HL7 Version 2 to FHIR
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HL7 Version 2 to FHIR, published by HL7 International / Orders and Observations. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/v2-to-fhir/ and changes regularly. See the Directory of published versions

: Message ADT_A06 to Bundle Map - XML Representation

Active as of 2024-04-24

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="message-adt-a06-to-bundle"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap message-adt-a06-to-bundle</b></p><a name="message-adt-a06-to-bundle"> </a><a name="hcmessage-adt-a06-to-bundle"> </a><a name="message-adt-a06-to-bundle-en-US"> </a><p>Mapping from ADT_A06 to <a href="http://hl7.org/fhir/R4/bundle.html">Bundle</a></p><p>ACTIVE (not intended for production usage). Published on 2024-04-24 by HL7 International / Orders and Observations  (HL7 Orders and Observations Workgroup: <a href="http://www.hl7.org/Special/committees/orders">http://www.hl7.org/Special/com...</a>, Keith W. Boone: <a href="mailto:kboone@ainq.com">kboone@ainq.com</a>, Rob Hausam: <a href="mailto:rrhausam@gmail.com">rrhausam@gmail.com</a>). Copyright (c) 2020, HL7 International, Inc., All Rights Reserved.</p><div><p>This ConceptMap represents a mapping from the HL7 V2 Message ADT_A06 to the FHIR Message Bundle.</p>
</div><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="4"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="5"><b>Target Concept Details</b></td><td><b>Comment</b></td><td colspan="5"><b>Properties</b></td></tr><tr><td colspan="2"><b>Codes</b> from </td><td><b>segmentmap</b></td><td><b>references</b></td><td/><td colspan="2"><b>Codes</b> from </td><td><b>narrative</b></td><td><b>antlr</b></td><td><b>fhirpath</b></td><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.MSH</td><td style="border-left-width: 0px">Message Header</td><td>MSH[Bundle]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.MSH</td><td style="border-left-width: 0px">Message Header</td><td>MSH[MessageHeader]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><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">ADT_A06.MSH</td><td style="border-left-width: 0px">Message Header</td><td>MSH[Provenance-Source]</td><td>Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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 there is a source in MSH-4, or known based on the configuration.</td><td/><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">ADT_A06.MSH</td><td style="border-left-width: 0px">Message Header</td><td>MSH[Provenance-Transformation]</td><td>Provenance[2].target.reference=Bundle.id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><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">ADT_A06.SFT</td><td style="border-left-width: 0px">Software Segment</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role=&quot;derivation&quot;\</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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>If the software does represent not the original source system</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.SFT</td><td style="border-left-width: 0px">Software Segment</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role=&quot;source&quot;\</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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>If the software represents the original source system</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.EVN</td><td style="border-left-width: 0px">Event Type</td><td>EVN[Provenance]</td><td>Provenance[3].target.reference=MessageHeader[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[3]</td><td style="border-left-width: 0px">Provenance[3]</td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.EVN</td><td style="border-left-width: 0px">Event Type</td><td>MSH[Provenance-Operator]</td><td>Provenance[3].target.reference=MessageHeader[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Provenance[3]</td><td style="border-left-width: 0px">Provenance[3]</td><td/><td>IF EVN-5 NOT VALUED AND (MSH-22 IS VALUED OR MSH-4 IS VALUED)</td><td/><td>If EVN-5 is not valued, then the MSH may have either the sending responsible organization (MSH-22) or the sending facility (MSH-4) to reasonable approximate the agent relevant for this Provenance instance.