Generated Narrative: ConceptMap R3-Condition-element-map-to-R4
Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.0
Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|3.0.2 to Conditionversion: 4.0.1)
| Source Code | Relationship | Target Code | Comment |
| Condition.meta (meta) | is equivalent to | Condition.meta | Element `Condition.meta` is mapped to FHIR R4 element `Condition.meta` as `Equivalent`. |
| Condition.implicitRules (implicitRules) | is equivalent to | Condition.implicitRules | Element `Condition.implicitRules` is mapped to FHIR R4 element `Condition.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. |
| Condition.language (language) | is equivalent to | Condition.language | Element `Condition.language` is mapped to FHIR R4 element `Condition.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). |
| Condition.text (text) | is equivalent to | Condition.text | Element `Condition.text` is mapped to FHIR R4 element `Condition.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. |
| Condition.contained (contained) | is equivalent to | Condition.contained | Element `Condition.contained` is mapped to FHIR R4 element `Condition.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. |
| Condition.identifier (identifier) | is equivalent to | Condition.identifier | Element `Condition.identifier` is mapped to FHIR R4 element `Condition.identifier` as `Equivalent`. |
| Condition.clinicalStatus (clinicalStatus) | is equivalent to | Condition.clinicalStatus | Element `Condition.clinicalStatus` is mapped to FHIR R4 element `Condition.clinicalStatus` as `SourceIsNarrowerThanTarget`. The mappings for `Condition.clinicalStatus` do not allow expression of the necessary codes, per the bindings on the source and target. This element is labeled as a modifier because the status contains codes that mark the condition as not currently valid or of concern. |
| Condition.verificationStatus (verificationStatus) | maps to wider concept | Condition.verificationStatus | Element `Condition.verificationStatus` is mapped to FHIR R4 element `Condition.verificationStatus` as `RelatedTo`. The target context `Condition.verificationStatus` is a modifier element, so this extension does not need to be defined as a modifier. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid. |
| Condition.category (category) | is equivalent to | Condition.category | Element `Condition.category` is mapped to FHIR R4 element `Condition.category` as `Equivalent`. The categorization is often highly contextual and may appear poorly differentiated or not very useful in other contexts. |
| Condition.severity (severity) | is equivalent to | Condition.severity | Element `Condition.severity` is mapped to FHIR R4 element `Condition.severity` as `Equivalent`. Coding of the severity with a terminology is preferred, where possible. |
| Condition.code (code) | is equivalent to | Condition.code | Element `Condition.code` is mapped to FHIR R4 element `Condition.code` as `Equivalent`. |
| Condition.bodySite (bodySite) | is equivalent to | Condition.bodySite | Element `Condition.bodySite` is mapped to FHIR R4 element `Condition.bodySite` as `Equivalent`. Only used if not implicit in code found in Condition.code. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [body-site-instance](https://hl7.org/fhir/extension-body-site-instance.html). May be a summary code, or a reference to a very precise definition of the location, or both. |
| Condition.subject (subject) | is equivalent to | Condition.subject | Element `Condition.subject` is mapped to FHIR R4 element `Condition.subject` as `Equivalent`. |
| Condition.context (context) | maps to wider concept | Condition.encounter | Element `Condition.context` is mapped to FHIR R4 element `Condition.encounter` as `SourceIsBroaderThanTarget`. The mappings for `Condition.context` do not cover the following types based on type expansion: display, identifier, reference. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `Condition.context` with unmapped reference targets: EpisodeOfCare. This record indicates the encounter this particular record is associated with. In the case of a "new" diagnosis reflecting ongoing/revised information about the condition, this might be distinct from the first encounter in which the underlying condition was first "known". |
| Condition.onset[x] (onset[x]) | is equivalent to | Condition.onset[x] | Element `Condition.onset[x]` is mapped to FHIR R4 element `Condition.onset[x]` as `Equivalent`. The target context `Condition.onset[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Condition`. Age is generally used when the patient reports an age at which the Condition began to occur. |
