HL7 Version 2 to FHIR
1.0.0 - STU 1

HL7 Version 2 to FHIR - Downloaded Version 1.0.0 See the Directory of published versions

## : Message ORU_R01 to Bundle Map - XML Representation

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    <ConceptMap xmlns="http://hl7.org/fhir">
      <id value="message-oru-r01-to-bundle"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap message-oru-r01-to-bundle</b></p><a name="message-oru-r01-to-bundle"> </a><a name="hcmessage-oru-r01-to-bundle"> </a><p>Mapping from (not specified) to (not specified)</p><br/><p><b>Group 1 </b>Mapping from <code>unspecified code system</code> to <code>unspecified code system</code></p><table class="grid"><tr><td colspan="5"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from </td><td><b>NarrativeCondition</b></td><td><b>ComputableFHIRPath</b></td><td><b>ComputableANTLR</b></td><td/><td colspan="2"><b>Codes</b> from </td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px">Message Header</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Bundle</td><td style="border-left-width: 0px">Bundle</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px">Message Header</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">MessageHeader[1]</td><td style="border-left-width: 0px">MessageHeader[1]</td><td>Processing of the MSH segment results in the creation of a new MessageHeader resource</td></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px">Message Header</td><td>If there is a source in MSH-4, or known based on the configuration.</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[1]</td><td style="border-left-width: 0px">Provenance[1]</td><td>If the FHIR transformation does not yield a FHIR message, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.MSH</td><td style="border-left-width: 0px">Message Header</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[2]</td><td style="border-left-width: 0px">Provenance[2]</td><td>If the FHIR transformation does not yield a FHIR Bunlde, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.SFT</td><td style="border-left-width: 0px">Software Segment</td><td>If the software does represent not the original source system</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[1].entity.what(Device)</td><td style="border-left-width: 0px">Provenance[1].entity.what(Device)</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.SFT</td><td style="border-left-width: 0px">Software Segment</td><td>If the software represents the original source system</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[1].entity.what(Device)</td><td style="border-left-width: 0px">Provenance[1].entity.what(Device)</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PID</td><td style="border-left-width: 0px">Patient Identification</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px">Patient[1]</td><td>Processing of the PID segment results in the creation of a new Patient resource</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PID</td><td style="border-left-width: 0px">Patient Identification</td><td>One  may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date.</td><td/><td>IF PID-33 AND PID-34 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[4]</td><td style="border-left-width: 0px">Provenance[4]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PD1</td><td style="border-left-width: 0px">Additional Demographics</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px">Patient[1]</td><td>Incorporate PD1 content into the Patient created from the PID segment.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PD1</td><td style="border-left-width: 0px">Additional Demographics</td><td/><td/><td>IF PD1-7 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[4]</td><td style="border-left-width: 0px">Observation[4]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PRT</td><td style="border-left-width: 0px">Participation (for Patient)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td>(PRT.element(4.1)=&quot;PP&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)</td><td>IF PRT-4.1 EQUALS &quot;PP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[1]</td><td style="border-left-width: 0px">PractitionerRole[1]</td><td>Incorporate PRT content into the Patient created from the PID segment when the PRT contains practitioner related data.