</td></tr><tr><td style="border-right-width: 0px">ADT_A06.PID</td><td style="border-left-width: 0px">Patient Identification</td><td>PID[Patient]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><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">ADT_A06.PID</td><td style="border-left-width: 0px">Patient Identification</td><td>PID[Account]</td><td>Account[1].subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Account[1]</td><td style="border-left-width: 0px">Account[1]</td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.PID</td><td style="border-left-width: 0px">Patient Identification</td><td>PID[Provenance-Patient]</td><td>Provenance[4].target.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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>One  may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date.</td><td>IF PID-33 AND PID-34 VALUED</td><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.PD1</td><td style="border-left-width: 0px">Additional Demographics</td><td>PD1[Patient]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><td/><td>Incorporate PD1 content into the Patient created from the PID segment.</td></tr><tr><td style="border-right-width: 0px">ADT_A06:follow:PID.ROL</td><td style="border-left-width: 0px">Role</td><td>ROL[Patient-GeneralPractitioner]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td>IF ROL-3.1 EQUALS &quot;PP&quot; AND ROL-3.3 EQUALS &quot;HL70443&quot;</td><td>(element(&quot;3.1&quot;)=&quot;PP&quot;)and(element(&quot;3.3&quot;)=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">ADT_A06:follow:PID.ROL</td><td style="border-left-width: 0px">Role</td><td>ROL[CareTeam]</td><td>CareTeam[1].subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">CareTeam[1]</td><td style="border-left-width: 0px">CareTeam[1]</td><td>When the ROL includes entries with roles in Table HL70443 other than &quot;PP&quot;, then they may be candidates for CareTeam, but not all.  That is implementation specific.</td><td>IF ROL-3.3 EQUALS &quot;HL70443&quot; AND ROL-3.1 IS NOT &quot;PP&quot;</td><td>(element(&quot;3.1&quot;)!=&quot;PP&quot;)or(element(&quot;3.3&quot;)!=&quot;HL70443&quot;)</td><td/></tr><tr><td style="border-right-width: 0px">ADT_A06:follow:PID.PRT</td><td style="border-left-width: 0px">Participation</td><td>PRT[Patient-GeneralPractitioner-Practitioner]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td>IF PRT-4 IS &quot;PP&quot;</td><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06:follow:PID.PRT</td><td style="border-left-width: 0px">Participation</td><td>PRT[CareTeam]</td><td>CareTeam[1].subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">CareTeam[1]</td><td style="border-left-width: 0px">CareTeam[1]</td><td/><td>IF PRT-4 IS IN (&quot;AD&quot;, &quot;AP&quot;, &quot;ARI&quot;, &quot;AT&quot;, &quot;CP&quot;, &quot;FHCP&quot;, &quot;OP&quot;, &quot;PH&quot;, &quot;PP&quot;, &quot;PRI&quot;, &quot;RP&quot;, &quot;RT&quot;, &quot;VP&quot;, &quot;PO&quot;)</td><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.MRG</td><td style="border-left-width: 0px">Merge Information</td><td>MRG[Account]</td><td>Account[2].subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Account[2]</td><td style="border-left-width: 0px">Account[2]</td><td/><td/><td/><td>It will be left to implementation negotiation to determine whether disparate systems merely change the patient class, or close and open a new account.  The current active account number should appear in field PID-18 - Patient Account Number; the prior account number can be included optionally in MRG-3 - Prior Patient Account Number. 
