Health NZ | Te Whatu Ora FHIR Assistance Needs Questionnaires Implementation Guide
0.0.1 - draft

Health NZ | Te Whatu Ora FHIR Assistance Needs Questionnaires Implementation Guide - Local Development build (v0.0.1) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AssistanceNeedsProfile - Mappings

Draft as of 2024-08-19

Mappings for the assistance-needs-profile resource profile.

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

AssistanceNeedsProfile
ConditionEvent
   identifierEvent.identifier
   clinicalStatusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.context
   onset[x]Event.occurrence[x]
   evidence
      codeEvent.reasonCode
   noteEvent.note

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

AssistanceNeedsProfile
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|)
   clinicalStatus< 303105007 |Disease phases|
   category< 404684003 |Clinical finding|
   codecode 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 413350009 |Finding with explicit context| OR < 272379006 |Event|
   bodySite< 442083009 |Anatomical or acquired body structure|
   evidence
      code< 404684003 |Clinical finding|

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

AssistanceNeedsProfile
ConditionPPR message
   clinicalStatusPRB-14
   category'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   codePRB-3
   subjectPID-3
   encounterPV1-19 (+PV1-54)
   onset[x]PRB-16
   asserterREL-7.1 identifier + REL-7.12 type code
   noteNTE child of PRB

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

AssistanceNeedsProfile
ConditionEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
   textAct.text?
   containedN/A
   modifierExtensionN/A
   identifier.id
   clinicalStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
   category.code
   code.value
   bodySite.targetBodySiteCode
   subject.participation[typeCode=SBJ].role[classCode=PAT]
   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
   recorder.participation[typeCode=AUT].role
   asserter.participation[typeCode=INF].role
   evidence.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/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)

AssistanceNeedsProfile
Condition
   identifierFiveWs.identifier
   clinicalStatusFiveWs.status
   categoryFiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   onset[x]FiveWs.init
   abatement[x]FiveWs.done[x]
   recorderFiveWs.author
   asserterFiveWs.source
   evidence
      codeFiveWs.why[x]
      detailFiveWs.why[x]

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

AssistanceNeedsProfile
Condition
   code246090004
   bodySite363698007