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Resource ConceptMap/FHIR Server from package hl7.fhir.us.davinci-alerts#current (94 ms)

Package hl7.fhir.us.davinci-alerts
Type ConceptMap
Id Id
FHIR Version R4
Source http://hl7.org/fhir/us/davinci-alerts/https://build.fhir.org/ig/HL7/davinci-alerts/ConceptMap-direct-alerts.html
Url http://hl7.org/fhir/us/davinci-alerts/ConceptMap/direct-alerts
Version 1.1.0-preview
Status active
Date 2024-10-29
Name DirectAlerts
Title Direct ADT to Da Vinci Alerts ConceptMap
Experimental False
Realm us
Authority hl7
Description Since May 1, 2021 CMS requires that hospitals send notifications electronically for admit, transfer and discharge events to the patient's care team members, for which most implementations currently use V2 ADT messages. As a result DirectTrust, a consensus body of forty organizations and individuals representing the care continuum, collaborated in creating an Implementation Guide using Direct Secure Messaging for both senders and receivers. The Event Notifications via the Direct Standard® defines the necessary data element to cover the CMS rules, maps those to the V2 elements in several ADT message structures and provides the value sets for coded elements. These V2 elements have been mapped them to their respective location in this DaVinci FHIR IG for the Admit-Transfer-Discharge Use case. In addition, the value set concepts between the two product families have been mapped, where possible. This ConceptMap summarizes the Direct ADT message to the Da Vinci Notification Terminology Mappings. Complete mappings can be downloaded as an excel file at https://hl7.org/fhir/us/davinci-alerts/tables/DirectToDaVinciMap.xlsx.
Copyright 1. This material contains content from LOINC (http://loinc.org). LOINC is copyright \\xA9 1995-2020, Regenstrief Institute, Inc. and the Logical Observation # Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC\\xAE is a registered United States trademark of Regenstrief Institute, Inc. 2. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.

Resources that use this resource

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Resources that this resource uses

CodeSystem
http://loinc.org LOINC Code System
http://snomed.info/sct SNOMED CT (all versions)
http://terminology.hl7.org/CodeSystem/diagnosis-role Diagnosis Role
http://terminology.hl7.org/CodeSystem/v2-0001 administrativeSex
http://terminology.hl7.org/CodeSystem/v2-0004 patientClass
http://terminology.hl7.org/CodeSystem/v2-0007 admissionType
http://terminology.hl7.org/CodeSystem/v2-0052 diagnosisType
http://terminology.hl7.org/CodeSystem/v2-0063 relationship
http://terminology.hl7.org/CodeSystem/v2-0200 nameType2
http://terminology.hl7.org/CodeSystem/v2-0201 telecommunicationUse
http://terminology.hl7.org/CodeSystem/v2-0443 providerRole
http://terminology.hl7.org/CodeSystem/v3-ActCode ActCode
http://terminology.hl7.org/CodeSystem/v3-ParticipationType ParticipationType
http://terminology.hl7.org/CodeSystem/v3-RoleCode RoleCode
http://loinc.org LOINC codes used in this IG
http://snomed.info/sct SNOMED codes used in this IG
http://hl7.org/fhir/administrative-gender AdministrativeGender
notification-event Da Vinci Event CodeSystem Notification
http://terminology.hl7.org/CodeSystem/v3-ParticipationType v3 Code System ParticipationType
http://snomed.info/sct SNOMED CT Canada Immunizations
http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts Da Vinci Unsolicited Notifications

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ConceptMap direct-alerts

Mapping from https://directtrust.org/what-we-do/direct-secure-messaging to http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts


Group 1 Mapping from Logical Observation Identifiers, Names and Codes (LOINC) to Da Vinci Event CodeSystem Notification

Source CodeRelationshipTarget CodeComment
86530-3 (Visit notification)is equivalent tonotification-referral (Referral Notification)
86532-9 (Admission notification)is equivalent tonotification-admit (Admit Notification)Alerts terminology doesn't distinguish types of sevice locations
98141-5 (Emergency department Admission notification)is equivalent tonotification-admit (Admit Notification)
79429-7 (Hospital Admission notification)is equivalent tonotification-admit (Admit Notification)Alerts terminology doesn't distinguish between in and out patients
79430-5 (Hospital Discharge notification)(not mapped)
80110-0 (Emergency department Visit notification)(not mapped)
98143-1 (Emergency department Arrival notification)(not mapped)
86532-9 (Admission notification)(not mapped)
98144-9 (Emergency department Departure notification)(not mapped)
86531-1 (Discharge notification)is equivalent tonotification-discharge (Discharge Notification)
98142-3 (Emergency department Discharge notification)(not mapped)
98145-6 (Outpatient Visit notification)is equivalent tonotification-outpatient-visit (Outpatient Visit Notification)

