US Core Implementation Guide (Release 1)

This page is part of the US Core (v1.0.0: STU1) based on FHIR R3. The current version which supercedes this version is 5.0.1. For a full list of available versions, see the Directory of published versions

D.4.1.4 StructureDefinition: US Core Condition (a.k.a Problem) Profile - Mappings

Mappings for the StructureDefinition-us-core-condition Profile.

Mappings for Argonaut DQ DSTU2 (http://unknown.org/Argonaut DQ DSTU2)

US Core Condition (a.k.a Problem) Profile
Condition (USCoreVitalSigns)Condition
   clinicalStatusCondition.clinicalStatus
   verificationStatusCondition.verificationStatus
   categoryCondition.category
   codeCondition.code
   subjectCondition.patient

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

US Core Condition (a.k.a Problem) Profile
Condition (USCoreVitalSigns)< 243796009 |Situation with explicit context|: 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 < 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)

US Core Condition (a.k.a Problem) Profile
Condition (USCoreVitalSigns)PPR message
   clinicalStatusPRB-14 / DG1-6
   verificationStatusPRB-13
   category'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   severityPRB-26 / ABS-3
   codePRB-3
   subjectPID-3
   contextPV1-19 (+PV1-54)
   onset[x]PRB-16
   assertedDateREL-11
   asserterREL-7.1 identifier + REL-7.12 type code
   stage
      summaryPRB-14
   noteNTE child of PRB

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

US Core Condition (a.k.a Problem) Profile
Condition (USCoreVitalSigns)Entity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   clinicalStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
   verificationStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
   category.code
   severityCan 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]
   context.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
   assertedDate.participation[typeCode=AUT].time
   asserter.participation[typeCode=AUT].role
   stage./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
      idn/a
      extensionn/a
      modifierExtensionN/A
      summary.value
      assessment.self
   evidence.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      code[code="diagnosis"].value
      detail.self
   note.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

US Core Condition (a.k.a Problem) Profile
Condition (USCoreVitalSigns)clinical.general
   identifierid
   clinicalStatusstatus
   verificationStatusstatus
   categoryclass
   severitygrade
   codewhat
   subjectwho.focus
   contextcontext
   onset[x]when.init
   abatement[x]when.done
   assertedDatewhen.recorded
   asserterwho.author
   evidence
      codewhy
      detailwhy

Mappings for SNOMED CT Attribute Binding (http://snomed.info/sct)

US Core Condition (a.k.a Problem) Profile
Condition (USCoreVitalSigns)
   verificationStatus408729009
   severity246112005
   code246090004
   bodySite363698007