Release 4 5

This page is part of the FHIR Specification (v4.0.1: R4 (v5.0.0: R5 - Mixed Normative and STU ) ). This is the current published version in it's permanent home (it will always be available at this URL). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

9.2.7 9.2.8 Resource Condition - Mappings

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

Mappings:

FiveWs Pattern Mapping

Workflow Pattern HL7 v2 V2 Mapping

SNOMED CT Attribute Binding

SNOMED CT Concept Domain Binding

RIM Mapping

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

9.2.7.1 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]
    encounter FiveWs.context
    onset[x] FiveWs.init
    abatement[x] FiveWs.done[x]
    recordedDate FiveWs.recorded
    recorder FiveWs.author     asserter FiveWs.source         code FiveWs.why[x]         detail FiveWs.why[x] 9.2.7.2 Workflow Pattern ( http://hl7.org/fhir/workflow ) Condition Event     identifier Event.identifier     clinicalStatus Event.status     verificationStatus Event.status     code Event.code     subject Event.subject     encounter Event.context     onset[x] Event.occurrence[x]         code Event.reasonCode     note         actor Event.note FiveWs.who

9.2.7.3 9.2.8.2 HL7 v2 V2 Mapping ( http://hl7.org/v2 icon )

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
    subject PID-3
    encounter PV1-19 (+PV1-54)
    onset[x] PRB-16
    abatement[x]
    recordedDate REL-11
    recorder     participant
    asserter REL-7.1 identifier + REL-7.12 type code     stage         function
        summary         actor PRB-14
        assessment     stage
        type         summary PRB-14
    evidence         assessment
        code         type
        detail     evidence
    note NTE child of PRB

9.2.7.4 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 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
    encounter
    onset[x]
    abatement[x]
    recordedDate
    recorder     asserter     participant
    stage         function
        summary         actor
        assessment     stage
        type         summary
    evidence         assessment
        code         type
        detail     evidence
    note

9.2.7.5 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 code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS (
<< 420134006 |Propensity to adverse reactions| MINUS OR
<< 473010000 |Hypersensitivity condition| MINUS OR
<< 79899007 |Drug interaction| MINUS OR
<< 69449002 |Drug action| MINUS OR
<< 441742003 |Evaluation finding| MINUS OR
<< 307824009 |Administrative status| MINUS OR
<< 385356007 |Tumor stage finding|) finding|))
OR < 413350009 |Finding with explicit context|
OR < 272379006 |Event|
    bodySite < 442083009 |Anatomical or acquired body structure|
    subject
    encounter
    onset[x]
    abatement[x]
    recordedDate
    recorder     participant
    asserter         function
        actor
    stage
        summary < 254291000 |Staging and scales|
        assessment
        type
    evidence
        code < 404684003 |Clinical finding|         detail     note

9.2.7.6 9.2.8.5 RIM Mapping ( http://hl7.org/v3 icon )

.participation[typeCode=AUT].role .participation[typeCode=INF].role
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 .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
    recorder     participant .participation[typeCode=PRF]
    asserter         function .participation.functionCode
        actor .player
    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]
        code [code="diagnosis"].value         detail .self     note .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value