Group 2 Mapping from patientClass to ActCode

Source CodeRelationshipTarget CodeComment
E (Emergency)is equivalent toEMER (emergency)
I (Inpatient)is equivalent toIMP (inpatient encounter)
O (Outpatient)is equivalent toAMB (ambulatory)
P (Preadmit)is equivalent toPRENC (pre-admission)
R (Recurring patient)(not mapped)
B (Obstetrics)(not mapped)
C (Commercial Account)(not mapped)
N (Not Applicable)(not mapped)
U (Unknown)(not mapped)
I (Inpatient)is equivalent toACUTE (inpatient acute)If this is needed in Direct Trust, can consider expanding the value set
I (Inpatient)is equivalent toNONAC (inpatient non-acute)If this is needed in Direct Trust, can consider expanding the value set

Group 3 Mapping from unspecified code system to ActCode

Source CodeRelationshipTarget CodeComment
S (Short Stay)is equivalent toSS (short stay)S is an extension to the base PV1-2 patientClass value set in V2
V (Observation)is equivalent toOBSENC (observation encounter)V is an extension to the base PV1-2 patientClass value set in V2

Group 4 Mapping from providerRole to ParticipationType

Source CodeRelationshipTarget CodeComment
AD (Admitting)is equivalent toADM (admitter)Also in PV1-17 Admitting Doctor in v2
AT (Attending)is equivalent toATND (attender)Also in PV1-7 Attending Doctor in v2
CP (Consulting Provider)is equivalent toCON (consultant)Also in PV1-9 Consulting Doctor
FHCP (Family Health Care Professional)(not mapped)
PP (Primary Care Provider)(not mapped)
RP (Referring Provider)is equivalent toREF (referrer)Also in PV1-8 Referring doctor in v2
RT (Referred to Provider)is equivalent toREFT (Referred to)

Group 5 Mapping from unspecified code system to ParticipationType

Source CodeRelationshipTarget CodeComment
TF (Treating Facility)is equivalent toLOC (location)TF is an extension to the base ROL-3 providerRole value set in V2

Group 6 Mapping from administrativeSex to AdministrativeGender

Source CodeRelationshipTarget CodeComment
F (Female)is equivalent tofemale
M (Male)is equivalent tomale
O (Other)is equivalent toother
U (Unknown)is equivalent tounknown
A (Ambiguous)is equivalent tootherSince the binding in USCorePatient is required, will have to map to "other"
N (Not Applicable)is equivalent tootherSince the binding in USCorePatient is required, will have to map to "other"
X (Non-Binary)is equivalent tootherSince the binding in USCorePatient is required, will have to map to "other"

Group 7 Mapping from nameType2 to NameUse

Source CodeRelationshipTarget Code
N (Nickname)is equivalent tonickname
D (Customary Name)is equivalent tousual
L (Official Registry Name)is equivalent toofficial
TEMP (Temporary Name)is equivalent totemp
S (Pseudonym)is equivalent toanonymous
BAD (Bad Name)is equivalent toold
M (Maiden Name)is equivalent tomaiden (Name changed for Marriage)
O (Other)(not mapped)
A (Assigned)(not mapped)
B (Birth name)is equivalent tomaiden (Name changed for Marriage)
C (Adopted Name)is equivalent toofficial
F (Fathers Name)(not mapped)
I (Licensing Name)(not mapped)
K (Business name)(not mapped)
MSK (Masked)is equivalent toanonymous
NAV (Temporarily Unavailable)(not mapped)
NB (Newborn Name)(not mapped)
NOUSE (No Longer To Be Used)is equivalent toold
P (Name of Partner/Spouse)(not mapped)
R (Registered Name)(not mapped)
REL (Religious)(not mapped)
T (Indigenous/Tribal)is equivalent toofficial
U (Unknown)(not mapped)

Group 8 Mapping from admissionType to SNOMED CT (all versions)

Source CodeRelationshipTarget Code
A (Accident)(not mapped)
E (Emergency)is equivalent to4525004 (Emergency department patient visit)
L (Labor and Delivery)(not mapped)
R (Routine)is equivalent to308335008 (Patient encounter procedure)
N (Newborn (Birth in healthcare facility))(not mapped)
U (Urgent)(not mapped)
C (Elective)(not mapped)

