSHMessage HeaderIf there is a source in MSH-4, or known based on the configuration.is equivalent toProvenance[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.MSHMessage Headeris equivalent toProvenance[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.SFTSoftware SegmentIf the software does represent not the original source systemis equivalent toProvenance[1].entity.what(Device)Provenance[1].entity.what(Device)
ORU_R01.SFTSoftware SegmentIf the software represents the original source systemis equivalent toProvenance[1].entity.what(Device)Provenance[1].entity.what(Device)
ORU_R01.PATIENT_RESULT.PATIENT.PIDPatient Identificationis equivalent toPatient[1]Patient[1]Processing of the PID segment results in the creation of a new Patient resource
ORU_R01.PATIENT_RESULT.PATIENT.PIDPatient IdentificationOne 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 VALUEDis equivalent toProvenance[4]Provenance[4]
ORU_R01.PATIENT_RESULT.PATIENT.PD1Additional Demographicsis equivalent toPatient[1]Patient[1]Incorporate PD1 content into the Patient created from the PID segment.
ORU_R01.PATIENT_RESULT.PATIENT.PD1Additional DemographicsIF PD1-7 VALUEDis equivalent toObservation[4]Observation[4]
ORU_R01.PATIENT_RESULT.PATIENT.PRTParticipation (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 toPractitionerRole[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.PRTParticipation (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 toRelatedPerson[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.NK1Next of Kin/Associated PartiesThe FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin datais equivalent toRelatedPerson[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.NK1Next of Kin/Associated PartiesThe FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin datais equivalent toPatient[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.OBXObservation (for Patient ID)IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA"is equivalent toObservation[1]Observation[1]
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBXObservation (for Patient ID)IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA"is equivalent toObservation[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.PRTParticipation (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 VALUEDis equivalent toDeviceDeviceIf 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.PRTParticipation (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 VALUEDis equivalent toObservation[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.PRTParticipation (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 VALUEDis equivalent toPractitionerRole[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.PV1Patient Visitis equivalent toEncounter[1]Encounter[1]Processing of the PV1 segment results in the creation of a new Encounter resource
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1Patient VisitIF PV1-43 VALUEDis equivalent toBasicBasic
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1Patient Visitis equivalent toPatient[1]Patient[1]
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1Patient VisitIF PV1-20 VALUEis equivalent toCoverage[1]Coverage[1]
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2Patient Visit - Additional Infois equivalent toEncounter[1]Encounter[1]Incorporate PV2 content into the Encounter created from the PV1 segment.
ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRTParticipation (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 toPractitionerRole[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.ORCOrder commonis equivalent toDiagnosticReport[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.ORCOrder commonIf a ServiceRequest needs to be created for the receiver.is equivalent toServiceRequest[1]ServiceRequest[1]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRTParticipation (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 toPractitionerRole[3]PractitionerRole[3]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBRObservations Requestis equivalent toDiagnosticReport[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.OBRObservations Requestis equivalent toSpecimen[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.OBRObservations RequestIf a ServiceRequest needs to be created for the receiver.IF ORC VALUEDis equivalent toServiceRequest[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.PRTParticipation (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 toPractitionerRole[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.PRTParticipation (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 toPractitionerRole[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.PRTParticipation (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 toPractitionerRole[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.PRTParticipation (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 toPractitionerRole[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.OBXObservation related to OBRIF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA") AND OBX-29 NOT IN ("QST", "SCI")is equivalent toObservation[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.OBXObservation related to OBRIF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA") AND OBX-29 NOT IN ("QST", "SCI")is equivalent toObservation[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.OBXObservation related to OBRIF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA") AND OBX-29 IN ("QST", "SCI")is equivalent toObservation[2]Observation[2]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBXObservation related to OBRIF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA") AND OBX-29 AND OBX-29 IN ("QST", "SCI")is equivalent toObservation[2]Observation[2]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRTParticipation (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 VALUEDis equivalent toDeviceDeviceIf 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.PRTParticipation (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 VALUEDis equivalent toObservation[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.PRTParticipation (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 VALUEDis equivalent toPractitionerRole[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.NTENotes and commentsis equivalent toObservation[2].noteObservation[2].note
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPMSpecimenis equivalent toSpecimen[n]Specimen[n]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBXObservation (for Patient ID)IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA"is equivalent toObservation[3]Observation[3]
ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBXObservation (for Patient ID)IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA"is equivalent toObservation[3]Observation[3]

Source1

{
  "resourceType": "ConceptMap",
  "id": "message-oru-r01-to-bundle",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "type",
          "valueCode": "derived-from"
        },
        {
          "url": "label",
          "valueString": "Message ORU:R01 to Bundle.fsh"
        },
        {
