Implementation Guide for Astacus project
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Implementation Guide for Astacus project - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AstacusPrimaryCancerCondition - Mappings

Draft as of 2024-05-23 Maturity Level: 4

Mappings for the astacus-primary-cancer-condition resource profile.

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

AstacusPrimaryCancerCondition
ConditionEvent
   identifierEvent.identifier
   clinicalStatusEvent.status
   verificationStatusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.context
   onset[x]Event.occurrence[x]
   evidence
      codeEvent.reasonCode
   noteEvent.note

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

AstacusPrimaryCancerCondition
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)

AstacusPrimaryCancerCondition
ConditionPPR message
   identifierCX / EI (occasionally, more often EI maps to a resource id or a URL)
   clinicalStatusCE/CNE/CWE, PRB-14
   verificationStatusCE/CNE/CWE, PRB-13
   categoryCE/CNE/CWE, 'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   severityCE/CNE/CWE, PRB-26 / ABS-3
   codeCE/CNE/CWE, PRB-3
   bodySiteCE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   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, PRB-14
      typeCE/CNE/CWE
   evidence
      codeCE/CNE/CWE
   noteN/A, NTE child of PRB

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

AstacusPrimaryCancerCondition
ConditionEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
   metan/a, N/A
   implicitRulesn/a
   languagen/a
   textn/a, N/A, Act.text?
   containedEntity. Role, or Act, N/A
   extensionn/a, N/A
   modifierExtensionn/a, N/A
   identifiern/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT], .id
   clinicalStatusn/a, CD, Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
   verificationStatusn/a, CD, Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
   categoryn/a, CD, .code
   severityn/a, CD, Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
   coden/a, CD, .value
   bodySiten/a, CD, .targetBodySiteCode
      idn/a
      extensionn/a, N/A
      codingn/a, CV, union(., ./translation)
      textn/a, ./originalText[mediaType/code="text/plain"]/data
   subjectn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .participation[typeCode=SBJ].role[classCode=PAT]
   encountern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   onset[x]n/a, .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
   abatement[x]n/a, .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
   recordedDaten/a, .participation[typeCode=AUT].time
   recordern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .participation[typeCode=AUT].role
   assertern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .participation[typeCode=INF].role
   stagen/a, ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
      idn/a
      extensionn/a, N/A
      modifierExtensionn/a, N/A
      summaryn/a, CD, .value
      assessmentn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .self
      typen/a, CD, ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
   evidencen/a, .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a, N/A
      modifierExtensionn/a, N/A
      coden/a, CD, [code="diagnosis"].value
      detailn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .self
   noten/a, Act, .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

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

AstacusPrimaryCancerCondition
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
   abatement[x]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)

AstacusPrimaryCancerCondition
Condition
   verificationStatus408729009
   severity246112005
   code246090004
   bodySite363698007