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Resource Profile: ComorbiditiesElixhauser - Mappings

Active as of 2023-03-21

Mappings for the mcode-comorbidities-elixhauser resource profile.

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

ComorbiditiesElixhauser
Observation	Event
identifier	Event.identifier
basedOn	Event.basedOn
partOf	Event.partOf
status	Event.status
code	Event.code
subject	Event.subject
encounter	Event.context
effective[x]	Event.occurrence[x]
performer	Event.performer.actor

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

ComorbiditiesElixhauser
Observation	< 363787002 |Observable entity|
status	< 445584004 |Report by finality status|
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	< 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
bodySite	< 123037004 |Body structure|
specimen	< 123038009 |Specimen|
device	< 49062001 |Device|
referenceRange
type	< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
appliesTo	< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
component
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (aids)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (alcoholAbuse)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (deficiencyAnemia)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (arthropathy)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (bloodLossAnemia)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (cancerLeukemia)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (cancerLymphoma)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (cancerMetastatic)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (cancerSolidInSitu)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (cancerSolidMalignant)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (cerebrovascular)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (congestiveHeartFailure)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (coagulopathy)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (dementia)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (depression)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (diabetesComplicated)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (diabetesUncomplicated)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (drugAbuse)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (hypertensionComplicated)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (hypertensionUncomplicated)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (liverDiseaseMild)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (liverDiseaseSevere)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (chronicPulmonaryDisease)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (neurologicalMovement)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (neurologicalOther)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (neurologicalSeizure)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (obesity)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (paralysis)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (peripheralVascularDisease)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (psychosis)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (pulmonaryCirculationDisorder)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (renalFailureModerate)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (renalFailureSevere)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (hypothyroidism)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (thyroidOther)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (ulcer)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (valvularDisease)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (weightLoss)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|

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

ComorbiditiesElixhauser
Observation	OBX
identifier	OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
basedOn	ORC
partOf	Varies by domain
status	OBX-11
code	OBX-3
subject	PID-3
focus	OBX-3
encounter	PV1
effective[x]	OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
issued	OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
performer	OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
note	NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
bodySite	OBX-20
method	OBX-17
specimen	SPM segment
device	OBX-17 / PRT -10
referenceRange	OBX.7
low	OBX-7
high	OBX-7
type	OBX-10
appliesTo	OBX-10
text	OBX-7
hasMember	Relationships established by OBX-4 usage
derivedFrom	Relationships established by OBX-4 usage
component	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (aids)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (alcoholAbuse)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (deficiencyAnemia)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (arthropathy)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (bloodLossAnemia)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (cancerLeukemia)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (cancerLymphoma)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (cancerMetastatic)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (cancerSolidInSitu)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (cancerSolidMalignant)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (cerebrovascular)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (congestiveHeartFailure)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (coagulopathy)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (dementia)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (depression)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (diabetesComplicated)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (diabetesUncomplicated)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (drugAbuse)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (hypertensionComplicated)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (hypertensionUncomplicated)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (liverDiseaseMild)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (liverDiseaseSevere)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (chronicPulmonaryDisease)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (neurologicalMovement)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (neurologicalOther)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (neurologicalSeizure)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (obesity)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (paralysis)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (peripheralVascularDisease)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (psychosis)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (pulmonaryCirculationDisorder)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (renalFailureModerate)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (renalFailureSevere)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (hypothyroidism)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (thyroidOther)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (ulcer)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (valvularDisease)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (weightLoss)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7

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

ComorbiditiesElixhauser
Observation	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	id
basedOn	.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
partOf	.outboundRelationship[typeCode=FLFS].target
status	status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
category	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
code	code
subject	participation[typeCode=RTGT]
focus	participation[typeCode=SBJ]
encounter	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	effectiveTime
issued	participation[typeCode=AUT].time
performer	participation[typeCode=PRF]
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
note	subjectOf.observationEvent[code="annotation"].value
bodySite	targetSiteCode
method	methodCode
specimen	participation[typeCode=SPC].specimen
device	participation[typeCode=DEV]
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
low	value:IVL_PQ.low
high	value:IVL_PQ.high
type	interpretationCode
appliesTo	interpretationCode
age	outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
text	value:ST
hasMember	outBoundRelationship
derivedFrom	.targetObservation
component	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (aids)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (alcoholAbuse)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (deficiencyAnemia)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (arthropathy)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (bloodLossAnemia)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (cancerLeukemia)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (cancerLymphoma)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (cancerMetastatic)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (cancerSolidInSitu)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (cancerSolidMalignant)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (cerebrovascular)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (congestiveHeartFailure)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (coagulopathy)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (dementia)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (depression)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (diabetesComplicated)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (diabetesUncomplicated)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (drugAbuse)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (hypertensionComplicated)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (hypertensionUncomplicated)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (liverDiseaseMild)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (liverDiseaseSevere)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (chronicPulmonaryDisease)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (neurologicalMovement)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (neurologicalOther)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (neurologicalSeizure)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (obesity)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (paralysis)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (peripheralVascularDisease)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (psychosis)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (pulmonaryCirculationDisorder)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (renalFailureModerate)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (renalFailureSevere)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (hypothyroidism)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (thyroidOther)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (ulcer)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (valvularDisease)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
extension (conditionReference)
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (weightLoss)	outBoundRelationship[typeCode=COMP]
id	n/a
extension
extension (conditionCode)
id	n/a
url	N/A
value[x]	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