    If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.\</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PRT</td><td style="border-left-width: 0px">Participation (for Patient)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td>(PRT.element(4.1)!=&quot;PP&quot;)or(PRT.element(4.3)!=&quot;HL70443&quot;)</td><td>IF PRT-4.1 NOT EQUALS &quot;PP&quot; OR PRT-4.3 NOT EQUALS &quot;HL70443&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">RelatedPerson[1]</td><td style="border-left-width: 0px">RelatedPerson[1]</td><td>If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.NK1</td><td style="border-left-width: 0px">Next of Kin/Associated Parties</td><td>The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">RelatedPerson[2]</td><td style="border-left-width: 0px">RelatedPerson[2]</td><td>Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.NK1</td><td style="border-left-width: 0px">Next of Kin/Associated Parties</td><td>The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px">Patient[1]</td><td>Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation (for Patient ID)</td><td/><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1]</td><td style="border-left-width: 0px">Observation[1]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation (for Patient ID)</td><td/><td/><td>IF  OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1]</td><td style="border-left-width: 0px">Observation[1]</td><td>Note that when OBX-5 repeats, the standard mapping is to use Observation.component (see OBX[Observation-Component] map) rather than creating separate Observation instances.  However, we are aware that some profiles and implementation guides do separate the OBX into multiple observations depending on the OBX-2 value.  This is an example of a non-standard interpretation as the OBX should have been separated into multiple OBX segments to start.  Please consider the local profiles and implementation guides on how to manage these variants.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td/><td>IF PRT-10 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Device</td><td style="border-left-width: 0px">Device</td><td>If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td/><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[1]</td><td style="border-left-width: 0px">Observation[1]</td><td>If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td/><td>IF PRT-5 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[1]</td><td style="border-left-width: 0px">PractitionerRole[1]</td><td>If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Encounter[1]</td><td style="border-left-width: 0px">Encounter[1]</td><td>Processing of the PV1 segment results in the creation of a new Encounter resource</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td/><td/><td>IF PV1-43 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Basic</td><td style="border-left-width: 0px">Basic</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Patient[1]</td><td style="border-left-width: 0px">Patient[1]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td/><td/><td>IF PV1-20 VALUE</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Coverage[1]</td><td style="border-left-width: 0px">Coverage[1]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2</td><td style="border-left-width: 0px">Patient Visit - Additional Info</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Encounter[1]</td><td style="border-left-width: 0px">Encounter[1]</td><td>Incorporate PV2 content into the Encounter created from the PV1 segment.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT</td><td style="border-left-width: 0px">Participation (for Patient Visit)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[2]</td><td style="border-left-width: 0px">PractitionerRole[2]</td><td>Incorporate PRT content into the Encounter created from the PV1 segment.
    If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.\</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC</td><td style="border-left-width: 0px">Order common</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">DiagnosticReport[1]</td><td style="border-left-width: 0px">DiagnosticReport[1]</td><td>Processing of each ORC segment results in the creation of a new DiagnosticReport resource</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC</td><td style="border-left-width: 0px">Order common</td><td>If a ServiceRequest needs to be created for the receiver.</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest[1]</td><td style="border-left-width: 0px">ServiceRequest[1]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td>(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td>IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[3]</td><td style="border-left-width: 0px">PractitionerRole[3]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style="border-left-width: 0px">Observations Request</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">DiagnosticReport[1]</td><td style="border-left-width: 0px">DiagnosticReport[1]</td><td>Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style="border-left-width: 0px">Observations Request</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Specimen[1]</td><td style="border-left-width: 0px">Specimen[1]</td><td>The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR</td><td style="border-left-width: 0px">Observations Request</td><td>If a ServiceRequest needs to be created for the receiver.</td><td/><td>IF ORC VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">ServiceRequest[1]</td><td style="border-left-width: 0px">ServiceRequest[1]</td><td>Mapping to ServiceRequest as well is needed if the receiver is not the originator of the order to which this results message responds.  This mapping will be completed once OMG/OML mapping is sufficiently completed.  We will add the other segment mappings below to ServiceRequest then as well.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td>PRT.element(4.1) in (&quot;ARI&quot;,&quot;TN&quot;, &quot;TR&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)</td><td>IF PRT-4.1 IN (&quot;ARI&quot;,&quot;TN&quot;,&quot;TR&quot;) AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[4]</td><td style="border-left-width: 0px">PractitionerRole[4]</td><td>If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td>(PRT.element(4.1)=&quot;PRI&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)</td><td>IF PRT-4.1 EQUALS &quot;PRI&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[5]</td><td style="border-left-width: 0px">PractitionerRole[5]</td><td>If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td>(element(&quot;4.1&quot;)=&quot;SC&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td>IF PRT-4.1 EQUALS &quot;SC&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[6]</td><td style="border-left-width: 0px">PractitionerRole[6]</td><td>If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (for Observation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td>(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)</td><td>IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[3]</td><td style="border-left-width: 0px">PractitionerRole[3]</td><td>If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation related to OBR</td><td/><td/><td>IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;) AND OBX-29 NOT IN (&quot;QST&quot;, &quot;SCI&quot;)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td>Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation.
