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8.11.10 Resource Encounter - Mappings

Patient Administration Work Group

Maturity Level : N/A

Standards Status : Informative

Security Category : Patient

Compartments : Encounter , Patient , Practitioner , RelatedPerson

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

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

Encounter
identifier	FiveWs.identifier
status	FiveWs.status
class	FiveWs.class
type     priority	FiveWs.class FiveWs.grade
priority     type	FiveWs.grade FiveWs.what[x]
subject	FiveWs.subject[x]
episodeOfCare	FiveWs.context
individual         actor	FiveWs.who
period     actualPeriod	FiveWs.done[x]
reasonCode FiveWs.why[x]     reasonReference     reason	FiveWs.why[x]
condition	FiveWs.why[x]
location	FiveWs.where[x]

8.11.10.2 Workflow Pattern ( http://hl7.org/fhir/workflow )

Encounter	Event
identifier	Event.identifier
status	Event.status
type	Event.code
serviceType	Event.code
subject	Event.subject
episodeOfCare	Event.context
basedOn	Event.basedOn
participant Event.performer         type     partOf	Event.performer.function Event.partOf
individual     serviceProvider	Event.performer.actor
appointment     participant	Event.basedOn Event.performer
period         type	Event.occurrence[x] Event.performer.function
length         actor	Event.occurrence[x] Event.performer.actor
reasonCode     appointment	Event.reasonCode Event.basedOn
reasonReference     actualPeriod	Event.reasonCode Event.occurrence[x]
condition     length	Event.reasonReference Event.occurrence[x]
location     reason	Event.location Event.reason
serviceProvider         condition	Event.performer.actor Event.reasonReference
partOf         location	Event.partOf Event.location

8.11.10.3 HL7 v2 Mapping ( http://hl7.org/v2 )

    serviceProvider PL.6 & PL.1     partOf

Encounter
identifier	PV1-19
status	No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16
statusHistory
status
period
class	PV1-2
classHistory
class
period
priority	PV2-25
type	PV1-4 / PV1-18
serviceType	PV1-10
priority     subject	PV2-25 PID-3
subject     subjectStatus	PID-3
episodeOfCare	PV1-54, PV1-53
basedOn
careTeam
partOf
serviceProvider	PL.6 & PL.1
participant	ROL
type	ROL-3 (or maybe PRT-4)
period	ROL-5, ROL-6 (or maybe PRT-5)
individual         actor	ROL-4
appointment	SCH-1 / SCH-2
period     virtualService
actualPeriod	PV1-44, PV1-45
plannedStartDate	PV2-8
plannedEndDate	PV2-9
length	(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes     reasonCode EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use PV2-11 (which is actual length in all implementations ) days)
reasonReference     reason	EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )
diagnosis
condition	Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively.
use	DG1-6 (Diagnosis Type)
rank	DG1-15 (Diagnosis Priority)
account
hospitalization     admission
preAdmissionIdentifier	PV1-5
origin
admitSource	PV1-14
reAdmission	PV1-13
dietPreference	PV1-38
specialCourtesy	PV1-16
specialArrangement	PV1-15 / OBR-30 / OBR-43
destination	PV1-37
dischargeDisposition	PV1-36
location
location	PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43
status
physicalType         form
period

8.11.10.4 RIM Mapping ( http://hl7.org/v3 )

.code n/a .priorityCode .participation[typeCode=PFM] .effectiveTime (low & high) .lengthOfStayQuantity .reasonCode     serviceProvider .particiaption[typeCode=PFM].role     partOf .inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]

Encounter	Encounter[@moodCode='EVN'] PatientEncounter[@moodCode='EVN']
identifier	.id
status	.statusCode
statusHistory	n/a
status	n/a
period	n/a
class	.inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code
classHistory	n/a
class	n/a
period	n/a
type     priority	.priorityCode
serviceType     type	.code
priority     serviceType	n/a
subject	.participation[typeCode=SBJ]/role[classCode=PAT]
episodeOfCare	n/a
basedOn	.reason.ClinicalDocument
careTeam	n/a
partOf	.inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]
serviceProvider	.participation[typeCode=PRF].role
participant	.participation[typeCode=PRF]
type	.functionCode
period	.time
individual         actor	.role
appointment	.outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]
period     virtualService	N/A
length     actualPeriod	.effectiveTime (low & high)
reasonCode     length	.lengthOfStayQuantity
reasonReference     reason	.reasonCode
diagnosis	.outboundRelationship[typeCode=RSON]
condition	.outboundRelationship[typeCode=RSON].target
use	n/a
rank	.outboundRelationship[typeCode=RSON].priority
account	.pertains.A_Account
hospitalization     admission	.outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]
preAdmissionIdentifier	.id
origin	.participation[typeCode=ORG].role
admitSource	.admissionReferralSourceCode
reAdmission	n/a
dietPreference	.outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code="diet"]
specialCourtesy	.specialCourtesiesCode
specialArrangement	.specialArrangementCode
destination	.participation[typeCode=DST]
dischargeDisposition	.dischargeDispositionCode
location	.participation[typeCode=LOC]
location	.role
status	.role.statusCode
period	.time