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9.2.8 Resource Condition - Mappings

Maturity Level : N/A
Responsible Owner: Patient Care icon Work Group Standards Status : Informative Security Category : Patient Compartments : Encounter , Group , Patient , Practitioner , RelatedPerson

Mappings:

FiveWs Pattern Mapping

HL7 V2 Mapping

SNOMED CT Attribute Binding

SNOMED CT Concept Domain Binding

RIM Mapping

Mappings for the condition Condition resource (see Mappings to Other Standards for further information & status).

9.2.8.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews icon )

Condition clinical.general
    identifier FiveWs.identifier
    clinicalStatus FiveWs.status
    verificationStatus FiveWs.status
    category FiveWs.class
    severity FiveWs.grade
    code FiveWs.what[x]
    subject FiveWs.subject[x] FiveWs.subject
    encounter FiveWs.context
    onset[x] FiveWs.init
    abatement[x] FiveWs.done[x]
    recordedDate FiveWs.recorded
        actor     recorder FiveWs.author
FiveWs.who     asserter FiveWs.source

9.2.8.2 HL7 V2 Mapping ( http://hl7.org/v2 icon )

The mappings provided in this tab are indicative of how HL7 v2 fields relate to HL7 FHIR attributes in this resource, but is not complete and without critical HL7 v2 context. The HL7 v2-FHIR Implementation guide, located here icon , provides additional guidance on transforming an HL7 v2 message to FHIR resources for FHIR R4 and FHIR R6.
Condition PPR message
    identifier
    clinicalStatus PRB-14
    verificationStatus PRB-13
    category 'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
    severity PRB-26 / ABS-3
    code PRB-3
    bodySite
    bodyStructure
    subject PID-3
    encounter PV1-19 (+PV1-54)
    onset[x] PRB-16
    abatement[x]
    recordedDate REL-11
    participant         function     recorder
        actor     asserter REL-7.1 identifier + REL-7.12 type code
    stage
        summary PRB-14
        assessment
        type
    evidence
    note NTE child of PRB

9.2.8.3 SNOMED CT Attribute Binding ( http://snomed.org/attributebinding icon )

Attribute bindings link coded data elements in FHIR resources to a corresponding attribute in the SNOMED CT concept model. These bindings help to support:

  • clarifying the intended meaning of the data element
  • Quality checking the alignment between FHIR resource design and any coresponding corresponding SNOMED CT concept model
  • Composition and decomposition of data instances by indicating the SNOMED CT concept model attribute whose value may be used to decompose a precoordinated concept into this data element
Condition
    identifier
    clinicalStatus
    verificationStatus 408729009
    category
    severity 246112005
    code 246090004
    bodySite 363698007
    subject     bodyStructure
    encounter     subject
    onset[x]     encounter
    abatement[x]     onset[x]
    recordedDate     abatement[x]
    participant     recordedDate
        function     recorder
        actor     asserter
    stage
        summary
        assessment
        type
    evidence
    note

9.2.8.4 SNOMED CT Concept Domain Binding ( http://snomed.info/conceptdomain icon )

Concept domain bindings link a resource or an element to a set of SNOMED CT concepts that represent the intended semantics of the instances (whether or not SNOMED CT is used to encode that data element). This set of concepts is represented using a SNOMED CT expression constraint. Note that the 'Concept domain binding' may be a superset of the 'value set binding'. These bindings help to support:

  • Quality checking FHIR resources by ensuring that (a) the intended semantics of the instances matches the valid range of the corresponding SNOMED CT attribute, and (b) the intended value set is appropriate for the intended semantics of the instances
  • Semantic checking of data instances by helping to detect potential inconsistencies caused by overlap between the semantics incorporated in two concept domains
Condition < 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
    identifier
    clinicalStatus < 303105007 |Disease phases|
    verificationStatus < 410514004 |Finding context value|
    category < 404684003 |Clinical finding|
    severity < 272141005 |Severities|
    code (< 404684003 |Clinical finding| MINUS (
<< 420134006 |Propensity to adverse reactions| OR
<< 473010000 |Hypersensitivity condition| OR
<< 79899007 |Drug interaction| OR
<< 69449002 |Drug action| OR
<< 441742003 |Evaluation finding| OR
<< 307824009 |Administrative status| OR
<< 385356007 |Tumor stage finding|))
OR < 413350009 |Finding with explicit context|
OR < 272379006 |Event|
    bodySite < 442083009 |Anatomical or acquired body structure|
    subject     bodyStructure
    encounter     subject
    onset[x]     encounter
    abatement[x]     onset[x]
    recordedDate     abatement[x]
    participant     recordedDate
        function     recorder
        actor     asserter
    stage
        summary < 254291000 |Staging and scales|
        assessment
        type
    evidence
    note

9.2.8.5 RIM Mapping ( http://hl7.org/v3 icon )

.participation.functionCode .player
Condition Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
    identifier .id
    clinicalStatus Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
    verificationStatus Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
    category .code
    severity Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
    code .value
    bodySite .targetBodySiteCode
    subject     bodyStructure targetSiteCode
    subject .participation[typeCode=SBJ].role[classCode=PAT]
    encounter .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
    onset[x] .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
    abatement[x] .effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
    recordedDate .participation[typeCode=AUT].time
    participant .participation[typeCode=PRF]         function     recorder .participation[typeCode=AUT].role
        actor     asserter .participation[typeCode=INF].role
    stage ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
        summary .value
        assessment .self
        type ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
    evidence .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
    note .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value