{ "resourceType" : "ConceptMap", "id" : "message-adt-a17-to-bundle", "text" : { "status" : "generated", "div" : "

Generated Narrative: ConceptMap message-adt-a17-to-bundle

Mapping from (not specified) to (not specified)


Group 1 Mapping from unspecified code system to unspecified code system

Source Concept DetailsRelationshipTarget Concept DetailsComment
Codes from NarrativeConditionComputableANTLRCodes from
ADT_A17.MSHMessage Headeris equivalent toBundleBundle
ADT_A17.MSHMessage Headeris equivalent toMessageHeader[1]MessageHeader[1]Processing of the MSH segment results in the creation of a new MessageHeader resource.
ADT_A17.MSHMessage HeaderIf there is a source in MSH-4, or known based on the configuration.is equivalent toProvenance[1]Provenance[1]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.
ADT_A17.MSHMessage Headeris equivalent toProvenance[2]Provenance[2]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.
ADT_A17.SFTSoftware SegmentIf the software does represent not the original source systemis equivalent toProvenance[1].entity.what(Device)Provenance[1].entity.what(Device)
ADT_A17.SFTSoftware SegmentIf the software represents the original source systemis equivalent toProvenance[1].entity.what(Device)Provenance[1].entity.what(Device)
ADT_A17.EVNEvent Typeis equivalent toProvenance[3]Provenance[3]
ADT_A17.EVNEvent TypeIF EVN-5 NOT VALUED AND (MSH-22 IS VALUED OR MSH-4 IS VALUED)is equivalent toProvenance[3]Provenance[3]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.
ADT_A17.PIDPatient Identificationis equivalent toPatient[1]Patient[1]Processing of the PID segment results in the creation of a new Patient resource
ADT_A17.PIDPatient Identificationis equivalent toAccount[1]Account[1]
ADT_A17.PIDPatient IdentificationOne may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date.IF PID-33 AND PID-34 VALUEDis equivalent toProvenance[4]Provenance[4]
ADT_A17.PD1Additional Demographicsis equivalent toPatient[1]Patient[1]Incorporate PD1 content into the Patient created from the PID segment.
ADT_A01.PD1Additional DemographicsIF PD1-7 VALUEDis equivalent toObservation[3]Observation[3]
ADT_A17.PV1Patient Visitis equivalent toEncounter[1]Encounter[1]Processing of the PV1 segment results in the creation of a new Encounter resource
ADT_A17.PV1Patient Visitis equivalent toPatient[1]Patient[1]
ADT_A17.PV2Patient Visit - Additional Info.is equivalent toEncounter[1]Encounter[1]Incorporate PV2 content into the Encounter created from the PV1 segment.
ADT_A17.OBSERVATION.OBXObservation/ResultIF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA"is equivalent toObservation[1]Observation[1]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].
ADT_A17.OBSERVATION.OBXObservation/ResultIF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA"is equivalent toObservation[1]Observation[1]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].
ADT_A17.PIDPatient Identificationis equivalent toPatient[2]Patient[2]Processing of the PID segment results in the creation of a new Patient resource
ADT_A17.PIDPatient Identificationis equivalent toAccount[2]Account[2]
ADT_A17.PIDPatient IdentificationOne may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date.IF PID-33 AND PID-34 VALUEDis equivalent toProvenance[5]Provenance[5]
ADT_A17.PD1Additional Demographicsis equivalent toPatient[2]Patient[2]Incorporate PD1 content into the Patient created from the PID segment.
ADT_A17.PV1Patient Visitis equivalent toEncounter[2]Encounter[2]Processing of the PV1 segment results in the creation of a new Encounter resource
ADT_A17.PV1Patient VisitIF PV1-43 VALUEDis equivalent toBasicBasic
ADT_A17.PV1Patient Visitis equivalent toPatient[1]Patient[1]
ADT_A17.PV1Patient VisitIF PV1-20 VALUEis equivalent toCoverage[1]Coverage[1]
ADT_A17.PV2Patient Visit - Additional Info.is equivalent toEncounter[2]Encounter[2]Incorporate PV2 content into the Encounter created from the PV1 segment.
ADT_A17.OBSERVATION.OBXObservation/ResultBased on profiles, such as Vital Signs, certain observations are represented on the Observation, while others on its components. No computable guidance available yet.IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA"is equivalent toObservation[2]Observation[2]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].
ADT_A17.OBSERVATION.OBXObservation/ResultBased on profiles, such as Vital Signs, certain observations are represented on the Observation, while others on its components. No computable guidance available yet.IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA"is equivalent toObservation[2]Observation[2]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].
