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

## ConceptMap: Message ORU_R01 to Bundle Map (Experimental)

Official URL: http://hl7.org/fhir/uv/v2mappings/ConceptMap/message-oru-r01-to-bundle | Version: 1.0.0
Standards status: Informative | Computable Name: MessageORU_R01ToBundle
Copyright/Legal: Copyright (c) 2025, HL7 International, Inc., All Rights Reserved.

This ConceptMap represents a mapping from the HL7 V2 Message ORU_R01 to the FHIR Message Bundle.

This ConceptMap represents the mapping from the HL7 V2 ORU_R01 Message to the FHIR Message Bundle. See also the FHIR Shorthand or the CSV Source.

HL7 v2 | Condition (IF True, args) | HL7 FHIR | Comments
--- | --- | --- | ---
Sort Order | Identifier | Syntax | Name | Cardinality - Min | Cardinality - Max | Computable ANTLR | Computable FHIRPath | Narrative | Primary Target | Segment Map | References
1 | ORU_R01.MSH | MSH | Message Header | 1 | 1 |  |  |  | Bundle | MSH[Bundle] |  |
1 | ORU_R01.MSH | MSH | Message Header | 1 | 1 |  |  |  | MessageHeader | MSH[MessageHeader] |  | Processing of the MSH segment results in the creation of a new MessageHeader resource
1 | ORU_R01.MSH | MSH | Message Header | 1 | 1 |  |  | If there is a source in MSH-4, or known based on the configuration. | Provenance | MSH[Provenance-Source] | Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].id | 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.
1 | ORU_R01.MSH | MSH | Message Header | 1 | 1 |  |  |  | Provenance | MSH[Provenance-Transformation] | Provenance[2].target.reference=Bundle.id | 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.
2 | ORU_R01.SFT | [{ SFT }] | Software Segment | 0 | -1 |  |  | If the software does represent not the original source system | Provenance.entity.what(Device) | SFT[Device] | Provenance[1].entity.what.reference=Device.id Provenance[1].entity.role="derivation" |
2 | ORU_R01.SFT | [{ SFT }] | Software Segment | 0 | -1 |  |  | If the software represents the original source system | Provenance.entity.what(Device) | SFT[Device] | Provenance[1].entity.what.reference=Device.id Provenance[1].entity.role="source" |
3 | ORU_R01.UAC | [UAC] | User Authentication Credential | 0 | 1 |  |  |  |  |  |  |
4 | ORU_R01.PATIENT_RESULT | { | --- PATIENT_RESULT begin | 1 | -1 |  |  |  |  |  |  |
4.1 | ORU_R01.PATIENT_RESULT.PATIENT | [ | --- PATIENT begin | 0 | 1 |  |  |  |  |  |  |
4.1.1 | ORU_R01.PATIENT_RESULT.PATIENT.PID | PID | Patient Identification | 1 | 1 |  |  |  | Patient | PID[Patient] |  | Processing of the PID segment results in the creation of a new Patient resource
b | ORU_R01.PATIENT_RESULT.PATIENT.PID | PID | Patient Identification | 1 | 1 | IF PID-33 AND PID-34 VALUED |  | One may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date. | Provenance | PID[Provenance-Patient] | Provenance.target.reference=Patient[1].id |
4.1.2 | ORU_R01.PATIENT_RESULT.PATIENT.PD1 | [PD1] | Additional Demographics | 0 | 1 |  |  |  | Patient | PD1[Patient] |  | Incorporate PD1 content into the Patient created from the PID segment.
4.1.2 | ORU_R01.PATIENT_RESULT.PATIENT.PD1 | [PD1] | Additional Demographics | 0 | 1 | IF PD1-7 VALUED |  |  | Observation | PD1[Observation-LivingWill] | Observation[4].subject.reference=Patient[1].id |
4.1.3 | ORU_R01.PATIENT_RESULT.PATIENT.PRT | [{PRT}] | Participation (for Patient) | 0 | -1 | IF PRT-4.1 EQUALS "PP" AND PRT-4.3 EQUALS "HL70443" | (PRT.element(4.1)="PP")and(PRT.element(4.3)="HL70443") | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PractitionerRole | PRT[PractitionerRole] | Patient[1].generalPractitioner.reference=PractitionerRole[1].id | 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.
4.1.3 | ORU_R01.PATIENT_RESULT.PATIENT.PRT | [{PRT}] | Participation (for Patient) | 0 | -1 | IF PRT-4.1 NOT EQUALS "PP" OR PRT-4.3 NOT EQUALS "HL70443" | (PRT.element(4.1)!="PP")or(PRT.element(4.3)!="HL70443") | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | RelatedPerson | PRT[RelatedPerson] | RelatedPerson.patient.reference=Patient[1].id | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.1.4 | ORU_R01.PATIENT_RESULT.PATIENT.NTE | [{NTE}] | Notes and Comments | 0 | -1 |  |  |  |  |  |  |
4.1.5 | ORU_R01.PATIENT_RESULT.PATIENT.NK1 | [{NK1}] | Next of Kin/Associated Parties | 0 | -1 |  |  | The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data | RelatedPerson | NK1[RelatedPerson] | RelatedPerson.patient.reference=Patient[1].id | 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.
4.1.5 | ORU_R01.PATIENT_RESULT.PATIENT.NK1 | [{NK1}] | Next of Kin/Associated Parties | 0 | -1 |  |  | The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin data | Patient | NK1[Patient] |  | 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.