    Note that it is not clear that every OBX represents a results that can be associated with the encounter during which it was ordered/performed.\</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation related to OBR</td><td/><td/><td>IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;) AND OBX-29 NOT IN (&quot;QST&quot;, &quot;SCI&quot;)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td>Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation. When multiple OBX segments are tranformed into Observation components in a single Observation resource, implementers should consider how the metadata associated with the result (eg performer, status, date/time, etc) are populated. If the OBX segments being combined into a single resource contain different metadata, it must be considered whether or not the use of components is appropriate.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation related to OBR</td><td/><td/><td>IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;) AND OBX-29 IN (&quot;QST&quot;, &quot;SCI&quot;)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation related to OBR</td><td/><td/><td>IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;) AND OBX-29 AND OBX-29 IN (&quot;QST&quot;, &quot;SCI&quot;)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td/><td>IF PRT-10 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Device</td><td style="border-left-width: 0px">Device</td><td>If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td/><td>IF PRT-9 VALUED OR IF PRT-14 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2]</td><td style="border-left-width: 0px">Observation[2]</td><td>Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation location information.
    If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.\</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT</td><td style="border-left-width: 0px">Participation (Observation Participation)</td><td>If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;.</td><td/><td>IF PRT-5 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">PractitionerRole[7]</td><td style="border-left-width: 0px">PractitionerRole[7]</td><td>Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation practitioner information.
    If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.\</td></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE</td><td style="border-left-width: 0px">Notes and comments</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[2].note</td><td style="border-left-width: 0px">Observation[2].note</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM</td><td style="border-left-width: 0px">Specimen</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Specimen[n]</td><td style="border-left-width: 0px">Specimen[n]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation (for Patient ID)</td><td/><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[3]</td><td style="border-left-width: 0px">Observation[3]</td><td/></tr><tr><td style="border-right-width: 0px">ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation (for Patient ID)</td><td/><td/><td>IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Observation[3]</td><td style="border-left-width: 0px">Observation[3]</td><td/></tr></table></div>
      </text>
      <extension
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        <extension url="type">
          <valueCode value="derived-from"/>
        </extension>
        <extension url="label">
          <valueString value="Message ORU:R01 to Bundle.fsh"/>
        </extension>
        <extension url="url">
          <valueUri
                    value="https://docs.google.com/spreadsheets/d/1gHK6_PFyr7PXns7wLDs0LSLsbjm0x-4bWUu3crXMKMI/edit#gid=0"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="oo"/>
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      <extension
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        <valueCode value="informative">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/uv/v2mappings/ImplementationGuide/hl7.fhir.uv.v2mappings"/>
          </extension>
        </valueCode>
      </extension>
      <url
           value="http://hl7.org/fhir/uv/v2mappings/ConceptMap/message-oru-r01-to-bundle"/>
      <version value="1.0.0"/>
      <name value="MessageORU_R01ToBundle"/>
      <title value="Message ORU_R01 to Bundle Map"/>
      <status value="active"/>
      <experimental value="true"/>
      <date value="2025-08-25"/>
      <publisher value="HL7 International / Orders and Observations"/>
      <contact>
        <name value="HL7 Orders and Observations Workgroup"/>
        <telecom>
          <system value="url"/>
          <value value="http://www.hl7.org/Special/committees/orders"/>
        </telecom>
      </contact>
      <description
                   value="This ConceptMap represents a mapping from the HL7 V2 Message ORU_R01 to the FHIR Message Bundle."/>
      <jurisdiction>
        <coding>
          <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
          <code value="001"/>
        </coding>
      </jurisdiction>
      <copyright
                 value="Copyright (c) 2025, HL7 International, Inc., All Rights Reserved."/>
      <group>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.MSH"/>
          <display value="Message Header"/>
          <target>
            <code value="Bundle"/>
            <display value="Bundle"/>
            <equivalence value="equivalent"/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.MSH"/>
          <display value="Message Header"/>
          <target>
            <code value="MessageHeader[1]"/>
            <display value="MessageHeader[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Processing of the MSH segment results in the creation of a new MessageHeader resource"/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.MSH"/>
          <display value="Message Header"/>
          <target>
            <code value="Provenance[1]"/>
            <display value="Provenance[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If the FHIR transformation does not yield a FHIR message, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated."/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If there is a source in MSH-4, or known based on the configuration."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.MSH"/>
          <display value="Message Header"/>
          <target>
            <code value="Provenance[2]"/>
            <display value="Provenance[2]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If the FHIR transformation does not yield a FHIR Bunlde, but only a set of resource (APIs, repository, etc.) than one should consider attaching this Provenance resource instance to the relevant FHIR resources generated."/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.SFT"/>
          <display value="Software Segment"/>
          <target>
            <code value="Provenance[1].entity.what(Device)"/>
            <display value="Provenance[1].entity.what(Device)"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If the software does represent not the original source system"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.SFT"/>
          <display value="Software Segment"/>
          <target>
            <code value="Provenance[1].entity.what(Device)"/>
