Implementation Guide (Release 0.2.0 )

This page is part of the Womens Health Technology Coordinated Registry Network FHIR IG (v0.2.0: STU 1 Ballot 2) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

Mappings and Profiles

Mappings of CDEs to FHIR

The following is a mapping of each of the specific CDE element to a FHIR Resource/profile. The table contains three columns. The first column represents the data element that has been approved via consensus within the WHT CRN project. This is mapped to a specific FHIR Resource and its data elements in the second column. The third column provides a recommendation for pilots to use a specific profile for the project if appropriate or recommends the use of the FHIR Resource directly to experiment and gain more experience before creating and proliferating profiles.

Note: The mapping provided below along the profile and resource suggestions will be used to auto-populate the Questionnaire (which contains the questions) and/or transform QuestionnaireResponse (which contains the collected data) into first class FHIR resources.

Harmonized Common Data Element FHIR Data Element FHIR Resource/Profile/Extension
Procedure Date Procedure.performedDateTime procedure-crn
Provider ID Practitioner.identifier us-core-practitioner
Birth Date Patient.birthDate us-core-patient
Height Observation.code, Observation.value[x] us-core-vitalsigns
Weight Observation.code, Observation.value[x] us-core-vitalsigns
Hospital Discharge Encounter.period us-core-encounter
UDI Device.udiCarrier device-crn, devicedefinition-crn
Pregnancy Status Observation.code, Observation.value[x] us-core-observationresults
Pregnancy History Observation.code, Observation.value[x] us-core-observationresults
Outcome of Pregnancy Observation.code, Observation.value[x] us-core-observationresults
Depression Condition.category, Condition.code us-core-condition
Diabetes Condition.category, Condition.code us-core-condition
Adverse Event (Not specific enough currently) AdverseEvent AdverseEvent
Pain During Sexual Activity Observation.code, Observation.value[x] us-core-observationresults
Procedures Performed Procedure.code, Procedure.status procedure-crn
Concomitant Procedures Performed Procedure.code, Procedure.status, Procedure.partOf procedure-crn
Surgical History Abdominal Procedure.code, Procedure.status procedure-crn
Post Operative Complications/Adverse Events Procedure.complication, Procedure.complicationDetail, AdverseEvent procedure-crn, AdverseEvent
Pelvic Pain Condition.category, Condition.code us-core-condition
Irregular Menstruation Condition.category, Condition.code us-core-condition
Endometriosis Condition.category, Condition.code us-core-condition
Gestational Age at Presentation Observation.code, Observation.value[x] us-core-observationresults
Gestational Age at Delivery Observation.code, Observation.value[x] us-core-observationresults
Unsuccessful Procedure Procedure.code, Procedure.status, Procedure.outcome, Procedure.partOf procedure-crn
Patient Name Patient.name us-core-patient
Patient Identifier Patient.identifier us-core-patient
Patient Gender Patient.gender us-core-patient
Ethnicity Patient.extension: us-core-ethnicity us-core-patient
pat_pref_language_spoken Patient.communication.language us-core-patient
race Patient.extension: us-core-race us-core-patient
Birth Sex Patient.extension: us-core-birthsex us-core-patient
Faciltiy ID Location.identifier us-core-location

Profiles

NOTE: All the profiles listed here are not required for conformance. For detailed conformance requirements please refer to the CapabilityStatements section.

US Core Profiles Reuse: The WHT CRN IG re-uses the US-Core profiles identified in the above table to auto-populate Questionnaires and/or transform QuestionnaireResponses to first class FHIR resources.

SDC profiles Reuse

The WHT CRN IG re-uses the following profiles from SDC. SDC profiles of Questionnaires and QuestionnaireResponse are used for collecting data related to procedures, conditions and demographic data for WHT CRN purposes.

SDC profile Specific Usage of SDC profile in WHT CRN
SDC Questionnaire Basic data collection questions
SDC QuestionnaireResponse Basic data collection storing responses
SDC Populatable Questionnaire Questionnaire with information required for auto or pre population during data collection
SDC Extractable Questionnaire Questionnaire with information that can be used to transform answers to FHIR Resources

PRO profiles Reuse

The WHT CRN IG re-uses the following profiles from PRO. The PRO profiles will be used to administer questionnaires such as QOL, AMSS, FSFI etc.

PRO profile Specific Usage of PRO profile in WHT CRN
SDC Adaptive Questionnaire Collect PRO data (e.g QOL) and score data from patients
SDC Adaptive QuestionnaireResponse Collect PRO (e.g QOL, AMSS, FSFI) data and score collected data.

CRN Specific Profiles

The following are profiles that will be created specifically by CRN to collect Device and Procedure data.

  • Device CRN Device profile for CRN project
  • DeviceDefinition CRN Defines constraints on DeviceDefinition for WHT CRN project.
  • Procedure_CRN Defines constraints on Procedure Resource for WHT CRN project.

  • Feedback Required

    Please provide feedback and comments on the usage of the above profiles and their purpose through pilot implementations.



    Extensions

    There are currently no extensions defined for this implementation guide.