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Resource Profile: SecondaryCancerCondition - Mappings

Draft as of 2023-10-25

Maturity Level: 4

Mappings for the mcode-secondary-cancer-condition resource profile.

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

SecondaryCancerCondition
Condition	Event
identifier	Event.identifier
clinicalStatus	Event.status
verificationStatus	Event.status
code	Event.code
subject	Event.subject
encounter	Event.context
onset[x]	Event.occurrence[x]
evidence
code	Event.reasonCode
note	Event.note

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

SecondaryCancerCondition
Condition	< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
clinicalStatus	< 303105007 |Disease phases|
verificationStatus	< 410514004 |Finding context value|
category	< 404684003 |Clinical finding|
category (us-core)	< 404684003 |Clinical finding|
category (sdoh)	< 404684003 |Clinical finding|
severity	< 272141005 |Severities|
code	code 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)

SecondaryCancerCondition
Condition	PPR message
clinicalStatus	PRB-14
verificationStatus	PRB-13
category	'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
category (us-core)	'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
category (sdoh)	'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
severity	PRB-26 / ABS-3
code	PRB-3
bodySite
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3
encounter	PV1-19 (+PV1-54)
onset[x]	PRB-16
recordedDate	REL-11
asserter	REL-7.1 identifier + REL-7.12 type code
stage
summary	PRB-14
note	NTE child of PRB

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

SecondaryCancerCondition
Condition	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
text	Act.text?
contained	N/A
extension
extension (assertedDate)
extension (histologyMorphologyBehavior)
extension (relatedPrimaryCancerCondition)
id	n/a
url	N/A
value[x]	N/A
modifierExtension	N/A
identifier	.id
clinicalStatus	Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
verificationStatus	Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
category	.code
category (us-core)	.code
category (sdoh)	.code
severity	Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
code	.value
bodySite	.targetBodySiteCode
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
subject	.participation[typeCode=SBJ].role[classCode=PAT]
encounter	.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
recordedDate	.participation[typeCode=AUT].time
recorder	.participation[typeCode=AUT].role
asserter	.participation[typeCode=INF].role
stage	./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
id	n/a
extension	n/a
modifierExtension	N/A
summary	.value
assessment	.self
type	./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
evidence	.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
code	[code="diagnosis"].value
detail	.self
note	.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

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

SecondaryCancerCondition
Condition
identifier	FiveWs.identifier
clinicalStatus	FiveWs.status
verificationStatus	FiveWs.status
category	FiveWs.class
category (us-core)	FiveWs.class
category (sdoh)	FiveWs.class
severity	FiveWs.grade
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
onset[x]	FiveWs.init
abatement[x]	FiveWs.done[x]
recordedDate	FiveWs.recorded
recorder	FiveWs.author
asserter	FiveWs.source
evidence
code	FiveWs.why[x]
detail	FiveWs.why[x]

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

SecondaryCancerCondition
Condition
verificationStatus	408729009
severity	246112005
code	246090004
bodySite	363698007