電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build

This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: PMRConditionMajorIllness - Mappings

Draft as of 2024-08-23

Mappings for the PMRConditionMajorIllness resource profile.

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

PMRConditionMajorIllness
ConditionEvent
   identifierEvent.identifier
   subjectEvent.subject
   encounterEvent.context
   onset[x]Event.occurrence[x]
   noteEvent.note

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

PMRConditionMajorIllness
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|)

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

PMRConditionMajorIllness
ConditionPPR message
   clinicalStatusCE/CNE/CWE
   verificationStatusCE/CNE/CWE
   categoryCE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6
         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
   severityCE/CNE/CWE
   codeCE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      coding (icd10-cm-2021)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
         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-cm-2014)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
         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 (icd9-cm-2001)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
         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 (absentOrUnknownProblem)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      coding (sct)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      textC*E.9. But note many systems use C*E.2 for this
   bodySiteCE/CNE/CWE
   subjectPID-3
   encounterPV1-19 (+PV1-54)
   onset[x]PRB-16
   recordedDateREL-11
   asserterREL-7.1 identifier + REL-7.12 type code
   stage
      summaryCE/CNE/CWE
      typeCE/CNE/CWE
   evidence
      codeCE/CNE/CWE
   noteNTE child of PRB
      author[x]N/A
      timeN/A
      textN/A

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

PMRConditionMajorIllness
ConditionEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
   textAct.text?
   containedN/A
   identifier.id
   clinicalStatusn/a, CD
   verificationStatusn/a, CD
   categoryn/a, CD
      idn/a
      codingn/a, CV
         idn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   severityn/a, CD
   coden/a, CD
      idn/a
      codingn/a, CV
      coding (icd10-cm-2021)n/a, CV
         idn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (icd10-cm-2014)n/a, CV
         idn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (icd9-cm-2001)n/a, CV
         idn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (absentOrUnknownProblem)n/a, CV
      coding (sct)n/a, CV
      text./originalText[mediaType/code="text/plain"]/data
   bodySiten/a, CD
   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.participation[typeCode=AUT].role
   asserter.participation[typeCode=INF].role
   stage./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
      idn/a
      summaryn/a, CD
      assessment.self
      typen/a, CD
   evidence.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
      idn/a
      coden/a, CD
      detail.self
   note.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
      idn/a
      extensionn/a
      author[x]Act.participant[typeCode=AUT].role
      timeAct.effectiveTime
      textAct.text

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

PMRConditionMajorIllness
Condition
   identifierFiveWs.identifier
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   onset[x]FiveWs.init
   abatement[x]FiveWs.done[x]
   recordedDateFiveWs.recorded
   recorderFiveWs.author
   asserterFiveWs.source
   evidence
      detailFiveWs.why[x]