| Condition.abatement[x] (abatement[x]) | maps to wider concept | Condition.abatement[x] | Element `Condition.abatement[x]` is mapped to FHIR R4 element `Condition.abatement[x]` as `SourceIsBroaderThanTarget`. The mappings for `Condition.abatement[x]` do not cover the following types: boolean. The target context `Condition.abatement[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Condition`. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. |
| Condition.assertedDate (assertedDate) | is equivalent to | Condition.recordedDate | Element `Condition.assertedDate` is mapped to FHIR R4 element `Condition.recordedDate` as `Equivalent`. The assertedDate represents the date when this particular Condition record was created in the EHR, not the date of the most recent update in terms of when severity, abatement, etc. were specified. The date of the last record modification can be retrieved from the resource metadata. |
| Condition.asserter (asserter) | is equivalent to | Condition.asserter | Element `Condition.asserter` is mapped to FHIR R4 element `Condition.asserter` as `Equivalent`. |
| Condition.stage (stage) | maps to wider concept | Condition.stage | Element `Condition.stage` is mapped to FHIR R4 element `Condition.stage` as `SourceIsNarrowerThanTarget`. |
| Condition.stage.summary (summary) | is equivalent to | Condition.stage.summary | Element `Condition.stage.summary` is mapped to FHIR R4 element `Condition.stage.summary` as `Equivalent`. |
| Condition.stage.assessment (assessment) | is equivalent to | Condition.stage.assessment | Element `Condition.stage.assessment` is mapped to FHIR R4 element `Condition.stage.assessment` as `Equivalent`. |
| Condition.evidence (evidence) | maps to wider concept | Condition.evidence | Element `Condition.evidence` is mapped to FHIR R4 element `Condition.evidence` as `Equivalent`. The evidence may be a simple list of coded symptoms/manifestations, or references to observations or formal assessments, or both. |
| Condition.evidence.code (code) | is equivalent to | Condition.evidence.code | Element `Condition.evidence.code` is mapped to FHIR R4 element `Condition.evidence.code` as `Equivalent`. |
| Condition.evidence.detail (detail) | is equivalent to | Condition.evidence.detail | Element `Condition.evidence.detail` is mapped to FHIR R4 element `Condition.evidence.detail` as `Equivalent`. |
| Condition.note (note) | is equivalent to | Condition.note | Element `Condition.note` is mapped to FHIR R4 element `Condition.note` as `Equivalent`. |
Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|3.0.2 to STU3: provisional | differential | confirmed | refuted | entered-in-error | unknownversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.verificationStatus (verificationStatus) | is equivalent to | Extension (STU3: provisional | differential | confirmed | refuted | entered-in-error | unknown) | Element `Condition.verificationStatus` is mapped to FHIR R4 element `Condition.verificationStatus` as `RelatedTo`. The target context `Condition.verificationStatus` is a modifier element, so this extension does not need to be defined as a modifier. verificationStatus is not required. For example, when a patient has abdominal pain in the ED, there is not likely going to be a verification status. This element is labeled as a modifier because the status contains the code refuted and entered-in-error that mark the Condition as not currently valid. |
Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/Condition|3.0.2 to STU3: If/when in resolution/remission additional typesversion: 0.1.0)
| Source Code | Relationship | Target Code | Comment |
| Condition.abatement[x] (abatement[x]) | is equivalent to | Extension (STU3: If/when in resolution/remission additional types) | Element `Condition.abatement[x]` is mapped to FHIR R4 element `Condition.abatement[x]` as `SourceIsBroaderThanTarget`. The mappings for `Condition.abatement[x]` do not cover the following types: boolean. The target context `Condition.abatement[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `Condition`. There is no explicit distinction between resolution and remission because in many cases the distinction is not clear. Age is generally used when the patient reports an age at which the Condition abated. If there is no abatement element, it is unknown whether the condition has resolved or entered remission; applications and users should generally assume that the condition is still valid. When abatementString exists, it implies the condition is abated. |