HL7 Version 2 to FHIR
1.0.0 - STU 1

HL7 Version 2 to FHIR - Downloaded Version 1.0.0 See the Directory of published versions

## : Message ADT_A06 to Bundle Map - XML Representation

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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><p>Mapping from (not specified) to (not specified)</p><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="5"><b>Source Concept Details</b></td><td><b>Relationship</b></td><td colspan="2"><b>Target Concept Details</b></td><td><b>Comment</b></td></tr><tr><td colspan="2"><b>Codes</b> from </td><td><b>NarrativeCondition</b></td><td><b>ComputableFHIRPath</b></td><td><b>ComputableANTLR</b></td><td/><td colspan="2"><b>Codes</b> from </td><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.MSH</td><td style="border-left-width: 0px">Message Header</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.MSH</td><td style="border-left-width: 0px">Message Header</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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>If there is a source in MSH-4, or known based on the configuration.</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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 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/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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>If the software does represent not the original source system</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.SFT</td><td style="border-left-width: 0px">Software Segment</td><td>If the software represents the original source system</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.EVN</td><td style="border-left-width: 0px">Event Type</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.EVN</td><td style="border-left-width: 0px">Event Type</td><td/><td/><td>IF EVN-5 NOT VALUED AND (MSH-22 IS VALUED OR MSH-4 IS VALUED)</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.PID</td><td style="border-left-width: 0px">Patient Identification</td><td>One  may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date.</td><td/><td>IF PID-33 AND PID-34 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.PD1</td><td style="border-left-width: 0px">Additional Demographics</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>Incorporate PD1 content into the Patient created from the PID segment.</td></tr><tr><td style="border-right-width: 0px">ADT_A01.PD1</td><td style="border-left-width: 0px">Additional Demographics</td><td/><td/><td>IF PD1-7 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06:follow:PID.ROL</td><td style="border-left-width: 0px">Role</td><td/><td>(element(&quot;3.1&quot;)=&quot;PP&quot;)and(element(&quot;3.3&quot;)=&quot;HL70443&quot;)</td><td>IF ROL-3.1 EQUALS &quot;PP&quot; AND ROL-3.3 EQUALS &quot;HL70443&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06:follow:PID.ROL</td><td style="border-left-width: 0px">Role</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>(element(&quot;3.1&quot;)!=&quot;PP&quot;)or(element(&quot;3.3&quot;)!=&quot;HL70443&quot;)</td><td>IF ROL-3.3 EQUALS &quot;HL70443&quot; AND ROL-3.1 IS NOT &quot;PP&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06:follow:PID.PRT</td><td style="border-left-width: 0px">Participation</td><td/><td/><td>IF PRT-4 IS &quot;PP&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06:follow:PID.PRT</td><td style="border-left-width: 0px">Participation</td><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><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.MRG</td><td style="border-left-width: 0px">Merge Information</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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/><td/><td>IF PV1-43 VALUED</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent" title="equivalent">is equivalent to</a></td><td style="border-right-width: 0px">Basic</td><td style="border-left-width: 0px">Basic</td><td/></tr><tr><td style="border-right-width: 0px">ADT_A06.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.PV1</td><td style="border-left-width: 0px">Patient Visit</td><td/><td/><td>IF PV1-20 VALUE</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.PV2</td><td style="border-left-width: 0px">Patient Visit - Additional Info.</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.OBSERVATION.OBX</td><td style="border-left-width: 0px">Observation/Result</td><td/><td/><td>IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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/><td/><td>IF  OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;</td><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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>If in context of the patient</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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>If in context of an encounter</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.DG1</td><td style="border-left-width: 0px">Diagnosis Information</td><td>If in context of a episode of care</td><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.PROCEDURE.PR1</td><td style="border-left-width: 0px">Procedures</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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/></tr><tr><td style="border-right-width: 0px">ADT_A06.INSURANCE.IN1</td><td style="border-left-width: 0px">Insurance</td><td/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>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/><td/><td/><td><a href="http://hl7.org/fhir/R5/codesystem-concept-map-relationship.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>Incorporate IN3 content into the Coverage created from the IN1 segment.</td></tr></table></div>
      </text>
      <extension
                 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>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
        <valueCode value="oo"/>
      </extension>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
        <valueCode value="informative">
          <extension
                     url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
            <valueCanonical
                            value="http://hl7.org/fhir/uv/v2mappings/ImplementationGuide/hl7.fhir.uv.v2mappings"/>
          </extension>
        </valueCode>
      </extension>
      <url
           value="http://hl7.org/fhir/uv/v2mappings/ConceptMap/message-adt-a06-to-bundle"/>
      <version value="1.0.0"/>
      <name value="MessageADT_A06ToBundle"/>
      <title value="Message ADT_A06 to Bundle Map"/>
      <status value="active"/>
      <experimental value="true"/>
      <date value="2025-08-25"/>
      <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>
      <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) 2025, HL7 International, Inc., All Rights Reserved."/>
      <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>
            <code value="Bundle"/>
            <display value="Bundle"/>
            <equivalence value="equivalent"/>
          </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>
            <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."/>
          </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>
            <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="Narrative-Condition"/>
              <value
                     value="If there is a source in MSH-4, or known based on the configuration."/>
            </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>
            <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."/>
          </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>
            <code value="Provenance[1].entity.what(Device)"/>
            <display value="Provenance[1].entity.what(Device)"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If the software does represent not the original source system"/>
            </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>
            <code value="Provenance[1].entity.what(Device)"/>
