LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide, published by Ministry of Health, Sri Lanka. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lk-gov-health-hiu/lk-nehr-fhir-ips/ and changes regularly. See the Directory of published versions

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Resource Profile: MedicalHistory - Mappings

Active as of 2024-11-14

Mappings for the medical-history resource profile.

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

MedicalHistory
Condition	Event
identifier	Event.identifier
subject	Event.subject
encounter	Event.context
onset[x]	Event.occurrence[x]
evidence
code	Event.reasonCode
note	Event.note

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

MedicalHistory
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|)
stage
summary	< 254291000 |Staging and scales|
evidence
code	< 404684003 |Clinical finding|

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

MedicalHistory
Condition	PPR message
clinicalStatus	CE/CNE/CWE
verificationStatus	CE/CNE/CWE
category	CE/CNE/CWE
severity	CE/CNE/CWE
code	CE/CNE/CWE
bodySite	CE/CNE/CWE
subject	PID-3
encounter	PV1-19 (+PV1-54)
onset[x]	PRB-16
recordedDate	REL-11
asserter	REL-7.1 identifier + REL-7.12 type code
stage
summary	PRB-14
note	NTE child of PRB

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

MedicalHistory
Condition	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	.id
clinicalStatus	n/a, CD
verificationStatus	n/a, CD
category	n/a, CD
severity	n/a, CD
code	n/a, CD
bodySite	n/a, CD
subject	.participation[typeCode=SBJ].role[classCode=PAT]
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
display	N/A
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
stage	./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
id	n/a
extension	n/a
modifierExtension	N/A
summary	.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	[code="diagnosis"].value
detail	.self
note	.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

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

MedicalHistory
Condition
identifier	FiveWs.identifier
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
onset[x]	FiveWs.init
abatement[x]	FiveWs.done[x]
recordedDate	FiveWs.recorded
recorder	FiveWs.author
asserter	FiveWs.source
evidence
code	FiveWs.why[x]
detail	FiveWs.why[x]