4.1.6 | ORU_R01.PATIENT_RESULT.PATIENT.ARV | [{ARV}] | Access Restrictions | 0 | -1 |  |  |  |  |  |  |
4.1.7 | ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION | [{ | --- PATIENT_OBSERVATION begin | 0 | -1 |  |  |  |  |  |  |
4.1.7.1 | ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX | OBX | Observation (for Patient ID) | 1 | 1 | IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA" |  |  | Observation | OBX[Observation] | Observation[1].subject.reference=Patient[1].id |
4.1.7.1 | ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX | OBX | Observation (for Patient ID) | 1 | 1 | IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA" |  |  | Observation | OBX[Observation-Component] | Observation[1].subject.reference=Patient[1].id | 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.
4.1.7.2 | ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT | [{PRT}] | Participation (Observation Participation) | 0 | -1 | IF PRT-10 VALUED |  | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | Device | PRT[Device] | Observation[1].device.reference=Device.id | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.1.7.2 | ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT | [{PRT}] | Participation (Observation Participation) | 0 | -1 | IF PRT-9 VALUED OR IF PRT-14 VALUED |  | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | Observation | PRT[Observation-Location] |  | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.1.7.2 | ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT | [{PRT}] | Participation (Observation Participation) | 0 | -1 | IF PRT-5 VALUED |  | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PractitionerRole | PRT[PractitionerRole] | Observation.performer.reference=PractitionerRole[1].id | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.1.7.3 | /ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION | }] | --- PATIENT_OBSERVATION end |  |  |  |  |  |  |  |  |
4.1.8 | ORU_R01.PATIENT_RESULT.PATIENT.VISIT | [ | --- VISIT begin | 0 | 1 |  |  |  |  |  |  |
4.1.8.1 | ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 | PV1 | Patient Visit | 1 | 1 |  |  |  | Encounter | PV1[Encounter] | Encounter.subject.reference=Patient[1].id | Processing of the PV1 segment results in the creation of a new Encounter resource
4.1.8.1 | ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 | PV1 | Patient Visit | 1 | 1 | IF PV1-43 VALUED |  |  | Basic | PV1[Basic-EncounterHistory] | Basic.extension-EncounterHistory.subject.reference=Patient[1].id |
4.1.8.1 | ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 | PV1 | Patient Visit | 1 | 1 |  |  |  | Patient | PV1[Patient] |  |
4.1.8.1 | ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1 | PV1 | Patient Visit | 1 | 1 | IF PV1-20 VALUE |  |  | Coverage | PV1[Coverage] | Coverage.beneficiary.reference=Patient[1].id |
4.1.8.2 | ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2 | [PV2] | Patient Visit - Additional Info | 0 | 1 |  |  |  | Encounter | PV2[Encounter] | Encounter.subject.reference=Patient[1].id | Incorporate PV2 content into the Encounter created from the PV1 segment.
4.1.8.3 | ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT | [{PRT}] | Participation (for Patient Visit) | 0 | -1 |  |  | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PractitionerRole | PRT[PractitionerRole] | Encounter[1].participant.individual.reference=PractitionerRole[2].id | 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.
4.1.8.4 | /ORU_R01.PATIENT_RESULT.PATIENT.VISIT | ] | --- VISIT end |  |  |  |  |  |  |  |  |
4.1.9 | /ORU_R01.PATIENT_RESULT.PATIENT | ] | --- PATIENT end |  |  |  |  |  |  |  |  |
4.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION | { | --- ORDER_OBSERVATION begin | 1 | -1 |  |  |  |  |  |  |
4.2.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER | [ | --- COMMON_ORDER begin | 0 | 1 |  |  |  |  |  |  |
4.2.1.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC | ORC | Order common | 1 | 1 |  |  |  | DiagnosticReport | ORC[DiagnosticReport] | DiagnosticReport[1].encounter.reference=Encounter[1].id | Processing of each ORC segment results in the creation of a new DiagnosticReport resource
4.2.1.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORC | ORC | Order common | 1 | 1 |  |  | If a ServiceRequest needs to be created for the receiver. | ServiceRequest | ORC[ServiceRequest] | DiagnosticReport[1].basedOn.reference=ServiceRequest[1].id |