" }, "extension" : [{ "extension" : [{ "url" : "type", "valueCode" : "derived-from" }, { "url" : "label", "valueString" : "Message ADT:A17 to Bundle.fsh" }, { "url" : "url", "valueUri" : "https://docs.google.com/spreadsheets/d/160nkohdfsWd4kjmuDqKi73g5WY3Frsdy4qZn1e9yyZo/edit#gid=0" }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/RelatedArtifact" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg", "valueCode" : "oo" }, { "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status", "valueCode" : "informative", "_valueCode" : { "extension" : [{ "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom", "valueCanonical" : "http://hl7.org/fhir/uv/v2mappings/ImplementationGuide/hl7.fhir.uv.v2mappings" }] } }], "url" : "http://hl7.org/fhir/uv/v2mappings/ConceptMap/message-adt-a17-to-bundle", "version" : "1.0.0", "name" : "MessageADT_A17ToBundle", "title" : "Message ADT_A17 to Bundle Map", "status" : "active", "experimental" : true, "date" : "2025-08-25", "publisher" : "HL7 International / Orders and Observations", "contact" : [{ "name" : "HL7 Orders and Observations Workgroup", "telecom" : [{ "system" : "url", "value" : "http://www.hl7.org/Special/committees/orders" }] }], "description" : "This ConceptMap represents a mapping from the HL7 V2 Message ADT_A17 to the FHIR Message Bundle.", "jurisdiction" : [{ "coding" : [{ "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm", "code" : "001" }] }], "copyright" : "Copyright (c) 2025, HL7 International, Inc., All Rights Reserved.", "group" : [{ "element" : [{ "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.MSH", "display" : "Message Header", "target" : [{ "code" : "Bundle", "display" : "Bundle", "equivalence" : "equivalent" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.MSH", "display" : "Message Header", "target" : [{ "code" : "MessageHeader[1]", "display" : "MessageHeader[1]", "equivalence" : "equivalent", "comment" : "Processing of the MSH segment results in the creation of a new MessageHeader resource." }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.MSH", "display" : "Message Header", "target" : [{ "code" : "Provenance[1]", "display" : "Provenance[1]", "equivalence" : "equivalent", "comment" : "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.", "dependsOn" : [{ "property" : "Narrative-Condition", "value" : "If there is a source in MSH-4, or known based on the configuration." }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.MSH", "display" : "Message Header", "target" : [{ "code" : "Provenance[2]", "display" : "Provenance[2]", "equivalence" : "equivalent", "comment" : "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." }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : -1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.SFT", "display" : "Software Segment", "target" : [{ "code" : "Provenance[1].entity.what(Device)", "display" : "Provenance[1].entity.what(Device)", "equivalence" : "equivalent", "dependsOn" : [{ "property" : "Narrative-Condition", "value" : "If the software does represent not the original source system" }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : -1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.SFT", "display" : "Software Segment", "target" : [{ "code" : "Provenance[1].entity.what(Device)", "display" : "Provenance[1].entity.what(Device)", "equivalence" : "equivalent", "dependsOn" : [{ "property" : "Narrative-Condition", "value" : "If the software represents the original source system" }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.EVN", "display" : "Event Type", "target" : [{ "code" : "Provenance[3]", "display" : "Provenance[3]", "equivalence" : "equivalent" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.EVN", "display" : "Event Type", "target" : [{ "code" : "Provenance[3]", "display" : "Provenance[3]", "equivalence" : "equivalent", "comment" : "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" : "Computable-ANTLR", "value" : "IF EVN-5 NOT VALUED AND (MSH-22 IS VALUED OR MSH-4 IS VALUED)" }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PID", "display" : "Patient Identification", "target" : [{ "code" : "Patient[1]", "display" : "Patient[1]", "equivalence" : "equivalent", "comment" : "Processing of the PID segment results in the creation of a new Patient resource" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PID", "display" : "Patient Identification", "target" : [{ "code" : "Account[1]", "display" : "Account[1]", "equivalence" : "equivalent" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PID", "display" : "Patient Identification", "target" : [{ "code" : "Provenance[4]", "display" : "Provenance[4]", "equivalence" : "equivalent", "dependsOn" : [{ "property" : "Computable-ANTLR", "value" : "IF PID-33 AND PID-34 VALUED" }, { "property" : "Narrative-Condition", "value" : "One may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date." }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PD1", "display" : "Additional Demographics", "target" : [{ "code" : "Patient[1]", "display" : "Patient[1]", "equivalence" : "equivalent", "comment" : "Incorporate PD1 content into the Patient created from the PID segment." }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A01.PD1", "display" : "Additional Demographics", "target" : [{ "code" : "Observation[3]", "display" : "Observation[3]", "equivalence" : "equivalent", "dependsOn" : [{ "property" : "Computable-ANTLR", "value" : "IF PD1-7 VALUED" }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PV1", "display" : "Patient Visit", "target" : [{ "code" : "Encounter[1]", "display" : "Encounter[1]", "equivalence" : "equivalent", "comment" : "Processing of the PV1 segment results in the creation of a new Encounter resource" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PV1", "display" : "Patient Visit", "target" : [{ "code" : "Patient[1]", "display" : "Patient[1]", "equivalence" : "equivalent" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PV2", "display" : "Patient Visit - Additional Info.", "target" : [{ "code" : "Encounter[1]", "display" : "Encounter[1]", "equivalence" : "equivalent", "comment" : "Incorporate PV2 content into the Encounter created from the PV1 segment." }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : -1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.OBSERVATION.OBX", "display" : "Observation/Result", "target" : [{ "code" : "Observation[1]", "display" : "Observation[1]", "equivalence" : "equivalent", "comment" : "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" : "Computable-ANTLR", "value" : "IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS \"NA\"" }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : -1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.OBSERVATION.OBX", "display" : "Observation/Result", "target" : [{ "code" : "Observation[1]", "display" : "Observation[1]", "equivalence" : "equivalent", "comment" : "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" : "Computable-ANTLR", "value" : "IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT \"NA\"" }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PID", "display" : "Patient Identification", "target" : [{ "code" : "Patient[2]", "display" : "Patient[2]", "equivalence" : "equivalent", "comment" : "Processing of the PID segment results in the creation of a new Patient resource" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PID", "display" : "Patient Identification", "target" : [{ "code" : "Account[2]", "display" : "Account[2]", "equivalence" : "equivalent" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PID", "display" : "Patient Identification", "target" : [{ "code" : "Provenance[5]", "display" : "Provenance[5]", "equivalence" : "equivalent", "dependsOn" : [{ "property" : "Computable-ANTLR", "value" : "IF PID-33 AND PID-34 VALUED" }, { "property" : "Narrative-Condition", "value" : "One may drop PID-33 from the condition if PID-34 Last Update Facility is still sufficient without a date." }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PD1", "display" : "Additional Demographics", "target" : [{ "code" : "Patient[2]", "display" : "Patient[2]", "equivalence" : "equivalent", "comment" : "Incorporate PD1 content into the Patient created from the PID segment." }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PV1", "display" : "Patient Visit", "target" : [{ "code" : "Encounter[2]", "display" : "Encounter[2]", "equivalence" : "equivalent", "comment" : "Processing of the PV1 segment results in the creation of a new Encounter resource" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PV1", "display" : "Patient Visit", "target" : [{ "code" : "Basic", "display" : "Basic", "equivalence" : "equivalent", "dependsOn" : [{ "property" : "Computable-ANTLR", "value" : "IF PV1-43 VALUED" }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PV1", "display" : "Patient Visit", "target" : [{ "code" : "Patient[1]", "display" : "Patient[1]", "equivalence" : "equivalent" }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 1 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PV1", "display" : "Patient Visit", "target" : [{ "code" : "Coverage[1]", "display" : "Coverage[1]", "equivalence" : "equivalent", "dependsOn" : [{ "property" : "Computable-ANTLR", "value" : "IF PV1-20 VALUE" }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : 1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.PV2", "display" : "Patient Visit - Additional Info.", "target" : [{ "code" : "Encounter[2]", "display" : "Encounter[2]", "equivalence" : "equivalent", "comment" : "Incorporate PV2 content into the Encounter created from the PV1 segment." }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : -1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.OBSERVATION.OBX", "display" : "Observation/Result", "target" : [{ "code" : "Observation[2]", "display" : "Observation[2]", "equivalence" : "equivalent", "comment" : "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" : "Computable-ANTLR", "value" : "IF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS \"NA\"" }, { "property" : "Narrative-Condition", "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." }] }] }, { "extension" : [{ "extension" : [{ "url" : "cardinalityMin", "valueInteger" : 0 }, { "url" : "cardinalityMax", "valueInteger" : -1 }], "url" : "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo" }], "code" : "ADT_A17.OBSERVATION.OBX", "display" : "Observation/Result", "target" : [{ "code" : "Observation[2]", "display" : "Observation[2]", "equivalence" : "equivalent", "comment" : "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" : "Computable-ANTLR", "value" : "IF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT \"NA\"" }, { "property" : "Narrative-Condition", "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." }] }] }] }] }