Da Vinci Unsolicited Notifications
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Da Vinci Unsolicited Notifications, published by HL7 International / Infrastructure And Messaging. This guide is not an authorized publication; it is the continuous build for version 1.1.0-preview built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-alerts/ and changes regularly. See the Directory of published versions

: Direct ADT to Da Vinci Alerts ConceptMap - XML Representation

Page standards status: Trial-use Maturity Level: 2

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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="direct-alerts"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ConceptMap direct-alerts</b></p><a name="direct-alerts"> </a><a name="hcdirect-alerts"> </a><a name="direct-alerts-en-US"> </a><p>Mapping from https://directtrust.org/what-we-do/direct-secure-messaging to http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts</p><br/><p><b>Group 1 </b>Mapping from <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v3-loinc.html">Logical Observation Identifiers, Names and Codes (LOINC)</a> to <a href="CodeSystem-notification-event.html">Da Vinci Event CodeSystem Notification</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>86530-3 (Visit notification)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>notification-referral (Referral Notification)</td><td/></tr><tr><td>86532-9 (Admission notification)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>notification-admit (Admit Notification)</td><td>Alerts terminology doesn't distinguish types of sevice locations</td></tr><tr><td>98141-5 (Emergency department Admission notification)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>notification-admit (Admit Notification)</td><td/></tr><tr><td>79429-7 (Hospital Admission notification)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>notification-admit (Admit Notification)</td><td>Alerts terminology doesn't distinguish between in and out patients</td></tr><tr><td>79430-5 (Hospital Discharge notification)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>80110-0 (Emergency department Visit notification)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>98143-1 (Emergency department Arrival notification)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>86532-9 (Admission notification)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>98144-9 (Emergency department Departure notification)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>86531-1 (Discharge notification)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>notification-discharge (Discharge Notification)</td><td/></tr><tr><td>98142-3 (Emergency department Discharge notification)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>98145-6 (Outpatient Visit notification)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>notification-outpatient-visit (Outpatient Visit Notification)</td><td/></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href="http://terminology.hl7.org/5.0.0/CodeSystem-v2-0004.html">patientClass</a> to <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html">ActCode</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>E (Emergency)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>EMER (emergency)</td><td/></tr><tr><td>I (Inpatient)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>IMP (inpatient encounter)</td><td/></tr><tr><td>O (Outpatient)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>AMB (ambulatory)</td><td/></tr><tr><td>P (Preadmit)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>PRENC (pre-admission)</td><td/></tr><tr><td>R (Recurring patient)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>B (Obstetrics)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>C (Commercial Account)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>N (Not Applicable)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>U (Unknown)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>I (Inpatient)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>ACUTE (inpatient acute)</td><td>If this is needed in Direct Trust, can consider expanding the value set</td></tr><tr><td>I (Inpatient)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>NONAC (inpatient non-acute)</td><td>If this is needed in Direct Trust, can consider expanding the value set</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>unspecified code system</code> to <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html">ActCode</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>S (Short Stay)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>SS (short stay)</td><td>S is an extension to the base PV1-2 patientClass  value set in V2</td></tr><tr><td>V (Observation)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>OBSENC (observation encounter)</td><td>V is an extension to the base PV1-2 patientClass  value set in V2</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <a href="http://terminology.hl7.org/5.0.0/CodeSystem-v2-0443.html">providerRole</a> to <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v3-ParticipationType.html">ParticipationType</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AD (Admitting)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>ADM (admitter)</td><td>Also in PV1-17 Admitting Doctor in v2</td></tr><tr><td>AT (Attending)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>ATND (attender)</td><td>Also in PV1-7 Attending Doctor in v2</td></tr><tr><td>CP (Consulting Provider)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>CON (consultant)</td><td>Also in PV1-9 Consulting Doctor</td></tr><tr><td>FHCP (Family Health Care Professional)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>PP (Primary Care Provider)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>RP (Referring Provider)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>REF (referrer)</td><td>Also in PV1-8 Referring doctor in v2</td></tr><tr><td>RT (Referred to Provider)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>REFT (Referred to)</td><td/></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>unspecified code system</code> to <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v3-ParticipationType.html">ParticipationType</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>TF (Treating Facility)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>LOC (location)</td><td>TF  is an extension to the base ROL-3 providerRole value set in V2</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <a href="http://terminology.hl7.org/5.0.0/CodeSystem-v2-0001.html">administrativeSex</a> to <a href="http://hl7.org/fhir/R4/codesystem-administrative-gender.html">AdministrativeGender</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>F (Female)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>female</td><td/></tr><tr><td>M (Male)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>male</td><td/></tr><tr><td>O (Other)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>other</td><td/></tr><tr><td>U (Unknown)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>unknown</td><td/></tr><tr><td>A (Ambiguous)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>other</td><td>Since the binding in USCorePatient is required, will have to map to &quot;other&quot;</td></tr><tr><td>N (Not Applicable)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>other</td><td>Since the binding in USCorePatient is required, will have to map to &quot;other&quot;</td></tr><tr><td>X (Non-Binary)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>other</td><td>Since the binding in USCorePatient is required, will have to map to &quot;other&quot;</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <a href="http://terminology.hl7.org/5.0.0/CodeSystem-v2-0200.html">nameType2</a> to <a href="http://hl7.org/fhir/R4/codesystem-name-use.html">NameUse</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>N (Nickname)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>nickname</td></tr><tr><td>D (Customary Name)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>usual</td></tr><tr><td>L (Official Registry Name)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>official</td></tr><tr><td>TEMP (Temporary Name)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>temp</td></tr><tr><td>S (Pseudonym)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>anonymous</td></tr><tr><td>BAD (Bad Name)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>old</td></tr><tr><td>M (Maiden Name)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>maiden (Name changed for Marriage)</td></tr><tr><td>O (Other)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>A (Assigned)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>B (Birth name)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>maiden (Name changed for Marriage)</td></tr><tr><td>C (Adopted Name)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>official</td></tr><tr><td>F (Fathers Name)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>I (Licensing Name)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>K (Business name)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>MSK (Masked)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>anonymous</td></tr><tr><td>NAV (Temporarily Unavailable)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>NB (Newborn Name)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>NOUSE (No Longer To Be Used)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>old</td></tr><tr><td>P (Name of Partner/Spouse)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>R (Registered Name)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>REL (Religious)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>T (Indigenous/Tribal)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>official</td></tr><tr><td>U (Unknown)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <a href="http://terminology.hl7.org/5.0.0/CodeSystem-v2-0007.html">admissionType</a> to <a href="http://hl7.org/fhir/R4/codesystem-snomedct.html">SNOMED CT (all versions)</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>A (Accident)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>E (Emergency)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>4525004 (Emergency department patient visit)</td></tr><tr><td>L (Labor and Delivery)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>R (Routine)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>308335008 (Patient encounter procedure)</td></tr><tr><td>N (Newborn (Birth in healthcare facility))</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>U (Urgent)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>C (Elective)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <a href="http://terminology.hl7.org/5.0.0/CodeSystem-v2-0052.html">diagnosisType</a> to <a href="http://terminology.hl7.org/6.0.2/CodeSystem-diagnosis-role.html">Diagnosis Role</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>A (Admitting)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>AD (Admission diagnosis)</td></tr><tr><td>W (Working)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr><tr><td>F (Final)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>DD (Discharge diagnosis)</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <a href="http://terminology.hl7.org/5.0.0/CodeSystem-v2-0063.html">relationship</a> to <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v3-RoleCode.html">RoleCode</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MTH (Mother)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>MTH (Mother)</td><td>This is described specifically for the maternal health use case</td></tr></table><hr/><p><b>Group 11 </b>Mapping from <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v2-0201.html">telecommunicationUse</a> to <a href="http://hl7.org/fhir/R4/codesystem-contact-point-use.html">ContactPointUse</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>PRN (Primary Residence Number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>home</td><td>FHIR doesn't distinguish types of homes for contacts</td></tr><tr><td>ORN (Other Residence Number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>home</td><td>FHIR doesn't distinguish types of homes for contacts</td></tr><tr><td>WPN (Work Number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>work</td><td/></tr><tr><td>VHN (Vacation Home Number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>home</td><td>FHIR doesn't distinguish types of homes for contacts</td></tr><tr><td>ASN (Answering Service Number)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>EMR (Emergency Number)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr><tr><td>PRS (Personal)</td><td colspan="3" style="background-color: #efefef">(not mapped)</td></tr></table><hr/><p><b>Group 12 </b>Mapping from <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v2-0201.html">telecommunicationUse</a> to <a href="http://hl7.org/fhir/R4/codesystem-contact-point-system.html">ContactPointSystem</a></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>NET (Network (email) Address)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>email</td><td>would need to map to different datatype element and use different value set</td></tr><tr><td>BPN (Beeper Number)</td><td><a href="http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent" title="equivalent">is equivalent to</a></td><td>pager</td><td>would need to map to different datatype element and use different value set</td></tr></table><hr/><p><b>Group 13 </b>Mapping from <a href="http://terminology.hl7.org/6.0.2/CodeSystem-v2-0201.html">telecommunicationUse</a> to <code>unspecified code system</code></p><table class="grid"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>DSM (Direct Secure Messaging)</td><td colspan="2" style="background-color: #efefef">(not mapped)</td></tr></table></div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="inm"/>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts"/>
      </extension>
    </valueInteger>
  </extension>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use">
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
        <valueCanonical
                        value="http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts"/>
      </extension>
    </valueCode>
  </extension>
  <url
       value="http://hl7.org/fhir/us/davinci-alerts/ConceptMap/direct-alerts"/>
  <identifier>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:2.16.840.1.113883.4.642.40.47.18.1"/>
  </identifier>
  <version value="1.1.0-preview"/>
  <name value="DirectAlerts"/>
  <title value="Direct ADT to Da Vinci Alerts ConceptMap"/>
  <status value="active"/>
  <experimental value="false"/>
  <date value="2024-10-29"/>
  <publisher value="HL7 International / Infrastructure And Messaging"/>
  <contact>
    <name value="HL7 International / Infrastructure And Messaging"/>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/inm"/>
    </telecom>
    <telecom>
      <system value="email"/>
      <value value="inm@lists.hl7.org"/>
    </telecom>
  </contact>
  <description
               value="Since May 1, 2021 CMS requires that hospitals send notifications electronically for admit, transfer and discharge events to the patient's care team members, for which most implementations currently use V2 ADT messages. As a result DirectTrust, a consensus body of forty organizations and individuals representing the care continuum, collaborated in creating an Implementation Guide using Direct Secure Messaging for both senders and receivers. The Event Notifications via the Direct Standard® defines the necessary data element to cover the CMS rules, maps those to the V2 elements in several ADT message structures and provides the value sets for coded elements.

These V2 elements have been mapped them to their respective location in this DaVinci FHIR IG for the Admit-Transfer-Discharge Use case. In addition, the value set concepts between the two product families have been mapped, where possible.

This ConceptMap summarizes the Direct ADT message to the Da Vinci Notification Terminology Mappings. Complete mappings can be downloaded as an excel file at https://hl7.org/fhir/us/davinci-alerts/tables/DirectToDaVinciMap.xlsx.
"/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <copyright
             value="
1. This material contains content from LOINC (http://loinc.org). LOINC is copyright \\xA9 1995-2020, Regenstrief Institute, Inc. and the Logical Observation # Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC\\xAE is a registered United States trademark of Regenstrief Institute, Inc.
2. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement."/>
  <sourceUri
             value="https://directtrust.org/what-we-do/direct-secure-messaging"/>
  <targetUri
             value="http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts"/>
  <group>
    <source value="http://loinc.org"/>
    <target
            value="http://hl7.org/fhir/us/davinci-alerts/CodeSystem/notification-event"/>
    <element>
      <code value="86530-3"/>
      <display value="Visit notification"/>
      <target>
        <code value="notification-referral"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="86532-9"/>
      <display value="Admission notification"/>
      <target>
        <code value="notification-admit"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Alerts terminology doesn't distinguish types of sevice locations"/>
      </target>
    </element>
    <element>
      <code value="98141-5"/>
      <display value="Emergency department Admission notification"/>
      <target>
        <code value="notification-admit"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="79429-7"/>
      <display value="Hospital Admission notification"/>
      <target>
        <code value="notification-admit"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Alerts terminology doesn't distinguish between in and out patients"/>
      </target>
    </element>
    <element>
      <code value="79430-5"/>
      <display value="Hospital Discharge notification"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="In DaVinci the notifications are not indicating the current treatment facility type/location, but rather the discharge to location - can expand the valueset, since binding is extensible"/>
      </target>
    </element>
    <element>
      <code value="80110-0"/>
      <display value="Emergency department Visit notification"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="In DaVinci the notifications are not differentiating between visit and admit for ER - can expand the valueset, since binding is extensible"/>
      </target>
    </element>
    <element>
      <code value="98143-1"/>
      <display value="Emergency department Arrival notification"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="In DaVinci the notifications are not differentiating between arrival and admit for ER - can expand the valueset, since binding is extensible"/>
      </target>
    </element>
    <element>
      <code value="86532-9"/>
      <display value="Admission notification"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="98144-9"/>
      <display value="Emergency department Departure notification"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="In DaVinci the notifications are not differentiating between departure and discharge for ER - can expand the valueset, since binding is extensible"/>
      </target>
    </element>
    <element>
      <code value="86531-1"/>
      <display value="Discharge notification"/>
      <target>
        <code value="notification-discharge"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="98142-3"/>
      <display value="Emergency department Discharge notification"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="In DaVinci the notifications are not indicating the current treatment facility type/location, but rather the discharge to location - can expand the valueset, since binding is extensible"/>
      </target>
    </element>
    <element>
      <code value="98145-6"/>
      <display value="Outpatient Visit notification"/>
      <target>
        <code value="notification-outpatient-visit"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0004"/>
    <target value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <element>
      <code value="E"/>
      <display value="Emergency"/>
      <target>
        <code value="EMER"/>
        <display value="emergency"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="I"/>
      <display value="Inpatient"/>
      <target>
        <code value="IMP"/>
        <display value="inpatient encounter"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="O"/>
      <display value="Outpatient"/>
      <target>
        <code value="AMB"/>
        <display value="ambulatory"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="P"/>
      <display value="Preadmit"/>
      <target>
        <code value="PRENC"/>
        <display value="pre-admission"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="R"/>
      <display value="Recurring patient"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Since binding is extensible, can extend valueset definition to include CHR : Chronic from https://hl7.org/fhir/R4/v3/ActCode/cs.html#v3-ActCode-_ActMedicalServiceCode"/>
      </target>
    </element>
    <element>
      <code value="B"/>
      <display value="Obstetrics"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Since binding is extensible, can extend valueset definition to include OBS : Obstetrics from https://hl7.org/fhir/R4/v3/ActCode/cs.html#v3-ActCode-_ActMedicalServiceCode"/>
      </target>
    </element>
    <element>
      <code value="C"/>
      <display value="Commercial Account"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Need more information to know how this is used in ADT to find the proper translation"/>
      </target>
    </element>
    <element>
      <code value="N"/>
