C-CDA on FHIR
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This page is part of the C-CDA on FHIR Implementation Guide (v1.2.0: STU 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: FHIR Data Absent Reason to C-CDA NullFlavor - JSON Representation

Active as of 2024-03-12

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{
  "resourceType" : "ConceptMap",
  "id" : "FC-DataAbsentReasonNullFlavor",
  "text" : {
    "status" : "extensions",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>Mapping from <a href=\"http://hl7.org/fhir/R4/valueset-data-absent-reason.html\">DataAbsentReason</a> to <a href=\"http://terminology.hl7.org/5.3.0/ValueSet-v3-NullFlavor.html\">NullFlavor</a></p><p>ACTIVE. Published on 2024-03-12 19:27:21+0000 by HL7 International / Cross-Group Projects (HL7 International / Cross-Group Projects: <a href=\"http://www.hl7.org/Special/committees/cgp\">http://www.hl7.org/Special/com...</a>). </p><div><p>FHIR Data Absent Reason to C-CDA NullFlavor. Adapted from https://hl7.org/fhir/R4/cm-data-absent-reason-v3.html but several key changes have been made. Note that this prior concept map (from R4) is no longer included in current FHIR build.</p>\n</div><br/><p><b>Group 1</b>Mapping from <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-data-absent-reason.html\">DataAbsentReason</a> to <a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-v3-NullFlavor.html\">NullFlavor</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>unknown</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>NI (NoInformation)</td><td>In CDA, 'UNK' means 'a proper value is applicable, but not known.' Guidance has been to use this when the value is known to exist and to use the broader 'NI' when no specific information about why the value is unknown. FHIR's data absent reason of 'unknown' better maps to 'NI'.</td></tr><tr><td>asked-unknown (Asked But Unknown)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>ASKU (asked but unknown)</td><td/></tr><tr><td>temp-unknown (Temporarily Unknown)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>NAV (temporarily unavailable)</td><td/></tr><tr><td>not-asked</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>NASK (not asked)</td><td/></tr><tr><td>asked-declined (Asked But Declined)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>UNK (unknown)</td><td/></tr><tr><td>masked</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>MSK (masked)</td><td/></tr><tr><td>not-applicable</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>NA (not applicable)</td><td/></tr><tr><td>unsupported</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>NI (NoInformation)</td><td/></tr><tr><td>as-text</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>OTH (other)</td><td/></tr><tr><td>error</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>NAV (temporarily unavailable)</td><td/></tr><tr><td>not-a-number (Not a Number (NaN))</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>OTH (other)</td><td/></tr><tr><td>negative-infinity (Negative Infinity (NINF))</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>NINF (negative infinity)</td><td/></tr><tr><td>positive-infinity (Positive Infinity (PINF))</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>PINF (positive infinity)</td><td/></tr><tr><td>not-performed</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>NASK (not asked)</td><td/></tr><tr><td>not-permitted</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0-snapshot1/CodeSystem-concept-map-equivalence.html#wider\" title=\"wider\">maps to wider concept</a></td><td>OTH (other)</td><td/></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "cgp"
    }
  ],
  "url" : "http://hl7.org/fhir/us/ccda/ConceptMap/FC-DataAbsentReasonNullFlavor",
  "version" : "1.2.0",
  "name" : "FHIRtoCCDADataAbsentReasonNullFlavor",
  "title" : "FHIR Data Absent Reason to C-CDA NullFlavor",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-03-12T19:27:21+00:00",
  "publisher" : "HL7 International / Cross-Group Projects",
  "contact" : [
    {
      "name" : "HL7 International / Cross-Group Projects",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/cgp"
        }
      ]
    }
  ],
  "description" : "FHIR Data Absent Reason to C-CDA NullFlavor. Adapted from https://hl7.org/fhir/R4/cm-data-absent-reason-v3.html but several key changes have been made. Note that this prior concept map (from R4) is no longer included in current FHIR build.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "sourceUri" : "http://hl7.org/fhir/ValueSet/data-absent-reason",
  "targetUri" : "http://terminology.hl7.org/ValueSet/v3-NullFlavor",
  "group" : [
    {
      "source" : "http://terminology.hl7.org/CodeSystem/data-absent-reason",
      "target" : "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
      "element" : [
        {
          "code" : "unknown",
          "display" : "Unknown",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "wider"
                }
              ],
              "code" : "NI",
              "display" : "NoInformation",
              "equivalence" : "wider",
              "comment" : "In CDA, 'UNK' means 'a proper value is applicable, but not known.' Guidance has been to use this when the value is known to exist and to use the broader 'NI' when no specific information about why the value is unknown. FHIR's data absent reason of 'unknown' better maps to 'NI'."
            }
          ]
        },
        {
          "code" : "asked-unknown",
          "display" : "Asked But Unknown",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "ASKU",
              "display" : "asked but unknown",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "temp-unknown",
          "display" : "Temporarily Unknown",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "NAV",
              "display" : "temporarily unavailable",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "not-asked",
          "display" : "Not Asked",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "NASK",
              "display" : "not asked",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "asked-declined",
          "display" : "Asked But Declined",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "wider"
                }
              ],
              "code" : "UNK",
              "display" : "unknown",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "masked",
          "display" : "Masked",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "MSK",
              "display" : "masked",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "not-applicable",
          "display" : "Not Applicable",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "NA",
              "display" : "not applicable",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "unsupported",
          "display" : "Unsupported",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "wider"
                }
              ],
              "code" : "NI",
              "display" : "NoInformation",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "as-text",
          "display" : "As Text",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "wider"
                }
              ],
              "code" : "OTH",
              "display" : "other",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "error",
          "display" : "Error",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "wider"
                }
              ],
              "code" : "NAV",
              "display" : "temporarily unavailable",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "not-a-number",
          "display" : "Not a Number (NaN)",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "wider"
                }
              ],
              "code" : "OTH",
              "display" : "other",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "negative-infinity",
          "display" : "Negative Infinity (NINF)",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "NINF",
              "display" : "negative infinity",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "positive-infinity",
          "display" : "Positive Infinity (PINF)",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "equivalent"
                }
              ],
              "code" : "PINF",
              "display" : "positive infinity",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "not-performed",
          "display" : "Not Performed",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "wider"
                }
              ],
              "code" : "NASK",
              "display" : "not asked",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "not-permitted",
          "display" : "Not Permitted",
          "target" : [
            {
              "modifierExtension" : [
                {
                  "url" : "http://hl7.org/fhir/1.0/StructureDefinition/extension-ConceptMap.element.target.equivalence",
                  "valueCode" : "wider"
                }
              ],
              "code" : "OTH",
              "display" : "other",
              "equivalence" : "wider"
            }
          ]
        }
      ]
    }
  ]
}