HL7 Version 2 to FHIR
1.0.0-ballot - ballot International flag

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_A09 to Bundle Map - TTL Representation

Active as of 2024-04-24

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:ConceptMap ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "message-adt-a09-to-bundle"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Mapping from ADT_A09 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_A09 to the FHIR Message Bundle.</p>\n</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=\"4\"><b>Target Concept Details</b></td><td><b>Comment</b></td><td colspan=\"4\"><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/></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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/></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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>Processing of the MSH segment results in the creation of a new MessageHeader resource.</td></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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>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 Proviance resource instance to the relevant FHIR resources generated.</td></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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>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_A09.SFT</td><td style=\"border-left-width: 0px\">Software Segment</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id\nProvenance[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/></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.SFT</td><td style=\"border-left-width: 0px\">Software Segment</td><td>SFT[Device]</td><td>Provenance[1].entity.what.reference=Device.id\nProvenance[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/></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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/></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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>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_A09.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>Processing of the PID segment results in the creation of a new Patient resource</td></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.PID</td><td style=\"border-left-width: 0px\">Patient Identification</td><td>PID[Account]</td><td>Account.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</td><td style=\"border-left-width: 0px\">Account</td><td/><td/><td/></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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/></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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>Incorporate PD1 content into the Patient created from the PID segment.</td></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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>Processing of the PV1 segment results in the creation of a new Encounter resource</td></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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/></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.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>Incorporate PV2 content into the Encounter created from the PV1 segment.</td></tr><tr><td style=\"border-right-width: 0px\">ADT_A09.OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation/Result</td><td>OBX[Observation]</td><td>Observation[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\">Observation[1]</td><td style=\"border-left-width: 0px\">Observation[1]</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>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_A09.OBSERVATION.OBX</td><td style=\"border-left-width: 0px\">Observation/Result</td><td>OBX[Observation-Component]</td><td>Observation[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\">Observation[1]</td><td style=\"border-left-width: 0px\">Observation[1]</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>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></table></div>"
  ] ; # 
  fhir:extension ( [
    ( fhir:extension [
fhir:url [ fhir:v "type"^^xsd:anyURI ] ;
fhir:value [ fhir:v "derived-from" ]     ] [
fhir:url [ fhir:v "label"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Message ADT:A09 to Bundle.fsh" ]     ] [
fhir:url [ fhir:v "url"^^xsd:anyURI ] ;
fhir:value [ fhir:v "https://docs.google.com/spreadsheets/d/1lFfoksYBm2Pbfs4PvDtCHkbuQgTL1Ooj4jREYFLK6Lc/edit#gid=0"^^xsd:anyURI ]     ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/RelatedArtifact"^^xsd:anyURI ]
  ] ) ; # 
  fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/message-adt-a09-to-bundle"^^xsd:anyURI] ; # 
  fhir:version [ fhir:v "1.0.0-ballot"] ; # 
  fhir:name [ fhir:v "MessageADT_A09ToBundle"] ; # 
  fhir:title [ fhir:v "Message ADT_A09 to Bundle Map"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:experimental [ fhir:v "true"^^xsd:boolean] ; # 
  fhir:date [ fhir:v "2024-04-24"^^xsd:date] ; # 
  fhir:publisher [ fhir:v "HL7 International / Orders and Observations"] ; # 
  fhir:contact ( [
fhir:name [ fhir:v "HL7 Orders and Observations Workgroup" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/orders" ]     ] )
  ] [