            <display value="Provenance[1].entity.what(Device)"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="If the software represents the original source system"/>
            </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>
            <code value="Provenance[3]"/>
            <display value="Provenance[3]"/>
            <equivalence value="equivalent"/>
          </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>
            <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="Computable-ANTLR"/>
              <value
                     value="IF EVN-5 NOT VALUED AND (MSH-22 IS VALUED OR MSH-4 IS VALUED)"/>
            </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>
            <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"/>
          </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>
            <code value="Account[1]"/>
            <display value="Account[1]"/>
            <equivalence value="equivalent"/>
          </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>
            <code value="Provenance[4]"/>
            <display value="Provenance[4]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PID-33 AND PID-34 VALUED"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value
                     value="One  may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date."/>
            </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.PD1"/>
          <display value="Additional Demographics"/>
          <target>
            <code value="Patient[1]"/>
            <display value="Patient[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Incorporate PD1 content into the Patient created from the PID segment."/>
          </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_A01.PD1"/>
          <display value="Additional Demographics"/>
          <target>
            <code value="Observation[1]"/>
            <display value="Observation[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PD1-7 VALUED"/>
            </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>
            <code value="Patient[1]"/>
            <display value="Patient[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF ROL-3.1 EQUALS &quot;PP&quot; AND ROL-3.3 EQUALS &quot;HL70443&quot;"/>
            </dependsOn>
            <dependsOn>
              <property value="Computable-FHIRPath"/>
              <value
                     value="(element(&quot;3.1&quot;)=&quot;PP&quot;)and(element(&quot;3.3&quot;)=&quot;HL70443&quot;)"/>
            </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>
            <code value="CareTeam[1]"/>
            <display value="CareTeam[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value
                     value="IF ROL-3.3 EQUALS &quot;HL70443&quot; AND ROL-3.1 IS NOT &quot;PP&quot;"/>
            </dependsOn>
            <dependsOn>
              <property value="Computable-FHIRPath"/>
              <value
                     value="(element(&quot;3.1&quot;)!=&quot;PP&quot;)or(element(&quot;3.3&quot;)!=&quot;HL70443&quot;)"/>
            </dependsOn>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <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."/>
            </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.PRT"/>
          <display value="Participation"/>
          <target>
            <code value="Patient[1]"/>
            <display value="Patient[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PRT-4 IS &quot;PP&quot;"/>
            </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.PRT"/>
          <display value="Participation"/>
          <target>
            <code value="CareTeam[1]"/>
            <display value="CareTeam[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-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;)"/>
            </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.MRG"/>
          <display value="Merge Information"/>
          <target>
            <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.\"/>
          </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>
            <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."/>
          </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>
            <code value="Patient[1]"/>
            <display value="Patient[1]"/>
            <equivalence value="equivalent"/>
          </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>
            <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."/>
          </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>
            <code value="Basic"/>
            <display value="Basic"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PV1-43 VALUED"/>
            </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>
            <code value="Patient[1]"/>
            <display value="Patient[1]"/>
            <equivalence value="equivalent"/>
          </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>
            <code value="Coverage[1]"/>
            <display value="Coverage[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Computable-ANTLR"/>
              <value value="IF PV1-20 VALUE"/>
            </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>
            <code value="Encounter[1]"/>
            <display value="Encounter[1]"/>
            <equivalence value="equivalent"/>
            <comment
                     value="Incorporate PV2 content into the Encounter created from the PV1 segment."/>
          </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>
            <code value="Encounter[1]"/>
            <display value="Encounter[1]"/>
            <equivalence value="equivalent"/>
          </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>
            <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="Computable-ANTLR"/>
              <value
                     value="IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS &quot;NA&quot;"/>
            </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>
            <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="Computable-ANTLR"/>
              <value
                     value="IF  OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT &quot;NA&quot;"/>
            </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.AL1"/>
          <display value="Allergy Information"/>
          <target>
            <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"/>
          </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>
            <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="Narrative-Condition"/>
              <value value="If in context of the 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.DG1"/>
          <display value="Diagnosis Information"/>
          <target>
            <code value="Encounter[1]"/>
            <display value="Encounter[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value value="If in context of an 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.DG1"/>
          <display value="Diagnosis Information"/>
          <target>
            <code value="EpisodeOfCare[1]"/>
            <display value="EpisodeOfCare[1]"/>
            <equivalence value="equivalent"/>
            <dependsOn>
              <property value="Narrative-Condition"/>
              <value value="If in context of a episode of care"/>
            </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.PROCEDURE.PR1"/>
          <display value="Procedures"/>
          <target>
            <code value="Procedure"/>
            <display value="Procedure"/>
            <equivalence value="equivalent"/>
          </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>
            <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"/>
          </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>
            <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."/>
          </target>
        </element>
      </group>
    </ConceptMap>