Implementation Guide
23.1.0 - R4 APIs

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Resource Profile: AthenaClinicalImpression - Mappings

Active as of 2022-03-01

Mappings for the athena-clinicalimpressn-profile resource profile.

Mappings for athenaFlow (http://unknown.org/athenaFlow)

AthenaClinicalImpression
ClinicalImpressionFHIRR4_CLINICALIMPRESSIONVIEW
   id%RESOURCEID%
   meta
      versionId%RESOURCEID%
      lastUpdated%WHENUPDATED%
      security
      security (SENSITIVECHART)CheckSensitive(%SENSITIVECHART%)
      security (CONFABBR)
         systemgetSiteCodeSystem("ConfidentialDocument")
         code%CONFABBR%
      security (LOCATION)
         systemgetSiteCodeSystem("Location")
         code%LOCATIONID%
      security (CONFTYPEID)
         systemgetSiteCodeSystem("ConfTypeId")
         code%CONFTYPEID%
      tagMakeChangeTagSwitchList(%CHANGE%)
   identifierMakeIdentifier("U",getSiteSystem("ASSESSID"),%RESOURCEID%)
   statusMapCode(%DSTATUS%,"CLINICALIMPRESSIONSTATUS")
   subjectMakeReference("PERSON",%PID%,"Patient")
   encounterMakeReference("DOCUMENT",%SDID%,"Encounter")
   effective[x]%CLINICALDATE%
   date%WHENCREATED%
   assessorMakeReference("USR",%CREATOR%,%USRID%,"Practitioner")
   problemMakeReference("PROBLEM",%SPRID%,"Condition")
   summary%SUMMARY%
   notemakeAnnotation(%ANNOTATE%)

Mappings for athenaPractice (http://unknown.org/athenaPractice)

AthenaClinicalImpression
ClinicalImpressionFHIRR4_CLINICALIMPRESSIONVIEW
   id%RESOURCEID%
   meta
      versionId%RESOURCEID%
      lastUpdated%WHENUPDATED%
      security
      security (SENSITIVECHART)CheckSensitive(%SENSITIVECHART%)
      security (CONFABBR)
         systemgetSiteCodeSystem("ConfidentialDocument")
         code%CONFABBR%
      security (LOCATION)
         systemgetSiteCodeSystem("Location")
         code%LOCATIONID%
      security (CONFTYPEID)
         systemgetSiteCodeSystem("ConfTypeId")
         code%CONFTYPEID%
      tagMakeChangeTagSwitchList(%CHANGE%)
   identifierMakeIdentifier("U",getSiteSystem("ASSESSID"),%RESOURCEID%)
   statusMapCode(%DSTATUS%,"CLINICALIMPRESSIONSTATUS")
   subjectMakeReference("PATIENT",%PID%,"Patient")
   encounterMakeReference("DOCUMENT",%SDID%,"Encounter")
   effective[x]%CLINICALDATE%
   date%WHENCREATED%
   assessorMakeReference("USR",%CREATOR%,%USRID%,"Practitioner")
   problemMakeReference("PROBLEM",%SPRID%,"Condition")
   summary%SUMMARY%
   notemakeAnnotation(%ANNOTATE%)

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

AthenaClinicalImpression
ClinicalImpressionEvent
   identifierEvent.identifier
   statusEvent.status
   statusReasonEvent.statusReason
   codeEvent.code
   subjectEvent.subject
   encounterEvent.context
   effective[x]Event.occurrence[x]
   assessorEvent.performer.actor
   noteEvent.note

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

AthenaClinicalImpression
ClinicalImpressionPartial mapping for problem evaluation
   meta
      security
      security (SENSITIVECHART)
      security (CONFABBR)
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      security (LOCATION)
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      security (CONFTYPEID)
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
   identifierPID-3
   statusPRB-14
   subjectPID-3
   effective[x]PRB-2
   assessorROL-4
   problemPRB-3 / IAM-7
   investigation
      itemOBX-21
   summaryOBX
   finding
      itemCodeableConceptOBX
      itemReferenceOBX
   prognosisCodeableConceptPRB-22

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

AthenaClinicalImpression
ClinicalImpression
   identifierFiveWs.identifier
   statusFiveWs.status
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   dateFiveWs.recorded
   assessorFiveWs.author
   problemFiveWs.why[x]

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

AthenaClinicalImpression
ClinicalImpressionEntity. Role, or Act
   meta
      idn/a
      extensionn/a
      security
      security (SENSITIVECHART)
      security (CONFABBR)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      security (LOCATION)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      security (CONFTYPEID)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   statusReason.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
   investigation
      idn/a
      extensionn/a
      modifierExtensionN/A
   finding
      idn/a
      extensionn/a
      modifierExtensionN/A