          "url": "url",
          "valueUri": "https://docs.google.com/spreadsheets/d/1gHK6_PFyr7PXns7wLDs0LSLsbjm0x-4bWUu3crXMKMI/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/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "informative",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/v2mappings/ImplementationGuide/hl7.fhir.uv.v2mappings"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/v2mappings/ConceptMap/message-oru-r01-to-bundle",
  "version": "1.0.0",
  "name": "MessageORU_R01ToBundle",
  "title": "Message ORU_R01 to Bundle Map",
  "status": "active",
  "experimental": true,
  "date": "2025-08-25",
  "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 Message ORU_R01 to the FHIR Message Bundle.",
  "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": "cardinalityMin",
                  "valueInteger": 1
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": 1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ORU_R01.MSH",
          "display": "Message Header",
          "target": [
            {
              "code": "Bundle",
              "display": "Bundle",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "cardinalityMin",
                  "valueInteger": 1
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": 1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ORU_R01.MSH",
          "display": "Message Header",
          "target": [
            {
              "code": "MessageHeader[1]",
              "display": "MessageHeader[1]",
              "equivalence": "equivalent",
              "comment": "Processing of the MSH segment results in the creation of a new MessageHeader resource"
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "cardinalityMin",
                  "valueInteger": 1
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": 1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ORU_R01.MSH",
          "display": "Message Header",
          "target": [
            {
              "code": "Provenance[1]",
              "display": "Provenance[1]",
              "equivalence": "equivalent",
              "comment": "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.",
              "dependsOn": [
                {
                  "property": "Narrative-Condition",
                  "value": "If there is a source in MSH-4, or known based on the configuration."
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "cardinalityMin",
                  "valueInteger": 1
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": 1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ORU_R01.MSH",
          "display": "Message Header",
          "target": [
            {
              "code": "Provenance[2]",
              "display": "Provenance[2]",
              "equivalence": "equivalent",
              "comment": "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."
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "cardinalityMin",
                  "valueInteger": 0
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": -1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ORU_R01.SFT",
          "display": "Software Segment",
          "target": [
            {
              "code": "Provenance[1].entity.what(Device)",
              "display": "Provenance[1].entity.what(Device)",
              "equivalence": "equivalent",
              "dependsOn": [
                {
                  "property": "Narrative-Condition",
                  "value": "If the software does represent not the original source system"
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "cardinalityMin",
                  "valueInteger": 0
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": -1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ORU_R01.SFT",
          "display": "Software Segment",
          "target": [
            {
              "code": "Provenance[1].entity.what(Device)",
              "display": "Provenance[1].entity.what(Device)",
              "equivalence": "equivalent",
              "dependsOn": [
                {
                  "property": "Narrative-Condition",
                  "value": "If the software represents the original source system"
                }
              ]
            }
          ]
        },
        {
          "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.PID",
          "display": "Patient Identification",
          "target": [
            {
              "code": "Patient[1]",
              "display": "Patient[1]",
              "equivalence": "equivalent",
              "comment": "Processing of the PID segment results in the creation of a new Patient 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.PID",
          "display": "Patient Identification",
          "target": [
            {
              "code": "Provenance[4]",
              "display": "Provenance[4]",
              "equivalence": "equivalent",
              "dependsOn": [
                {
                  "property": "Computable-ANTLR",
                  "value": "IF PID-33 AND PID-34 VALUED"
                },
                {
                  "property": "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 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.ORDER_OBSERVATION.OBSERVATION.PRT",
          "display": "Participation (Observation Participation)",
          "target": [
            {
              "code": "PractitionerRole[7]",
              "display": "PractitionerRole[7]",
              "equivalence": "equivalent",
              "comment": "Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation practitioner information.\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-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": 0
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": -1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE",
          "display": "Notes and comments",
          "target": [
            {
              "code": "Observation[2].note",
              "display": "Observation[2].note",
              "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.ORDER_OBSERVATION.SPECIMEN.SPM",
          "display": "Specimen",
          "target": [
            {
              "code": "Specimen[n]",
              "display": "Specimen[n]",
              "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.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX",
          "display": "Observation (for Patient ID)",
          "target": [
            {
              "code": "Observation[3]",
              "display": "Observation[3]",
              "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.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX",
          "display": "Observation (for Patient ID)",
          "target": [
            {
              "code": "Observation[3]",
              "display": "Observation[3]",
              "equivalence": "equivalent",
              "dependsOn": [
                {
                  "property": "Computable-ANTLR",
                  "value": "IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT \"NA\""
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}