Depending on the relationship between the old and new account, the implementer should consider whether Account.partOf should be used as well to link the two accounts appropriately.\</td></tr><tr><td style="border-right-width: 0px">ADT_A06.NEXT_OF_KIN.NK1</td><td style="border-left-width: 0px">Next of Kin / Associated Parties</td><td>NK1[RelatedPerson]</td><td>RelatedPerson[2].patient.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><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">ADT_A06.NEXT_OF_KIN.NK1</td><td style="border-left-width: 0px">Next of Kin / Associated Parties</td><td>NK1[Patient]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td>PV1[Encounter]</td><td>Encounter[1].subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><td/><td>Processing of the PV1 segment results in the creation of a new Encounter resource.  Note also that per A06 and A07 trigger event definitions PV1-19 - Visit Number may also be changed during this event.</td></tr><tr><td style="border-right-width: 0px">ADT_A06.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td>PV1[Patient]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.PV2</td><td style="border-left-width: 0px">Patient Visit - Additional Info.</td><td>PV2[Encounter]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><td/><td>Incorporate PV2 content into the Encounter created from the PV1 segment.</td></tr><tr><td style="border-right-width: 0px">ADT_A06:follow:PV1.ROL</td><td style="border-left-width: 0px">Role</td><td>ROL[Encounter-PractitionerRole]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation/Result</td><td>OBX[Observation]</td><td>Observation[3].subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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>Based on profiles, such as Vital Signs, certain observations are represented on the Observation, while others on its components.  No computable guidance available yet.</td><td/><td/><td>One cannot determine whether this observation made during the PV1/PV2 communicated above, or from a prior visit/stay. It is therefore up to the implementer whether to populate Observation.encounter.reference with the Encounter[1].id or not.  Only when the ADT message involves an event before the encounter occurs, e.g., the intiial registration, it is clear that the observation is NOT associated with Encounter[1].</td></tr><tr><td style="border-right-width: 0px">ADT_A06.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation/Result</td><td>OBX[Observation-Component]</td><td>Observation[3].subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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>Based on profiles, such as Vital Signs, certain observations are represented on the Observation, while others on its components.  No computable guidance available yet.</td><td/><td/><td>One cannot determine whether this observation made during the PV1/PV2 communicated above, or from a prior visit/stay. It is therefore up to the implementer whether to populate Observation.encounter.reference with the Encounter[1].id or not.  Only when the ADT message involves an event before the encounter occurs, e.g., the intiial registration, it is clear that the observation is NOT associated with Encounter[1].</td></tr><tr><td style="border-right-width: 0px">ADT_A06.AL1</td><td style="border-left-width: 0px">Allergy Information</td><td>AL1[AllergyIntolerance]</td><td>AllergyIntolerance.patient.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">AllergyIntolerance</td><td style="border-left-width: 0px">AllergyIntolerance</td><td/><td/><td/><td>Processing of the AL1 segment results in the creation of a new AllergyIntolerance resource</td></tr><tr><td style="border-right-width: 0px">ADT_A06.DG1</td><td style="border-left-width: 0px">Diagnosis Information</td><td>DG1[Condition]</td><td>Condition[1].subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Condition[1]</td><td style="border-left-width: 0px">Condition[1]</td><td>If in context of the patient</td><td/><td/><td>Processing of the DG1 segment results in the creation of a new Condition resource</td></tr><tr><td style="border-right-width: 0px">ADT_A06.DG1</td><td style="border-left-width: 0px">Diagnosis Information</td><td>DG1[Encounter]</td><td>Encounter[1].diagnosis.reference=Condition[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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>If in context of an encounter</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.DG1</td><td style="border-left-width: 0px">Diagnosis Information</td><td>DG1[EpisodeOfCare]</td><td>EpisodeOfCare.patient.reference=Patient[1].id;
EpisodeOfCare.diagnosis.reference=Condition[1].id\</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">EpisodeOfCare[1]</td><td style="border-left-width: 0px">EpisodeOfCare[1]</td><td>If in context of a episode of care</td><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.PROCEDURE.PR1</td><td style="border-left-width: 0px">Procedures</td><td>PR1[Procedure]</td><td>Procedure.subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Procedure</td><td style="border-left-width: 0px">Procedure</td><td/><td/><td/><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.INSURANCE.IN1</td><td style="border-left-width: 0px">Insurance</td><td>IN1[Coverage]</td><td/><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.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/><td/><td/><td>Processing of the IN1 segment results in the creation of a new Coverage resource</td></tr><tr><td style="border-right-width: 0px">ADT_A06.INSURANCE.IN3</td><td style="border-left-width: 0px">Insurance Additional Info - Cert.</td><td>IN3[CareTeam]</td><td>CareTeam[1].subject.reference=Patient[1].id</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">CareTeam[1].participant[2]</td><td style="border-left-width: 0px">CareTeam[1].participant[2]</td><td/><td/><td/><td>Incorporate IN3 content into the Coverage created from the IN1 segment.</td></tr></table></div>
  </text>
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             url="http://hl7.org/fhir/uv/v2mappings/StructureDefinition/RelatedArtifact">
    <extension url="type">
      <valueCode value="derived-from"/>
