CH EKM (R4)
0.0.1 - ci-build Switzerland flag

CH EKM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-ekm/ and changes regularly. See the Directory of published versions

Resource Profile: ChEkmCondition - Mappings

Draft as of 2026-06-03

Mappings for the ch-ekm-condition resource profile.

Mappings to Structures in this Implementation Guide

Name Manifestation Form to CH EKM Condition Manifestation Form to CH EKM Conditiondoco
.. Condition
... id
      ... meta
          ... implicitRules
              ... text
                  ... contained
                      ... extension
                          ... modifierExtension
                              ... identifier
                                  ... clinicalStatus
                                      ... verificationStatus
                                          ... category
                                              ... severity
                                                  ... code
                                                      ... bodySite
                                                          ... subject
                                                              ... encounter
                                                                  ... onset[x]
                                                                      .... id
                                                                          .... Slices for extension
                                                                              ..... extension:dataabsentreason
                                                                                  .... value
                                                                                      ... abatement[x]
                                                                                          ... recordedDate
                                                                                              ... recorder
                                                                                                  ... asserter
                                                                                                      ... stage
                                                                                                          .... id
                                                                                                              .... extension
                                                                                                                  .... modifierExtension
                                                                                                                      .... summary
                                                                                                                          .... assessment
                                                                                                                              .... type
                                                                                                                                  ... evidence
                                                                                                                                      .... id
                                                                                                                                          .... extension
                                                                                                                                              .... modifierExtension
                                                                                                                                                  .... code
                                                                                                                                                  .... detail
                                                                                                                                                      ... note

