BC Client Registry FHIR Implementation Guide
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Resource Profile: PartialPatientUpdate - Mappings

Draft as of 2024-06-07

Mappings for the bc-update-patient resource profile.

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

PartialPatientUpdate
PatientEntity. Role, or Act, Patient[classCode=PAT],
   metan/a, N/A,
   implicitRulesn/a
   languagen/a
   textn/a, N/A, Act.text?, ,
   containedEntity. Role, or Act, N/A,
   extensionn/a, N/A,
   extension (aboriginalidentitygroup)n/a, N/A,
   extension (aboriginalidentityindicator)n/a, N/A,
   extension (birthsex)n/a, N/A, player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender, ,
   extension (ethnicity)n/a, N/A, Person.ethnicGroupCode, ,

A code classifying the person into a named category of humans sharing a common real or presumed heritage

   modifierExtensionn/a, N/A,
   identifiern/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT], id, ,
      idn/a
      extensionn/a, N/A,
      usen/a, Role.code or implied by context,
      typen/a, CD, Role.code or implied by context, ,
      systemn/a, II.root or Role.id.root,
      valuen/a, II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root),
      periodn/a, IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"], Role.effectiveTime or implied by context, ,
      assignern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper, ,
   identifier (JHN)n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT],
      idn/a
      extensionn/a, N/A,
      extension (versionCode)n/a, N/A,
      usen/a, Role.code or implied by context,
      typen/a, CD, Role.code or implied by context, ,
      systemn/a, II.root or Role.id.root,
      valuen/a, II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root),
      periodn/a, IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"], Role.effectiveTime or implied by context, ,
      assignern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper, ,
   activen/a, statusCode,
   namen/a, EN (actually, PN), name, ,
      idn/a
      extensionn/a, N/A,
      usen/a, unique(./use),
      textn/a, ./formatted,
      familyn/a, ./part[partType = FAM],
      givenn/a, ./part[partType = GIV],
      prefixn/a, ./part[partType = PFX],
      suffixn/a, ./part[partType = SFX],
      periodn/a, IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"], ./usablePeriod[type="IVL<TS>"], ,
   telecomn/a, TEL, telecom, ,
      idn/a
      extensionn/a, N/A,
      systemn/a, ./scheme,
      valuen/a, ./url,
      usen/a, unique(./use),
      rankn/a
      periodn/a, IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"], ./usablePeriod[type="IVL<TS>"], ,
   gendern/a, player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender,
   birthDaten/a, player[classCode=PSN|ANM and determinerCode=INSTANCE]/birthTime,
   deceased[x]n/a, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/deceasedTime,
   addressn/a, AD, addr, ,
      idn/a
      extensionn/a, N/A,
      extension (preferred)n/a, N/A,
      extension (noFixedAddress)n/a, N/A,
      usen/a, unique(./use),
      typen/a, unique(./use),
      textn/a, ./formatted,
      linen/a, AD.part[parttype = AL],
      cityn/a, AD.part[parttype = CTY],
      districtn/a, AD.part[parttype = CNT | CPA],
      staten/a, AD.part[parttype = STA],
      postalCoden/a, AD.part[parttype = ZIP],
      countryn/a, AD.part[parttype = CNT],
      periodn/a, IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"], ./usablePeriod[type="IVL<TS>"], ,
   maritalStatusn/a, CD, player[classCode=PSN]/maritalStatusCode, ,
   multipleBirth[x]n/a, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthInd, player[classCode=PSN|ANM and determinerCode=INSTANCE]/multipleBirthOrderNumber,
      idn/a
      extensionn/a
   photon/a, ED, player[classCode=PSN|ANM and determinerCode=INSTANCE]/desc, ,
   contactn/a, player[classCode=PSN|ANM and determinerCode=INSTANCE]/scopedRole[classCode=CON],
      idn/a
      extensionn/a, N/A,
      modifierExtensionn/a, N/A,
      relationshipn/a, CD, code, ,
      namen/a, EN (actually, PN), name, ,
      telecomn/a, TEL, telecom, ,
      addressn/a, AD, addr, ,
      gendern/a, player[classCode=PSN|ANM and determinerCode=INSTANCE]/administrativeGender,
      organizationn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), scoper, ,
      periodn/a, IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"], effectiveTime, ,
   communicationn/a, LanguageCommunication,
      idn/a
      extensionn/a, N/A,
      modifierExtensionn/a, N/A,
      languagen/a, CD, player[classCode=PSN|ANM and determinerCode=INSTANCE]/languageCommunication/code, ,
      preferredn/a, preferenceInd,
   generalPractitionern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), subjectOf.CareEvent.performer.AssignedEntity, ,
   managingOrganizationn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), scoper, ,
   linkn/a, outboundLink,
      idn/a
      extensionn/a, N/A,
      modifierExtensionn/a, N/A,
      othern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), id, ,
      typen/a, typeCode,