fhir:name [ fhir:v "Keith W. Boone" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "kboone@ainq.com" ]     ] )
  ] [
fhir:name [ fhir:v "Rob Hausam" ] ;
    ( fhir:telecom [
fhir:system [ fhir:v "email" ] ;
fhir:value [ fhir:v "rrhausam@gmail.com" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "This ConceptMap represents a mapping from the HL7 V2 Message ADT_A09 to the FHIR Message Bundle."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ;
fhir:code [ fhir:v "001" ]     ] )
  ] ) ; # 
  fhir:copyright [ fhir:v "Copyright (c) 2020, HL7 International, Inc., All Rights Reserved."] ; # 
  fhir:source [ fhir:v "ADT_A09"^^xsd:anyURI] ; # 
  fhir:target [ fhir:v "Bundle"^^xsd:anyURI] ; # 
  fhir:group ( [
    ( fhir:element [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.MSH" ] ;
fhir:display [ fhir:v "Message Header" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Bundle" ] ;
fhir:display [ fhir:v "Bundle" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "MSH[Bundle]" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.MSH" ] ;
fhir:display [ fhir:v "Message Header" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "MessageHeader[1]" ] ;
fhir:display [ fhir:v "MessageHeader[1]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "Processing of the MSH segment results in the creation of a new MessageHeader resource." ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "MSH[MessageHeader]" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.MSH" ] ;
fhir:display [ fhir:v "Message Header" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Provenance[1]" ] ;
fhir:display [ fhir:v "Provenance[1]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "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 Proviance resource instance to the relevant FHIR resources generated." ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "MSH[Provenance-Source]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Provenance[1].target.reference=Bundle.id; Provenance[1].target.reference=MessageHeader[1].id" ]         ] ) ;
        ( fhir:product [
fhir:property [ fhir:v "narrative"^^xsd:anyURI ] ;
fhir:value [ fhir:v "If there is a source in MSH-4, or known based on the configuration." ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.MSH" ] ;
fhir:display [ fhir:v "Message Header" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Provenance[2]" ] ;
fhir:display [ fhir:v "Provenance[2]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "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." ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "MSH[Provenance-Transformation]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Provenance[2].target.reference=Bundle.id" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "-1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.SFT" ] ;
fhir:display [ fhir:v "Software Segment" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Provenance[1].entity.what(Device)" ] ;
fhir:display [ fhir:v "Provenance[1].entity.what(Device)" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "SFT[Device]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Provenance[1].entity.what.reference=Device.id\nProvenance[1].entity.role=\"derivation\"\\" ]         ] ) ;
        ( fhir:product [
fhir:property [ fhir:v "narrative"^^xsd:anyURI ] ;
fhir:value [ fhir:v "If the software does represent not the original source system" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "-1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.SFT" ] ;
fhir:display [ fhir:v "Software Segment" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Provenance[1].entity.what(Device)" ] ;
fhir:display [ fhir:v "Provenance[1].entity.what(Device)" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "SFT[Device]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Provenance[1].entity.what.reference=Device.id\nProvenance[1].entity.role=\"source\"\\" ]         ] ) ;
        ( fhir:product [
fhir:property [ fhir:v "narrative"^^xsd:anyURI ] ;
fhir:value [ fhir:v "If the software represents the original source system" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.EVN" ] ;
fhir:display [ fhir:v "Event Type" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Provenance[3]" ] ;
fhir:display [ fhir:v "Provenance[3]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "EVN[Provenance]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Provenance[3].target.reference=MessageHeader[1].id" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.EVN" ] ;
fhir:display [ fhir:v "Event Type" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Provenance[3]" ] ;
fhir:display [ fhir:v "Provenance[3]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "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." ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "MSH[Provenance-Operator]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Provenance[3].target.reference=MessageHeader[1].id" ]         ] ) ;
        ( fhir:product [
fhir:property [ fhir:v "antlr"^^xsd:anyURI ] ;
fhir:value [ fhir:v "IF EVN-5 NOT VALUED AND (MSH-22 IS VALUED OR MSH-4 IS VALUED)" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.PID" ] ;
fhir:display [ fhir:v "Patient Identification" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Patient[1]" ] ;
