FHIR Implementation Guide for NDHM CI Build v2.0
banner

NDHM (R4), Published and maintained by NRCeS for NHA.
This version is based on the NDHM Health Data Interchange Specifications 1.0 and updated periodically.

Mappings for the StructureDefinition-FamilyMemberHistory Profile.

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

FamilyMemberHistory
FamilyMemberHistoryEvent
   identifierEvent.identifier
   instantiatesCanonicalEvent.instantiatesCanonical
   instantiatesUriEvent.instantiatesUri
   statusEvent.status
   patientEvent.subject
   reasonCodeEvent.reasonCode
   reasonReferenceEvent.reasonReference
   noteEvent.note

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

FamilyMemberHistory
FamilyMemberHistoryNot in scope for v2
   relationship
      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
   reasonCode
      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
   condition
      code
         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 RIM Mapping (http://hl7.org/v3)

FamilyMemberHistory
FamilyMemberHistoryEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierid
   instantiatesCanonical.outboundRelationship[typeCode=DEFN].target
   instantiatesUri.outboundRelationship[typeCode=DEFN].target
   dataAbsentReason.reasonCode
   patientparticipation[typeCode=SBJ].role
   dateparticipation[typeCode=AUT].time
   namename
   relationshipcode
      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
   born[x]player[classCode=LIV, determinerCode=INSTANCE]. birthDate (could be URG)
   age[x]participation[typeCode=SBJ].act[classCode=OBS,moodCode=EVN, code="age"].value
   deceased[x]player[classCode=LIV, determinerCode=INSTANCE].deceasedInd, deceasedDate (could be URG) For age, you'd hang an observation off the role
   reasonCode.reasonCode
      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
   reasonReference.outboundRelationship[typeCode=RSON].target
   noteinboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value
   conditioninboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION, value<Diagnosis]
      idn/a
      extensionn/a
      modifierExtensionN/A
      code.value
         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
      outcomeoutboundRelationship[typeCode=OUTC)].target[classCode=OBS, moodCode=EVN, code=ActCode#ASSERTION].value
      onset[x]inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="Subject Age at measurement", value<Diagnosis].value[@xsi:typeCode='TS' or 'IVL_TS'] Use originalText for string
      noteinboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=ActCode#ANNGEN].value

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

FamilyMemberHistory
FamilyMemberHistory
   identifierFiveWs.identifier
   statusFiveWs.status
   patientFiveWs.subject[x], FiveWs.subject
   dateFiveWs.recorded
   reasonCodeFiveWs.why[x]
   reasonReferenceFiveWs.why[x]