    </extension>
    <extension url="label">
      <valueString value="Message ADT:A06 to Bundle.fsh"/>
    </extension>
    <extension url="url">
      <valueUri
                value="https://docs.google.com/spreadsheets/d/1jG7x_d9Pc1ZIRRxPTAw-twONy61hPpH5zc10UxAA9cw/edit#gid=0"/>
    </extension>
  </extension>
  <url value="http://hl7.org/fhir/uv/v2mappings/message-adt-a06-to-bundle"/>
  <version value="1.0.0-ballot"/>
  <name value="MessageADT_A06ToBundle"/>
  <title value="Message ADT_A06 to Bundle Map"/>
  <status value="active"/>
  <experimental value="true"/>
  <date value="2024-04-24"/>
  <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>
  <contact>
    <name value="Keith W. Boone"/>
    <telecom>
      <system value="email"/>
      <value value="kboone@ainq.com"/>
    </telecom>
  </contact>
  <contact>
    <name value="Rob Hausam"/>
    <telecom>
      <system value="email"/>
      <value value="rrhausam@gmail.com"/>
    </telecom>
  </contact>
  <description
               value="This ConceptMap represents a mapping from the HL7 V2 Message ADT_A06 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) 2020, HL7 International, Inc., All Rights Reserved."/>
  <sourceUri value="ADT_A06"/>
  <targetUri value="Bundle"/>
  <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="ADT_A06.MSH"/>
      <display value="Message Header"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Bundle"/>
        <display value="Bundle"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MSH[Bundle]"/>
        </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="ADT_A06.MSH"/>
      <display value="Message Header"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <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."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MSH[MessageHeader]"/>
        </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="ADT_A06.MSH"/>
      <display value="Message Header"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <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="segment-map"/>
          <value value="MSH[Provenance-Source]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="If there is a source in MSH-4, or known based on the configuration."/>
        </product>
      </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="ADT_A06.MSH"/>
      <display value="Message Header"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <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."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MSH[Provenance-Transformation]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Provenance[2].target.reference=Bundle.id"/>
        </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="ADT_A06.SFT"/>
      <display value="Software Segment"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Provenance[1].entity.what(Device)"/>
        <display value="Provenance[1].entity.what(Device)"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="SFT[Device]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role=&quot;derivation&quot;\"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="If the software does represent not the original source system"/>
        </product>
      </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="ADT_A06.SFT"/>
      <display value="Software Segment"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Provenance[1].entity.what(Device)"/>
        <display value="Provenance[1].entity.what(Device)"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="SFT[Device]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="Provenance[1].entity.what.reference=Device.id
Provenance[1].entity.role=&quot;source&quot;\"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="If the software represents the original source system"/>
        </product>
      </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="ADT_A06.EVN"/>
      <display value="Event Type"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Provenance[3]"/>
        <display value="Provenance[3]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="EVN[Provenance]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Provenance[3].target.reference=MessageHeader[1].id"/>
        </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="ADT_A06.EVN"/>
      <display value="Event Type"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Provenance[3]"/>
        <display value="Provenance[3]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="If EVN-5 is not valued, then the MSH may have either the sending responsible organization (MSH-22) or the sending facility (MSH-4) to reasonable approximate the agent relevant for this Provenance instance."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MSH[Provenance-Operator]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Provenance[3].target.reference=MessageHeader[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF EVN-5 NOT VALUED AND (MSH-22 IS VALUED OR MSH-4 IS VALUED)"/>
        </product>
      </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="ADT_A06.PID"/>
      <display value="Patient Identification"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <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"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PID[Patient]"/>
        </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="ADT_A06.PID"/>
      <display value="Patient Identification"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Account[1]"/>
        <display value="Account[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PID[Account]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Account[1].subject.reference=Patient[1].id"/>
        </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="ADT_A06.PID"/>
      <display value="Patient Identification"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Provenance[4]"/>
        <display value="Provenance[4]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PID[Provenance-Patient]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Provenance[4].target.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PID-33 AND PID-34 VALUED"/>
        </product>
        <product>