Group 9 Mapping from diagnosisType to Diagnosis Role

Source CodeRelationshipTarget Code
A (Admitting)is equivalent toAD (Admission diagnosis)
W (Working)(not mapped)
F (Final)is equivalent toDD (Discharge diagnosis)

Group 10 Mapping from relationship to RoleCode

Source CodeRelationshipTarget CodeComment
MTH (Mother)is equivalent toMTH (Mother)This is described specifically for the maternal health use case

Group 11 Mapping from telecommunicationUse to ContactPointUse

Source CodeRelationshipTarget CodeComment
PRN (Primary Residence Number)is equivalent tohomeFHIR doesn't distinguish types of homes for contacts
ORN (Other Residence Number)is equivalent tohomeFHIR doesn't distinguish types of homes for contacts
WPN (Work Number)is equivalent towork
VHN (Vacation Home Number)is equivalent tohomeFHIR doesn't distinguish types of homes for contacts
ASN (Answering Service Number)(not mapped)
EMR (Emergency Number)(not mapped)
PRS (Personal)(not mapped)

Group 12 Mapping from telecommunicationUse to ContactPointSystem

Source CodeRelationshipTarget CodeComment
NET (Network (email) Address)is equivalent toemailwould need to map to different datatype element and use different value set
BPN (Beeper Number)is equivalent topagerwould need to map to different datatype element and use different value set

Group 13 Mapping from telecommunicationUse to unspecified code system

Source CodeRelationshipTarget Code
DSM (Direct Secure Messaging)(not mapped)

