Extensions for Using Data Elements from FHIR R4 in FHIR R4B
0.1.0 - STU International flag

Extensions for Using Data Elements from FHIR R4 in FHIR R4B - Downloaded Version null See the Directory of published versions

ConceptMap: R4ClinicalImpressionElementMapToR4B

Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R4-ClinicalImpression-element-map-to-R4B Version: 0.1.0
Standards status: Trial-use Maturity Level: 0 Computable Name: R4ClinicalImpressionElementMapToR4B

This ConceptMap represents cross-version mappings for elements from a FHIR R4 ClinicalImpression to FHIR R4B.

Mapping from http://hl7.org/fhir/4.0 to http://hl7.org/fhir/4.3


Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/ClinicalImpression|4.0.1 to ClinicalImpressionversion: 4.3.0)

Source CodeRelationshipTarget CodeComment
ClinicalImpression.meta (meta)is equivalent toClinicalImpression.metaElement `ClinicalImpression.meta` is mapped to FHIR R4B element `ClinicalImpression.meta` as `Equivalent`.
ClinicalImpression.implicitRules (implicitRules)is equivalent toClinicalImpression.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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
ClinicalImpression.language (language)is equivalent toClinicalImpression.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.text (text)is equivalent toClinicalImpression.textElement `ClinicalImpression.text` is mapped to FHIR R4B element `ClinicalImpression.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 information is added later.
ClinicalImpression.contained (contained)is equivalent toClinicalImpression.containedElement `ClinicalImpression.contained` is mapped to FHIR R4B element `ClinicalImpression.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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
ClinicalImpression.identifier (identifier)is equivalent toClinicalImpression.identifierElement `ClinicalImpression.identifier` is mapped to FHIR R4B element `ClinicalImpression.identifier` as `Equivalent`. This is a business identifier, not a resource identifier (see [discussion](https://hl7.org/fhir/resource.htm#identifiers)). It is best practice for the identifier to only appear on a single resource instance, however business practices may occasionally dictate that multiple resource instances with the same identifier can exist - possibly even with different resource types. For example, multiple Patient and a Person resource instance might share the same social insurance number.
ClinicalImpression.status (status)is equivalent toClinicalImpression.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.statusReason (statusReason)is equivalent toClinicalImpression.statusReasonElement `ClinicalImpression.statusReason` is mapped to FHIR R4B element `ClinicalImpression.statusReason` as `Equivalent`. This is generally only used for "exception" statuses such as "not-done", "suspended" or "cancelled". [distinct reason codes for different statuses can be enforced using invariants if they are universal bindings].
ClinicalImpression.code (code)is equivalent toClinicalImpression.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.description (description)is equivalent toClinicalImpression.descriptionElement `ClinicalImpression.description` is mapped to FHIR R4B element `ClinicalImpression.description` as `Equivalent`.
ClinicalImpression.subject (subject)is equivalent toClinicalImpression.subjectElement `ClinicalImpression.subject` is mapped to FHIR R4B element `ClinicalImpression.subject` as `Equivalent`.
ClinicalImpression.encounter (encounter)is equivalent toClinicalImpression.encounterElement `ClinicalImpression.encounter` is mapped to FHIR R4B element `ClinicalImpression.encounter` as `Equivalent`. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.
ClinicalImpression.effective[x] (effective[x])is equivalent toClinicalImpression.effective[x]Element `ClinicalImpression.effective[x]` is mapped to FHIR R4B element `ClinicalImpression.effective[x]` as `Equivalent`. 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.date (date)is equivalent toClinicalImpression.dateElement `ClinicalImpression.date` is mapped to FHIR R4B element `ClinicalImpression.date` as `Equivalent`.