            <display value="Provenance[1].entity.what(Device)"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If the software represents the original source system"/>
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          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PID"/>
          <display value="Patient Identification"/>
          <target>
            <code value="Patient[1]"/>
            <display value="Patient[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Processing of the PID segment results in the creation of a new Patient resource"/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PID"/>
          <display value="Patient Identification"/>
          <target>
            <code value="Provenance[4]"/>
            <display value="Provenance[4]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PID-33 AND PID-34 VALUED"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="One  may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PD1"/>
          <display value="Additional Demographics"/>
          <target>
            <code value="Patient[1]"/>
            <display value="Patient[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Incorporate PD1 content into the Patient created from the PID segment."/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PD1"/>
          <display value="Additional Demographics"/>
          <target>
            <code value="Observation[4]"/>
            <display value="Observation[4]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PD1-7 VALUED"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PRT"/>
          <display value="Participation (for Patient)"/>
          <target>
            <code value="PractitionerRole[1]"/>
            <display value="PractitionerRole[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Incorporate PRT content into the Patient created from the PID segment when the PRT contains practitioner related data.
    If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.\"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF PRT-4.1 EQUALS &quot;PP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
            </dependsOn>
            <dependsOn>
              <property value="Computable-FHIRPath"/>
              <value
                     value="(PRT.element(4.1)=&quot;PP&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PRT"/>
          <display value="Participation (for Patient)"/>
          <target>
            <code value="RelatedPerson[1]"/>
            <display value="RelatedPerson[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF PRT-4.1 NOT EQUALS &quot;PP&quot; OR PRT-4.3 NOT EQUALS &quot;HL70443&quot;"/>
            </dependsOn>
            <dependsOn>
              <property value="Computable-FHIRPath"/>
              <value
                     value="(PRT.element(4.1)!=&quot;PP&quot;)or(PRT.element(4.3)!=&quot;HL70443&quot;)"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.NK1"/>
          <display value="Next of Kin/Associated Parties"/>
          <target>
            <code value="RelatedPerson[2]"/>
            <display value="RelatedPerson[2]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures."/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.NK1"/>
          <display value="Next of Kin/Associated Parties"/>
          <target>
            <code value="Patient[1]"/>
            <display value="Patient[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Typically, each NK1 will be translated to either a new RelatedPerson resource or added as a new occurrence of Patient.contact, but it's possible to insert the NK1 data into both structures."/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX"/>
          <display value="Observation (for Patient ID)"/>
          <target>
            <code value="Observation[1]"/>
            <display value="Observation[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX"/>
          <display value="Observation (for Patient ID)"/>
          <target>
            <code value="Observation[1]"/>
            <display value="Observation[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Note that when OBX-5 repeats, the standard mapping is to use Observation.component (see OBX[Observation-Component] map) rather than creating separate Observation instances.  However, we are aware that some profiles and implementation guides do separate the OBX into multiple observations depending on the OBX-2 value.  This is an example of a non-standard interpretation as the OBX should have been separated into multiple OBX segments to start.  Please consider the local profiles and implementation guides on how to manage these variants."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF  OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT"/>
          <display value="Participation (Observation Participation)"/>
          <target>
            <code value="Device"/>
            <display value="Device"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PRT-10 VALUED"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT"/>
          <display value="Participation (Observation Participation)"/>
          <target>
            <code value="Observation[1]"/>
            <display value="Observation[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PRT-9 VALUED OR IF PRT-14 VALUED"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT"/>
          <display value="Participation (Observation Participation)"/>
          <target>
            <code value="PractitionerRole[1]"/>
            <display value="PractitionerRole[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PRT-5 VALUED"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1"/>
          <display value="Patient Visit"/>
          <target>
            <code value="Encounter[1]"/>
            <display value="Encounter[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Processing of the PV1 segment results in the creation of a new Encounter resource"/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1"/>
          <display value="Patient Visit"/>
          <target>
            <code value="Basic"/>
            <display value="Basic"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PV1-43 VALUED"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1"/>
          <display value="Patient Visit"/>
          <target>
            <code value="Patient[1]"/>
            <display value="Patient[1]"/>
            <equivalence value="equivalent"/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1"/>
          <display value="Patient Visit"/>
          <target>
            <code value="Coverage[1]"/>
            <display value="Coverage[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PV1-20 VALUE"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2"/>
          <display value="Patient Visit - Additional Info"/>
          <target>
            <code value="Encounter[1]"/>
            <display value="Encounter[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Incorporate PV2 content into the Encounter created from the PV1 segment."/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT"/>
          <display value="Participation (for Patient Visit)"/>
          <target>
            <code value="PractitionerRole[2]"/>
            <display value="PractitionerRole[2]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Incorporate PRT content into the Encounter created from the PV1 segment.
