FHIR Release 3 (STU) 4

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2.41.9 2.41.10 Resource Composition - Mappings

Structured Documents Work Group Maturity Level : N/A Ballot Standards Status : Informative Security Category : Not Classified Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Mappings:

RIM FiveWs Pattern Mapping

Workflow Pattern

CDA (R2)

RIM Mapping

FHIR DocumentReference

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

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

Composition
    identifier FiveWs.identifier
    status FiveWs.status
    type FiveWs.class
    category FiveWs.class
    subject FiveWs.subject[x]
    encounter FiveWs.context
    date FiveWs.done[x]
    author FiveWs.author
        party FiveWs.witness
        author FiveWs.author
        mode FiveWs.class

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

Composition Event
    identifier Event.identifier
    status Event.status
    type Event.code
    category Event.subject
    encounter Event.context
    date Event.occurrence[x]
    author Event.performer

2.41.10.3 CDA (R2) ( http://hl7.org/v3/cda )

Composition ClinicalDocument
  (meta.profile) ClinicalDocument.templateId
  (language) ClinicalDocument.languageCode
    identifier .setId
    status n/a
    type .code
    category n/a
    subject .recordTarget
    encounter .componentOf.encompassingEncounter
    date .effectiveTime
    author .author.assignedAuthor
    title .title
    confidentiality .confidentialityCode
    attester .authenticator/.legalAuthenticator
        mode implied by .authenticator/.legalAuthenticator
        time .authenticator.time
        party .authenticator.assignedEnttty
    custodian .custodian.assignedCustodian
    relatesTo .relatedDocument
        code .relatedDocument.typeCode
        target[x] .relatedDocument.id
    event .documentationOf.serviceEvent
        code .code
        period .effectiveTime
        detail n/a
    section .component.structuredBody.component.section
        title .title
        code .code
        author .author.assignedAuthor
        focus .subject? (CDA did not differentiate between subject and focus)
        text .text
        mode n/a
        orderedBy n/a
        entry .entry
        emptyReason n/a
        section .component.section

2.41.9.1 2.41.10.4 Mappings for RIM Mapping (http://hl7.org/v3) ( http://hl7.org/v3 )

.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code .participation[typeCode="SBJ"].role[typeCode="PAT"] .effectiveTime[type="TS"] .participation[typeCode="AUT"].role[classCode="ASSIGNED"] .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] ./time[type="TS" ./role[classCode="ASSIGNED" .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" .target[classCode="DOC", moodCode="EVN"].id .outboundRelationship[typeCode="SUBJ"].target ./outboundRelationship[typeCode="COMP" .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value .inboundRelationship[typeCode=SUBJ,code<{ListEmptyReason}].value[type=CD] ./outboundRelationship[typeCode="COMP"
Composition Document[classCode="DOC" Document[classCode="DOC" and moodCode="EVN" moodCode="EVN" and isNormalAct()]
    identifier Document.id / Document.setId
    status interim: .completionCode="IN" .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" moodCode="EVN" and domainMember("ReviseComposition", domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" moodCode="EVN" and domainMember("ReviseComposition", domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete" ./statusCode[isNormalDatatype()]="obsolete"
    type ./code
    class     category .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
    subject .participation[typeCode="SBJ"].role[typeCode="PAT"]
    encounter unique(highest(./outboundRelationship[typeCode="SUBJ" unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") classCode=("ENC", "PCPR") and isNormalAct])
    date .effectiveTime[type="TS"]
    author .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
    title ./title
    confidentiality .confidentialityCode
    attester .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
        mode unique(./modeCode)
        time ./time[type="TS" and isNormalDatatype()]
        party ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" not(player)]/scoper[determinerCode="INST" and classCode="ORG" classCode="ORG" and isNormalEntity()]
    custodian .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] determinerCode="INST"]
    relatesTo .outboundRelationship
        code .outboundRelationship.typeCode
        target[x] .target[classCode="DOC", moodCode="EVN"].id
    event outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT'] outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
        code .code
        period .effectiveTime
        detail .outboundRelationship[typeCode="SUBJ"].target
    section ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" classCode="DOCSECT" and isNormalAct]
        title ./title
        code ./code
        author .participation[typeCode="AUT"].role[classCode="ASSIGNED"]
        text .text
        mode .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
        orderedBy .outboundRelationship[typeCode=COMP].sequenceNumber > 1
        entry .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
        emptyReason .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
        section ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" classCode="DOCSECT" and isNormalAct]

2.41.9.2 2.41.10.5 Mappings for CDA (R2) (http://hl7.org/v3/cda) FHIR DocumentReference ( http://hl7.org/fhir/documentreference )

.setId .code .recordTarget .componentOf.encompassingEncounter .effectiveTime .author.assignedAuthor .title .confidentialityCode .authenticator/.legalAuthenticator .authenticator.time .authenticator.assignedEnttty .custodian.assignedCustodian .relatedDocument .relatedDocument.typeCode .relatedDocument.id .documentationOf.serviceEvent .code .effectiveTime .component.structuredBody.component.section .title .code .text .entry .component.section
Composition ClinicalDocument   (meta.profile) ClinicalDocument.templateId   (language) ClinicalDocument.languageCode when described by DocumentReference
    identifier DocumentReference.masterIdentifier
    status n/a DocumentReference.status
    type DocumentReference.type
    class     category n/a DocumenttReference.category
    subject DocumentReference.subject
    encounter DocumentReference.context.encounter
    date DocumentReference.content.attachment.date, DocumentReference.created
    author DocumentReference.agent
    title DocumentReference.description, DocumentReference.content.attachment.title
    confidentiality DocumentReference.securityLabel
    attester DocumentReference.authenticator
        mode implied by .authenticator/.legalAuthenticator
        time
        party
    custodian DocumentReference.custodian
    relatesTo DocumentReference.relatesTo
        code DocumentReference.relatesTo.code
        target[x] DocumentReference.relatesTo.target
    event DocumentReference.event
        code DocumentReference.event.code
        period DocumentReference.event.period
        detail n/a
    section
        title
        code
        author
        focus
        text
        mode n/a
        orderedBy n/a
        entry
        emptyReason n/a
        section