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

ComorbiditiesElixhauser
Observation
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
focus	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
effective[x]	FiveWs.done[x]
issued	FiveWs.recorded
performer	FiveWs.actor
component
code	FiveWs.what[x]
component (aids)
code	FiveWs.what[x]
component (alcoholAbuse)
code	FiveWs.what[x]
component (deficiencyAnemia)
code	FiveWs.what[x]
component (arthropathy)
code	FiveWs.what[x]
component (bloodLossAnemia)
code	FiveWs.what[x]
component (cancerLeukemia)
code	FiveWs.what[x]
component (cancerLymphoma)
code	FiveWs.what[x]
component (cancerMetastatic)
code	FiveWs.what[x]
component (cancerSolidInSitu)
code	FiveWs.what[x]
component (cancerSolidMalignant)
code	FiveWs.what[x]
component (cerebrovascular)
code	FiveWs.what[x]
component (congestiveHeartFailure)
code	FiveWs.what[x]
component (coagulopathy)
code	FiveWs.what[x]
component (dementia)
code	FiveWs.what[x]
component (depression)
code	FiveWs.what[x]
component (diabetesComplicated)
code	FiveWs.what[x]
component (diabetesUncomplicated)
code	FiveWs.what[x]
component (drugAbuse)
code	FiveWs.what[x]
component (hypertensionComplicated)
code	FiveWs.what[x]
component (hypertensionUncomplicated)
code	FiveWs.what[x]
component (liverDiseaseMild)
code	FiveWs.what[x]
component (liverDiseaseSevere)
code	FiveWs.what[x]
component (chronicPulmonaryDisease)
code	FiveWs.what[x]
component (neurologicalMovement)
code	FiveWs.what[x]
component (neurologicalOther)
code	FiveWs.what[x]
component (neurologicalSeizure)
code	FiveWs.what[x]
component (obesity)
code	FiveWs.what[x]
component (paralysis)
code	FiveWs.what[x]
component (peripheralVascularDisease)
code	FiveWs.what[x]
component (psychosis)
code	FiveWs.what[x]
component (pulmonaryCirculationDisorder)
code	FiveWs.what[x]
component (renalFailureModerate)
code	FiveWs.what[x]
component (renalFailureSevere)
code	FiveWs.what[x]
component (hypothyroidism)
code	FiveWs.what[x]
component (thyroidOther)
code	FiveWs.what[x]
component (ulcer)
code	FiveWs.what[x]
component (valvularDisease)
code	FiveWs.what[x]
component (weightLoss)
code	FiveWs.what[x]

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

ComorbiditiesElixhauser
Observation
code	116680003 |Is a|
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
bodySite	718497002 |Inherent location|
specimen	704319004 |Inherent in|
device	424226004 |Using device|
component
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (aids)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (alcoholAbuse)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (deficiencyAnemia)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (arthropathy)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (bloodLossAnemia)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (cancerLeukemia)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (cancerLymphoma)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (cancerMetastatic)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (cancerSolidInSitu)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (cancerSolidMalignant)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (cerebrovascular)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (congestiveHeartFailure)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (coagulopathy)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (dementia)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (depression)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (diabetesComplicated)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (diabetesUncomplicated)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (drugAbuse)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (hypertensionComplicated)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (hypertensionUncomplicated)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (liverDiseaseMild)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (liverDiseaseSevere)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (chronicPulmonaryDisease)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (neurologicalMovement)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (neurologicalOther)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (neurologicalSeizure)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (obesity)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (paralysis)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (peripheralVascularDisease)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (psychosis)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (pulmonaryCirculationDisorder)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (renalFailureModerate)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (renalFailureSevere)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (hypothyroidism)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (thyroidOther)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (ulcer)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (valvularDisease)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (weightLoss)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|