    If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.\"/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code
                value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC"/>
          <display value="Order common"/>
          <target>
            <code value="DiagnosticReport[1]"/>
            <display value="DiagnosticReport[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Processing of each ORC segment results in the creation of a new DiagnosticReport resource"/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code
                value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC"/>
          <display value="Order common"/>
          <target>
            <code value="ServiceRequest[1]"/>
            <display value="ServiceRequest[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If a ServiceRequest needs to be created for the receiver."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code
                value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT"/>
          <display value="Participation (for Observation)"/>
          <target>
            <code value="PractitionerRole[3]"/>
            <display value="PractitionerRole[3]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
            </dependsOn>
            <dependsOn>
              <property value="Computable-FHIRPath"/>
              <value
                     value="(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR"/>
          <display value="Observations Request"/>
          <target>
            <code value="DiagnosticReport[1]"/>
            <display value="DiagnosticReport[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group."/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR"/>
          <display value="Observations Request"/>
          <target>
            <code value="Specimen[1]"/>
            <display value="Specimen[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference."/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR"/>
          <display value="Observations Request"/>
          <target>
            <code value="ServiceRequest[1]"/>
            <display value="ServiceRequest[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Mapping to ServiceRequest as well is needed if the receiver is not the originator of the order to which this results message responds.  This mapping will be completed once OMG/OML mapping is sufficiently completed.  We will add the other segment mappings below to ServiceRequest then as well."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF ORC VALUED"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If a ServiceRequest needs to be created for the receiver."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT"/>
          <display value="Participation (for Observation)"/>
          <target>
            <code value="PractitionerRole[4]"/>
            <display value="PractitionerRole[4]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF PRT-4.1 IN (&quot;ARI&quot;,&quot;TN&quot;,&quot;TR&quot;) AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
            </dependsOn>
            <dependsOn>
              <property value="Computable-FHIRPath"/>
              <value
                     value="PRT.element(4.1) in (&quot;ARI&quot;,&quot;TN&quot;, &quot;TR&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT"/>
          <display value="Participation (for Observation)"/>
          <target>
            <code value="PractitionerRole[5]"/>
            <display value="PractitionerRole[5]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF PRT-4.1 EQUALS &quot;PRI&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
            </dependsOn>
            <dependsOn>
              <property value="Computable-FHIRPath"/>
              <value
                     value="(PRT.element(4.1)=&quot;PRI&quot;)and(PRT.element(4.3)=&quot;HL70443&quot;)"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT"/>
          <display value="Participation (for Observation)"/>
          <target>
            <code value="PractitionerRole[6]"/>
            <display value="PractitionerRole[6]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF PRT-4.1 EQUALS &quot;SC&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
            </dependsOn>
            <dependsOn>
              <property value="Computable-FHIRPath"/>
              <value
                     value="(element(&quot;4.1&quot;)=&quot;SC&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT"/>
          <display value="Participation (for Observation)"/>
          <target>
            <code value="PractitionerRole[3]"/>
            <display value="PractitionerRole[3]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF PRT-4.1 EQUALS &quot;OP&quot; AND PRT-4.3 EQUALS &quot;HL70443&quot;"/>
            </dependsOn>
            <dependsOn>
              <property value="Computable-FHIRPath"/>
              <value
                     value="(element(&quot;4.1&quot;)=&quot;OP&quot;)and(element(&quot;4.3&quot;)=&quot;HL70443&quot;)"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX"/>
          <display value="Observation related to OBR"/>
          <target>
            <code value="Observation[2]"/>
            <display value="Observation[2]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation.
