ICHOM Patient Centered Outcomes Measure Set for Breast Cancer, published by HL7 International - Clinical Interoperability Council Group. This is not an authorized publication; it is the continuous build for version 1.0.0). This version is based on the current content of https://github.com/HL7/fhir-ichom-breast-cancer-ig/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: ReconstructionSurgery - Mappings

Page standards status: Trial-use

Maturity Level: 2

Mappings for the reconstruction-surgery resource profile.

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

ReconstructionSurgery
Procedure	Event
identifier	Event.identifier
instantiatesCanonical	Event.instantiatesCanonical
instantiatesUri	Event.instantiatesUri
basedOn	Event.basedOn
partOf	Event.partOf
status	Event.status
statusReason	Event.statusReason
code	Event.code
subject	Event.subject
encounter	Event.context
performed[x]	Event.occurrence[x]
performed[x] (performedDateTime)	Event.occurrence[x]
performer	Event.performer
function	Event.performer.function
actor	Event.performer.actor
reasonCode	Event.reasonCode
reasonReference	Event.reasonReference
note	Event.note

Mappings for RIM Mapping (http://hl7.org/v3)

ReconstructionSurgery
Procedure	Entity. Role, or Act, Procedure[moodCode=EVN]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/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]
status	statusCode
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] (performedDateTime)	.effectiveTime
recorder	.participation[typeCode=AUT].role
asserter	.participation[typeCode=INF].role
performer	.participation[typeCode=PRF]
id	n/a
extension	n/a
modifierExtension	N/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]
id	n/a
extension	n/a
modifierExtension	N/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)
usedCode	participation[typeCode=Dev].role[classCode=MANU]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

ReconstructionSurgery
Procedure
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
performed[x]	FiveWs.done[x]
performed[x] (performedDateTime)	FiveWs.done[x]
recorder	FiveWs.author
asserter	FiveWs.source
performer
actor	FiveWs.actor
location	FiveWs.where[x]
reasonCode	FiveWs.why[x]
reasonReference	FiveWs.why[x]

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

ReconstructionSurgery
Procedure
identifier	Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4
code	OBR-44/OBR-45
subject	PID-3
encounter	PV1-19
performed[x]	OBR-7
performed[x] (performedDateTime)	OBR-7
performer
function	Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25
actor	ORC-19/PRT-5
bodySite	OBX-20
note	NTE

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

Mapping of the reconstruction surgery to the ICHOM breast cancer PCOM set

ReconstructionSurgery
Procedure	Treatment
partOf	Reconstruction reoperation
code	Delayed Reconstruction
performed[x] (performedDateTime)	Surgery date
bodySite	Implant Reconstruction
usedCode	Reconstruction Type