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Packagehl7.fhir.uv.v2mappings.r4
Resource TypeConceptMap
IdConceptMap-message-adt-a11-to-bundle.json
FHIR VersionR4

Resources that use this resource

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Resources that this resource uses

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Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap message-adt-a11-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_A11.MSHMessage Headeris equivalent toBundleBundle
ADT_A11.MSHMessage Headeris equivalent toMessageHeader[1]MessageHeader[1]Processing of the MSH segment results in the creation of a new MessageHeader resource.
ADT_A11.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_A11.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_A11.MSHMessage Headeris equivalent toEncounter[1]Encounter[1]
ADT_A11.SFTSoftware SegmentIf the software does represent not the original source systemis equivalent toProvenance[1].entity.what(Device)Provenance[1].entity.what(Device)
ADT_A11.SFTSoftware SegmentIf the software represents the original source systemis equivalent toProvenance[1].entity.what(Device)Provenance[1].entity.what(Device)
ADT_A11.EVNEvent Typeis equivalent toProvenance[3]Provenance[3]
ADT_A11.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_A11.PIDPatient Identificationis equivalent toPatient[1]Patient[1]Processing of the PID segment results in the creation of a new Patient resource
ADT_A11.PIDPatient Identificationis equivalent toAccountAccount
ADT_A11.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_A11.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[1]Observation[1]
ADT_A11.PV1Patient Visitis equivalent toEncounter[1]Encounter[1]Processing of the PV1 segment results in the creation of a new Encounter resource
ADT_A11.PV1Patient VisitIF PV1-43 VALUEDis equivalent toBasicBasic
ADT_A11.PV1Patient Visitis equivalent toPatient[1]Patient[1]
ADT_A11.PV1Patient VisitIF PV1-20 VALUEis equivalent toCoverage[1]Coverage[1]
ADT_A11.PV2Patient Visit - Additional Info.is equivalent toEncounter[1]Encounter[1]Incorporate PV2 content into the Encounter created from the PV1 segment.
ADT_A11.OBSERVATION.OBXObservation/ResultIF OBX-5 LST.count LESS THAN OR EQUALS 1 OR OBX-2 IS "NA"is equivalent toObservation[3]Observation[3]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_A11.OBSERVATION.OBXObservation/ResultIF OBX-5 LST.count GREATER THAN 1 AND OBX-2 IS NOT "NA"is equivalent toObservation[3]Observation[3]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_A11.DG1Diagnosis InformationIf in context of the patientis equivalent toCondition[1]Condition[1]Processing of the DG1 segment results in the creation of a new Condition resource
ADT_A11.DG1Diagnosis InformationIf in context of an encounteris equivalent toEncounter[1]Encounter[1]
ADT_A11.DG1Diagnosis InformationIf in context of a episode of careis equivalent toEpisodeOfCare[1]EpisodeOfCare[1]

Source1

{
  "resourceType": "ConceptMap",
  "id": "message-adt-a11-to-bundle",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "extension": [
        {
          "url": "type",
          "valueCode": "derived-from"
        },
        {
          "url": "label",
          "valueString": "Message ADT:A11 to Bundle.fsh"
        },
        {
          "url": "url",
          "valueUri": "https://docs.google.com/spreadsheets/d/1qnrjsHZkYMiOIGb2vhZEjxQWCf6vo-exl8QJ6xp3kH4/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-a11-to-bundle",
  "version": "1.0.0",
  "name": "MessageADT_A11ToBundle",
  "title": "Message ADT_A11 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_A11 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_A11.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_A11.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_A11.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_A11.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": 1
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": 1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ADT_A11.MSH",
          "display": "Message Header",
          "target": [
            {
              "code": "Encounter[1]",
              "display": "Encounter[1]",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "cardinalityMin",
                  "valueInteger": 0
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": -1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ADT_A11.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_A11.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_A11.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_A11.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_A11.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_A11.PID",
          "display": "Patient Identification",
          "target": [
            {
              "code": "Account",
              "display": "Account",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "cardinalityMin",
                  "valueInteger": 1
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": 1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ADT_A11.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_A11.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[1]",
              "display": "Observation[1]",
              "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_A11.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_A11.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_A11.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_A11.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_A11.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_A11.OBSERVATION.OBX",
          "display": "Observation/Result",
          "target": [
            {
              "code": "Observation[3]",
              "display": "Observation[3]",
              "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_A11.OBSERVATION.OBX",
          "display": "Observation/Result",
          "target": [
            {
              "code": "Observation[3]",
              "display": "Observation[3]",
              "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": 0
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": -1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ADT_A11.DG1",
          "display": "Diagnosis Information",
          "target": [
            {
              "code": "Condition[1]",
              "display": "Condition[1]",
              "equivalence": "equivalent",
              "comment": "Processing of the DG1 segment results in the creation of a new Condition resource",
              "dependsOn": [
                {
                  "property": "Narrative-Condition",
                  "value": "If in context of the patient"
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "cardinalityMin",
                  "valueInteger": 0
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": -1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ADT_A11.DG1",
          "display": "Diagnosis Information",
          "target": [
            {
              "code": "Encounter[1]",
              "display": "Encounter[1]",
              "equivalence": "equivalent",
              "dependsOn": [
                {
                  "property": "Narrative-Condition",
                  "value": "If in context of an encounter"
                }
              ]
            }
          ]
        },
        {
          "extension": [
            {
              "extension": [
                {
                  "url": "cardinalityMin",
                  "valueInteger": 0
                },
                {
                  "url": "cardinalityMax",
                  "valueInteger": -1
                }
              ],
              "url": "http://hl7.org/fhir/uv/v2mappings/StructureDefinition/TypeInfo"
            }
          ],
          "code": "ADT_A11.DG1",
          "display": "Diagnosis Information",
          "target": [
            {
              "code": "EpisodeOfCare[1]",
              "display": "EpisodeOfCare[1]",
              "equivalence": "equivalent",
              "dependsOn": [
                {
                  "property": "Narrative-Condition",
                  "value": "If in context of a episode of care"
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}