    Note that it is not clear that every OBX represents a results that can be associated with the encounter during which it was ordered/performed.\"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;) AND OBX-29 NOT IN (&quot;QST&quot;, &quot;SCI&quot;)"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX"/>
          <display value="Observation related to OBR"/>
          <target>
            <code value="Observation[2]"/>
            <display value="Observation[2]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Implementers should consider the use case where OBX-5 repeats in a given OBX segment. Because the Observation value element is not allowed to repeat, multiple occurrences of OBX-5 must be handled either through the creation of multiple Observation resources, the use of Observation components, the concatenation of the results into a single value or another solution appropriate for the data and the implementation. When multiple OBX segments are tranformed into Observation components in a single Observation resource, implementers should consider how the metadata associated with the result (eg performer, status, date/time, etc) are populated. If the OBX segments being combined into a single resource contain different metadata, it must be considered whether or not the use of components is appropriate."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;) AND OBX-29 NOT IN (&quot;QST&quot;, &quot;SCI&quot;)"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX"/>
          <display value="Observation related to OBR"/>
          <target>
            <code value="Observation[2]"/>
            <display value="Observation[2]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;) AND OBX-29 IN (&quot;QST&quot;, &quot;SCI&quot;)"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX"/>
          <display value="Observation related to OBR"/>
          <target>
            <code value="Observation[2]"/>
            <display value="Observation[2]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;) AND OBX-29 AND OBX-29 IN (&quot;QST&quot;, &quot;SCI&quot;)"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT"/>
          <display value="Participation (Observation Participation)"/>
          <target>
            <code value="Device"/>
            <display value="Device"/>
            <equivalence value="equivalent"/>
            <comment
                     value="If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale."/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PRT-10 VALUED"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT"/>
          <display value="Participation (Observation Participation)"/>
          <target>
            <code value="Observation[2]"/>
            <display value="Observation[2]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation location information.
    If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.\"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PRT-9 VALUED OR IF PRT-14 VALUED"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT"/>
          <display value="Participation (Observation Participation)"/>
          <target>
            <code value="PractitionerRole[7]"/>
            <display value="PractitionerRole[7]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Incorporate PRT content into the Observation created from the OBX segment in the same segment group when it represents observation practitioner information.
    If PRT-2 is set to &quot;D&quot; and &quot;inactive&quot; cannot be used, please submit a JIRA with context and rationale.\"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PRT-5 VALUED"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If PRT-2 is valued to &quot;D&quot;, delete, then the implementer needs to consider whether to create a Device with Device.status = &quot;inactive&quot;."/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="0"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="-1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE"/>
          <display value="Notes and comments"/>
          <target>
            <code value="Observation[2].note"/>
            <display value="Observation[2].note"/>
            <equivalence value="equivalent"/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM"/>
          <display value="Specimen"/>
          <target>
            <code value="Specimen[n]"/>
            <display value="Specimen[n]"/>
            <equivalence value="equivalent"/>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code
                value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX"/>
          <display value="Observation (for Patient ID)"/>
          <target>
            <code value="Observation[3]"/>
            <display value="Observation[3]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;"/>
            </dependsOn>
          </target>
        </element>
        <element>
          <extension
                     url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo">
            <extension url="cardinalityMin">
              <valueInteger value="1"/>
            </extension>
            <extension url="cardinalityMax">
              <valueInteger value="1"/>
            </extension>
          </extension>
          <code
                value="ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX"/>
          <display value="Observation (for Patient ID)"/>
          <target>
            <code value="Observation[3]"/>
            <display value="Observation[3]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;"/>
            </dependsOn>
          </target>
        </element>
      </group>
    </ConceptMap>