HL7 FHIR® Implementation Guide: Electronic Case Reporting (eCR) - US Realm
1.1.0 - STU 2 Ballot

This page is part of the electronic Case Reporting (eCR) (v1.1.0: STU 2 on FHIR R4 Ballot 1) based on FHIR R4. The current version which supercedes this version is 2.1.0. For a full list of available versions, see the Directory of published versions

Resource Profile: USPublicHealthEncounter - Mappings

Mappings for the us-ph-encounter resource profile.

Mappings for eCR FHIR to CDA Mapping ()

This table maps FHIR eCR profile elements to eICR/RR CDA template elements located in the CDA eICR

USPublicHealthEncounter
Encounter
   identifier[eICR R2 STU2][RR R1 STU1] ClinicalDocument/componentOf/encompassingEncounter/id
   class[eICR R2 STU2][RR R1 STU1] ClinicalDocument/componentOf/encompassingEncounter/code
   type[eICR R2 STU2][RR R1 STU1] ClinicalDocument/componentOf/encompassingEncounter/code/translation
   diagnosis
      extension (sliceEncounterDiagnosisTrigger)[eICR R2 STU2] Initial Case Report Trigger Code Problem Observation
   location[eICR R2 STU2][RR R1 STU1] ClinicalDocument/componentOf/encompassingEncounter/location/healthCareFacility/code

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

USPublicHealthEncounter
EncounterEvent
   identifierEvent.identifier
   statusEvent.status
   typeEvent.code
   serviceTypeEvent.code
   subjectEvent.subject
   episodeOfCareEvent.context
   basedOnEvent.basedOn
   participantEvent.performer
      typeEvent.performer.function
      individualEvent.performer.actor
   participant (sliceResponsibleProvider)Event.performer
      typeEvent.performer.function
      individualEvent.performer.actor
   appointmentEvent.basedOn
   periodEvent.occurrence[x]
   lengthEvent.occurrence[x]
   reasonCodeEvent.reasonCode
   reasonReferenceEvent.reasonCode
   diagnosis
      conditionEvent.reasonReference
   location
      locationEvent.location
   serviceProviderEvent.performer.actor
   partOfEvent.partOf

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

USPublicHealthEncounter
EncounterEntity. Role, or Act, Encounter[@moodCode='EVN']
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   status.statusCode
   statusHistoryn/a
      idn/a
      extensionn/a
      modifierExtensionN/A
      statusn/a
      periodn/a
   class.inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code
   classHistoryn/a
      idn/a
      extensionn/a
      modifierExtensionN/A
      classn/a
      periodn/a
   type.code
      idn/a
      extensionANY.nullFlavor
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   serviceTypen/a
   priority.priorityCode
   subject.participation[typeCode=SBJ]/role[classCode=PAT]
   episodeOfCaren/a
   basedOn.reason.ClinicalDocument
   participant.participation[typeCode=PFM]
      idn/a
      extensionn/a
      modifierExtensionN/A
      type.functionCode
      period.time
      individual.role
   participant (sliceResponsibleProvider).participation[typeCode=PFM]
      idn/a
      extensionn/a
      modifierExtensionN/A
      type.functionCode
      period.time
      individual.role
   appointment.outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]
   period.effectiveTime (low & high)
      idn/a
      extensionn/a
      start./low
      end./high
   length.lengthOfStayQuantity
   reasonCode.reasonCode
   reasonReference.reasonCode
   diagnosis.outboundRelationship[typeCode=RSON]
      idn/a
      modifierExtensionN/A
      condition.outboundRelationship[typeCode=RSON].target
      usen/a
      rank.outboundRelationship[typeCode=RSON].priority
   account.pertains.A_Account
   hospitalization.outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      preAdmissionIdentifier.id
      origin.participation[typeCode=ORG].role
      admitSource.admissionReferralSourceCode
      reAdmissionn/a
      dietPreference.outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code="diet"]
      specialCourtesy.specialCourtesiesCode
      specialArrangement.specialArrangementCode
      destination.participation[typeCode=DST]
      dischargeDisposition.dischargeDispositionCode
   location.participation[typeCode=LOC]
      idn/a
      extensionn/a
      modifierExtensionN/A
      location.role
      status.role.statusCode
      period.time
   serviceProvider.particiaption[typeCode=PFM].role
   partOf.inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]

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

USPublicHealthEncounter
Encounter
   identifierFiveWs.identifier
   statusFiveWs.status
   classFiveWs.class
   typeFiveWs.class
   priorityFiveWs.grade
   subjectFiveWs.subject[x], FiveWs.subject
   episodeOfCareFiveWs.context
   participant
      individualFiveWs.who
   participant (sliceResponsibleProvider)
      individualFiveWs.who
   periodFiveWs.done[x]
   reasonCodeFiveWs.why[x]
   reasonReferenceFiveWs.why[x]
   diagnosis
      conditionFiveWs.why[x]
   location
      locationFiveWs.where[x]

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

USPublicHealthEncounter
Encounter
   identifierPV1-19
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   statusNo clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16
   classPV1-2
   typePV1-4 / PV1-18
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   serviceTypePV1-10
   priorityPV2-25
   subjectPID-3
   episodeOfCarePV1-54, PV1-53
   participantROL
      typeROL-3 (or maybe PRT-4)
      periodROL-5, ROL-6 (or maybe PRT-5)
      individualROL-4
   participant (sliceResponsibleProvider)ROL
      typeROL-3 (or maybe PRT-4)
      periodROL-5, ROL-6 (or maybe PRT-5)
      individualROL-4
   appointmentSCH-1 / SCH-2
   periodPV1-44, PV1-45
      startDR.1
      endDR.2
   length(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes
   reasonCodeEVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )
   reasonReferenceEVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )
   diagnosis
      conditionResources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively.
   hospitalization
      preAdmissionIdentifierPV1-5
      admitSourcePV1-14
      reAdmissionPV1-13
      dietPreferencePV1-38
      specialCourtesyPV1-16
      specialArrangementPV1-15 / OBR-30 / OBR-43
      destinationPV1-37
      dischargeDispositionPV1-36
   location
      locationPV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43
   serviceProviderPL.6 & PL.1