Interweave Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the R4 profiles here.

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Resource Profile: CareConnect-Condition-1 - Mappings

Draft as of 2018-11-05

Mappings for the CareConnect-Condition-1 resource profile.

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

CareConnect-Condition-1
Condition	< 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|)
clinicalStatus	< 303105007 |Disease phases|
category	< 404684003 |Clinical finding|
severity	< 272141005 |Severities|
code	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|
bodySite	< 442083009 |Anatomical or acquired body structure|
stage
summary	< 254291000 |Staging and scales|
evidence
code	< 404684003 |Clinical finding|

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

CareConnect-Condition-1
Condition	PPR message
identifier
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
clinicalStatus	PRB-14 / DG1-6
category	'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
severity	PRB-26 / ABS-3
code	PRB-3
coding	C*E.1-8, C*E.10-22
coding (snomedCT)	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
bodySite
coding	C*E.1-8, C*E.10-22
coding (snomedCT)	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3
context	PV1-19 (+PV1-54)
onset[x]	PRB-16
assertedDate	REL-11
asserter	REL-7.1 identifier + REL-7.12 type code
stage
summary	PRB-14
coding	C*E.1-8, C*E.10-22
coding (snomedCT)	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
note	NTE child of PRB
author[x]	N/A
time	N/A
text	N/A

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

CareConnect-Condition-1
Condition	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
text	Act.text?
contained	N/A
extension (episodisity)	n/a, N/A
modifierExtension	N/A
identifier	.id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
clinicalStatus	Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
category	.code
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
severity	Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
code	.value
id	n/a
extension	n/a
coding	union(., ./translation)
coding (snomedCT)	union(., ./translation)
id	n/a
extension (snomedCTDescriptionID)	n/a, N/A
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
bodySite	.targetBodySiteCode
id	n/a
extension	n/a
coding	union(., ./translation)
coding (snomedCT)	union(., ./translation)
id	n/a
extension (snomedCTDescriptionID)	n/a, N/A
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
subject	.participation[typeCode=SBJ].role[classCode=PAT]
context	.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
assertedDate	.participation[typeCode=AUT].time
asserter	.participation[typeCode=AUT].role
stage	./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
id	n/a
extension	n/a
modifierExtension	N/A
summary	.value
id	n/a
extension	n/a
coding	union(., ./translation)
coding (snomedCT)	union(., ./translation)
id	n/a
extension (snomedCTDescriptionID)	n/a, N/A
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
assessment	.self
evidence	.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
code	[code="diagnosis"].value
detail	.self
note	.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
id	n/a
extension	n/a
author[x]	Act.participant[typeCode=AUT].role
time	Act.effectiveTime
text	Act.text

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

CareConnect-Condition-1
Condition	clinical.general
identifier	id
clinicalStatus	status
category	class
severity	grade
code	what
subject	who.focus
context	context
onset[x]	when.init
abatement[x]	when.done
assertedDate	when.recorded
asserter	who.author
evidence
code	why
detail	why

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

CareConnect-Condition-1
Condition
severity	246112005
code	246090004
bodySite	363698007