Update OBR Segment IG Documentation (#520)

* ig obr

* orb-4 .1 .2 .3 .9

* obr-7 string -> dateTime

* original instance ig

* added missing part from original instance

* CREATE -> UPDATE

* instance name is unique

ig/input/fsh/nbs-obr-segment.fsh

@@ -2,15 +2,18 @@ Logical: OBRSegment
 Id: segment-obr-logical-model
 Title: "OBR Segment"
 Description: "The OBR Segment"
-* setOBRId 1..1 SU string "OBR-1 Set ID"
-* OBRplacerOrderNumber 1..1 SU string "OBR-2 Placer Order Number"
-* fillerOrderNumber 1..1 SU string "OBR-3 Filler Order Number"
+* setOBRId 1..1 SU positiveInt "OBR-1 Set ID"
+* placerOrderNumber 1..1 SU string "OBR-2 Placer Order Number"
+* placerOrderNumberEntityIdentifier 1..1 SU string "OBR-2.1 Placer Order Number Entity Identifier"
+* placerOrderNumberNamespaceID 1..1 SU string "OBR-2.2 Placer Order Number Namespace ID"
+* placerOrderNumberUniversalID 1..1 SU string "OBR-2.3 Placer Order Number Universal ID"
+* placerOrderNumberUniversalIDType 1..1 SU code "OBR-2.4 Placer Order Number Universal ID Type"
 * universalServiceIdentifier 1..1 SU string "OBR-4 Universal Service Identifier"
-* observationDateTime 1..1 SU string "OBR-7 Observation Date/Time"
-* observationEndDateTime 1..1 SU string "OBR-8 Observation End Time"
-* specimenID 1..1 SU string "OBR-15 or OBR-16  Specimen Id"
-* specimenType 1..1 SU string "OBR-15 or OBR-16 Specimen Type"
-* specimenCollectionDateTime 1..1 SU string "OBR-7 Specimen Collection Date/Time"
+* universalServiceIdentifierIdentifier 1..1 SU string "OBR-4.1 Universal Service Identifier Identifier"
+* universalServiceIdentifierText 1..1 SU string "OBR-4.2 Universal Service Identifier Text"
+* universalServiceIdentifierNameOfCodingSystem 1..1 SU string "OBR-4.3 Universal Service Identifier Name Of Coding System"
+* universalServiceIdentifierOriginalText 1..1 SU string "OBR-4.9 Universal Service Identifier Original Text"
+* observationDateTime 1..1 SU dateTime "OBR-7 Observation Date/Time"
 // other optional fields
 
 
@@ -27,3 +30,17 @@ Usage: #definition
 * activity = http://terminology.hl7.org/CodeSystem/v3-DataOperation#CREATE
 * agent[+].type = http://terminology.hl7.org/CodeSystem/provenance-participant-type#author
 * agent[=].who.display = "T. R. Johnson"
+
+
+Instance: segment-obr-logical-model-history-update
+InstanceOf: Provenance
+Title: "Removal of OBR-3, OBR-8, OBR-15 and OBR-16 segments"
+Usage: #definition
+* target[+] = Reference(StructureDefinition/segment-obr-logical-model)
+* recorded = "2023-09-07T00:00:00.0000Z"
+* occurredDateTime = "2023-09-07"
+* reason = http://terminology.hl7.org/CodeSystem/v3-ActReason#METAMGT
+* reason.text = "Updated segments to match the ones we initially support"
+* activity = http://terminology.hl7.org/CodeSystem/v3-DataOperation#UPDATE
+* agent[+].type = http://terminology.hl7.org/CodeSystem/provenance-participant-type#author
+* agent[=].who.display = "jorg3lopez"