          <property value="narrative"/>
          <value
                 value="One  may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date."/>
        </product>
      </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="ADT_A06.PD1"/>
      <display value="Additional Demographics"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate PD1 content into the Patient created from the PID segment."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PD1[Patient]"/>
        </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="ADT_A06:follow:PID.ROL"/>
      <display value="Role"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ROL[Patient-GeneralPractitioner]"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF ROL-3.1 EQUALS &quot;PP&quot; AND ROL-3.3 EQUALS &quot;HL70443&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;3.1&quot;)=&quot;PP&quot;)and(element(&quot;3.3&quot;)=&quot;HL70443&quot;)"/>
        </product>
      </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="ADT_A06:follow:PID.ROL"/>
      <display value="Role"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="CareTeam[1]"/>
        <display value="CareTeam[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ROL[CareTeam]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="CareTeam[1].subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF ROL-3.3 EQUALS &quot;HL70443&quot; AND ROL-3.1 IS NOT &quot;PP&quot;"/>
        </product>
        <product>
          <property value="fhirpath"/>
          <value
                 value="(element(&quot;3.1&quot;)!=&quot;PP&quot;)or(element(&quot;3.3&quot;)!=&quot;HL70443&quot;)"/>
        </product>
        <product>
          <property value="narrative"/>
          <value
                 value="When the ROL includes entries with roles in Table HL70443 other than &quot;PP&quot;, then they may be candidates for CareTeam, but not all.  That is implementation specific."/>
        </product>
      </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="ADT_A06:follow:PID.PRT"/>
      <display value="Participation"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[Patient-GeneralPractitioner-Practitioner]"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value value="IF PRT-4 IS &quot;PP&quot;"/>
        </product>
      </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="ADT_A06:follow:PID.PRT"/>
      <display value="Participation"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="CareTeam[1]"/>
        <display value="CareTeam[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PRT[CareTeam]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="CareTeam[1].subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="antlr"/>
          <value
                 value="IF PRT-4 IS IN (&quot;AD&quot;, &quot;AP&quot;, &quot;ARI&quot;, &quot;AT&quot;, &quot;CP&quot;, &quot;FHCP&quot;, &quot;OP&quot;, &quot;PH&quot;, &quot;PP&quot;, &quot;PRI&quot;, &quot;RP&quot;, &quot;RT&quot;, &quot;VP&quot;, &quot;PO&quot;)"/>
        </product>
      </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="ADT_A06.MRG"/>
      <display value="Merge Information"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Account[2]"/>
        <display value="Account[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="It will be left to implementation negotiation to determine whether disparate systems merely change the patient class, or close and open a new account.  The current active account number should appear in field PID-18 - Patient Account Number; the prior account number can be included optionally in MRG-3 - Prior Patient Account Number. 
Depending on the relationship between the old and new account, the implementer should consider whether Account.partOf should be used as well to link the two accounts appropriately.\"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="MRG[Account]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Account[2].subject.reference=Patient[1].id"/>
        </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="ADT_A06.NEXT_OF_KIN.NK1"/>
      <display value="Next of Kin / Associated Parties"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <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="segment-map"/>
          <value value="NK1[RelatedPerson]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="RelatedPerson[2].patient.reference=Patient[1].id"/>
        </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="ADT_A06.NEXT_OF_KIN.NK1"/>
      <display value="Next of Kin / Associated Parties"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="NK1[Patient]"/>
        </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="ADT_A06.PV1"/>
      <display value="Patient Visit"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <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.  Note also that per A06 and A07 trigger event definitions PV1-19 - Visit Number may also be changed during this event."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PV1[Encounter]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Encounter[1].subject.reference=Patient[1].id"/>
        </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="ADT_A06.PV1"/>
      <display value="Patient Visit"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Patient[1]"/>
        <display value="Patient[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PV1[Patient]"/>
        </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="ADT_A06.PV2"/>
      <display value="Patient Visit - Additional Info."/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Encounter[1]"/>
        <display value="Encounter[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate PV2 content into the Encounter created from the PV1 segment."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PV2[Encounter]"/>
        </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="ADT_A06:follow:PV1.ROL"/>
      <display value="Role"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Encounter[1]"/>
        <display value="Encounter[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="ROL[Encounter-PractitionerRole]"/>
        </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="ADT_A06.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Observation[3]"/>
