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: DischargeMedicalSummaryProcedureSurgicalMethod - Mappings

Active as of 2022-12-08

Mappings for the ProcedureDMSSurgicalMethod resource profile.

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

DischargeMedicalSummaryProcedureSurgicalMethod
ProcedureEvent
   identifierEvent.identifier
   instantiatesCanonicalEvent.instantiatesCanonical
   instantiatesUriEvent.instantiatesUri
   basedOnEvent.basedOn
   partOfEvent.partOf
   statusEvent.status
   subjectEvent.subject
   encounterEvent.context
   performed[x]Event.occurrence[x]
   performed[x] (performedDateTime)Event.occurrence[x]
   performerEvent.performer
      actorEvent.performer.actor
   reasonReferenceEvent.reasonReference
   noteEvent.note

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

DischargeMedicalSummaryProcedureSurgicalMethod
ProcedureEntity. Role, or Act, Procedure[moodCode=EVN]
   textAct.text?
   containedN/A
   identifier.id
   instantiatesCanonical.outboundRelationship[typeCode=DEFN].target
   instantiatesUri.outboundRelationship[typeCode=DEFN].target
   basedOn.outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code
   partOf.inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]
   statusstatusCode
   statusReasonn/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
   coden/a, CD
      idn/a
      codingn/a, CV
      coding (icd10-pcs-2021)n/a, CV
      coding (icd10-pcs-2014)n/a, CV
      coding (icd9-cm-2001)n/a, CV
      coding (medical-service-payment)n/a, CV
      coding (sct-procedures)n/a, CV
      text./originalText[mediaType/code="text/plain"]/data
   subject.participation[typeCode=SBJ].role
   encounter.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   performed[x].effectiveTime
   performed[x] (performedDateTime).effectiveTime
   recorder.participation[typeCode=AUT].role
   asserter.participation[typeCode=INF].role
   performer.participation[typeCode=PRF]
      idn/a
      functionn/a, CD
      actor.role
      onBehalfOf.scoper
   location.participation[typeCode=LOC].role[classCode=SDLOC]
   reasonCoden/a, CD
   reasonReference.reasonCode
   bodySiten/a, CD
   outcomen/a, CD
   report.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]
   complicationn/a, CD
   complicationDetail.outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value
   followUpn/a, CD
   note.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
   focalDevice.participation[typeCode=DEV].role[classCode=MANU]
      idn/a
      actionn/a, CD
      manipulated.participation[typeCode=DEV].role[classCode=SDLOC]
   usedReference.participation[typeCode=DEV].role[classCode=MANU] or .participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)
   usedCoden/a, CD

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

DischargeMedicalSummaryProcedureSurgicalMethod
Procedure
   identifierFiveWs.identifier
   statusFiveWs.status
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   performed[x]FiveWs.done[x]
   performed[x] (performedDateTime)FiveWs.done[x]
   recorderFiveWs.author
   asserterFiveWs.source
   performer
      actorFiveWs.actor
   locationFiveWs.where[x]
   reasonReferenceFiveWs.why[x]

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

DischargeMedicalSummaryProcedureSurgicalMethod
Procedure
   identifierSome combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4
   statusReasonCE/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
   codeCE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      coding (icd10-pcs-2021)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      coding (icd10-pcs-2014)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      coding (icd9-cm-2001)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      coding (medical-service-payment)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      coding (sct-procedures)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
   subjectPID-3
   encounterPV1-19
   performed[x]OBR-7
   performed[x] (performedDateTime)OBR-7
   performer
      functionCE/CNE/CWE
      actorORC-19/PRT-5
   reasonCodeCE/CNE/CWE
   bodySiteCE/CNE/CWE
   outcomeCE/CNE/CWE
   complicationCE/CNE/CWE
   followUpCE/CNE/CWE
   noteNTE
   focalDevice
      actionCE/CNE/CWE
   usedCodeCE/CNE/CWE