SDOH Clinical Care
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SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.3.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-sdoh-clinicalcare/ and changes regularly. See the Directory of published versions

Resource Profile: SDOHCCCondition - Mappings

Page standards status: Trial-use

Mappings for the SDOHCC-Condition resource profile.

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

SDOHCCCondition
ConditionEvent
   identifierEvent.identifier
   clinicalStatusEvent.status
   verificationStatusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.context
   onset[x]Event.occurrence[x]
   evidence
      codeEvent.reasonCode
   noteEvent.note

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

SDOHCCCondition
Condition< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
   clinicalStatus< 303105007 |Disease phases|
   verificationStatus< 410514004 |Finding context value|
   category< 404684003 |Clinical finding|
   category (encounter-diagnosis)< 404684003 |Clinical finding|
   category (problem-or-health-concern)< 404684003 |Clinical finding|
   category (screening-assessment)< 404684003 |Clinical finding|
   category (SDOH)< 404684003 |Clinical finding|
   severity< 272141005 |Severities|
   codecode 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 413350009 |Finding with explicit context| OR < 272379006 |Event|
   evidence
      code< 404684003 |Clinical finding|

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

SDOHCCCondition
ConditionPPR message
   clinicalStatusPRB-14
   verificationStatusPRB-13
   category'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   category (encounter-diagnosis)'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   category (problem-or-health-concern)'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   category (screening-assessment)'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   category (SDOH)'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   severityPRB-26 / ABS-3
   codePRB-3
   subjectPID-3
   encounterPV1-19 (+PV1-54)
   onset[x]PRB-16
   recordedDateREL-11
   asserterREL-7.1 identifier + REL-7.12 type code
   noteNTE child of PRB

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

SDOHCCCondition
ConditionEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
   meta
      idn/a
      extensionn/a
   textAct.text?
   containedN/A
   extension
   extension (asserterDevice)n/a, N/A
      idn/a
      urlN/A
      value[x]N/A
   modifierExtensionN/A
   identifier.id
   clinicalStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
   verificationStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
   category.code
   category (encounter-diagnosis).code
   category (problem-or-health-concern).code
   category (screening-assessment).code
   category (SDOH).code
   severityCan be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
   code.value
   subject.participation[typeCode=SBJ].role[classCode=PAT]
   encounter.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   onset[x].effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
   abatement[x].effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
   recordedDate.participation[typeCode=AUT].time
   recorder.participation[typeCode=AUT].role
   asserter.participation[typeCode=INF].role
   evidence.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      code[code="diagnosis"].value
      detail.self
      detail (SupportedDetail).self
   note.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

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

SDOHCCCondition
Condition
   identifierFiveWs.identifier
   clinicalStatusFiveWs.status
   verificationStatusFiveWs.status
   categoryFiveWs.class
   category (encounter-diagnosis)FiveWs.class
   category (problem-or-health-concern)FiveWs.class
   category (screening-assessment)FiveWs.class
   category (SDOH)FiveWs.class
   severityFiveWs.grade
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   onset[x]FiveWs.init
   abatement[x]FiveWs.done[x]
   recordedDateFiveWs.recorded
   recorderFiveWs.author
   asserterFiveWs.source
   evidence
      codeFiveWs.why[x]
      detailFiveWs.why[x]
      detail (SupportedDetail)FiveWs.why[x]

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

SDOHCCCondition
Condition
   verificationStatus408729009
   severity246112005
   code246090004