Source

{
  "resourceType" : "ConceptMap",
  "id" : "direct-alerts",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap direct-alerts</b></p><a name=\"direct-alerts\"> </a><a name=\"hcdirect-alerts\"> </a><a name=\"direct-alerts-en-US\"> </a><p>Mapping from https://directtrust.org/what-we-do/direct-secure-messaging to http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts</p><br/><p><b>Group 1 </b>Mapping from <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-loinc.html\">Logical Observation Identifiers, Names and Codes (LOINC)</a> to <a href=\"CodeSystem-notification-event.html\">Da Vinci Event CodeSystem Notification</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>86530-3 (Visit notification)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>notification-referral (Referral Notification)</td><td/></tr><tr><td>86532-9 (Admission notification)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>notification-admit (Admit Notification)</td><td>Alerts terminology doesn't distinguish types of sevice locations</td></tr><tr><td>98141-5 (Emergency department Admission notification)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>notification-admit (Admit Notification)</td><td/></tr><tr><td>79429-7 (Hospital Admission notification)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>notification-admit (Admit Notification)</td><td>Alerts terminology doesn't distinguish between in and out patients</td></tr><tr><td>79430-5 (Hospital Discharge notification)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>80110-0 (Emergency department Visit notification)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>98143-1 (Emergency department Arrival notification)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>86532-9 (Admission notification)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>98144-9 (Emergency department Departure notification)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>86531-1 (Discharge notification)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>notification-discharge (Discharge Notification)</td><td/></tr><tr><td>98142-3 (Emergency department Discharge notification)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>98145-6 (Outpatient Visit notification)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>notification-outpatient-visit (Outpatient Visit Notification)</td><td/></tr></table><hr/><p><b>Group 2 </b>Mapping from <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0004.html\">patientClass</a> to <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html\">ActCode</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>E (Emergency)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>EMER (emergency)</td><td/></tr><tr><td>I (Inpatient)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>IMP (inpatient encounter)</td><td/></tr><tr><td>O (Outpatient)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>AMB (ambulatory)</td><td/></tr><tr><td>P (Preadmit)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>PRENC (pre-admission)</td><td/></tr><tr><td>R (Recurring patient)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>B (Obstetrics)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>C (Commercial Account)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>N (Not Applicable)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>U (Unknown)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>I (Inpatient)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>ACUTE (inpatient acute)</td><td>If this is needed in Direct Trust, can consider expanding the value set</td></tr><tr><td>I (Inpatient)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>NONAC (inpatient non-acute)</td><td>If this is needed in Direct Trust, can consider expanding the value set</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>unspecified code system</code> to <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ActCode.html\">ActCode</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>S (Short Stay)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>SS (short stay)</td><td>S is an extension to the base PV1-2 patientClass  value set in V2</td></tr><tr><td>V (Observation)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>OBSENC (observation encounter)</td><td>V is an extension to the base PV1-2 patientClass  value set in V2</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0443.html\">providerRole</a> to <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ParticipationType.html\">ParticipationType</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>AD (Admitting)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>ADM (admitter)</td><td>Also in PV1-17 Admitting Doctor in v2</td></tr><tr><td>AT (Attending)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>ATND (attender)</td><td>Also in PV1-7 Attending Doctor in v2</td></tr><tr><td>CP (Consulting Provider)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>CON (consultant)</td><td>Also in PV1-9 Consulting Doctor</td></tr><tr><td>FHCP (Family Health Care Professional)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>PP (Primary Care Provider)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>RP (Referring Provider)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>REF (referrer)</td><td>Also in PV1-8 Referring doctor in v2</td></tr><tr><td>RT (Referred to Provider)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>REFT (Referred to)</td><td/></tr></table><hr/><p><b>Group 5 </b>Mapping from <code>unspecified code system</code> to <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-ParticipationType.html\">ParticipationType</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>TF (Treating Facility)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>LOC (location)</td><td>TF  is an extension to the base ROL-3 providerRole value set in V2</td></tr></table><hr/><p><b>Group 6 </b>Mapping from <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0001.html\">administrativeSex</a> to <a href=\"http://hl7.org/fhir/R4/codesystem-administrative-gender.html\">AdministrativeGender</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>F (Female)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>female</td><td/></tr><tr><td>M (Male)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>male</td><td/></tr><tr><td>O (Other)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>other</td><td/></tr><tr><td>U (Unknown)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>unknown</td><td/></tr><tr><td>A (Ambiguous)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>other</td><td>Since the binding in USCorePatient is required, will have to map to &quot;other&quot;</td></tr><tr><td>N (Not Applicable)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>other</td><td>Since the binding in USCorePatient is required, will have to map to &quot;other&quot;</td></tr><tr><td>X (Non-Binary)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>other</td><td>Since the binding in USCorePatient is required, will have to map to &quot;other&quot;</td></tr></table><hr/><p><b>Group 7 </b>Mapping from <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0200.html\">nameType2</a> to <a href=\"http://hl7.org/fhir/R4/codesystem-name-use.html\">NameUse</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>N (Nickname)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>nickname</td></tr><tr><td>D (Customary Name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>usual</td></tr><tr><td>L (Official Registry Name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>official</td></tr><tr><td>TEMP (Temporary Name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>temp</td></tr><tr><td>S (Pseudonym)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>anonymous</td></tr><tr><td>BAD (Bad Name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>old</td></tr><tr><td>M (Maiden Name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>maiden (Name changed for Marriage)</td></tr><tr><td>O (Other)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>A (Assigned)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>B (Birth name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>maiden (Name changed for Marriage)</td></tr><tr><td>C (Adopted Name)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>official</td></tr><tr><td>F (Fathers Name)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>I (Licensing Name)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>K (Business name)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>MSK (Masked)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>anonymous</td></tr><tr><td>NAV (Temporarily Unavailable)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>NB (Newborn Name)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>NOUSE (No Longer To Be Used)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>old</td></tr><tr><td>P (Name of Partner/Spouse)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>R (Registered Name)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>REL (Religious)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>T (Indigenous/Tribal)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>official</td></tr><tr><td>U (Unknown)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr></table><hr/><p><b>Group 8 </b>Mapping from <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0007.html\">admissionType</a> to <a href=\"http://hl7.org/fhir/R4/codesystem-snomedct.html\">SNOMED CT (all versions)</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>A (Accident)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>E (Emergency)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>4525004 (Emergency department patient visit)</td></tr><tr><td>L (Labor and Delivery)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>R (Routine)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>308335008 (Patient encounter procedure)</td></tr><tr><td>N (Newborn (Birth in healthcare facility))</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>U (Urgent)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>C (Elective)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr></table><hr/><p><b>Group 9 </b>Mapping from <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0052.html\">diagnosisType</a> to <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-diagnosis-role.html\">Diagnosis Role</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>A (Admitting)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>AD (Admission diagnosis)</td></tr><tr><td>W (Working)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>F (Final)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>DD (Discharge diagnosis)</td></tr></table><hr/><p><b>Group 10 </b>Mapping from <a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-v2-0063.html\">relationship</a> to <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v3-RoleCode.html\">RoleCode</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>MTH (Mother)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>MTH (Mother)</td><td>This is described specifically for the maternal health use case</td></tr></table><hr/><p><b>Group 11 </b>Mapping from <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v2-0201.html\">telecommunicationUse</a> to <a href=\"http://hl7.org/fhir/R4/codesystem-contact-point-use.html\">ContactPointUse</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>PRN (Primary Residence Number)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>home</td><td>FHIR doesn't distinguish types of homes for contacts</td></tr><tr><td>ORN (Other Residence Number)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>home</td><td>FHIR doesn't distinguish types of homes for contacts</td></tr><tr><td>WPN (Work Number)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>work</td><td/></tr><tr><td>VHN (Vacation Home Number)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>home</td><td>FHIR doesn't distinguish types of homes for contacts</td></tr><tr><td>ASN (Answering Service Number)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>EMR (Emergency Number)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr><tr><td>PRS (Personal)</td><td colspan=\"3\" style=\"background-color: #efefef\">(not mapped)</td></tr></table><hr/><p><b>Group 12 </b>Mapping from <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v2-0201.html\">telecommunicationUse</a> to <a href=\"http://hl7.org/fhir/R4/codesystem-contact-point-system.html\">ContactPointSystem</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>NET (Network (email) Address)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>email</td><td>would need to map to different datatype element and use different value set</td></tr><tr><td>BPN (Beeper Number)</td><td><a href=\"http://hl7.org/fhir/extensions/5.1.0/CodeSystem-concept-map-equivalence.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>pager</td><td>would need to map to different datatype element and use different value set</td></tr></table><hr/><p><b>Group 13 </b>Mapping from <a href=\"http://terminology.hl7.org/6.0.2/CodeSystem-v2-0201.html\">telecommunicationUse</a> to <code>unspecified code system</code></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>DSM (Direct Secure Messaging)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode" : "inm"
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger" : 2,
      "_valueInteger" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts"
          }
        ]
      }
    },
    {
      "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode" : "trial-use",
      "_valueCode" : {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical" : "http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts"
          }
        ]
      }
    }
  ],
  "url" : "http://hl7.org/fhir/us/davinci-alerts/ConceptMap/direct-alerts",
  "identifier" : {
    "system" : "urn:ietf:rfc:3986",
    "value" : "urn:oid:2.16.840.1.113883.4.642.40.47.18.1"
  },
  "version" : "1.1.0-preview",
  "name" : "DirectAlerts",
  "title" : "Direct ADT to Da Vinci Alerts ConceptMap",
  "status" : "active",
  "experimental" : false,
  "date" : "2024-10-29",
  "publisher" : "HL7 International / Infrastructure And Messaging",
  "contact" : [
    {
      "name" : "HL7 International / Infrastructure And Messaging",
      "telecom" : [
        {
          "system" : "url",
          "value" : "http://www.hl7.org/Special/committees/inm"
        },
        {
          "system" : "email",
          "value" : "inm@lists.hl7.org"
        }
      ]
    }
  ],
