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HL7 v2Condition (IF True)HL7 FHIRComments
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Sort OrderIdentifierSyntaxNameCardinality - MinCardinality - MaxComputable ANTLRComputable FHIRPathNarrativePrimary TargetSegment MapReferences
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1ORU_R01.MSHMSHMessage Header11BundleMSH[Bundle]
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1ORU_R01.MSHMSHMessage Header11MessageHeader[1]MSH[MessageHeader]Processing of the MSH segment results in the creation of a new MessageHeader resource
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1ORU_R01.MSHMSHMessage Header11If there is a source in MSH-4, or known based on the configuration.Provenance[1]MSH[Provenance-Source]Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].idIf 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.
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1ORU_R01.MSHMSHMessage Header11Provenance[2]MSH[Provenance-Transformation]Provenance[2].target.reference=Bundle.idIf 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.
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2ORU_R01.SFT[{ SFT }]Software Segment0-1If the software does represent not the original source systemProvenance[1].entity.what(Device)SFT[Device]Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role="derivation"
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2ORU_R01.SFT[{ SFT }]Software Segment0-1If the software represents the original source systemProvenance[1].entity.what(Device)SFT[Device]Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role="source"
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3ORU_R01.UAC[UAC]User Authentication Credential01
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4ORU_R01.PATIENT_RESULT{--- PATIENT_RESULT begin1-1
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4.1ORU_R01.PATIENT_RESULT.PATIENT[--- PATIENT begin01
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4.1.1ORU_R01.PATIENT_RESULT.PATIENT.PIDPIDPatient Identification11Patient[1]PID[Patient]Processing of the PID segment results in the creation of a new Patient resource
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bORU_R01.PATIENT_RESULT.PATIENT.PIDPIDPatient Identification11IF PID-33 AND PID-34 VALUEDOne may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date.Provenance[4]PID[Provenance-Patient]Provenance.target.reference=Patient[1].id
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4.1.2ORU_R01.PATIENT_RESULT.PATIENT.PD1[PD1]Additional Demographics01Patient[1]PD1[Patient]Incorporate PD1 content into the Patient created from the PID segment.
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4.1.2ORU_R01.PATIENT_RESULT.PATIENT.PD1[PD1]Additional Demographics01IF PD1-7 VALUEDObservation[4]PD1[Observation-LivingWill]Observation[4].subject.reference=Patient[1].id
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4.1.3ORU_R01.PATIENT_RESULT.PATIENT.PRT[{PRT}]Participation (for Patient)0-1IF 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[1]PRT[PractitionerRole]Patient[1].generalPractitioner.reference=PractitionerRole[1].idIncorporate 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.
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4.1.3ORU_R01.PATIENT_RESULT.PATIENT.PRT[{PRT}]Participation (for Patient)0-1IF 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[1]PRT[RelatedPerson]RelatedPerson.patient.reference=Patient[1].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
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4.1.4ORU_R01.PATIENT_RESULT.PATIENT.NTE[{NTE}]Notes and Comments0-1
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4.1.5ORU_R01.PATIENT_RESULT.PATIENT.NK1[{NK1}]Next of Kin/Associated Parties0-1The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin dataRelatedPerson[2]NK1[RelatedPerson]RelatedPerson.patient.reference=Patient[1].idTypically, 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.
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4.1.5ORU_R01.PATIENT_RESULT.PATIENT.NK1[{NK1}]Next of Kin/Associated Parties0-1The FHIR location will depend on the nature of the data being exchanged and how the systems use next of kin dataPatient[1]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.
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4.1.6ORU_R01.PATIENT_RESULT.PATIENT.ARV[{ARV}]Access Restrictions0-1
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4.1.7ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION[{--- PATIENT_OBSERVATION begin0-1
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4.1.7.1ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBXOBXObservation (for Patient ID)11IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA"Observation[1]OBX[Observation]Observation[1].subject.reference=Patient[1].id
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4.1.7.1
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.OBX
OBXObservation (for Patient ID)11IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA"Observation[1]OBX[Observation-Component]Observation[1].subject.reference=Patient[1].idNote 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.
