Nictiz FHIR NL R4 Zib2020 - Local Development build (v0.9.0). See the Directory of published versions

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Resource Profile: NlcoreEncounter - Mappings

Draft as of 2023-10-17

Mappings for the nl-core-Encounter resource profile.

Mappings for zib Encounter-v4.0.1(2020EN) (https://zibs.nl/wiki/Encounter-v4.0.1(2020EN))

NlcoreEncounter
Encounter	NL-CM:15.1.1	Encounter
status	NL-CM:15.1.3, NL-CM:15.1.4	StartDateTime (implicit, main mapping is on Encounter.period) , EndDateTime (implicit, main mapping is on Encounter.period)
class	NL-CM:15.1.2	ContactType
participant
participant (healthProfessional)
individual	NL-CM:15.1.7	ContactWith
period
start	NL-CM:15.1.3	StartDateTime
end	NL-CM:15.1.4	EndDateTime
reasonCode
reasonCode (deviatingResult)
extension
extension (commentContactReason)
value[x]	NL-CM:15.1.17	CommentContactReason
text	NL-CM:15.1.12	DeviatingResult
reasonReference (problem)	NL-CM:15.1.6	Problem
reasonReference (procedure)	NL-CM:15.1.11	Procedure
hospitalization
admitSource	NL-CM:15.1.14	Origin
dischargeDisposition	NL-CM:15.1.16	Destination
location
location	NL-CM:15.1.8	Location

Mappings for zib HealthProfessional-v3.5(2020EN) (https://zibs.nl/wiki/HealthProfessional-v3.5(2020EN))

NlcoreEncounter
Encounter
participant
participant (healthProfessional)
type	NL-CM:17.1.5	HealthProfessionalRole

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

NlcoreEncounter
Encounter	Event
identifier	Event.identifier
status	Event.status
type	Event.code
serviceType	Event.code
subject	Event.subject
episodeOfCare	Event.context
basedOn	Event.basedOn
participant	Event.performer
type	Event.performer.function
individual	Event.performer.actor
participant (healthProfessional)	Event.performer
type	Event.performer.function
individual	Event.performer.actor
appointment	Event.basedOn
period	Event.occurrence[x]
length	Event.occurrence[x]
reasonCode	Event.reasonCode
reasonCode (deviatingResult)	Event.reasonCode
reasonReference	Event.reasonCode
reasonReference (problem)	Event.reasonCode
reasonReference (procedure)	Event.reasonCode
diagnosis
condition	Event.reasonReference
location
location	Event.location
serviceProvider	Event.performer.actor
partOf	Event.partOf

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

NlcoreEncounter
Encounter	Entity. Role, or Act, Encounter[@moodCode='EVN']
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	.id
status	.statusCode
statusHistory	n/a
id	n/a
extension	n/a
modifierExtension	N/A
status	n/a
period	n/a
class	.inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code
classHistory	n/a
id	n/a
extension	n/a
modifierExtension	N/A
class	n/a
period	n/a
type	.code
serviceType	n/a
priority	.priorityCode
subject	.participation[typeCode=SBJ]/role[classCode=PAT]
episodeOfCare	n/a
basedOn	.reason.ClinicalDocument
participant	.participation[typeCode=PFM]
id	n/a
extension	n/a
modifierExtension	N/A
type	.functionCode
period	.time
individual	.role
participant (healthProfessional)	.participation[typeCode=PFM]
id	n/a
extension	n/a
modifierExtension	N/A
type	.functionCode
period	.time
individual	.role
appointment	.outboundRelationship[typeCode=FLFS].target[classCode=ENC, moodCode=APT]
period	.effectiveTime (low & high)
id	n/a
extension	n/a
start	./low
end	./high
length	.lengthOfStayQuantity
reasonCode	.reasonCode
reasonCode (deviatingResult)	.reasonCode
id	n/a
extension	n/a
extension (commentContactReason)	n/a, N/A
id	n/a
extension	n/a
url	N/A
value[x]	N/A
text	./originalText[mediaType/code="text/plain"]/data
reasonReference	.reasonCode
reasonReference (problem)	.reasonCode
reasonReference (procedure)	.reasonCode
diagnosis	.outboundRelationship[typeCode=RSON]
id	n/a
extension	n/a
modifierExtension	N/A
condition	.outboundRelationship[typeCode=RSON].target
use	n/a
rank	.outboundRelationship[typeCode=RSON].priority
account	.pertains.A_Account
hospitalization	.outboundRelationship[typeCode=COMP].target[classCode=ENC, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
preAdmissionIdentifier	.id
origin	.participation[typeCode=ORG].role
admitSource	.admissionReferralSourceCode
reAdmission	n/a
dietPreference	.outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=EVN, code="diet"]
specialCourtesy	.specialCourtesiesCode
specialArrangement	.specialArrangementCode
destination	.participation[typeCode=DST]
dischargeDisposition	.dischargeDispositionCode
location	.participation[typeCode=LOC]
id	n/a
extension	n/a
modifierExtension	N/A
location	.role
status	.role.statusCode
period	.time
serviceProvider	.particiaption[typeCode=PFM].role
partOf	.inboundRelationship[typeCode=COMP].source[classCode=COMP, moodCode=EVN]

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

NlcoreEncounter
Encounter
identifier	FiveWs.identifier
status	FiveWs.status
class	FiveWs.class
type	FiveWs.class
priority	FiveWs.grade
subject	FiveWs.subject[x], FiveWs.subject
episodeOfCare	FiveWs.context
participant
individual	FiveWs.who
participant (healthProfessional)
individual	FiveWs.who
period	FiveWs.done[x]
reasonCode	FiveWs.why[x]
reasonCode (deviatingResult)	FiveWs.why[x]
reasonReference	FiveWs.why[x]
reasonReference (problem)	FiveWs.why[x]
reasonReference (procedure)	FiveWs.why[x]
diagnosis
condition	FiveWs.why[x]
location
location	FiveWs.where[x]

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

NlcoreEncounter
Encounter
identifier	PV1-19
status	No clear equivalent in HL7 v2; active/finished could be inferred from PV1-44, PV1-45, PV2-24; inactive could be inferred from PV2-16
class	PV1-2
type	PV1-4 / PV1-18
serviceType	PV1-10
priority	PV2-25
subject	PID-3
episodeOfCare	PV1-54, PV1-53
participant	ROL
type	ROL-3 (or maybe PRT-4)
period	ROL-5, ROL-6 (or maybe PRT-5)
individual	ROL-4
participant (healthProfessional)	ROL
type	ROL-3 (or maybe PRT-4)
period	ROL-5, ROL-6 (or maybe PRT-5)
individual	ROL-4
appointment	SCH-1 / SCH-2
period	PV1-44, PV1-45
start	DR.1
end	DR.2
length	(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes
reasonCode	EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )
reasonCode (deviatingResult)	EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )
text	C*E.9. But note many systems use C*E.2 for this
reasonReference	EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )
reasonReference (problem)	EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )
reasonReference (procedure)	EVN-4 / PV2-3 (note: PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations )
diagnosis
condition	Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively.
hospitalization
preAdmissionIdentifier	PV1-5
admitSource	PV1-14
reAdmission	PV1-13
dietPreference	PV1-38
specialCourtesy	PV1-16
specialArrangement	PV1-15 / OBR-30 / OBR-43
destination	PV1-37
dischargeDisposition	PV1-36
location
location	PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43
serviceProvider	PL.6 & PL.1