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

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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
Condition	Event
identifier	Event.identifier
clinicalStatus	Event.status
verificationStatus	Event.status
code	Event.code
subject	Event.subject
encounter	Event.context
onset[x]	Event.occurrence[x]
evidence
code	Event.reasonCode
note	Event.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|
code	code 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
Condition	PPR message
identifier	CX / EI (occasionally, more often EI maps to a resource id or a URL)
clinicalStatus	CE/CNE/CWE, PRB-14
verificationStatus	CE/CNE/CWE, PRB-13
category	CE/CNE/CWE, 'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
severity	CE/CNE/CWE, PRB-26 / ABS-3
code	CE/CNE/CWE, PRB-3
bodySite	CE/CNE/CWE
coding	CE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3
encounter	PV1-19 (+PV1-54)
onset[x]	PRB-16
recordedDate	REL-11
asserter	REL-7.1 identifier + REL-7.12 type code
stage
summary	CE/CNE/CWE, PRB-14
type	CE/CNE/CWE
evidence
code	CE/CNE/CWE
note	N/A, NTE child of PRB

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

AstacusPrimaryCancerCondition
Condition	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
meta	n/a, N/A
implicitRules	n/a
language	n/a
text	n/a, N/A, Act.text?
contained	Entity. Role, or Act, N/A
extension	n/a, N/A
modifierExtension	n/a, N/A
identifier	n/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
clinicalStatus	n/a, CD, Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
verificationStatus	n/a, CD, Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
category	n/a, CD, .code
severity	n/a, CD, Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
code	n/a, CD, .value
bodySite	n/a, CD, .targetBodySiteCode
id	n/a
extension	n/a, N/A
coding	n/a, CV, union(., ./translation)
text	n/a, ./originalText[mediaType/code="text/plain"]/data
subject	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .participation[typeCode=SBJ].role[classCode=PAT]
encounter	n/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
recordedDate	n/a, .participation[typeCode=AUT].time
recorder	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .participation[typeCode=AUT].role
asserter	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .participation[typeCode=INF].role
stage	n/a, ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
id	n/a
extension	n/a, N/A
modifierExtension	n/a, N/A
summary	n/a, CD, .value
assessment	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .self
type	n/a, CD, ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
evidence	n/a, .outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
id	n/a
extension	n/a, N/A
modifierExtension	n/a, N/A
code	n/a, CD, [code="diagnosis"].value
detail	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .self
note	n/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
identifier	FiveWs.identifier
clinicalStatus	FiveWs.status
verificationStatus	FiveWs.status
category	FiveWs.class
severity	FiveWs.grade
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
onset[x]	FiveWs.init
abatement[x]	FiveWs.done[x]
recordedDate	FiveWs.recorded
recorder	FiveWs.author
asserter	FiveWs.source
evidence
code	FiveWs.why[x]
detail	FiveWs.why[x]

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

AstacusPrimaryCancerCondition
Condition
verificationStatus	408729009
severity	246112005
code	246090004
bodySite	363698007