feature: FHIR R4 Inbound Facade
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| HL7v2 Message | Mirth Action | FHIR Target |
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| ADT A01 (Admit) | Map PID → Patient, PV1 → Encounter | `POST /fhir/R4` transaction Bundle |
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| ADT A03 (Discharge) | Map PV1 → Encounter.status=finished | `POST /fhir/R4/Encounter` |
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| ADT A08 (Update) | Map PID/PV1 changes | `POST /fhir/R4/Patient` + Encounter upsert |
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| ORU R01 (Lab result) | Map OBX → Observation (LOINC in OBX-3) | `POST /fhir/R4/Observation` |
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Mirth HTTP Sender destination: `{vigilcare_url}/fhir/R4` with header `X-Api-Key` and content type `application/fhir+json`.
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