Da Vinci Unsolicited Notifications
1.1.0-preview - STU 1.1 Preview
Da Vinci Unsolicited Notifications
1.1.0-preview - STU 1.1 Preview
This page is part of the Da Vinci Unsolicited Notifications (v1.1.0-preview: QA Preview) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-alerts/ConceptMap/direct-alerts | Version: 1.1.0-preview | |||
| Standards status: Trial-use | Maturity Level: 2 | Computable Name: DirectAlerts | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.47.18.1 | ||||
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Since May 1, 2021 CMS requires that hospitals send notifications electronically for admit, transfer and discharge events to the patient's care team members, for which most implementations currently use V2 ADT messages. As a result DirectTrust, a consensus body of forty organizations and individuals representing the care continuum, collaborated in creating an Implementation Guide using Direct Secure Messaging for both senders and receivers. The Event Notifications via the Direct Standard® defines the necessary data element to cover the CMS rules, maps those to the V2 elements in several ADT message structures and provides the value sets for coded elements.
These V2 elements have been mapped them to their respective location in this DaVinci FHIR IG for the Admit-Transfer-Discharge Use case. In addition, the value set concepts between the two product families have been mapped, where possible.
This ConceptMap summarizes the Direct ADT message to the Da Vinci Notification Terminology Mappings. Complete mappings can be downloaded as an excel file at https://hl7.org/fhir/us/davinci-alerts/tables/DirectToDaVinciMap.xlsx.
Generated Narrative: ConceptMap direct-alerts
Mapping from https://directtrust.org/what-we-do/direct-secure-messaging to http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts
Group 1 Mapping from Logical Observation Identifiers, Names and Codes (LOINC) to Da Vinci Event CodeSystem Notification
| Source Code | Relationship | Target Code | Comment |
| 86530-3 (Visit notification) | is equivalent to | notification-referral (Referral Notification) | |
| 86532-9 (Admission notification) | is equivalent to | notification-admit (Admit Notification) | Alerts terminology doesn't distinguish types of sevice locations |
| 98141-5 (Emergency department Admission notification) | is equivalent to | notification-admit (Admit Notification) | |
| 79429-7 (Hospital Admission notification) | is equivalent to | notification-admit (Admit Notification) | Alerts terminology doesn't distinguish between in and out patients |
| 79430-5 (Hospital Discharge notification) | (not mapped) | ||
| 80110-0 (Emergency department Visit notification) | (not mapped) | ||
| 98143-1 (Emergency department Arrival notification) | (not mapped) | ||
| 86532-9 (Admission notification) | (not mapped) | ||
| 98144-9 (Emergency department Departure notification) | (not mapped) | ||
| 86531-1 (Discharge notification) | is equivalent to | notification-discharge (Discharge Notification) | |
| 98142-3 (Emergency department Discharge notification) | (not mapped) | ||
| 98145-6 (Outpatient Visit notification) | is equivalent to | notification-outpatient-visit (Outpatient Visit Notification) | |
Group 2 Mapping from patientClass to ActCode
| Source Code | Relationship | Target Code | Comment |
| E (Emergency) | is equivalent to | EMER (emergency) | |
| I (Inpatient) | is equivalent to | IMP (inpatient encounter) | |
| O (Outpatient) | is equivalent to | AMB (ambulatory) | |
| P (Preadmit) | is equivalent to | PRENC (pre-admission) | |
| R (Recurring patient) | (not mapped) | ||
| B (Obstetrics) | (not mapped) | ||
| C (Commercial Account) | (not mapped) | ||
| N (Not Applicable) | (not mapped) | ||
| U (Unknown) | (not mapped) | ||
| I (Inpatient) | is equivalent to | ACUTE (inpatient acute) | If this is needed in Direct Trust, can consider expanding the value set |
| I (Inpatient) | is equivalent to | NONAC (inpatient non-acute) | If this is needed in Direct Trust, can consider expanding the value set |
Group 3 Mapping from unspecified code system to ActCode
| Source Code | Relationship | Target Code | Comment |
| S (Short Stay) | is equivalent to | SS (short stay) | S is an extension to the base PV1-2 patientClass value set in V2 |
| V (Observation) | is equivalent to | OBSENC (observation encounter) | V is an extension to the base PV1-2 patientClass value set in V2 |
Group 4 Mapping from providerRole to ParticipationType
| Source Code | Relationship | Target Code | Comment |
| AD (Admitting) | is equivalent to | ADM (admitter) | Also in PV1-17 Admitting Doctor in v2 |
| AT (Attending) | is equivalent to | ATND (attender) | Also in PV1-7 Attending Doctor in v2 |