  "description" : "Since May 1, 2021 CMS requires that hospitals send notifications electronically for admit, transfer and discharge events to the patient's care team members, for which most implementations currently use V2 ADT messages. As a result DirectTrust, a consensus body of forty organizations and individuals representing the care continuum, collaborated in creating an Implementation Guide using Direct Secure Messaging for both senders and receivers. The Event Notifications via the Direct Standard® defines the necessary data element to cover the CMS rules, maps those to the V2 elements in several ADT message structures and provides the value sets for coded elements.\n\nThese V2 elements have been mapped them to their respective location in this DaVinci FHIR IG for the Admit-Transfer-Discharge Use case. In addition, the value set concepts between the two product families have been mapped, where possible.\n\nThis ConceptMap summarizes the Direct ADT message to the Da Vinci Notification Terminology Mappings. Complete mappings can be downloaded as an excel file at https://hl7.org/fhir/us/davinci-alerts/tables/DirectToDaVinciMap.xlsx.\n",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "US"
        }
      ]
    }
  ],
  "copyright" : "\n1. This material contains content from LOINC (http://loinc.org). LOINC is copyright \\\\xA9 1995-2020, Regenstrief Institute, Inc. and the Logical Observation # Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC\\\\xAE is a registered United States trademark of Regenstrief Institute, Inc.\n2. This value set includes content from SNOMED CT, which is copyright © 2002+ International Health Terminology Standards Development Organisation (IHTSDO), and distributed by agreement between IHTSDO and HL7. Implementer use of SNOMED CT is not covered by this agreement.",
  "sourceUri" : "https://directtrust.org/what-we-do/direct-secure-messaging",
  "targetUri" : "http://hl7.org/fhir/us/davinci-alerts/ImplementationGuide/hl7.fhir.us.davinci-alerts",
  "group" : [
    {
      "source" : "http://loinc.org",
      "target" : "http://hl7.org/fhir/us/davinci-alerts/CodeSystem/notification-event",
      "element" : [
        {
          "code" : "86530-3",
          "display" : "Visit notification",
          "target" : [
            {
              "code" : "notification-referral",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "86532-9",
          "display" : "Admission notification",
          "target" : [
            {
              "code" : "notification-admit",
              "equivalence" : "equivalent",
              "comment" : "Alerts terminology doesn't distinguish types of sevice locations"
            }
          ]
        },
        {
          "code" : "98141-5",
          "display" : "Emergency department Admission notification",
          "target" : [
            {
              "code" : "notification-admit",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "79429-7",
          "display" : "Hospital Admission notification",
          "target" : [
            {
              "code" : "notification-admit",
              "equivalence" : "equivalent",
              "comment" : "Alerts terminology doesn't distinguish between in and out patients"
            }
          ]
        },
        {
          "code" : "79430-5",
          "display" : "Hospital Discharge notification",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "In DaVinci the notifications are not indicating the current treatment facility type/location, but rather the discharge to location - can expand the valueset, since binding is extensible"
            }
          ]
        },
        {
          "code" : "80110-0",
          "display" : "Emergency department Visit notification",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "In DaVinci the notifications are not differentiating between visit and admit for ER - can expand the valueset, since binding is extensible"
            }
          ]
        },
        {
          "code" : "98143-1",
          "display" : "Emergency department Arrival notification",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "In DaVinci the notifications are not differentiating between arrival and admit for ER - can expand the valueset, since binding is extensible"
            }
          ]
        },
        {
          "code" : "86532-9",
          "display" : "Admission notification",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "98144-9",
          "display" : "Emergency department Departure notification",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "In DaVinci the notifications are not differentiating between departure and discharge for ER - can expand the valueset, since binding is extensible"
            }
          ]
        },
        {
          "code" : "86531-1",
          "display" : "Discharge notification",
          "target" : [
            {
              "code" : "notification-discharge",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "98142-3",
          "display" : "Emergency department Discharge notification",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "In DaVinci the notifications are not indicating the current treatment facility type/location, but rather the discharge to location - can expand the valueset, since binding is extensible"
            }
          ]
        },
        {
          "code" : "98145-6",
          "display" : "Outpatient Visit notification",
          "target" : [
            {
              "code" : "notification-outpatient-visit",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0004",
      "target" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "element" : [
        {
          "code" : "E",
          "display" : "Emergency",
          "target" : [
            {
              "code" : "EMER",
              "display" : "emergency",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "I",
          "display" : "Inpatient",
          "target" : [
            {
              "code" : "IMP",
              "display" : "inpatient encounter",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "O",
          "display" : "Outpatient",
          "target" : [
            {
              "code" : "AMB",
              "display" : "ambulatory",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "P",
          "display" : "Preadmit",
          "target" : [
            {
              "code" : "PRENC",
              "display" : "pre-admission",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "R",
          "display" : "Recurring patient",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Since binding is extensible, can extend valueset definition to include CHR : Chronic from https://hl7.org/fhir/R4/v3/ActCode/cs.html#v3-ActCode-_ActMedicalServiceCode"
            }
          ]
        },
        {
          "code" : "B",
          "display" : "Obstetrics",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Since binding is extensible, can extend valueset definition to include OBS : Obstetrics from https://hl7.org/fhir/R4/v3/ActCode/cs.html#v3-ActCode-_ActMedicalServiceCode"
            }
          ]
        },
        {
          "code" : "C",
          "display" : "Commercial Account",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Need more information to know how this is used in ADT to find the proper translation"
            }
          ]
        },
        {
          "code" : "N",