4.2.1.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT | [{PRT}] | Participation (for Observation) | 0 | -1 | IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443" | (element("4.1")="OP")and(element("4.3")="HL70443") | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PractitionerRole | PRT[PractitionerRole] | ServiceRequest[1].requester.reference=PractitionerRole[3].id |
4.2.1.3 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT | [ | --- ORDER_DOCUMENT begin | 0 | 1 |  |  |  |  |  |  | Will be addressed with FHIR R5.
4.2.1.3.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT.OBX | OBX | Observation containing Document | 1 | 1 |  |  |  |  |  |  |
4.2.1.3.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT.PRT | [{PRT}] | Participation | 0 | -1 |  |  | 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-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.1.3.3 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT.TXA | TXA | Transcription Document Header | 1 | 1 |  |  |  |  |  |  |
4.2.1.3.4 | /ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT | ] | --- ORDER DOCUMENT end |  |  |  |  |  |  |  |  |
4.2.1.4 | /ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER | ] | --- COMMON ORDER end |  |  |  |  |  |  |  |  |
4.2.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR | OBR | Observations Request | 1 | 1 |  |  |  | DiagnosticReport | OBR[DiagnosticReport] |  | Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group.
4.2.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR | OBR | Observations Request | 1 | 1 |  |  |  | Specimen | OBR[Specimen] | DiagnosticReport[1].specimen.reference=Specimen.id | The OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference.
4.2.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBR | OBR | Observations Request | 1 | 1 | IF ORC VALUED |  | If a ServiceRequest needs to be created for the receiver. | ServiceRequest | OBR[ServiceRequest] |  | 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.
4.2.3 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.NTE | {[NTE]} | Notes and comments | 0 | -1 |  |  |  |  |  |  |
4.2.4 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT | [{PRT}] | Participation (for Observation) | 0 | -1 | IF PRT-4.1 IN ("ARI","TN","TR") AND PRT-4.3 EQUALS "HL70443" | PRT.element(4.1) in ("ARI","TN", "TR")and(PRT.element(4.3)="HL70443") | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PractitionerRole | PRT[PractitionerRole] | DiagnosticReport[1].performer.reference=PractitionerRole[4].id | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT | [{PRT}] | Participation (for Observation) | 0 | -1 | IF PRT-4.1 EQUALS "PRI" AND PRT-4.3 EQUALS "HL70443" | (PRT.element(4.1)="PRI")and(PRT.element(4.3)="HL70443") | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PractitionerRole | PRT[PractitionerRole] | DiagnosticReport[1].resultsInterpreter.reference=PractitionerRole[5].id | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT | [{PRT}] | Participation (for Observation) | 0 | -1 | IF PRT-4.1 EQUALS "SC" AND PRT-4.3 EQUALS "HL70443" | (element("4.1")="SC")and(element("4.3")="HL70443") | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PractitionerRole | PRT[PractitionerRole] | DiagnosticReport[1].specimen[1](Specimen.collection.collector.reference)=PractitionerRole[6].id | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT | [{PRT}] | Participation (for Observation) | 0 | -1 | IF PRT-4.1 EQUALS "OP" AND PRT-4.3 EQUALS "HL70443" | (element("4.1")="OP")and(element("4.3")="HL70443") | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PractitionerRole | PRT[PractitionerRole] | DiagnosticReport[1].requester.reference=PractitionerRole[3].id | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY | [{ | --- TIMING_QTY begin | 0 | -1 |  |  |  |  |  |  |
4.2.4.1.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY.TQ1 | TQ1 | Timing/Quantity | 1 | 1 |  |  |  |  |  |  |
4.2.4.1.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY.TQ2 | [{TQ2}] | Timing/Quantity Order Sequence | 0 | -1 |  |  |  |  |  |  |
4.2.4.1.3 | /ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY | }] | --- TIMING_QTY end |  |  |  |  |  |  |  |  |
4.2.4.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.CTD | [CTD] | Contact Data | 0 | 1 |  |  |  |  |  |  |
4.2.4.3 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION | [{ | --- OBSERVATION begin | 0 | -1 |  |  |  |  |  |  |
4.2.4.3.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX | OBX | Observation related to OBR | 1 | 1 | IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA") AND OBX-29 NOT IN ("QST", "SCI") |  |  | Observation | OBX[Observation] | DiagnosticReport.result.reference=Observation[2].id Observation[2].subject.reference=Patient[1].id; Observation[2].encounter.reference=Encounter[1].id | 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.