ClinicalImpression.assessor (assessor)is equivalent toClinicalImpression.assessorElement `ClinicalImpression.assessor` is mapped to FHIR R4B element `ClinicalImpression.assessor` as `Equivalent`.
ClinicalImpression.previous (previous)is equivalent toClinicalImpression.previousElement `ClinicalImpression.previous` is mapped to FHIR R4B element `ClinicalImpression.previous` as `Equivalent`. 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.problem (problem)is equivalent toClinicalImpression.problemElement `ClinicalImpression.problem` is mapped to FHIR R4B element `ClinicalImpression.problem` as `Equivalent`. e.g. The patient is a pregnant, has congestive heart failure, has an ‎Adenocarcinoma, and is allergic to penicillin.
ClinicalImpression.investigation (investigation)maps to wider conceptClinicalImpression.investigationElement `ClinicalImpression.investigation` is mapped to FHIR R4B element `ClinicalImpression.investigation` as `Equivalent`.
ClinicalImpression.investigation.code (code)is equivalent toClinicalImpression.investigation.codeElement `ClinicalImpression.investigation.code` is mapped to FHIR R4B element `ClinicalImpression.investigation.code` as `Equivalent`.
ClinicalImpression.investigation.item (item)is equivalent toClinicalImpression.investigation.itemElement `ClinicalImpression.investigation.item` is mapped to FHIR R4B element `ClinicalImpression.investigation.item` as `Equivalent`. Most investigations are observations of one kind or another but some other specific types of data collection resources can also be used.
ClinicalImpression.protocol (protocol)is equivalent toClinicalImpression.protocolElement `ClinicalImpression.protocol` is mapped to FHIR R4B element `ClinicalImpression.protocol` as `Equivalent`.
ClinicalImpression.summary (summary)is equivalent toClinicalImpression.summaryElement `ClinicalImpression.summary` is mapped to FHIR R4B element `ClinicalImpression.summary` as `Equivalent`.
ClinicalImpression.finding (finding)maps to wider conceptClinicalImpression.findingElement `ClinicalImpression.finding` is mapped to FHIR R4B element `ClinicalImpression.finding` as `Equivalent`.
ClinicalImpression.finding.itemCodeableConcept (itemCodeableConcept)is equivalent toClinicalImpression.finding.itemCodeableConceptElement `ClinicalImpression.finding.itemCodeableConcept` is mapped to FHIR R4B element `ClinicalImpression.finding.itemCodeableConcept` as `Equivalent`.
ClinicalImpression.finding.itemReference (itemReference)is equivalent toClinicalImpression.finding.itemReferenceElement `ClinicalImpression.finding.itemReference` is mapped to FHIR R4B element `ClinicalImpression.finding.itemReference` as `Equivalent`.
ClinicalImpression.finding.basis (basis)is equivalent toClinicalImpression.finding.basisElement `ClinicalImpression.finding.basis` is mapped to FHIR R4B element `ClinicalImpression.finding.basis` as `Equivalent`.
ClinicalImpression.prognosisCodeableConcept (prognosisCodeableConcept)is equivalent toClinicalImpression.prognosisCodeableConceptElement `ClinicalImpression.prognosisCodeableConcept` is mapped to FHIR R4B element `ClinicalImpression.prognosisCodeableConcept` as `Equivalent`.
ClinicalImpression.prognosisReference (prognosisReference)is equivalent toClinicalImpression.prognosisReferenceElement `ClinicalImpression.prognosisReference` is mapped to FHIR R4B element `ClinicalImpression.prognosisReference` as `Equivalent`.
ClinicalImpression.supportingInfo (supportingInfo)is equivalent toClinicalImpression.supportingInfoElement `ClinicalImpression.supportingInfo` is mapped to FHIR R4B element `ClinicalImpression.supportingInfo` as `Equivalent`.
ClinicalImpression.note (note)is equivalent toClinicalImpression.noteElement `ClinicalImpression.note` is mapped to FHIR R4B element `ClinicalImpression.note` as `Equivalent`. Don't use this element for content that should more properly appear as one of the specific elements of the impression.