Extensions for Using Data Elements from FHIR STU3 in FHIR R4B
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR STU3 in FHIR R4B - Downloaded Version null See the Directory of published versions

ConceptMap: R3ClinicalImpressionElementMapToR4B

Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R3-ClinicalImpression-element-map-to-R4B Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: R3ClinicalImpressionElementMapToR4B

This ConceptMap represents cross-version mappings for elements from a FHIR STU3 ClinicalImpression to FHIR R4B.

Mapping from http://hl7.org/fhir/3.0 to http://hl7.org/fhir/4.3


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to ClinicalImpressionversion: 4.3.0)

Source Concept DetailsRelationshipTarget Concept DetailsComment
Codes from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2Codes from ClinicalImpression
ClinicalImpression.metametamaps to wider conceptClinicalImpression.metaClinicalImpression.metaElement `ClinicalImpression.meta` is mapped to FHIR R4B element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.meta` do not cover the following types: Meta. The mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.
ClinicalImpression.implicitRulesimplicitRulesis equivalent toClinicalImpression.implicitRulesClinicalImpression.implicitRulesElement `ClinicalImpression.implicitRules` is mapped to FHIR R4B element `ClinicalImpression.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.
ClinicalImpression.languagelanguageis equivalent toClinicalImpression.languageClinicalImpression.languageElement `ClinicalImpression.language` is mapped to FHIR R4B element `ClinicalImpression.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).
ClinicalImpression.texttextmaps to wider conceptClinicalImpression.textClinicalImpression.textElement `ClinicalImpression.text` is mapped to FHIR R4B element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.text` do not cover the following types: Narrative. The mappings for `ClinicalImpression.text` do not cover the following types based on type expansion: div, status. 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.
ClinicalImpression.containedcontainedis equivalent toClinicalImpression.containedClinicalImpression.containedElement `ClinicalImpression.contained` is mapped to FHIR R4B element `ClinicalImpression.contained` as `SourceIsBroaderThanTarget`. 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.
ClinicalImpression.identifieridentifiermaps to wider conceptClinicalImpression.identifierClinicalImpression.identifierElement `ClinicalImpression.identifier` is mapped to FHIR R4B element `ClinicalImpression.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.identifier` do not cover the following types: Identifier. The mappings for `ClinicalImpression.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.
ClinicalImpression.statusstatusis equivalent toClinicalImpression.statusClinicalImpression.statusElement `ClinicalImpression.status` is mapped to FHIR R4B element `ClinicalImpression.status` as `Equivalent`. This element is labeled as a modifier because the status contains the code entered-in-error that marks the clinical impression as not currently valid.
ClinicalImpression.codecodeis equivalent toClinicalImpression.codeClinicalImpression.codeElement `ClinicalImpression.code` is mapped to FHIR R4B element `ClinicalImpression.code` as `Equivalent`. This is present as a place-holder only and may be removed based on feedback/work group opinion.
ClinicalImpression.descriptiondescriptionis equivalent toClinicalImpression.descriptionClinicalImpression.descriptionElement `ClinicalImpression.description` is mapped to FHIR R4B element `ClinicalImpression.description` as `Equivalent`.
ClinicalImpression.subjectsubjectmaps to wider conceptClinicalImpression.subjectClinicalImpression.subjectElement `ClinicalImpression.subject` is mapped to FHIR R4B element `ClinicalImpression.subject` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.subject` 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 `ClinicalImpression.subject` with unmapped reference targets: Group, Patient.
ClinicalImpression.contextcontextmaps to wider conceptClinicalImpression.encounterClinicalImpression.encounterElement `ClinicalImpression.context` is mapped to FHIR R4B element `ClinicalImpression.encounter` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.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 `ClinicalImpression.context` with unmapped reference targets: Encounter, EpisodeOfCare.
ClinicalImpression.effective[x]effective[x]is equivalent toClinicalImpression.effective[x]ClinicalImpression.effective[x]Element `ClinicalImpression.effective[x]` is mapped to FHIR R4B element `ClinicalImpression.effective[x]` as `SourceIsBroaderThanTarget`. The target context `ClinicalImpression.effective[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `ClinicalImpression`. This SHOULD be accurate to at least the minute, though some assessments only have a known date.
ClinicalImpression.datedateis equivalent toClinicalImpression.dateClinicalImpression.dateElement `ClinicalImpression.date` is mapped to FHIR R4B element `ClinicalImpression.date` as `Equivalent`.
ClinicalImpression.assessorassessormaps to wider conceptClinicalImpression.assessorClinicalImpression.assessorElement `ClinicalImpression.assessor` is mapped to FHIR R4B element `ClinicalImpression.assessor` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.assessor` 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 `ClinicalImpression.assessor` with unmapped reference targets: Practitioner.