      <display value="Not Applicable"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Since binding is extensible, can extend valueset definition to include NA : not applicable from https://terminology.hl7.org/CodeSystem-v3-NullFlavor.html"/>
      </target>
    </element>
    <element>
      <code value="U"/>
      <display value="Unknown"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Since binding is extensible, can extend valueset definition to include UNK : unknown from https://terminology.hl7.org/CodeSystem-v3-NullFlavor.html"/>
      </target>
    </element>
    <element>
      <code value="I"/>
      <display value="Inpatient"/>
      <target>
        <code value="ACUTE"/>
        <display value="inpatient acute"/>
        <equivalence value="equivalent"/>
        <comment
                 value="If this is needed in Direct Trust, can consider expanding the value set"/>
      </target>
    </element>
    <element>
      <code value="I"/>
      <display value="Inpatient"/>
      <target>
        <code value="NONAC"/>
        <display value="inpatient non-acute"/>
        <equivalence value="equivalent"/>
        <comment
                 value="If this is needed in Direct Trust, can consider expanding the value set"/>
      </target>
    </element>
  </group>
  <group>
    <target value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
    <element>
      <code value="S"/>
      <display value="Short Stay"/>
      <target>
        <code value="SS"/>
        <display value="short stay"/>
        <equivalence value="equivalent"/>
        <comment
                 value="S is an extension to the base PV1-2 patientClass  value set in V2"/>
      </target>
    </element>
    <element>
      <code value="V"/>
      <display value="Observation"/>
      <target>
        <code value="OBSENC"/>
        <display value="observation encounter"/>
        <equivalence value="equivalent"/>
        <comment
                 value="V is an extension to the base PV1-2 patientClass  value set in V2"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0443"/>
    <target
            value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
    <element>
      <code value="AD"/>
      <display value="Admitting"/>
      <target>
        <code value="ADM"/>
        <display value="admitter"/>
        <equivalence value="equivalent"/>
        <comment value="Also in PV1-17 Admitting Doctor in v2"/>
      </target>
    </element>
    <element>
      <code value="AT"/>
      <display value="Attending"/>
      <target>
        <code value="ATND"/>
        <display value="attender"/>
        <equivalence value="equivalent"/>
        <comment value="Also in PV1-7 Attending Doctor in v2"/>
      </target>
    </element>
    <element>
      <code value="CP"/>
      <display value="Consulting Provider"/>
      <target>
        <code value="CON"/>
        <display value="consultant"/>
        <equivalence value="equivalent"/>
        <comment value="Also in PV1-9 Consulting Doctor"/>
      </target>
    </element>
    <element>
      <code value="FHCP"/>
      <display value="Family Health Care Professional"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="participant type valueset binding is extensible, so could add in &quot;FHCP&quot; from https://terminology.hl7.org/2.1.0/CodeSystem-v2-0443.html"/>
      </target>
    </element>
    <element>
      <code value="PP"/>
      <display value="Primary Care Provider"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="participant type valueset binding is extensible, so could add in &quot;PP&quot; from https://terminology.hl7.org/2.1.0/CodeSystem-v2-0443.html"/>
      </target>
    </element>
    <element>
      <code value="RP"/>
      <display value="Referring Provider"/>
      <target>
        <code value="REF"/>
        <display value="referrer"/>
        <equivalence value="equivalent"/>
        <comment value="Also in PV1-8 Referring doctor in v2"/>
      </target>
    </element>
    <element>
      <code value="RT"/>
      <display value="Referred to Provider"/>
      <target>
        <code value="REFT"/>
        <display value="Referred to"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
  <group>
    <target
            value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
    <element>
      <code value="TF"/>
      <display value="Treating Facility"/>
      <target>
        <code value="LOC"/>
        <display value="location"/>
        <equivalence value="equivalent"/>
        <comment
                 value="TF  is an extension to the base ROL-3 providerRole value set in V2"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0001"/>
    <target value="http://hl7.org/fhir/administrative-gender"/>
    <element>
      <code value="F"/>
      <display value="Female"/>
      <target>
        <code value="female"/>
        <display value="Female"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="M"/>
      <display value="Male"/>
      <target>
        <code value="male"/>
        <display value="Male"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="O"/>
      <display value="Other"/>
      <target>
        <code value="other"/>
        <display value="Other"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="U"/>
      <display value="Unknown"/>
      <target>
        <code value="unknown"/>