| CP (Consulting Provider) | is equivalent to | CON (consultant) | Also in PV1-9 Consulting Doctor |
| FHCP (Family Health Care Professional) | (not mapped) | ||
| PP (Primary Care Provider) | (not mapped) | ||
| RP (Referring Provider) | is equivalent to | REF (referrer) | Also in PV1-8 Referring doctor in v2 |
| RT (Referred to Provider) | is equivalent to | REFT (Referred to) | |
Group 5 Mapping from unspecified code system to ParticipationType
| Source Code | Relationship | Target Code | Comment |
| TF (Treating Facility) | is equivalent to | LOC (location) | TF is an extension to the base ROL-3 providerRole value set in V2 |
Group 6 Mapping from administrativeSex to AdministrativeGender
| Source Code | Relationship | Target Code | Comment |
| F (Female) | is equivalent to | female | |
| M (Male) | is equivalent to | male | |
| O (Other) | is equivalent to | other | |
| U (Unknown) | is equivalent to | unknown | |
| A (Ambiguous) | is equivalent to | other | Since the binding in USCorePatient is required, will have to map to "other" |
| N (Not Applicable) | is equivalent to | other | Since the binding in USCorePatient is required, will have to map to "other" |
| X (Non-Binary) | is equivalent to | other | Since the binding in USCorePatient is required, will have to map to "other" |
Group 7 Mapping from nameType2 to NameUse
| Source Code | Relationship | Target Code |
| N (Nickname) | is equivalent to | nickname |
| D (Customary Name) | is equivalent to | usual |
| L (Official Registry Name) | is equivalent to | official |
| TEMP (Temporary Name) | is equivalent to | temp |
| S (Pseudonym) | is equivalent to | anonymous |
| BAD (Bad Name) | is equivalent to | old |
| M (Maiden Name) | is equivalent to | maiden (Name changed for Marriage) |
| O (Other) | (not mapped) | |
| A (Assigned) | (not mapped) | |
| B (Birth name) | is equivalent to | maiden (Name changed for Marriage) |
| C (Adopted Name) | is equivalent to | official |
| F (Fathers Name) | (not mapped) | |
| I (Licensing Name) | (not mapped) | |
| K (Business name) | (not mapped) | |
| MSK (Masked) | is equivalent to | anonymous |
| NAV (Temporarily Unavailable) | (not mapped) | |
| NB (Newborn Name) | (not mapped) | |
| NOUSE (No Longer To Be Used) | is equivalent to | old |
| P (Name of Partner/Spouse) | (not mapped) | |
| R (Registered Name) | (not mapped) | |
| REL (Religious) | (not mapped) | |
| T (Indigenous/Tribal) | is equivalent to | official |
| U (Unknown) | (not mapped) | |
Group 8 Mapping from admissionType to SNOMED CT (all versions)
| Source Code | Relationship | Target Code |
| A (Accident) | (not mapped) | |
| E (Emergency) | is equivalent to | 4525004 (Emergency department patient visit) |
| L (Labor and Delivery) | (not mapped) | |
| R (Routine) | is equivalent to | 308335008 (Patient encounter procedure) |
| N (Newborn (Birth in healthcare facility)) | (not mapped) | |
| U (Urgent) | (not mapped) | |
| C (Elective) | (not mapped) | |
Group 9 Mapping from diagnosisType to Diagnosis Role
| Source Code | Relationship | Target Code |
| A (Admitting) | is equivalent to | AD (Admission diagnosis) |
| W (Working) | (not mapped) | |
| F (Final) | is equivalent to | DD (Discharge diagnosis) |
Group 10 Mapping from relationship to RoleCode
| Source Code | Relationship | Target Code | Comment |
| MTH (Mother) | is equivalent to | MTH (Mother) | This is described specifically for the maternal health use case |
Group 11 Mapping from telecommunicationUse to ContactPointUse
| Source Code | Relationship | Target Code | Comment |
| PRN (Primary Residence Number) | is equivalent to | home | FHIR doesn't distinguish types of homes for contacts |
| ORN (Other Residence Number) | is equivalent to | home | FHIR doesn't distinguish types of homes for contacts |
| WPN (Work Number) | is equivalent to | work | |
| VHN (Vacation Home Number) | is equivalent to | home | FHIR doesn't distinguish types of homes for contacts |
| ASN (Answering Service Number) | (not mapped) | ||
| EMR (Emergency Number) | (not mapped) | ||
| PRS (Personal) | (not mapped) | ||
Group 12 Mapping from telecommunicationUse to ContactPointSystem
| Source Code | Relationship | Target Code | Comment |
| NET (Network (email) Address) | is equivalent to | would need to map to different datatype element and use different value set | |
| BPN (Beeper Number) | is equivalent to | pager | would need to map to different datatype element and use different value set |
Group 13 Mapping from telecommunicationUse to unspecified code system
| Source Code | Relationship | Target Code |
| DSM (Direct Secure Messaging) | (not mapped) | |
IG © 2024+ HL7 International / Infrastructure And Messaging. Package hl7.fhir.us.davinci-alerts#1.1.0-preview based on FHIR 4.0.1. Generated 2024-12-11
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