        <display value="Observation[3]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="One cannot determine whether this observation made during the PV1/PV2 communicated above, or from a prior visit/stay. It is therefore up to the implementer whether to populate Observation.encounter.reference with the Encounter[1].id or not.  Only when the ADT message involves an event before the encounter occurs, e.g., the intiial registration, it is clear that the observation is NOT associated with Encounter[1]."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBX[Observation]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Observation[3].subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="Based on profiles, such as Vital Signs, certain observations are represented on the Observation, while others on its components.  No computable guidance available yet."/>
        </product>
      </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="ADT_A06.OBSERVATION.OBX"/>
      <display value="Observation/Result"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Observation[3]"/>
        <display value="Observation[3]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="One cannot determine whether this observation made during the PV1/PV2 communicated above, or from a prior visit/stay. It is therefore up to the implementer whether to populate Observation.encounter.reference with the Encounter[1].id or not.  Only when the ADT message involves an event before the encounter occurs, e.g., the intiial registration, it is clear that the observation is NOT associated with Encounter[1]."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="OBX[Observation-Component]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Observation[3].subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value
                 value="Based on profiles, such as Vital Signs, certain observations are represented on the Observation, while others on its components.  No computable guidance available yet."/>
        </product>
      </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="ADT_A06.AL1"/>
      <display value="Allergy Information"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="AllergyIntolerance"/>
        <display value="AllergyIntolerance"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the AL1 segment results in the creation of a new AllergyIntolerance resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="AL1[AllergyIntolerance]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="AllergyIntolerance.patient.reference=Patient[1].id"/>
        </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="ADT_A06.DG1"/>
      <display value="Diagnosis Information"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Condition[1]"/>
        <display value="Condition[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the DG1 segment results in the creation of a new Condition resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="DG1[Condition]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Condition[1].subject.reference=Patient[1].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value value="If in context of the patient"/>
        </product>
      </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="ADT_A06.DG1"/>
      <display value="Diagnosis Information"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Encounter[1]"/>
        <display value="Encounter[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="DG1[Encounter]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Encounter[1].diagnosis.reference=Condition[1].id"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value value="If in context of an encounter"/>
        </product>
      </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="ADT_A06.DG1"/>
      <display value="Diagnosis Information"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="EpisodeOfCare[1]"/>
        <display value="EpisodeOfCare[1]"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="DG1[EpisodeOfCare]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value
                 value="EpisodeOfCare.patient.reference=Patient[1].id;
EpisodeOfCare.diagnosis.reference=Condition[1].id\"/>
        </dependsOn>
        <product>
          <property value="narrative"/>
          <value value="If in context of a episode of care"/>
        </product>
      </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="ADT_A06.PROCEDURE.PR1"/>
      <display value="Procedures"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Procedure"/>
        <display value="Procedure"/>
        <equivalence value="equivalent"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="PR1[Procedure]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="Procedure.subject.reference=Patient[1].id"/>
        </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="ADT_A06.INSURANCE.IN1"/>
      <display value="Insurance"/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="Coverage[1]"/>
        <display value="Coverage[1]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Processing of the IN1 segment results in the creation of a new Coverage resource"/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="IN1[Coverage]"/>
        </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="ADT_A06.INSURANCE.IN3"/>
      <display value="Insurance Additional Info - Cert."/>
      <target>
        <modifierExtension
                           url="http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence">
          <valueCode value="equivalent"/>
        </modifierExtension>
        <code value="CareTeam[1].participant[2]"/>
        <display value="CareTeam[1].participant[2]"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Incorporate IN3 content into the Coverage created from the IN1 segment."/>
        <dependsOn>
          <property value="segment-map"/>
          <value value="IN3[CareTeam]"/>
        </dependsOn>
        <dependsOn>
          <property value="references"/>
          <value value="CareTeam[1].subject.reference=Patient[1].id"/>
        </dependsOn>
      </target>
    </element>
  </group>
</ConceptMap>