        <display value="Unknown"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="A"/>
      <display value="Ambiguous"/>
      <target>
        <code value="other"/>
        <display value="Other"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Since the binding in USCorePatient is required, will have to map to &quot;other&quot;"/>
      </target>
    </element>
    <element>
      <code value="N"/>
      <display value="Not Applicable"/>
      <target>
        <code value="other"/>
        <display value="Other"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Since the binding in USCorePatient is required, will have to map to &quot;other&quot;"/>
      </target>
    </element>
    <element>
      <code value="X"/>
      <display value="Non-Binary"/>
      <target>
        <code value="other"/>
        <display value="Other"/>
        <equivalence value="equivalent"/>
        <comment
                 value="Since the binding in USCorePatient is required, will have to map to &quot;other&quot;"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0200"/>
    <target value="http://hl7.org/fhir/name-use"/>
    <element>
      <code value="N"/>
      <display value="Nickname"/>
      <target>
        <code value="nickname"/>
        <display value="Nickname"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="D"/>
      <display value="Customary Name"/>
      <target>
        <code value="usual"/>
        <display value="Usual"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="L"/>
      <display value="Official Registry Name"/>
      <target>
        <code value="official"/>
        <display value="Official"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="TEMP"/>
      <display value="Temporary Name"/>
      <target>
        <code value="temp"/>
        <display value="Temp"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="S"/>
      <display value="Pseudonym"/>
      <target>
        <code value="anonymous"/>
        <display value="Anonymous"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="BAD"/>
      <display value="Bad Name"/>
      <target>
        <code value="old"/>
        <display value="Old"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="M"/>
      <display value="Maiden Name"/>
      <target>
        <code value="maiden"/>
        <display value="Name changed for Marriage"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="O"/>
      <display value="Other"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="A"/>
      <display value="Assigned"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="B"/>
      <display value="Birth name"/>
      <target>
        <code value="maiden"/>
        <display value="Name changed for Marriage"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="C"/>
      <display value="Adopted Name"/>
      <target>
        <code value="official"/>
        <display value="Official"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="F"/>
      <display value="Fathers Name"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="I"/>
      <display value="Licensing Name"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="K"/>
      <display value="Business name"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="MSK"/>
      <display value="Masked"/>
      <target>
        <code value="anonymous"/>
        <display value="Anonymous"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="NAV"/>
      <display value="Temporarily Unavailable"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="NB"/>
      <display value="Newborn Name"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="NOUSE"/>
      <display value="No Longer To Be Used"/>
      <target>
        <code value="old"/>
        <display value="Old"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="P"/>
      <display value="Name of Partner/Spouse"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="R"/>
      <display value="Registered Name"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="REL"/>
      <display value="Religious"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
    <element>
      <code value="T"/>
      <display value="Indigenous/Tribal"/>
      <target>
        <code value="official"/>
        <display value="Official"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="U"/>
      <display value="Unknown"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Not mapable, since binding in USCorePatient is required"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0007"/>
    <target value="http://snomed.info/sct"/>
    <element>
      <code value="A"/>
      <display value="Accident"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)
 Not sure this is the right mapping - concepts seem not alinged
 Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)
 in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"/>
      </target>
    </element>
    <element>
      <code value="E"/>
      <display value="Emergency"/>
      <target>
        <code value="4525004"/>
        <display value="Emergency department patient visit"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="L"/>
      <display value="Labor and Delivery"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)
 Not sure this is the right mapping - concepts seem not alinged
 Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)
 in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"/>
