DSTU2 FHIR Release 3 (STU)

This page is part of the FHIR Specification (v1.0.2: DSTU (v3.0.2: STU 2). 3). 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 R3 R2

4.3.7 9.2.7 Resource Condition - Mappings

Patient Care Work Group Maturity Level : N/A Ballot Status : Informative Compartments : Encounter , Patient , Practitioner , RelatedPerson

Mappings:

RIM Mapping

SNOMED CT Attribute Binding

SNOMED CT Concept Domain Binding

HL7 v2 Mapping

Mappings for the condition resource.

4.3.7.1 9.2.7.1 Mappings for RIM Mapping (http://hl7.org/v3)

.participation[typeCode=SBJ].role[classCode=PAT] .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] .participation[typeCode=AUT].role .participation[typeCode=AUT].time     clinicalStatus .code (pre or post-coordinated in) Can use valueNegationInd for refuted Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value .targetBodySiteCode
Condition Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
    identifier     identifier .id
    patient     clinicalStatus Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
    encounter     verificationStatus Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
    asserter     category .code
    dateRecorded     severity Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
    code     code .value
    category .code     bodySite .targetBodySiteCode
    verificationStatus     subject .participation[typeCode=SBJ].role[classCode=PAT]
    severity     context .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
    onset[x]     onset[x] .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
    abatement[x]     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
    stage     assertedDate .participation[typeCode=AUT].time
    asserter .participation[typeCode=AUT].role
    stage ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
        summary         summary .value
        assessment         assessment .self
    evidence     evidence .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
        code         code [code="diagnosis"].value
        detail         detail .self
    bodySite     note .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

9.2.7.2 Mappings for SNOMED CT Attribute Binding (http://snomed.info/sct)

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
.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
Condition
    notes     identifier
    clinicalStatus
    verificationStatus 408729009
    category
    severity 246112005
    code 246090004
    bodySite 363698007
    subject
    context
    onset[x]
    abatement[x]
    assertedDate
    asserter
    stage
        summary
        assessment
    evidence
        code
        detail
    note

4.3.7.2 9.2.7.3 Mappings for HL7 v2 (http://hl7.org/v2) SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

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 PPR message < 243796009 |Situation with explicit context|:
246090004 |Associated finding| =
((< 404684003 |Clinical finding| MINUS
<< 420134006 |Propensity to adverse reactions| MINUS
<< 473010000 |Hypersensitivity condition| MINUS
<< 79899007 |Drug interaction| MINUS
<< 69449002 |Drug action| MINUS
<< 441742003 |Evaluation finding| MINUS
<< 307824009 |Administrative status| MINUS
<< 385356007 |Tumor stage finding|) OR
< 272379006 |Event|)
    identifier     identifier
    patient     clinicalStatus PID-3 < 303105007 |Disease phases|
    encounter     verificationStatus PV1-19 (+PV1-54) < 410514004 |Finding context value|
    asserter     category < 404684003 |Clinical finding|
    severity < 272141005 |Severities|
    code REL-7.1 identifier + REL-7.12 type code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS
<< 420134006 |Propensity to adverse reactions| MINUS
<< 473010000 |Hypersensitivity condition| MINUS
<< 79899007 |Drug interaction| MINUS
<< 69449002 |Drug action| MINUS
<< 441742003 |Evaluation finding| MINUS
<< 307824009 |Administrative status| MINUS
<< 385356007 |Tumor stage finding|)
OR < 413350009 |Finding with explicit context|
OR < 272379006 |Event|
    dateRecorded     bodySite REL-11 < 442083009 |Anatomical or acquired body structure|
    code     subject
PRB-3     context
    category     onset[x]
    abatement[x]
    assertedDate
    asserter
    stage
        summary < 254291000 |Staging and scales|
        assessment
    evidence
        code < 404684003 |Clinical finding|
        detail
    note

9.2.7.4 Mappings for HL7 v2 Mapping (http://hl7.org/v2)

Condition PPR message
    identifier
    clinicalStatus PRB-14 / DG1-6
    verificationStatus PRB-13
    category 'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
    clinicalStatus     severity PRB-14 PRB-26 / DG1-6 ABS-3
    verificationStatus     code PRB-13 PRB-3
    severity     bodySite
PRB-26 / ABS-3     subject PID-3
    onset[x]     context PV1-19 (+PV1-54)
    onset[x] PRB-16
    abatement[x]     abatement[x]
    stage     assertedDate REL-11
        summary     asserter PRB-14 REL-7.1 identifier + REL-7.12 type code
        assessment     stage
    evidence         summary PRB-14
        assessment
        code     evidence
        detail         code
    bodySite         detail
    notes     note NTE child of PRB