ICHOM FHIR Implementation Guide: Breast Cancer
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This page is part of the ICHOM FHIR Implementation Guide: Breast Cancer (v1.0.0-ballot: STU 1 Ballot 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Resource Profile: Hormonaltherapy - Mappings

Active as of 2022-12-07

Mappings for the hormonal-therpay resource profile.

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

Hormonaltherapy
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]
   performed[x] (performedPeriod)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)

Hormonaltherapy
ProcedureEntity. Role, or Act, Procedure[moodCode=EVN]
   textAct.text?
   containedN/A
   extension
   extension (method)
      idn/a
      urlN/A
      value[x]N/A
      value[x] (valueCodeableConcept)N/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
   performed[x] (performedPeriod).effectiveTime
      idn/a
      extensionn/a
      start./low
      end./high
   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
   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)

Hormonaltherapy
Procedure
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   performed[x]FiveWs.done[x]
   performed[x] (performedPeriod)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)

Hormonaltherapy
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
   performed[x] (performedPeriod)OBR-7
      startDR.1
      endDR.2
   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
   noteNTE

Mappings for Hormonal therapy to ICHOM set (https://connect.ichom.org/patient-centered-outcome-measures/breast-cancer)

Mapping of hormonal therapy to the ICHOM breast cancer PCOM set

Hormonaltherapy
ProcedureTreatment
   extension (method)Type of hormonal therapy
   performed[x]
   performed[x] (performedPeriod)
      startStart of hormonal therapy
      endStop of hormonal therapy
   reasonCodehormonal therapy