      </target>
    </element>
    <element>
      <code value="R"/>
      <display value="Routine"/>
      <target>
        <code value="308335008"/>
        <display value="Patient encounter procedure"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="N"/>
      <display value="Newborn (Birth in healthcare facility)"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)
 Not sure this is the right mapping - concepts seem not alinged
 Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)
 in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"/>
      </target>
    </element>
    <element>
      <code value="U"/>
      <display value="Urgent"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)
 Not sure this is the right mapping - concepts seem not alinged
 Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)
 in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"/>
      </target>
    </element>
    <element>
      <code value="C"/>
      <display value="Elective"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)
 Not sure this is the right mapping - concepts seem not alinged
 Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)
 in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0052"/>
    <target value="http://terminology.hl7.org/CodeSystem/diagnosis-role"/>
    <element>
      <code value="A"/>
      <display value="Admitting"/>
      <target>
        <code value="AD"/>
        <display value="Admission diagnosis"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="W"/>
      <display value="Working"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="Since binding is extensible, can extend valueset, should submit UTG proposal to add to code system"/>
      </target>
    </element>
    <element>
      <code value="F"/>
      <display value="Final"/>
      <target>
        <code value="DD"/>
        <display value="Discharge diagnosis"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0063"/>
    <target value="http://terminology.hl7.org/CodeSystem/v3-RoleCode"/>
    <element>
      <code value="MTH"/>
      <target>
        <code value="MTH"/>
        <display value="Mother"/>
        <equivalence value="equivalent"/>
        <comment
                 value="This is described specifically for the maternal health use case"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0201"/>
    <target value="http://hl7.org/fhir/contact-point-use"/>
    <element>
      <code value="PRN"/>
      <display value="Primary Residence Number"/>
      <target>
        <code value="home"/>
        <display value="Home"/>
        <equivalence value="equivalent"/>
        <comment
                 value="FHIR doesn't distinguish types of homes for contacts"/>
      </target>
    </element>
    <element>
      <code value="ORN"/>
      <display value="Other Residence Number"/>
      <target>
        <code value="home"/>
        <display value="Home"/>
        <equivalence value="equivalent"/>
        <comment
                 value="FHIR doesn't distinguish types of homes for contacts"/>
      </target>
    </element>
    <element>
      <code value="WPN"/>
      <display value="Work Number"/>
      <target>
        <code value="work"/>
        <display value="Work"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="VHN"/>
      <display value="Vacation Home Number"/>
      <target>
        <code value="home"/>
        <display value="Home"/>
        <equivalence value="equivalent"/>
        <comment
                 value="FHIR doesn't distinguish types of homes for contacts"/>
      </target>
    </element>
    <element>
      <code value="ASN"/>
      <display value="Answering Service Number"/>
      <target>
        <equivalence value="unmatched"/>
      </target>
    </element>
    <element>
      <code value="EMR"/>
      <display value="Emergency Number"/>
      <target>
        <equivalence value="unmatched"/>
        <comment value="unsure how to map this"/>
      </target>
    </element>
    <element>
      <code value="PRS"/>
      <display value="Personal"/>
      <target>
        <equivalence value="unmatched"/>
        <comment value="unsure how to map this"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0201"/>
    <target value="http://hl7.org/fhir/contact-point-system"/>
    <element>
      <code value="NET"/>
      <display value="Network (email) Address"/>
      <target>
        <code value="email"/>
        <display value="Email"/>
        <equivalence value="equivalent"/>
        <comment
                 value="would need to map to different datatype element and use different value set"/>
      </target>
    </element>
    <element>
      <code value="BPN"/>
      <display value="Beeper Number"/>
      <target>
        <code value="pager"/>
        <display value="Pager"/>
        <equivalence value="equivalent"/>
        <comment
                 value="would need to map to different datatype element and use different value set"/>
      </target>
    </element>
  </group>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0201"/>
    <element>
      <code value="DSM"/>
      <display value="Direct Secure Messaging"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="does not map at the vocabulary level - maps to extension in US Core = https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html"/>
      </target>
    </element>
  </group>
</ConceptMap>