INTEROPen CareConnect Base STU3 Implementation Guide
3.0.0 - CI Build

INTEROPen CareConnect Base STU3 Implementation Guide - Local Development build (v3.0.0). See the Directory of published versions

StructureDefinition: CareConnect-HeartRate-Observation-1 - Mappings

Mappings for the Profile.

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

CareConnect-HeartRate-Observation-1
ObservationEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   contextEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer
   value[x]Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
   value[x] (valueQuantity)Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
   dataAbsentReasonEvent.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
   commentEvent.note

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

CareConnect-HeartRate-Observation-1
Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
   value[x]< 441742003 |Evaluation finding|
   value[x] (valueQuantity)< 441742003 |Evaluation finding|
   interpretation< 260245000 |Findings values|
   bodySite< 123037004 |Body structure|
   specimen< 123038009 |Specimen|
   device< 49062001 |Device|
   referenceRange
      type< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
      appliesTo< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
   component
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valueQuantity)363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|

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

CareConnect-HeartRate-Observation-1
ObservationOBX
   identifierOBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
      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)
   basedOnORC
   statusOBX-11
   category
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         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
   codeOBX-3
      codingC*E.1-8, C*E.10-22
      coding (loinc)C*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
      coding (snomedCT)C*E.1-8, C*E.10-22
         systemC*E.3
         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
   contextPV1
   effective[x]OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
   issuedOBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
   performerOBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
   value[x]OBX.2, OBX.5, OBX.6
   value[x] (valueQuantity)OBX.2, OBX.5, OBX.6
      valueSN.2 / CQ - N/A
      comparatorSN.1 / CQ.1
      unit(see OBX.6 etc.) / CQ.2
      system(see OBX.6 etc.) / CQ.2
      code(see OBX.6 etc.) / CQ.2
   dataAbsentReasonN/A
      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
   interpretationOBX-8
   commentNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
   bodySiteOBX-20
      codingC*E.1-8, C*E.10-22
      coding (snomedCT)C*E.1-8, C*E.10-22
         systemC*E.3
         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
   methodOBX-17
      codingC*E.1-8, C*E.10-22
      coding (snomedCT)C*E.1-8, C*E.10-22
         systemC*E.3
         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
   specimenSPM segment
   deviceOBX-17 / PRT -10
   referenceRangeOBX.7
      lowOBX-7
      highOBX-7
      typeOBX-10
      appliesToOBX-10
      textOBX-7
   relatedRelationships established by OBX-4 usage
      typeN/A
   componentcontainment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
         coding (loinc)C*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
         coding (snomedCT)C*E.1-8, C*E.10-22
            systemC*E.3
            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
      value[x]OBX.2, OBX.5, OBX.6
      value[x] (valueQuantity)OBX.2, OBX.5, OBX.6
         valueSN.2 / CQ - N/A
         comparatorSN.1 / CQ.1
         unit(see OBX.6 etc.) / CQ.2
         system(see OBX.6 etc.) / CQ.2
         code(see OBX.6 etc.) / CQ.2
      dataAbsentReasonN/A
         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
      interpretationOBX-8
      referenceRangeOBX.7

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

CareConnect-HeartRate-Observation-1
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierid
      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
   basedOn.outboundRelationship[typeCode=FLFS].target
   statusstatus Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   codecode
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (loinc)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (snomedCT)union(., ./translation)
         idn/a
         extension (snomedCTDescriptionID)n/a, N/A
         system./codeSystem
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   subjectparticipation[typeCode=SBJ]
   contextinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   issuedparticipation[typeCode=AUT].time
   performerparticipation[typeCode=PRF]
   value[x]value
   value[x] (valueQuantity)value
      idn/a
      extensionn/a
      valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
      comparatorIVL properties
      unitPQ.unit
      systemCO.codeSystem, PQ.translation.codeSystem
      codePQ.code, MO.currency, PQ.translation.code
   dataAbsentReasonvalue.nullFlavor
      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
   interpretationinterpretationCode
   commentsubjectOf.observationEvent[code="annotation"].value
   bodySitetargetSiteCode
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (snomedCT)union(., ./translation)
         idn/a
         extension (snomedCTDescriptionID)n/a, N/A
         system./codeSystem
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   methodmethodCode
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (snomedCT)union(., ./translation)
         idn/a
         extension (snomedCTDescriptionID)n/a, N/A
         system./codeSystem
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   specimenparticipation[typeCode=SPC].specimen
   deviceparticipation[typeCode=DEV]
   referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      lowvalue:IVL_PQ.low
      highvalue:IVL_PQ.high
      typeinterpretationCode
      appliesTointerpretationCode
      ageoutboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
      textvalue:ST
   relatedoutBoundRelationship
      idn/a
      extensionn/a
      modifierExtensionN/A
      type.typeCode
      target.targetObservation
   componentoutBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
         coding (loinc)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (snomedCT)union(., ./translation)
            idn/a
            extension (snomedCTDescriptionID)n/a, N/A
            system./codeSystem
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      value[x] (valueQuantity)value
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         comparatorIVL properties
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
      dataAbsentReasonvalue.nullFlavor
         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
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

CareConnect-HeartRate-Observation-1
Observationclinical.diagnostics
   identifierid
   statusstatus
   categoryclass
   codewhat
   subjectwho.focus
   contextcontext
   effective[x]when.done
   issuedwhen.recorded
   performerwho.actor
   component
      codewhat

Mappings for SNOMED CT Attribute Binding (http://snomed.info/sct)

CareConnect-HeartRate-Observation-1
Observation
   code116680003 |Is a|
   value[x]363714003 |Interprets|
   value[x] (valueQuantity)363714003 |Interprets|
   interpretation363713009 |Has interpretation|
   bodySite718497002 |Inherent location|
   specimen704319004 |Inherent in|
   device424226004 |Using device|
   component
      value[x]363714003 |Interprets|
      value[x] (valueQuantity)363714003 |Interprets|
      interpretation363713009 |Has interpretation|