ClinicalImpression.previouspreviousmaps to wider conceptClinicalImpression.previousClinicalImpression.previousElement `ClinicalImpression.previous` is mapped to FHIR R4B element `ClinicalImpression.previous` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.previous` 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 `ClinicalImpression.previous` with unmapped reference targets: ClinicalImpression. It is always likely that multiple previous assessments exist for a patient. The point of quoting a previous assessment is that this assessment is relative to it (see resolved).
ClinicalImpression.problemproblemmaps to wider conceptClinicalImpression.problemClinicalImpression.problemElement `ClinicalImpression.problem` is mapped to FHIR R4B element `ClinicalImpression.problem` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.problem` 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 `ClinicalImpression.problem` with unmapped reference targets: AllergyIntolerance, Condition. e.g. The patient is a pregnant, and cardiac congestive failure, ‎Adenocarcinoma, and is allergic to penicillin.
ClinicalImpression.investigationinvestigationmaps to wider conceptClinicalImpression.investigationClinicalImpression.investigationElement `ClinicalImpression.investigation` is mapped to FHIR R4B element `ClinicalImpression.investigation` as `Equivalent`.
ClinicalImpression.investigation.codecodeis equivalent toClinicalImpression.investigation.codeClinicalImpression.investigation.codeElement `ClinicalImpression.investigation.code` is mapped to FHIR R4B element `ClinicalImpression.investigation.code` as `Equivalent`.
ClinicalImpression.investigation.itemitemmaps to wider conceptClinicalImpression.investigation.itemClinicalImpression.investigation.itemElement `ClinicalImpression.investigation.item` is mapped to FHIR R4B element `ClinicalImpression.investigation.item` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.investigation.item` with unmapped reference targets: DiagnosticReport, FamilyMemberHistory, ImagingStudy, Observation, QuestionnaireResponse, RiskAssessment. Most investigations are observations of one kind of or another but some other specific types of data collection resources can also be used.
ClinicalImpression.protocolprotocolis equivalent toClinicalImpression.protocolClinicalImpression.protocolElement `ClinicalImpression.protocol` is mapped to FHIR R4B element `ClinicalImpression.protocol` as `Equivalent`.
ClinicalImpression.summarysummaryis equivalent toClinicalImpression.summaryClinicalImpression.summaryElement `ClinicalImpression.summary` is mapped to FHIR R4B element `ClinicalImpression.summary` as `Equivalent`.
ClinicalImpression.findingfindingmaps to wider conceptClinicalImpression.findingClinicalImpression.findingElement `ClinicalImpression.finding` is mapped to FHIR R4B element `ClinicalImpression.finding` as `Equivalent`.
ClinicalImpression.finding.item[x]item[x]is related toClinicalImpression.finding.itemCodeableConceptClinicalImpression.finding.itemCodeableConceptElement `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemCodeableConcept` as `SourceIsBroaderThanTarget`. Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.finding.item[x]` with unmapped reference targets: Condition, Observation.
is related toClinicalImpression.finding.itemReferenceClinicalImpression.finding.itemReferenceElement `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemCodeableConcept` as `SourceIsBroaderThanTarget`. Element `ClinicalImpression.finding.item[x]` is mapped to FHIR R4B element `ClinicalImpression.finding.itemReference` as `SourceIsBroaderThanTarget`. The standard extension `alternate-reference` has been mapped as the representation of FHIR STU3 element `ClinicalImpression.finding.item[x]` with unmapped reference targets: Condition, Observation.
ClinicalImpression.finding.basisbasisis equivalent toClinicalImpression.finding.basisClinicalImpression.finding.basisElement `ClinicalImpression.finding.basis` is mapped to FHIR R4B element `ClinicalImpression.finding.basis` as `Equivalent`.
ClinicalImpression.prognosisCodeableConceptprognosisCodeableConceptis equivalent toClinicalImpression.prognosisCodeableConceptClinicalImpression.prognosisCodeableConceptElement `ClinicalImpression.prognosisCodeableConcept` is mapped to FHIR R4B element `ClinicalImpression.prognosisCodeableConcept` as `Equivalent`.
ClinicalImpression.prognosisReferenceprognosisReferencemaps to wider conceptClinicalImpression.prognosisReferenceClinicalImpression.prognosisReferenceElement `ClinicalImpression.prognosisReference` is mapped to FHIR R4B element `ClinicalImpression.prognosisReference` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.prognosisReference` 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 `ClinicalImpression.prognosisReference` with unmapped reference targets: RiskAssessment.
ClinicalImpression.notenotemaps to wider conceptClinicalImpression.noteClinicalImpression.noteElement `ClinicalImpression.note` is mapped to FHIR R4B element `ClinicalImpression.note` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.note` do not cover the following types: Annotation. The mappings for `ClinicalImpression.note` do not cover the following types based on type expansion: author[x], text, time. Don't use this element for content that should more properly appear as one of the specific elements of the impression.