4.2.4.3.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX | OBX | Observation related to OBR | 1 | 1 | IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA") AND OBX-29 NOT IN ("QST", "SCI") |  |  | Observation | OBX[Observation-Component] | DiagnosticReport.result.reference=Observation[2].id Observation[2].subject.reference=Patient[1].id; Observation[2].encounter.reference=Encounter[1].id | 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.
4.2.4.3.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX | OBX | Observation related to OBR | 1 | 1 | IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA") AND OBX-29 IN ("QST", "SCI") |  |  | Observation | OBX[Observation] | ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id |
4.2.4.3.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBX | OBX | Observation related to OBR | 1 | 1 | IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA") AND OBX-29 AND OBX-29 IN ("QST", "SCI") |  |  | Observation | OBX[Observation-Component] | ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id |
4.2.4.3.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT | [{PRT}] | Participation (Observation Participation) | 0 | -1 | IF PRT-10 VALUED |  | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | Device | PRT[Device] | Observation[2].device.reference=Device.id | If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
4.2.4.3.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT | [{PRT}] | Participation (Observation Participation) | 0 | -1 | IF PRT-9 VALUED OR IF PRT-14 VALUED |  | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | Observation | PRT[Observation-Location] |  | 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.
4.2.4.3.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT | [{PRT}] | Participation (Observation Participation) | 0 | -1 | IF PRT-5 VALUED |  | If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive". | PractitionerRole | PRT[PractitionerRole] | Observation[2].performer.reference=PractitionerRole[7].id | 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.
4.2.4.3.3 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE | {[NTE]} | Notes and comments | 0 | -1 |  |  |  | Observation.note | NTE[ServiceRequest] |  |
4.2.4.3 | /ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION | }] | --- OBSERVATION end |  |  |  |  |  |  |  |  |
4.2.5 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.FT1 | [{FT1}] | Financial Transaction | 0 | -1 |  |  |  |  |  |  |
4.2.6 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.CTI | {[CTI]} | Clinical Trial Identification | 0 | -1 |  |  |  |  |  |  |
4.2.7 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN | [{ | --- SPECIMEN begin | 0 | -1 |  |  |  |  |  |  |
4.2.7.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPM | SPM | Specimen | 1 | 1 |  |  |  | Specimen | SPM[Specimen] | DiagnosticReport[1].specimen.reference=Specimen[n].id |
4.2.7.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION | [{ | --- SPECIMEN_OBSERVATION begin | 0 | -1 |  |  |  |  |  |  |
4.2.7.2.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX | OBX | Observation (for Patient ID) | 1 | 1 | IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA" |  |  | Observation | OBX[Observation] | Observation[3].subject.reference=Patient[1].id Observation[3].focus.reference=Specimen[n].id |
4.2.7.2.1 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBX | OBX | Observation (for Patient ID) | 1 | 1 | IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA" |  |  | Observation | OBX[Observation-Component] | Observation[3].subject.reference=Patient[1].id Observation[3].focus.reference=Specimen[n].id |
4.2.7.2.2 | ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.PRT | [{PRT}] | Participation (Observation Participation) | 0 | -1 |  |  |  |  |  |  |
4.2.7.2.3 | /ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION | }] | --- SPECIMEN_OBSERVATION end |  |  |  |  |  |  |  |  |
4.2.7.3 | /ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN | }] | --- SPECIMEN end |  |  |  |  |  |  |  |  |
4.2.8 | /ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION | } | --- ORDER_OBSERVATION end |  |  |  |  |  |  |  |  |
4.3 | /ORU_R01.PATIENT_RESULT | } | --- PATIENT_RESULT end |  |  |  |  |  |  |  |  |
5 | ORU_R01.DSC | [DSC] | Continuation Pointer |  |  |  |  |  |  |  |  |

Mapping from (not specified) to (not specified)

Group 1 Mapping from `unspecified code system` to `unspecified code system`

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

### Notes: