DK MedCom Condition List, published by MedCom. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/medcomdk/dk-medcom-conditionlist/ and changes regularly. See the Directory of published versions

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Resource Profile: MedComConditionListDocumentReference - Mappings

Draft as of 2024-11-04

Mappings for the medcom-conditionlist-documentreference resource profile.

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

MedComConditionListDocumentReference
DocumentReference	Event
masterIdentifier	Event.identifier
identifier	Event.identifier
status	Event.status
type	Event.code
subject	Event.subject
date	Event.occurrence[x]
author	Event.performer.actor
author (institution)	Event.performer.actor
author (person)	Event.performer.actor
authenticator	Event.performer.actor
custodian	Event.performer.actor
context
encounter	Event.context

Mappings for FHIR Composition (http://hl7.org/fhir/composition)

MedComConditionListDocumentReference
DocumentReference	when describing a Composition
masterIdentifier	Composition.identifier
docStatus	Composition.status
type	Composition.type
category	Composition.class
subject	Composition.subject
date	Composition.date
author	Composition.author
author (institution)	Composition.author
author (person)	Composition.author
authenticator	Composition.attester
custodian	Composition.custodian
relatesTo	Composition.relatesTo
code	Composition.relatesTo.code
target	Composition.relatesTo.target
securityLabel	Composition.confidentiality, Composition.meta.security
content	Bundle(Composition+*)
attachment	Composition.language, Composition.title, Composition.date
format	Composition.meta.profile
context
encounter	Composition.encounter
event	Composition.event.code
period	Composition.event.period
facilityType	usually from a mapping to a local ValueSet
practiceSetting	usually from a mapping to a local ValueSet
sourcePatientInfo	Composition.subject
related	Composition.event.detail

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

MedComConditionListDocumentReference
DocumentReference	Entity. Role, or Act, Document[classCode="DOC" and moodCode="EVN"]
text	Act.text?
contained	N/A
extension
id	n/a
url	N/A
value[x]	N/A
value[x] (valueCoding)	N/A
value[x] (valueString)	N/A
modifierExtension	N/A
masterIdentifier	.id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
identifier	.id / .setId
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
status	interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
docStatus	.statusCode
type	./code
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
category	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
subject	.participation[typeCode="SBJ"].role[typeCode="PAT"]
date	.availabilityTime[type="TS"]
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
author (institution)	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
author (person)	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
authenticator	.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
custodian	.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
relatesTo	.outboundRelationship
id	n/a
extension	n/a
modifierExtension	N/A
code	.outboundRelationship.typeCode
target	.target[classCode="DOC", moodCode="EVN"].id
description	.outboundRelationship[typeCode="SUBJ"].target.text
securityLabel	.confidentialityCode
content	document.text
id	n/a
extension	n/a
modifierExtension	N/A
attachment	document.text
id	n/a
extension	n/a
contentType	./mediaType, ./charset
language	./language
data	./data
url	./reference/literal
size	N/A (needs data type R3 proposal)
hash	.integrityCheck[parent::ED/integrityCheckAlgorithm="SHA-1"]
title	./title/data
creation	N/A (needs data type R3 proposal)
format	document.text
context	outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
id	n/a
extension	n/a
modifierExtension	N/A
encounter	unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
event	.code
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
period	.effectiveTime
id	n/a
extension	n/a
start	./low
end	./high
facilityType	.participation[typeCode="LOC"].role[classCode="DSDLOC"].code
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
practiceSetting	.participation[typeCode="LOC"].role[classCode="DSDLOC"].code
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
sourcePatientInfo	.participation[typeCode="SBJ"].role[typeCode="PAT"]
related	./outboundRelationship[typeCode="PERT" and isNormalActRelationship()] / target[isNormalAct]

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

MedComConditionListDocumentReference
DocumentReference	when describing a CDA
masterIdentifier	ClinicalDocument/id
type	ClinicalDocument/code/@code The typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted.
category	Derived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code
subject	ClinicalDocument/recordTarget/
author	ClinicalDocument/author
author (institution)	ClinicalDocument/author
author (person)	ClinicalDocument/author
authenticator	ClinicalDocument/legalAuthenticator
securityLabel	ClinicalDocument/confidentialityCode/@code
content
attachment	ClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date
format	derived from the IHE Profile or Implementation Guide templateID
context
period	ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/low/ @value --> ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/high/ @value
facilityType	usually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code
practiceSetting	usually from a mapping to a local ValueSet
sourcePatientInfo	ClinicalDocument/recordTarget/
related	ClinicalDocument/relatedDocument

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

MedComConditionListDocumentReference
DocumentReference
masterIdentifier	FiveWs.identifier
identifier	FiveWs.identifier
status	FiveWs.status
docStatus	FiveWs.status
type	FiveWs.class
category	FiveWs.class
subject	FiveWs.subject[x], FiveWs.subject
date	FiveWs.recorded
authenticator	FiveWs.witness
context
encounter	FiveWs.context

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

MedComConditionListDocumentReference
DocumentReference
masterIdentifier	TXA-12
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
identifier	TXA-16?
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
status	TXA-19
docStatus	TXA-17
type	TXA-2
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
category
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)
author	TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)
author (institution)	TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)
author (person)	TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)
authenticator	TXA-10
description	TXA-25
securityLabel	TXA-18
content
attachment	TXA-3 for mime type
contentType	ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used
data	ED.5
url	RP.1+RP.2 - if they refer to a URL (see v2.6)
context
event
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
period
start	DR.1
end	DR.2
facilityType
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
practiceSetting
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this

Mappings for XDS metadata equivalent (http://ihe.net/xds)

MedComConditionListDocumentReference
DocumentReference
masterIdentifier	DocumentEntry.uniqueId
identifier	DocumentEntry.entryUUID
status	DocumentEntry.availabilityStatus
type	DocumentEntry.type
category	DocumentEntry.class
subject	DocumentEntry.patientId
author	DocumentEntry.author
author (institution)	DocumentEntry.author
author (person)	DocumentEntry.author
authenticator	DocumentEntry.legalAuthenticator
relatesTo	DocumentEntry Associations
code	DocumentEntry Associations type
target	DocumentEntry Associations reference
description	DocumentEntry.comments
securityLabel	DocumentEntry.confidentialityCode
content
attachment	DocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime
format	DocumentEntry.formatCode
context
event	DocumentEntry.eventCodeList
period	DocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime
facilityType	DocumentEntry.healthcareFacilityTypeCode
practiceSetting	DocumentEntry.practiceSettingCode
sourcePatientInfo	DocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId
related	DocumentEntry.referenceIdList