QI-Core Implementation Guide
4.1.0 - release

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## Resource Profile: QICorePatient - Mappings

Mappings for the qicore-patient resource profile.

### Mappings for Mapping to Quality Improvement Domain Analysis Model (http://hl7.org/qidam)

QICorePatient
Patient |
extension (nationality) | Not QIDAM, but recognized as important for infectious disease decision support (e.g., flag patient from Liberia for ebola screening)
extension (cadavericDonor) | Not in QIDAM, but recognized as important for CDS; e.g. a CDS system could flag the provider to initiate organ transplantation procedures.
telecom |
extension (telecom-preferred) | Not in QIDAM, but CDS could need this for notifications in population health contexts, for example.
address |
extension (address-preferred) | Not in QIDAM, but CDS could need this for notifications in population health contexts, for example.

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

QICorePatient
Patient | Entity. Role, or Act, Patient[classCode=PAT]
text | Act.text?
contained | N/A
extension (birthsex) | player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
modifierExtension | N/A
identifier | id
id | n/a
extension | n/a
use | Role.code or implied by context
type | Role.code or implied by context
system | II.root or Role.id.root
value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period | Role.effectiveTime or implied by context
assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
active | statusCode
name | name
id | n/a
extension | n/a
use | unique(./use)
text | ./formatted
family | ./part[partType = FAM]
given | ./part[partType = GIV]
prefix | ./part[partType = PFX]
suffix | ./part[partType = SFX]
period | ./usablePeriod[type="IVL<TS>"]
telecom | telecom
id | n/a
extension | n/a
system | ./scheme
value | ./url
use | unique(./use)
rank | n/a
period | ./usablePeriod[type="IVL<TS>"]
gender | player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
birthDate | player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime
deceased[x] | player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime
address | addr
id | n/a
extension | n/a
use | unique(./use)
type | unique(./use)
text | ./formatted
line | AD.part[parttype = AL]
city | AD.part[parttype = CTY]
district | AD.part[parttype = CNT | CPA]
state | AD.part[parttype = STA]
postalCode | AD.part[parttype = ZIP]
country | AD.part[parttype = CNT]
period | ./usablePeriod[type="IVL<TS>"]
maritalStatus | player[classCode=PSN]/maritalStatusCode
multipleBirth[x] | player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber
photo | player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc
contact | player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON]
id | n/a
extension | n/a
modifierExtension | N/A
relationship | code
name | name
telecom | telecom
address | addr
gender | player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender
organization | scoper
period | effectiveTime
communication | LanguageCommunication
id | n/a
extension | n/a
modifierExtension | N/A
language | player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code
preferred | preferenceInd
generalPractitioner | subjectOf.CareEvent.performer.AssignedEntity
managingOrganization | scoper
link | outboundLink
id | n/a
extension | n/a
modifierExtension | N/A
other | id
type | typeCode

### Mappings for CDA (R2) (http://hl7.org/v3/cda)

QICorePatient
Patient | ClinicalDocument.recordTarget.patientRole
identifier | .id
active | n/a
name | .patient.name
telecom | .telecom
gender | .patient.administrativeGenderCode
birthDate | .patient.birthTime
deceased[x] | n/a
address | .addr
maritalStatus | .patient.maritalStatusCode
multipleBirth[x] | n/a
photo | n/a
contact | n/a
relationship | n/a
name | n/a
telecom | n/a
address | n/a
gender | n/a
organization | n/a
period | n/a
communication | patient.languageCommunication
language | .languageCode
preferred | .preferenceInd
generalPractitioner | n/a
managingOrganization | .providerOrganization
link | n/a
other | n/a
type | n/a

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

QICorePatient
Patient |
identifier | FiveWs.identifier
active | FiveWs.status

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

QICorePatient
Patient |
identifier | PID-3
use | N/A
type | CX.5
system | CX.4 / EI-2-4
value | CX.1 / EI.1
period | CX.7 + CX.8
assigner | CX.4 / (CX.4,CX.9,CX.10)
name | PID-5, PID-9
use | XPN.7, but often indicated by which field contains the name
text | implied by XPN.11
family | XPN.1/FN.1
given | XPN.2 + XPN.3
prefix | XPN.5
suffix | XPN/4
period | XPN.13 + XPN.14
telecom | PID-13, PID-14, PID-40
system | XTN.3
value | XTN.1 (or XTN.12)
use | XTN.2 - but often indicated by field
rank | n/a
period | N/A
gender | PID-8
birthDate | PID-7
deceased[x] | PID-30 (bool) and PID-29 (datetime)
address | PID-11
use | XAD.7
type | XAD.18
text | XAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
line | XAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
city | XAD.3
district | XAD.9
state | XAD.4
postalCode | XAD.5
country | XAD.6
period | XAD.12 / XAD.13 + XAD.14
maritalStatus | PID-16
multipleBirth[x] | PID-24 (bool), PID-25 (integer)
photo | OBX-5 - needs a profile
contact |
relationship | NK1-7, NK1-3
name | NK1-2
telecom | NK1-5, NK1-6, NK1-40
address | NK1-4
gender | NK1-15
organization | NK1-13, NK1-30, NK1-31, NK1-32, NK1-41
communication |
language | PID-15, LAN-2
preferred | PID-15
generalPractitioner | PD1-4
link |
other | PID-3, MRG-1

### Mappings for LOINC code for the element (http://loinc.org)

QICorePatient
Patient |
birthDate | 21112-8