QI-Core Implementation Guide: STU 3.2 (v3.2.0 for FHIR 3.0.1)

This page is part of the Quality Improvement Core Framework (v3.2.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions

D.4.1.4 StructureDefinition: qicore-condition - Mappings

Mappings for the StructureDefinition-qicore-condition Profile.

Mappings for Quality Data Model (http://www.healthit.gov/quality-data-model)

QICore-Condition
ConditionDiagnosis (when Condition.clinicalStatus="active")
   idid
   severityseverity
   codecode
   bodySiteanatomicalLocationSite
   onset[x]prevalencePeriod
   abatement[x]prevalencePeriod
   assertedDateauthorDatetime
   assertersource

Mappings for Quality Improvement Domain Analysis Model (http://www.hl7.org/implement/standards/product_brief.cfm?product_id=378)

QICore-Condition
Condition
   extension (criticality)ManifestedSymptom.criticality

Mappings for Argonaut-DQ-DSTU2 (http://unknown.org/Argonaut-DQ-DSTU2)

QICore-Condition
ConditionCondition
   clinicalStatusCondition.clinicalStatus
   verificationStatusCondition.verificationStatus
   categoryCondition.category
   codeCondition.code
   subjectCondition.patient

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

QICore-Condition
Condition< 243796009 |Situation with explicit context|: 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 < 272379006 |Event|)
   clinicalStatus< 303105007 |Disease phases|
   verificationStatus< 410514004 |Finding context value|
   category< 404684003 |Clinical finding|
   severity< 272141005 |Severities|
   codecode 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)

QICore-Condition
ConditionPPR message
   clinicalStatusPRB-14 / DG1-6
   verificationStatusPRB-13
   category'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   severityPRB-26 / ABS-3
   codePRB-3
   subjectPID-3
   contextPV1-19 (+PV1-54)
   onset[x]PRB-16
   assertedDateREL-11
   asserterREL-7.1 identifier + REL-7.12 type code
   stage
      summaryPRB-14
   noteNTE child of PRB

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

QICore-Condition
ConditionEntity. Role, or Act
   textAct.text?
   containedN/A
   extension (dueTo).typeCode
   extension (occurredFollowing).typeCode
   modifierExtensionN/A
   identifier.id
   clinicalStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
   verificationStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
   category.code
   severityCan be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
   code.value
   bodySite.targetBodySiteCode
   subject.participation[typeCode=SBJ].role[classCode=PAT]
   context.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
   assertedDate.participation[typeCode=AUT].time
   asserter.participation[typeCode=AUT].role
   stage./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
      idn/a
      extensionn/a
      modifierExtensionN/A
      summary.value
      assessment.self
   evidence.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      code[code="diagnosis"].value
      detail.self
   note.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

QICore-Condition
Conditionclinical.general
   identifierid
   clinicalStatusstatus
   verificationStatusstatus
   categoryclass
   severitygrade
   codewhat
   subjectwho.focus
   contextcontext
   onset[x]when.init
   abatement[x]when.done
   assertedDatewhen.recorded
   asserterwho.author
   evidence
      codewhy
      detailwhy

Mappings for SNOMED CT Attribute Binding (http://snomed.info/sct)

QICore-Condition
Condition
   verificationStatus408729009
   severity246112005
   code246090004
   bodySite363698007