fhir:display [ fhir:v "Patient[1]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "Processing of the PID segment results in the creation of a new Patient resource" ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PID[Patient]" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.PID" ] ;
fhir:display [ fhir:v "Patient Identification" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Account" ] ;
fhir:display [ fhir:v "Account" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PID[Account]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Account.subject.reference=Patient[1].id" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.PID" ] ;
fhir:display [ fhir:v "Patient Identification" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Provenance[4]" ] ;
fhir:display [ fhir:v "Provenance[4]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PID[Provenance-Patient]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Provenance[4].target.reference=Patient[1].id" ]         ] ) ;
        ( fhir:product [
fhir:property [ fhir:v "antlr"^^xsd:anyURI ] ;
fhir:value [ fhir:v "IF PID-33 AND PID-34 VALUED" ]         ] [
fhir:property [ fhir:v "narrative"^^xsd:anyURI ] ;
fhir:value [ fhir:v "One  may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date." ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.PD1" ] ;
fhir:display [ fhir:v "Additional Demographics" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Patient[1]" ] ;
fhir:display [ fhir:v "Patient[1]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "Incorporate PD1 content into the Patient created from the PID segment." ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PD1[Patient]" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.PV1" ] ;
fhir:display [ fhir:v "Patient Visit" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Encounter[1]" ] ;
fhir:display [ fhir:v "Encounter[1]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "Processing of the PV1 segment results in the creation of a new Encounter resource" ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PV1[Encounter]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Encounter[1].subject.reference=Patient[1].id" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.PV1" ] ;
fhir:display [ fhir:v "Patient Visit" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Patient[1]" ] ;
fhir:display [ fhir:v "Patient[1]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PV1[Patient]" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.PV2" ] ;
fhir:display [ fhir:v "Patient Visit - Additional Info." ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Encounter[1]" ] ;
fhir:display [ fhir:v "Encounter[1]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "Incorporate PV2 content into the Encounter created from the PV1 segment." ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "PV2[Encounter]" ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "-1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.OBSERVATION.OBX" ] ;
fhir:display [ fhir:v "Observation/Result" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Observation[1]" ] ;
fhir:display [ fhir:v "Observation[1]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "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]." ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "OBX[Observation]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Observation[1].subject.reference=Patient[1].id" ]         ] ) ;
        ( fhir:product [
fhir:property [ fhir:v "narrative"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Based on profiles, such as Vital Signs, certain observations are represented on the Observation, while others on its components.  No computable guidance available yet." ]         ] )       ] )     ] [
      ( fhir:extension [
        ( fhir:extension [
fhir:url [ fhir:v "cardinalityMin"^^xsd:anyURI ] ;
fhir:value [ fhir:v "0"^^xsd:integer ]         ] [
fhir:url [ fhir:v "cardinalityMax"^^xsd:anyURI ] ;
fhir:value [ fhir:v "-1"^^xsd:integer ]         ] ) ;
fhir:url [ fhir:v "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"^^xsd:anyURI ]       ] ) ;
fhir:code [ fhir:v "ADT_A09.OBSERVATION.OBX" ] ;
fhir:display [ fhir:v "Observation/Result" ] ;
      ( fhir:_target [
        ( fhir:modifierExtension [
fhir:url [ fhir:v "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence"^^xsd:anyURI ] ;
fhir:value [ fhir:v "equivalent" ]         ] ) ;
fhir:code [ fhir:v "Observation[1]" ] ;
fhir:display [ fhir:v "Observation[1]" ] ;
fhir:equivalence [ fhir:v "equivalent" ] ;
fhir:comment [ fhir:v "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]." ] ;
        ( fhir:dependsOn [
fhir:property [ fhir:v "segment-map"^^xsd:anyURI ] ;
fhir:value [ fhir:v "OBX[Observation-Component]" ]         ] [
fhir:property [ fhir:v "references"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Observation[1].subject.reference=Patient[1].id" ]         ] ) ;
        ( fhir:product [
fhir:property [ fhir:v "narrative"^^xsd:anyURI ] ;
fhir:value [ fhir:v "Based on profiles, such as Vital Signs, certain observations are represented on the Observation, while others on its components.  No computable guidance available yet." ]         ] )       ] )     ] )
  ] ) . #