minimal Common Oncology Data Elements (mCODE) Implementation Guide
3.0.0 - STU3 Release United States of America flag

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v3.0.0: STU 3) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: CancerRelatedSurgicalProcedure - Mappings

Draft as of 2023-10-26 Maturity Level: 3

Mappings for the mcode-cancer-related-surgical-procedure resource profile.

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

CancerRelatedSurgicalProcedure
ProcedureEvent
   identifierEvent.identifier
   instantiatesCanonicalEvent.instantiatesCanonical
   instantiatesUriEvent.instantiatesUri
   basedOnEvent.basedOn
   partOfEvent.partOf
   statusEvent.status
   statusReasonEvent.statusReason
   codeEvent.code
   subjectEvent.subject
   encounterEvent.context
   performed[x]Event.occurrence[x]
   performerEvent.performer
      functionEvent.performer.function
      actorEvent.performer.actor
   reasonCodeEvent.reasonCode
   reasonReferenceEvent.reasonReference
   noteEvent.note

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

CancerRelatedSurgicalProcedure
ProcedureEntity. Role, or Act, Procedure[moodCode=EVN]
   textAct.text?
   containedN/A
   modifierExtensionN/A
   identifier.id
   instantiatesCanonical.outboundRelationship[typeCode=DEFN].target
   instantiatesUri.outboundRelationship[typeCode=DEFN].target
   basedOn.outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code
   partOf.inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN]
   statusstatusCode
   statusReason.reason.Observation.value
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   code.code
   subject.participation[typeCode=SBJ].role
   encounter.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   performed[x].effectiveTime
   recorder.participation[typeCode=AUT].role
   asserter.participation[typeCode=INF].role
   performer.participation[typeCode=PRF]
      idn/a
      extensionn/a
      modifierExtensionN/A
      function.functionCode
      actor.role
      onBehalfOf.scoper
   location.participation[typeCode=LOC].role[classCode=SDLOC]
   reasonCode.reasonCode
   reasonReference.reasonCode
   bodySite.targetSiteCode
      idn/a
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   outcome.outboundRelationship[typeCode=OUT].target.text
   report.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN]
   complication.outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value
   complicationDetail.outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value
   followUp.outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code
   note.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value
   focalDevice.participation[typeCode=DEV].role[classCode=MANU]
      idn/a
      extensionn/a
      modifierExtensionN/A
      action.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="procedure device action"].value=:procedure device action codes
      manipulated.participation[typeCode=DEV].role[classCode=SDLOC]
   usedReference.participation[typeCode=DEV].role[classCode=MANU] or .participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance)
   usedCodeparticipation[typeCode=Dev].role[classCode=MANU]

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

CancerRelatedSurgicalProcedure
Procedure
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   performed[x]FiveWs.done[x]
   recorderFiveWs.author
   asserterFiveWs.source
   performer
      actorFiveWs.actor
   locationFiveWs.where[x]
   reasonCodeFiveWs.why[x]
   reasonReferenceFiveWs.why[x]

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

CancerRelatedSurgicalProcedure
Procedure
   identifierSome combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4
   codeOBR-44/OBR-45
   subjectPID-3
   encounterPV1-19
   performed[x]OBR-7
   performer
      functionSome combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25
      actorORC-19/PRT-5
   bodySiteOBX-20
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   noteNTE