          "display" : "Not Applicable",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Since binding is extensible, can extend valueset definition to include NA : not applicable from https://terminology.hl7.org/CodeSystem-v3-NullFlavor.html"
            }
          ]
        },
        {
          "code" : "U",
          "display" : "Unknown",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Since binding is extensible, can extend valueset definition to include UNK : unknown from https://terminology.hl7.org/CodeSystem-v3-NullFlavor.html"
            }
          ]
        },
        {
          "code" : "I",
          "display" : "Inpatient",
          "target" : [
            {
              "code" : "ACUTE",
              "display" : "inpatient acute",
              "equivalence" : "equivalent",
              "comment" : "If this is needed in Direct Trust, can consider expanding the value set"
            }
          ]
        },
        {
          "code" : "I",
          "display" : "Inpatient",
          "target" : [
            {
              "code" : "NONAC",
              "display" : "inpatient non-acute",
              "equivalence" : "equivalent",
              "comment" : "If this is needed in Direct Trust, can consider expanding the value set"
            }
          ]
        }
      ]
    },
    {
      "target" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "element" : [
        {
          "code" : "S",
          "display" : "Short Stay",
          "target" : [
            {
              "code" : "SS",
              "display" : "short stay",
              "equivalence" : "equivalent",
              "comment" : "S is an extension to the base PV1-2 patientClass  value set in V2"
            }
          ]
        },
        {
          "code" : "V",
          "display" : "Observation",
          "target" : [
            {
              "code" : "OBSENC",
              "display" : "observation encounter",
              "equivalence" : "equivalent",
              "comment" : "V is an extension to the base PV1-2 patientClass  value set in V2"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0443",
      "target" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "element" : [
        {
          "code" : "AD",
          "display" : "Admitting",
          "target" : [
            {
              "code" : "ADM",
              "display" : "admitter",
              "equivalence" : "equivalent",
              "comment" : "Also in PV1-17 Admitting Doctor in v2"
            }
          ]
        },
        {
          "code" : "AT",
          "display" : "Attending",
          "target" : [
            {
              "code" : "ATND",
              "display" : "attender",
              "equivalence" : "equivalent",
              "comment" : "Also in PV1-7 Attending Doctor in v2"
            }
          ]
        },
        {
          "code" : "CP",
          "display" : "Consulting Provider",
          "target" : [
            {
              "code" : "CON",
              "display" : "consultant",
              "equivalence" : "equivalent",
              "comment" : "Also in PV1-9 Consulting Doctor"
            }
          ]
        },
        {
          "code" : "FHCP",
          "display" : "Family Health Care Professional",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "participant type valueset binding is extensible, so could add in \"FHCP\" from https://terminology.hl7.org/2.1.0/CodeSystem-v2-0443.html"
            }
          ]
        },
        {
          "code" : "PP",
          "display" : "Primary Care Provider",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "participant type valueset binding is extensible, so could add in \"PP\" from https://terminology.hl7.org/2.1.0/CodeSystem-v2-0443.html"
            }
          ]
        },
        {
          "code" : "RP",
          "display" : "Referring Provider",
          "target" : [
            {
              "code" : "REF",
              "display" : "referrer",
              "equivalence" : "equivalent",
              "comment" : "Also in PV1-8 Referring doctor in v2"
            }
          ]
        },
        {
          "code" : "RT",
          "display" : "Referred to Provider",
          "target" : [
            {
              "code" : "REFT",
              "display" : "Referred to",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "target" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
      "element" : [
        {
          "code" : "TF",
          "display" : "Treating Facility",
          "target" : [
            {
              "code" : "LOC",
              "display" : "location",
              "equivalence" : "equivalent",
              "comment" : "TF  is an extension to the base ROL-3 providerRole value set in V2"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0001",
      "target" : "http://hl7.org/fhir/administrative-gender",
      "element" : [
        {
          "code" : "F",
          "display" : "Female",
          "target" : [
            {
              "code" : "female",
              "display" : "Female",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "M",
          "display" : "Male",
          "target" : [
            {
              "code" : "male",
              "display" : "Male",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "O",
          "display" : "Other",
          "target" : [
            {
              "code" : "other",
              "display" : "Other",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "U",
          "display" : "Unknown",
          "target" : [
            {
              "code" : "unknown",
              "display" : "Unknown",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "A",
          "display" : "Ambiguous",
          "target" : [
            {
              "code" : "other",
              "display" : "Other",
              "equivalence" : "equivalent",
              "comment" : "Since the binding in USCorePatient is required, will have to map to \"other\""
            }
          ]
        },
        {
          "code" : "N",
          "display" : "Not Applicable",
          "target" : [
            {
              "code" : "other",
              "display" : "Other",
              "equivalence" : "equivalent",
              "comment" : "Since the binding in USCorePatient is required, will have to map to \"other\""
            }
          ]
        },
        {
          "code" : "X",
          "display" : "Non-Binary",
          "target" : [
            {
              "code" : "other",
              "display" : "Other",
              "equivalence" : "equivalent",
              "comment" : "Since the binding in USCorePatient is required, will have to map to \"other\""
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0200",
      "target" : "http://hl7.org/fhir/name-use",
      "element" : [
        {
          "code" : "N",
          "display" : "Nickname",
          "target" : [
            {
              "code" : "nickname",
              "display" : "Nickname",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "D",
          "display" : "Customary Name",
          "target" : [
            {
              "code" : "usual",
              "display" : "Usual",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "L",
          "display" : "Official Registry Name",
          "target" : [
            {
              "code" : "official",
              "display" : "Official",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "TEMP",