Group 2 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: meta additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalImpression.meta (meta)is equivalent toExtension (STU3: meta additional types)Element `ClinicalImpression.meta` is mapped to FHIR R4B element `ClinicalImpression.meta` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.meta` do not cover the following types: Meta. The mappings for `ClinicalImpression.meta` do not cover the following types based on type expansion: lastUpdated, profile, security, tag, versionId.

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: text additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalImpression.text (text)is equivalent toExtension (STU3: text additional types)Element `ClinicalImpression.text` is mapped to FHIR R4B element `ClinicalImpression.text` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.text` do not cover the following types: Narrative. The mappings for `ClinicalImpression.text` do not cover the following types based on type expansion: div, status. 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.

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: identifier additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalImpression.identifier (identifier)is equivalent toExtension (STU3: identifier additional types)Element `ClinicalImpression.identifier` is mapped to FHIR R4B element `ClinicalImpression.identifier` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.identifier` do not cover the following types: Identifier. The mappings for `ClinicalImpression.identifier` do not cover the following types based on type expansion: assigner, period, system, type, use, value.

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: Action taken as part of assessment procedure (new)version: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalImpression.action (action)is equivalent toExtension (STU3: Action taken as part of assessment procedure (new))Element `ClinicalImpression.action` has a context of ClinicalImpression based on following the parent source element upwards and mapping to `ClinicalImpression`. Element `ClinicalImpression.action` has no mapping targets in FHIR R4B. Typically, this is because the element has been added (is a new element). Actions recommended as a result of the impression should not be captured using the 'action' element.

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|3.0.2 to STU3: note additional typesversion: 0.1.0)

Source CodeRelationshipTarget CodeComment
ClinicalImpression.note (note)is equivalent toExtension (STU3: note additional types)Element `ClinicalImpression.note` is mapped to FHIR R4B element `ClinicalImpression.note` as `SourceIsBroaderThanTarget`. The mappings for `ClinicalImpression.note` do not cover the following types: Annotation. The mappings for `ClinicalImpression.note` do not cover the following types based on type expansion: author[x], text, time. Don't use this element for content that should more properly appear as one of the specific elements of the impression.