RIVO-Noord Zorgviewer Implementation Guide
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This page is part of the RIVO-Noord Zorgviewer Implementation Guide (v1.10.0: Release) based on FHIR (HL7® FHIR® Standard) R3. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: Condition - Mappings

Active as of 2025-01-20

Mappings for the Condition resource profile.

Mappings for HCIM Problem-v4.1(2017EN) (https://zibs.nl/wiki/Problem-v4.1(2017EN))

ConcernForTransfer is renamed to Problem with release 2017 of the HCIMs.

Condition
ConditionNL-CM:5.1.1

Problem
   clinicalStatusNL-CM:5.1.4

ProblemStatus. A ConceptMap (http://nictiz.nl/fhir/ConceptMap/ProbleemStatusCodelijst-to-Condition-Clinical-Status-Codes) is available that maps ProblemStatusCodelist to the condition-clinical value set.
      extension
      extension (ProblemStatusCodelist)
         value[x] (valueCodeableConcept)NL-CM:5.1.4

ProblemStatus. The relationship between the HCIM codes and the Resource codes is covered in the ConceptMaps: ProbleemStatusCodelijst-to-Condition-Clinical-Status-Codes and Condition-Clinical-Status-Codes-to-ProbleemStatusCodelijst
   verificationStatusNL-CM:5.1.10

VerificationStatus. A ConceptMap (http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus) is available.
      extension (VerificatieStatusCodelijst)NL-CM:5.1.10

A ConceptMap (http://nictiz.nl/fhir/ConceptMap/VerificatieStatusCodelijst-to-ConditionVerificationStatus) is available
   categoryNL-CM:5.1.8

ProblemType
   codeNL-CM:5.1.3

ProblemName
   bodySiteNL-CM:5.1.11

ProblemAnatomicalLocation
      extension
      extension (Laterality)
         value[x] (valueCodeableConcept)NL-CM:5.1.12

ProblemLaterality
   onset[x] (onsetDateTime)NL-CM:5.1.6

ProblemStartDate
   abatement[x] (abatementDateTime)NL-CM:5.1.9

ProblemEndDate
   noteNL-CM:5.1.5

Comment

Mappings for HCIM BasicElements-v1.0(2017EN) (https://zibs.nl/wiki/BasicElements-v1.0(2017EN))

Condition
Condition
   identifierNL-CM:0.0.6

IdentificationNumber
   subjectNL-CM:0.0.11

Subject
   onset[x] (onsetDateTime)NL-CM:0.0.14

DateTime
   asserterNL-CM:0.0.2

InformationSource

Mappings for HCIM ConcernForTransfer-v3.0(2016EN) (https://zibs.nl/wiki/ConcernForTransfer-v3.0(2016EN))

Condition
ConditionNL-CM:5.1.1, NL-CM:5.1.2

Concern

,

Problem
   clinicalStatusNL-CM:5.1.4

ProblemStatus. A ConceptMap (http://nictiz.nl/fhir/ConceptMap/ProbleemStatusCodelijst-to-Condition-Clinical-Status-Codes) is available that maps ProblemStatusCodelist to the condition-clinical value set.
      extension
      extension (ProblemStatusCodelist)
         value[x] (valueCodeableConcept)NL-CM:5.1.4

ProblemStatus
   categoryNL-CM:5.1.8

ProblemType
   codeNL-CM:5.1.3

ProblemName
   onset[x] (onsetDateTime)NL-CM:5.1.6

ProblemStartDate
   noteNL-CM:5.1.5

Explanation

Mappings for HCIM ConcernForTransfer-v1.2(2015EN) (https://zibs.nl/wiki/ConcernForTransfer-v1.2(2015EN))

Condition
ConditionNL-CM:5.1.1, NL-CM:5.1.2

Concern

,

Problem
   clinicalStatusNL-CM:5.1.4

ProblemStatus. A ConceptMap (http://nictiz.nl/fhir/ConceptMap/ProbleemStatusCodelijst-to-Condition-Clinical-Status-Codes) is available that maps ProblemStatusCodelist to the condition-clinical value set.
      extension
      extension (ProblemStatusCodelist)
         value[x] (valueCodeableConcept)NL-CM:5.1.4

ProblemStatus
   categoryNL-CM:5.1.8

ProblemType
   codeNL-CM:5.1.3

ProblemName
   onset[x] (onsetDateTime)NL-CM:5.1.6

ProblemStartDate
   noteNL-CM:5.1.5

Explanation

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

Condition
Condition< 243796009 |Situation with explicit context|: 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 < 272379006 |Event|)
   clinicalStatus< 303105007 |Disease phases|
   verificationStatus< 410514004 |Finding context value|
   category< 404684003 |Clinical finding|
   severity< 272141005 |Severities|
   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|
   stage
      summary< 254291000 |Staging and scales|
   evidence
      code< 404684003 |Clinical finding|

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

Condition
ConditionPPR message
   clinicalStatusPRB-14 / DG1-6
   verificationStatusPRB-13
   category'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   severityPRB-26 / ABS-3
   codePRB-3
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   bodySite
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-3
   contextPV1-19 (+PV1-54)
   onset[x]PRB-16
   onset[x] (onsetDateTime)PRB-16
   assertedDateREL-11
   asserterREL-7.1 identifier + REL-7.12 type code
   stage
      summaryPRB-14
   noteNTE child of PRB

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

Condition
ConditionEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   clinicalStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
      extension
      extension (ProblemStatusCodelist)
         idn/a
         extensionn/a
         urlN/A
         value[x]N/A
         value[x] (valueCodeableConcept)N/A
   verificationStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
      extension
      extension (VerificatieStatusCodelijst)
         idn/a
         extensionn/a
         urlN/A
         value[x]N/A
         value[x] (valueCodeableConcept)N/A
   category.code
   severityCan be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
   code.value
      idn/a
      extensionn/a
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   bodySite.targetBodySiteCode
      idn/a
      extension
      extension (Laterality)
         idn/a
         extensionn/a
         urlN/A
         value[x]N/A
         value[x] (valueCodeableConcept)N/A
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   subject.participation[typeCode=SBJ].role[classCode=PAT]
   context.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
   onset[x] (onsetDateTime).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
   abatement[x] (abatementDateTime).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
   assertedDate.participation[typeCode=AUT].time
   asserter.participation[typeCode=AUT].role
      idn/a
      extension (practitionerRole)n/a, N/A
      referenceN/A
      identifier.identifier
      displayN/A
   stage./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
      idn/a
      extensionn/a
      modifierExtensionN/A
      summary.value
      assessment.self
   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 W5 Mapping (http://hl7.org/fhir/w5)

Condition
Conditionclinical.general
   identifierid
   clinicalStatusstatus
   verificationStatusstatus
   categoryclass
   severitygrade
   codewhat
   subjectwho.focus
   contextcontext
   onset[x]when.init
   onset[x] (onsetDateTime)when.init
   abatement[x]when.done
   abatement[x] (abatementDateTime)when.done
   assertedDatewhen.recorded
   asserterwho.author
   evidence
      codewhy
      detailwhy

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

Condition
Condition
   verificationStatus408729009
   severity246112005
   code246090004
   bodySite363698007