電子カルテ情報共有サービス2文書５情報+患者サマリー　FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.13.0
1.13.0 - update Japan

電子カルテ情報共有サービス2文書５情報+患者サマリー　FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.13.0 - Local Development build (v1.13.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: JP_Condition_eCS - Mappings

Active as of 2024-10-27

Mappings for the JP-Condition-eCS resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
.. Condition
Event
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|)
PPR message
  • Observation[classCode=OBS
  • moodCode=EVN
  • code=ASSERTION
  • value<Diagnosis]
... id
... meta
.... id
n/a
.... extension
n/a
.... versionId
.... lastUpdated
.... source
.... profile
.... security
.... Slices for tag
..... tag:lts
...... id
n/a
...... extension
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... tag:uninformed
...... id
n/a
...... extension
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... tag:undelivered
...... id
n/a
...... extension
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
... implicitRules
... language
... text
Act.text?
... Slices for contained
N/A
.... contained:encounter
Event
Encounter[@moodCode='EVN']
.... contained:recorder
PRD (as one example)
Role
... Slices for extension
.... extension:eCS_InstitutionNumber
..... id
n/a
..... extension
..... url
N/A
..... value[x]
N/A
...... id
n/a
...... extension
n/a
...... use
N/A
Role.code or implied by context
...... type
CX.5
Role.code or implied by context
...... system
CX.4 / EI-2-4
II.root or Role.id.root
...... value
CX.1 / EI.1
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
...... period
CX.7 + CX.8
Role.effectiveTime or implied by context
...... assigner
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
.... extension:eCS_Department
..... id
n/a
..... extension
..... url
N/A
..... value[x]
N/A
...... id
n/a
...... extension
n/a
...... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
.... extension:eCS_DiagnosisType
... modifierExtension
N/A
... Slices for identifier
Event.identifier
.id
FiveWs.identifier
.... identifier:resourceIdentifier
Event.identifier
.id
FiveWs.identifier
..... id
n/a
..... extension
n/a
..... use
N/A
Role.code or implied by context
..... type
CX.5
Role.code or implied by context
..... system
CX.4 / EI-2-4
II.root or Role.id.root
..... value
CX.1 / EI.1
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
..... period
CX.7 + CX.8
Role.effectiveTime or implied by context
..... assigner
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
... clinicalStatus
Event.status
< 303105007 |Disease phases|
PRB-14
  • Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • code="clinicalStatus"
  • moodCode=EVN].value
FiveWs.status
.... id
n/a
.... extension
n/a
.... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... id
n/a
..... extension
n/a
..... system
C*E.3
./codeSystem
..... version
C*E.7
./codeSystemVersion
..... code
C*E.1
./code
..... display
C*E.2 - but note this is not well followed
CV.displayName
..... userSelected
Sometimes implied by being first
CD.codingRationale
.... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... verificationStatus
Event.status
< 410514004 |Finding context value|
PRB-13
  • Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • code="verificationStatus"
  • moodCode=EVN].value
FiveWs.status
408729009
.... id
n/a
.... extension
n/a
.... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... id
n/a
..... extension
n/a
..... system
C*E.3
./codeSystem
..... version
C*E.7
./codeSystemVersion
..... code
C*E.1
./code
..... display
C*E.2 - but note this is not well followed
CV.displayName
..... userSelected
Sometimes implied by being first
CD.codingRationale
.... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... category
< 404684003 |Clinical finding|
'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
.code
FiveWs.class
... severity
< 272141005 |Severities|
PRB-26 / ABS-3
  • Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="severity"].value
FiveWs.grade
246112005
... code
Event.code
code 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|
PRB-3
.value
FiveWs.what[x]
246090004
.... id
n/a
.... Slices for extension
n/a
..... extension:diseasePrefixModifier
..... extension:diseasePostfixModifier
.... Slices for coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... coding:medisRecordNo
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... coding:medisExchange
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... coding:receipt
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... coding:icd10
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
.... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... bodySite
< 442083009 |Anatomical or acquired body structure|
.targetBodySiteCode
363698007
.... id
n/a
.... extension
n/a
.... Slices for coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... coding:medisExchange
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... coding:medisRecordNo
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
..... coding:receipt
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
...... id
n/a
...... extension
n/a
...... system
C*E.3
./codeSystem
...... version
C*E.7
./codeSystemVersion
...... code
C*E.1
./code
...... display
C*E.2 - but note this is not well followed
CV.displayName
...... userSelected
Sometimes implied by being first
CD.codingRationale
.... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... subject
Event.subject
PID-3
.participation[typeCode=SBJ].role[classCode=PAT]
FiveWs.subject
... encounter
Event.context
PV1-19 (+PV1-54)
  • .inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
FiveWs.context
... Slices for onset[x]
Event.occurrence[x]
PRB-16
  • .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="age at onset"].value
FiveWs.init
.... onset[x]:onsetDateTime
Event.occurrence[x]
PRB-16
  • .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="age at onset"].value
FiveWs.init
... 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
FiveWs.done[x]
... recordedDate
REL-11
.participation[typeCode=AUT].time
FiveWs.recorded
... recorder
.participation[typeCode=AUT].role
FiveWs.author
... asserter
REL-7.1 identifier + REL-7.12 type code
.participation[typeCode=INF].role
FiveWs.source
... stage
  • ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="stage/grade"]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... summary
< 254291000 |Staging and scales|
PRB-14
.value
.... assessment
.self
.... type
  • ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="stage type"]
... evidence
  • .outboundRelationship[typeCode=SPRT].target[classCode=OBS
  • moodCode=EVN]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... code
Event.reasonCode
< 404684003 |Clinical finding|
[code="diagnosis"].value
FiveWs.why[x]
.... detail
.self
FiveWs.why[x]
... note
Event.note
NTE child of PRB
  • .inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="annotation"].value
.... id
n/a
.... extension
n/a
.... Slices for author[x]
N/A
Act.participant[typeCode=AUT].role
..... author[x]:authorString
N/A
Act.participant[typeCode=AUT].role
.... time
N/A
Act.effectiveTime
.... text
N/A
Act.text

doco Documentation for this format