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4.1.7.2
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT
[{PRT}]
Participation (Observation Participation)
0-1IF PRT-10 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".DevicePRT[Device]Observation[1].device.reference=Device.idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
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4.1.7.2
ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT
[{PRT}]
Participation (Observation Participation)
0-1IF PRT-9 VALUED OR IF PRT-14 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".Observation[1]PRT[Observation-Location]If PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
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4.1.7.2ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION.PRT[{PRT}]
Participation (Observation Participation)
0-1IF PRT-5 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRole[1]PRT[PractitionerRole]Observation.performer.reference=PractitionerRole[1].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
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4.1.7.3/ORU_R01.PATIENT_RESULT.PATIENT.PATIENT_OBSERVATION}]--- PATIENT_OBSERVATION end
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4.1.8ORU_R01.PATIENT_RESULT.PATIENT.VISIT[--- VISIT begin01
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4.1.8.1ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1PV1Patient Visit11Encounter[1]PV1[Encounter]Encounter.subject.reference=Patient[1].idProcessing of the PV1 segment results in the creation of a new Encounter resource
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4.1.8.1ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1PV1Patient Visit11IF PV1-43 VALUEDBasicPV1[Basic-EncounterHistory]
Basic.extension-EncounterHistory.subject.reference=Patient[1].id
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4.1.8.1ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1PV1Patient Visit11Patient[1]PV1[Patient]
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4.1.8.1ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV1PV1Patient Visit11IF PV1-20 VALUECoverage[1]PV1[Coverage]Coverage.beneficiary.reference=Patient[1].id
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4.1.8.2ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PV2[PV2]Patient Visit - Additional Info01Encounter[1]PV2[Encounter]Encounter.subject.reference=Patient[1].idIncorporate PV2 content into the Encounter created from the PV1 segment.
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4.1.8.3ORU_R01.PATIENT_RESULT.PATIENT.VISIT.PRT[{PRT}]Participation (for Patient Visit)0-1If PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRole[2]PRT[PractitionerRole]Encounter[1].participant.individual.reference=PractitionerRole[2].idIncorporate 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.
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4.1.8.4/ORU_R01.PATIENT_RESULT.PATIENT.VISIT]--- VISIT end
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4.1.9/ORU_R01.PATIENT_RESULT.PATIENT]--- PATIENT end
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4.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION{--- ORDER_OBSERVATION begin1-1
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4.2.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER[--- COMMON_ORDER begin01
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4.2.1.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORCORCOrder common11DiagnosticReport[1]ORC[DiagnosticReport]DiagnosticReport[1].encounter.reference=Encounter[1].idProcessing of each ORC segment results in the creation of a new DiagnosticReport resource
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4.2.1.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORCORCOrder common11If a ServiceRequest needs to be created for the receiver.ServiceRequest[1]ORC[ServiceRequest]DiagnosticReport[1].basedOn.reference=ServiceRequest[1].id
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4.2.1.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.PRT[{PRT}]Participation (for Observation)0-1IF 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[3]PRT[PractitionerRole]ServiceRequest[1].requester.reference=PractitionerRole[3].id
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4.2.1.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT[--- ORDER_DOCUMENT begin01Will be addressed with FHIR R5.
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4.2.1.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT.OBXOBXObservation containing Document11
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4.2.1.3.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT.PRT[{PRT}]Participation0-1If 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.
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4.2.1.3.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT.TXATXATranscription Document Header11
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4.2.1.3.4/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER.ORDER_DOCUMENT]--- ORDER DOCUMENT end
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4.2.1.4/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.COMMON_ORDER]--- COMMON ORDER end
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4.2.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBROBRObservations Request11DiagnosticReport[1]OBR[DiagnosticReport]Incorporate OBR content into the DiagnosticReport created from the ORC segment in the same segment group.
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4.2.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBROBRObservations Request11Specimen[1]OBR[Specimen]DiagnosticReport[1].specimen.reference=Specimen.idThe OBR specimen data yields one Specimen resource that all Observations generated for the same OBR need to reference.
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4.2.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBROBRObservations Request11IF ORC VALUEDIf a ServiceRequest needs to be created for the receiver.ServiceRequest[1]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.
