PFLIP HL7 FHIR Implementation Guide
0.9.0 - draft

PFLIP HL7 FHIR Implementation Guide - Local Development build (v0.9.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Condition_Medizinische_Diagnose - Mappings

Draft as of 2024-12-05

Mappings for the condition-medizinische-diagnose resource profile.

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

Condition_Medizinische_Diagnose
ConditionEvent
   identifierEvent.identifier
   clinicalStatusEvent.status
   verificationStatusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.context
   onset[x]Event.occurrence[x]
   onset[x] (onsetPeriod)Event.occurrence[x]
   onset[x] (onsetDateTime)Event.occurrence[x]
   evidence
      codeEvent.reasonCode

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

Condition_Medizinische_Diagnose
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|)
   clinicalStatus< 303105007 |Disease phases|
   verificationStatus< 410514004 |Finding context value|
   category< 404684003 |Clinical finding|
   severity< 272141005 |Severities|
   codecode 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)

Condition_Medizinische_Diagnose
ConditionPPR message
   clinicalStatusPRB-14
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   verificationStatusPRB-13
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   category'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   severityPRB-26 / ABS-3
   codePRB-3
      codingC*E.1-8, C*E.10-22
      coding (sct)C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      coding (alpha-id)C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      coding (icd10-gm)C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   bodySite
      codingC*E.1-8, C*E.10-22
      coding (sct)C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-3
   encounterPV1-19 (+PV1-54)
   onset[x]PRB-16
   onset[x] (onsetPeriod)PRB-16
      startDR.1
      endDR.2
   onset[x] (onsetDateTime)PRB-16
   recordedDateREL-11
   asserterREL-7.1 identifier + REL-7.12 type code
   stage
      summaryPRB-14

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

Condition_Medizinische_Diagnose
ConditionEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
   textAct.text?
   containedN/A
   extension
   extension (ReferenzPrimaerdiagnose)
   extension (Feststellungsdatum)
      idn/a
      urlN/A
      value[x]N/A
   modifierExtensionN/A
   identifier.id
   clinicalStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   verificationStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   category.code
   severityCan be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
   code.value
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (sct)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (alpha-id)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (icd10-gm)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   bodySite.targetBodySiteCode
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (sct)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   subject.participation[typeCode=SBJ].role[classCode=PAT]
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   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
   onset[x] (onsetPeriod).effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
      idn/a
      extensionn/a
      start./low
      end./high
   onset[x] (onsetDateTime).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
   abatement[x] (abatementDateTime).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
   abatement[x] (abatementAge).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.participation[typeCode=AUT].role
   asserter.participation[typeCode=INF].role
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   stage./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
      idn/a
      extensionn/a
      modifierExtensionN/A
      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]
      idn/a
      extensionn/a
      modifierExtensionN/A
      code[code="diagnosis"].value
      detail.self

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

Condition_Medizinische_Diagnose
Condition
   identifierFiveWs.identifier
   clinicalStatusFiveWs.status
   verificationStatusFiveWs.status
   categoryFiveWs.class
   severityFiveWs.grade
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   onset[x]FiveWs.init
   onset[x] (onsetPeriod)FiveWs.init
   onset[x] (onsetDateTime)FiveWs.init
   abatement[x]FiveWs.done[x]
   abatement[x] (abatementDateTime)FiveWs.done[x]
   abatement[x] (abatementAge)FiveWs.done[x]
   recordedDateFiveWs.recorded
   recorderFiveWs.author
   asserterFiveWs.source
   evidence
      codeFiveWs.why[x]
      detailFiveWs.why[x]

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

Condition_Medizinische_Diagnose
Condition
   verificationStatus408729009
   severity246112005
   code246090004
   bodySite363698007