Release 5

This page is part of the FHIR Specification (v5.0.0: R5 - STU). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

9.2.8 Resource Condition - Mappings

Patient Care icon Work Group Maturity Level: N/A Standards Status: Informative Security Category: Patient Compartments: Encounter, Patient, Practitioner, RelatedPerson

Mappings for the condition resource (see Mappings to Other Standards for further information & status).

9.2.8.1 FiveWs Pattern Mapping (http://hl7.org/fhir/fivews icon)

Condition clinical.general
identifier FiveWs.identifier
clinicalStatus FiveWs.status
verificationStatus FiveWs.status
category FiveWs.class
severity FiveWs.grade
code FiveWs.what[x]
subject FiveWs.subject[x]
encounter FiveWs.context
onset[x] FiveWs.init
abatement[x] FiveWs.done[x]
recordedDate FiveWs.recorded
actor FiveWs.who

9.2.8.2 HL7 V2 Mapping (http://hl7.org/v2 icon)

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

9.2.8.3 SNOMED CT Attribute Binding (http://snomed.org/attributebinding icon)

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
Condition
identifier
clinicalStatus
verificationStatus 408729009
category
severity 246112005
code 246090004
bodySite 363698007
subject
encounter
onset[x]
abatement[x]
recordedDate
participant
function
actor
stage
summary
assessment
type
evidence
note

9.2.8.4 SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain icon)

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 < 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|)
identifier
clinicalStatus < 303105007 |Disease phases|
verificationStatus < 410514004 |Finding context value|
category < 404684003 |Clinical finding|
severity < 272141005 |Severities|
code (< 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 < 413350009 |Finding with explicit context|
OR < 272379006 |Event|
bodySite < 442083009 |Anatomical or acquired body structure|
subject
encounter
onset[x]
abatement[x]
recordedDate
participant
function
actor
stage
summary < 254291000 |Staging and scales|
assessment
type
evidence
note

9.2.8.5 RIM Mapping (http://hl7.org/v3 icon)

Condition Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
identifier .id
clinicalStatus Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
verificationStatus Observation ACT
.inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
category .code
severity Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
code .value
bodySite .targetBodySiteCode
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
participant .participation[typeCode=PRF]
function .participation.functionCode
actor .player
stage ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
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]
note .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

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