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4.2.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.NTE{[NTE]}Notes and comments0-1
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4.2.4ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT[{PRT}]Participation (for Observation)0-1IF 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[4]PRT[PractitionerRole]DiagnosticReport[1].performer.reference=PractitionerRole[4].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
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4.2.4ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT[{PRT}]Participation (for Observation)0-1IF 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[5]PRT[PractitionerRole]DiagnosticReport[1].resultsInterpreter.reference=PractitionerRole[5].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
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4.2.4ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT[{PRT}]Participation (for Observation)0-1IF 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[6]PRT[PractitionerRole]DiagnosticReport[1].specimen[1](Specimen.collection.collector.reference)=PractitionerRole[6].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
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4.2.4ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.PRT[{PRT}]Participation (for Observation)0-1IF 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[3]PRT[PractitionerRole]DiagnosticReport[1].requester.reference=PractitionerRole[3].idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
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4.2.4.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY[{--- TIMING_QTY begin0-1
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4.2.4.1.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY.TQ1TQ1Timing/Quantity11
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4.2.4.1.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY.TQ2[{TQ2}]Timing/Quantity Order Sequence0-1
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4.2.4.1.3/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.TIMING_QTY}]--- TIMING_QTY end
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4.2.4.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.CTD[CTD]Contact Data01
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4.2.4.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION[{--- OBSERVATION begin0-1
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4.2.4.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBXOBXObservation related to OBR11IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA") AND OBX-29 NOT IN ("QST", "SCI")Observation[2]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.
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4.2.4.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBXOBXObservation related to OBR11IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA") AND OBX-29 NOT IN ("QST", "SCI")Observation[2]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.
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4.2.4.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBXOBXObservation related to OBR11IF (OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA") AND OBX-29 IN ("QST", "SCI")Observation[2]OBX[Observation]ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id
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4.2.4.3.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.OBXOBXObservation related to OBR11IF (OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA") AND OBX-29 AND OBX-29 IN ("QST", "SCI")Observation[2]OBX[Observation-Component]ServiceRequest[1].supportingInfo.reference=Observation[1].id; Observation[1].subject.id=Patient[1].id
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4.2.4.3.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT[{PRT}]
Participation (Observation Participation)
0-1IF PRT-10 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".DevicePRT[Device]Observation[2].device.reference=Device.idIf PRT-2 is set to "D" and "inactive" cannot be used, please submit a JIRA with context and rationale.
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4.2.4.3.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT[{PRT}]
Participation (Observation Participation)
0-1IF PRT-9 VALUED OR IF PRT-14 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".Observation[2]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.
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4.2.4.3.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.PRT[{PRT}]
Participation (Observation Participation)
0-1IF PRT-5 VALUEDIf PRT-2 is valued to "D", delete, then the implementer needs to consider whether to create a Device with Device.status = "inactive".PractitionerRole[7]PRT[PractitionerRole]Observation[2].performer.reference=PractitionerRole[7].idIncorporate 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.
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4.2.4.3.3ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION.NTE{[NTE]}Notes and comments0-1Observation[2].noteNTE[ServiceRequest]
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4.2.4.3/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.OBSERVATION}]--- OBSERVATION end
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4.2.5ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.FT1[{FT1}]Financial Transaction0-1
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4.2.6ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.CTI{[CTI]}Clinical Trial Identification0-1
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4.2.7ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN[{--- SPECIMEN begin0-1
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4.2.7.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPMSPMSpecimen11Specimen[n]SPM[Specimen]DiagnosticReport[1].specimen.reference=Specimen[n].id
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4.2.7.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION[{--- SPECIMEN_OBSERVATION begin0-1
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4.2.7.2.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBXOBXObservation (for Patient ID)11IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA"Observation[3]OBX[Observation]Observation[3].subject.reference=Patient[1].id
Observation[3].focus.reference=Specimen[n].id
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4.2.7.2.1ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.OBXOBXObservation (for Patient ID)11IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA"Observation[3]OBX[Observation-Component]Observation[3].subject.reference=Patient[1].id
Observation[3].focus.reference=Specimen[n].id
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4.2.7.2.2ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION.PRT[{PRT}]
Participation (Observation Participation)
0-1
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4.2.7.2.3/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN.SPECIMEN_OBSERVATION}]--- SPECIMEN_OBSERVATION end
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4.2.7.3/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION.SPECIMEN}]--- SPECIMEN end
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4.2.8/ORU_R01.PATIENT_RESULT.ORDER_OBSERVATION}--- ORDER_OBSERVATION end
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4.3/ORU_R01.PATIENT_RESULT}--- PATIENT_RESULT end
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5ORU_R01.DSC[DSC]Continuation Pointer
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