1.0.0 - ci-build

MedComIHEXDSMetadata, 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-ihe-xds-metadata/ and changes regularly. See the Directory of published versions

Resource Profile: QRDDKDocumentReference - Mappings

Draft as of 2024-11-05

Mappings for the qrd-dk-documentreference resource profile.

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

QRDDKDocumentReference
DocumentReferenceEvent
   masterIdentifierEvent.identifier
   identifierEvent.identifier
   statusEvent.status
   typeEvent.code
   subjectEvent.subject
   dateEvent.occurrence[x]
   authorEvent.performer.actor
   authenticatorEvent.performer.actor
   custodianEvent.performer.actor
   context
      encounterEvent.context

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

QRDDKDocumentReference
DocumentReferencewhen describing a Composition
   masterIdentifierComposition.identifier
   docStatusComposition.status
   typeComposition.type
   categoryComposition.class
   subjectComposition.subject
   dateComposition.date
   authorComposition.author
   authenticatorComposition.attester
   custodianComposition.custodian
   relatesToComposition.relatesTo
      codeComposition.relatesTo.code
      targetComposition.relatesTo.target
   securityLabelComposition.confidentiality, Composition.meta.security
   contentBundle(Composition+*)
      attachmentComposition.language, Composition.title, Composition.date
      formatComposition.meta.profile
   context
      encounterComposition.encounter
      eventComposition.event.code
      periodComposition.event.period
      facilityTypeusually from a mapping to a local ValueSet
      practiceSettingusually from a mapping to a local ValueSet
      sourcePatientInfoComposition.subject
      relatedComposition.event.detail

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

QRDDKDocumentReference
DocumentReferenceEntity. Role, or Act, Document[classCode="DOC" and moodCode="EVN"]
   textAct.text?
   containedN/A
   extension
      idn/a
      urlN/A
      value[x]N/A
      value[x] (valueCoding)N/A
      value[x] (valueString)N/A
   modifierExtensionN/A
   masterIdentifier.id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   identifier.id / .setId
   statusinterim: .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
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.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"]
   authenticator.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
   custodian.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
   relatesTo.outboundRelationship
      idn/a
      extensionn/a
      modifierExtensionN/A
      code.outboundRelationship.typeCode
      target.target[classCode="DOC", moodCode="EVN"].id
   description.outboundRelationship[typeCode="SUBJ"].target.text
   securityLabel.confidentialityCode
   contentdocument.text
      idn/a
      extensionn/a
      modifierExtensionN/A
      attachmentdocument.text
         idn/a
         extensionn/a
         contentType./mediaType, ./charset
         language./language
         data./data
         url./reference/literal
         sizeN/A (needs data type R3 proposal)
         hash.integrityCheck[parent::ED/integrityCheckAlgorithm="SHA-1"]
         title./title/data
         creationN/A (needs data type R3 proposal)
      formatdocument.text
   contextoutboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
      idn/a
      extensionn/a
      modifierExtensionN/A
      encounterunique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
      event.code
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      period.effectiveTime
         idn/a
         extensionn/a
         start./low
         end./high
      facilityType.participation[typeCode="LOC"].role[classCode="DSDLOC"].code
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      practiceSetting.participation[typeCode="LOC"].role[classCode="DSDLOC"].code
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.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)

QRDDKDocumentReference
DocumentReferencewhen describing a CDA
   masterIdentifierClinicalDocument/id
   typeClinicalDocument/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.
   categoryDerived 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
   subjectClinicalDocument/recordTarget/
   authorClinicalDocument/author
   authenticatorClinicalDocument/legalAuthenticator
   securityLabelClinicalDocument/confidentialityCode/@code
   content
      attachmentClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date
      formatderived from the IHE Profile or Implementation Guide templateID
   context
      periodClinicalDocument/documentationOf/ serviceEvent/effectiveTime/low/ @value --> ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/high/ @value
      facilityTypeusually a mapping to a local ValueSet. Must be consistent with /clinicalDocument/code
      practiceSettingusually from a mapping to a local ValueSet
      sourcePatientInfoClinicalDocument/recordTarget/
      relatedClinicalDocument/relatedDocument

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

QRDDKDocumentReference
DocumentReference
   masterIdentifierFiveWs.identifier
   identifierFiveWs.identifier
   statusFiveWs.status
   docStatusFiveWs.status
   typeFiveWs.class
   categoryFiveWs.class
   subjectFiveWs.subject[x], FiveWs.subject
   dateFiveWs.recorded
   authenticatorFiveWs.witness
   context
      encounterFiveWs.context

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

QRDDKDocumentReference
DocumentReference
   masterIdentifierTXA-12
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   identifierTXA-16?
   statusTXA-19
   docStatusTXA-17
   typeTXA-2
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   category
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)
   authorTXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)
   authenticatorTXA-10
   descriptionTXA-25
   securityLabelTXA-18
   content
      attachmentTXA-3 for mime type
         contentTypeED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used
         dataED.5
         urlRP.1+RP.2 - if they refer to a URL (see v2.6)
   context
      event
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      period
         startDR.1
         endDR.2
      facilityType
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      practiceSetting
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this

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

QRDDKDocumentReference
DocumentReference
   masterIdentifierDocumentEntry.uniqueId
   identifierDocumentEntry.entryUUID
   statusDocumentEntry.availabilityStatus
   typeDocumentEntry.type
   categoryDocumentEntry.class
   subjectDocumentEntry.patientId
   authorDocumentEntry.author
   authenticatorDocumentEntry.legalAuthenticator
   relatesToDocumentEntry Associations
      codeDocumentEntry Associations type
      targetDocumentEntry Associations reference
   descriptionDocumentEntry.comments
   securityLabelDocumentEntry.confidentialityCode
   content
      attachmentDocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime
      formatDocumentEntry.formatCode
   context
      eventDocumentEntry.eventCodeList
      periodDocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime
      facilityTypeDocumentEntry.healthcareFacilityTypeCode
      practiceSettingDocumentEntry.practiceSettingCode
      sourcePatientInfoDocumentEntry.sourcePatientInfo, DocumentEntry.sourcePatientId
      relatedDocumentEntry.referenceIdList