                                                                                                                                                          doco Documentation for this format

                                                                                                                                                          Mappings to other Structures

                                                                                                                                                          No Mappings Found

                                                                                                                                                          Other Mappings

                                                                                                                                                          NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
                                                                                                                                                          .. Condition
                                                                                                                                                          Event
                                                                                                                                                          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|)
                                                                                                                                                          PPR message
                                                                                                                                                          • Observation[classCode=OBS
                                                                                                                                                          • moodCode=EVN
                                                                                                                                                          • code=ASSERTION
                                                                                                                                                          • value<Diagnosis]
                                                                                                                                                          ... id
                                                                                                                                                          ... meta
                                                                                                                                                          ... implicitRules
                                                                                                                                                          ... text
                                                                                                                                                          Act.text?
                                                                                                                                                          ... contained
                                                                                                                                                          N/A
                                                                                                                                                          ... extension
                                                                                                                                                          N/A
                                                                                                                                                          ... modifierExtension
                                                                                                                                                          N/A
                                                                                                                                                          ... identifier
                                                                                                                                                          Event.identifier
                                                                                                                                                          .id
                                                                                                                                                          FiveWs.identifier
                                                                                                                                                          ... clinicalStatus
                                                                                                                                                          Event.status
                                                                                                                                                          < 303105007 |Disease phases|
                                                                                                                                                          PRB-14
                                                                                                                                                          • Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS
                                                                                                                                                          • code="clinicalStatus"
                                                                                                                                                          • moodCode=EVN].value
                                                                                                                                                          FiveWs.status
                                                                                                                                                          ... verificationStatus
                                                                                                                                                          Event.status
                                                                                                                                                          < 410514004 |Finding context value|
                                                                                                                                                          PRB-13
                                                                                                                                                          • Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS
                                                                                                                                                          • code="verificationStatus"
                                                                                                                                                          • moodCode=EVN].value
                                                                                                                                                          FiveWs.status
                                                                                                                                                          408729009
                                                                                                                                                          ... category
                                                                                                                                                          < 404684003 |Clinical finding|
                                                                                                                                                          'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
                                                                                                                                                          .code
                                                                                                                                                          FiveWs.class
                                                                                                                                                          ... severity
                                                                                                                                                          < 272141005 |Severities|
                                                                                                                                                          PRB-26 / ABS-3
                                                                                                                                                          • Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS
                                                                                                                                                          • moodCode=EVN
                                                                                                                                                          • code="severity"].value
                                                                                                                                                          FiveWs.grade
                                                                                                                                                          246112005
                                                                                                                                                          ... code
                                                                                                                                                          Event.code
                                                                                                                                                          code 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|
                                                                                                                                                          PRB-3
                                                                                                                                                          .value
                                                                                                                                                          FiveWs.what[x]
                                                                                                                                                          246090004
                                                                                                                                                          ... bodySite
                                                                                                                                                          < 442083009 |Anatomical or acquired body structure|
                                                                                                                                                          .targetBodySiteCode
                                                                                                                                                          363698007
                                                                                                                                                          ... subject
                                                                                                                                                          Event.subject
                                                                                                                                                          PID-3
                                                                                                                                                          .participation[typeCode=SBJ].role[classCode=PAT]
                                                                                                                                                          FiveWs.subject
                                                                                                                                                          ... encounter
                                                                                                                                                          Event.context
                                                                                                                                                          PV1-19 (+PV1-54)
                                                                                                                                                          • .inboundRelationship[typeCode=COMP].source[classCode=ENC
                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                          FiveWs.context
                                                                                                                                                          ... onset[x]
                                                                                                                                                          Event.occurrence[x]
                                                                                                                                                          PRB-16
                                                                                                                                                          • .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS
                                                                                                                                                          • moodCode=EVN
                                                                                                                                                          • code="age at onset"].value
                                                                                                                                                          FiveWs.init
                                                                                                                                                          .... id
                                                                                                                                                          .... Slices for extension
                                                                                                                                                          ..... extension:dataabsentreason
                                                                                                                                                          ANY.nullFlavor
                                                                                                                                                          .... 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
                                                                                                                                                          FiveWs.done[x]
                                                                                                                                                          ... recordedDate
                                                                                                                                                          REL-11
                                                                                                                                                          .participation[typeCode=AUT].time
                                                                                                                                                          FiveWs.recorded
                                                                                                                                                          ... recorder
                                                                                                                                                          .participation[typeCode=AUT].role
                                                                                                                                                          FiveWs.author
                                                                                                                                                          ... asserter
                                                                                                                                                          REL-7.1 identifier + REL-7.12 type code
                                                                                                                                                          .participation[typeCode=INF].role
                                                                                                                                                          FiveWs.source
                                                                                                                                                          ... stage
                                                                                                                                                          • ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS
                                                                                                                                                          • moodCode=EVN
                                                                                                                                                          • code="stage/grade"]
                                                                                                                                                          .... id
                                                                                                                                                          n/a
                                                                                                                                                          .... extension
                                                                                                                                                          n/a
                                                                                                                                                          .... modifierExtension
                                                                                                                                                          N/A
                                                                                                                                                          .... summary
                                                                                                                                                          < 254291000 |Staging and scales|
                                                                                                                                                          PRB-14
                                                                                                                                                          .value
                                                                                                                                                          .... assessment
                                                                                                                                                          .self
                                                                                                                                                          .... type
                                                                                                                                                          • ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS
                                                                                                                                                          • moodCode=EVN
                                                                                                                                                          • code="stage type"]
                                                                                                                                                          ... evidence
                                                                                                                                                          • .outboundRelationship[typeCode=SPRT].target[classCode=OBS
                                                                                                                                                          • moodCode=EVN]
                                                                                                                                                          .... id
                                                                                                                                                          n/a
                                                                                                                                                          .... extension
                                                                                                                                                          n/a
                                                                                                                                                          .... modifierExtension
                                                                                                                                                          N/A
                                                                                                                                                          .... code
                                                                                                                                                          Event.reasonCode
                                                                                                                                                          < 404684003 |Clinical finding|
                                                                                                                                                          [code="diagnosis"].value
                                                                                                                                                          FiveWs.why[x]
                                                                                                                                                          .... detail
                                                                                                                                                          .self
                                                                                                                                                          FiveWs.why[x]
                                                                                                                                                          ... note
                                                                                                                                                          Event.note
                                                                                                                                                          NTE child of PRB
                                                                                                                                                          • .inboundRelationship[typeCode=SUBJ].source[classCode=OBS
                                                                                                                                                          • moodCode=EVN
                                                                                                                                                          • code="annotation"].value

                                                                                                                                                          doco Documentation for this format