Mappings for CDA (R2) (http://hl7.org/v3/cda)

PartialPatientUpdate
PatientClinicalDocument.recordTarget.patientRole
   identifier.id
   activen/a
   name.patient.name
   telecom.telecom
   gender.patient.administrativeGenderCode
   birthDate.patient.birthTime
   deceased[x]n/a
   address.addr
   maritalStatus.patient.maritalStatusCode
   multipleBirth[x]n/a
   photon/a
   contactn/a
      relationshipn/a
      namen/a
      telecomn/a
      addressn/a
      gendern/a
      organizationn/a
      periodn/a
   communicationpatient.languageCommunication
      language.languageCode
      preferred.preferenceInd
   generalPractitionern/a
   managingOrganization.providerOrganization
   linkn/a
      othern/a
      typen/a

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

PartialPatientUpdate
Patient
   identifierFiveWs.identifier
   activeFiveWs.status

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

PartialPatientUpdate
Patient
   identifierCX / EI (occasionally, more often EI maps to a resource id or a URL), PID-3
      useN/A
      typeCE/CNE/CWE, CX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodDR, CX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   identifier (JHN)CX / EI (occasionally, more often EI maps to a resource id or a URL)
      useN/A
      typeCE/CNE/CWE, CX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodDR, CX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   nameXPN, PID-5, PID-9
      useXPN.7, but often indicated by which field contains the name
      textimplied by XPN.11
      familyXPN.1/FN.1
      givenXPN.2 + XPN.3
      prefixXPN.5
      suffixXPN/4
      periodDR, XPN.13 + XPN.14
   telecomXTN, PID-13, PID-14, PID-40
      systemXTN.3
      valueXTN.1 (or XTN.12)
      useXTN.2 - but often indicated by field
      rankn/a
      periodDR, N/A
   genderPID-8
   birthDatePID-7
   deceased[x]PID-30 (bool) and PID-29 (datetime)
   addressXAD, PID-11
      useXAD.7
      typeXAD.18
      textXAD.1 + XAD.2 + XAD.3 + XAD.4 + XAD.5 + XAD.6
      lineXAD.1 + XAD.2 (note: XAD.1 and XAD.2 have different meanings for a company address than for a person address)
      cityXAD.3
      districtXAD.9
      stateXAD.4
      postalCodeXAD.5
      countryXAD.6
      periodDR, XAD.12 / XAD.13 + XAD.14
   maritalStatusCE/CNE/CWE, PID-16
   multipleBirth[x]PID-24 (bool), PID-25 (integer)
   photoED/RP, OBX-5 - needs a profile
   contact
      relationshipCE/CNE/CWE, NK1-7, NK1-3
      nameXPN, NK1-2
      telecomXTN, NK1-5, NK1-6, NK1-40
      addressXAD, NK1-4
      genderNK1-15
      organizationNK1-13, NK1-30, NK1-31, NK1-32, NK1-41
      periodDR
   communication
      languageCE/CNE/CWE, PID-15, LAN-2
      preferredPID-15
   generalPractitionerPD1-4
   link
      otherPID-3, MRG-1

Mappings for LOINC code for the element (http://loinc.org)

PartialPatientUpdate
Patient
   birthDate21112-8