          "display" : "Temporary Name",
          "target" : [
            {
              "code" : "temp",
              "display" : "Temp",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "S",
          "display" : "Pseudonym",
          "target" : [
            {
              "code" : "anonymous",
              "display" : "Anonymous",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "BAD",
          "display" : "Bad Name",
          "target" : [
            {
              "code" : "old",
              "display" : "Old",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "M",
          "display" : "Maiden Name",
          "target" : [
            {
              "code" : "maiden",
              "display" : "Name changed for Marriage",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "O",
          "display" : "Other",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "A",
          "display" : "Assigned",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "B",
          "display" : "Birth name",
          "target" : [
            {
              "code" : "maiden",
              "display" : "Name changed for Marriage",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "C",
          "display" : "Adopted Name",
          "target" : [
            {
              "code" : "official",
              "display" : "Official",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "F",
          "display" : "Fathers Name",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "I",
          "display" : "Licensing Name",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "K",
          "display" : "Business name",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "MSK",
          "display" : "Masked",
          "target" : [
            {
              "code" : "anonymous",
              "display" : "Anonymous",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "NAV",
          "display" : "Temporarily Unavailable",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "NB",
          "display" : "Newborn Name",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "NOUSE",
          "display" : "No Longer To Be Used",
          "target" : [
            {
              "code" : "old",
              "display" : "Old",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "P",
          "display" : "Name of Partner/Spouse",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "R",
          "display" : "Registered Name",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "REL",
          "display" : "Religious",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        },
        {
          "code" : "T",
          "display" : "Indigenous/Tribal",
          "target" : [
            {
              "code" : "official",
              "display" : "Official",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "U",
          "display" : "Unknown",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Not mapable, since binding in USCorePatient is required"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0007",
      "target" : "http://snomed.info/sct",
      "element" : [
        {
          "code" : "A",
          "display" : "Accident",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)\n Not sure this is the right mapping - concepts seem not alinged\n Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)\n in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"
            }
          ]
        },
        {
          "code" : "E",
          "display" : "Emergency",
          "target" : [
            {
              "code" : "4525004",
              "display" : "Emergency department patient visit",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "L",
          "display" : "Labor and Delivery",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)\n Not sure this is the right mapping - concepts seem not alinged\n Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)\n in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"
            }
          ]
        },
        {
          "code" : "R",
          "display" : "Routine",
          "target" : [
            {
              "code" : "308335008",
              "display" : "Patient encounter procedure",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "N",
          "display" : "Newborn (Birth in healthcare facility)",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)\n Not sure this is the right mapping - concepts seem not alinged\n Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)\n in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"
            }
          ]
        },
        {
          "code" : "U",
          "display" : "Urgent",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)\n Not sure this is the right mapping - concepts seem not alinged\n Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)\n in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"
            }
          ]
        },
        {
          "code" : "C",
          "display" : "Elective",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Include codes from AMA (I have no license to see, so could not include) and http: //snomed.info/sct where concept is-a 308335008 (Patient encounter procedure)\n Not sure this is the right mapping - concepts seem not alinged\n Need to take to PA to find out how folks are currently using https://terminology.hl7.org/5.2.0/CodeSystem-v2-0007.html values - and then decide, if these need to be updated to match what US Core is doing (much more granular)\n in CDA use https://vsac.nlm.nih.gov/valueset/2.16.840.1.113883.3.88.12.80.32/expansion/Latest"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0052",
      "target" : "http://terminology.hl7.org/CodeSystem/diagnosis-role",
      "element" : [
        {
          "code" : "A",
          "display" : "Admitting",
          "target" : [
            {
              "code" : "AD",
              "display" : "Admission diagnosis",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "W",
          "display" : "Working",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "Since binding is extensible, can extend valueset, should submit UTG proposal to add to code system"
            }
          ]
        },
        {
          "code" : "F",
          "display" : "Final",
          "target" : [
            {
              "code" : "DD",
              "display" : "Discharge diagnosis",
              "equivalence" : "equivalent"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0063",
      "target" : "http://terminology.hl7.org/CodeSystem/v3-RoleCode",
      "element" : [
        {
          "code" : "MTH",
          "target" : [
            {
              "code" : "MTH",
              "display" : "Mother",
              "equivalence" : "equivalent",
              "comment" : "This is described specifically for the maternal health use case"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0201",
      "target" : "http://hl7.org/fhir/contact-point-use",
      "element" : [
        {
          "code" : "PRN",
          "display" : "Primary Residence Number",
          "target" : [
            {
              "code" : "home",
              "display" : "Home",
              "equivalence" : "equivalent",
              "comment" : "FHIR doesn't distinguish types of homes for contacts"
            }
          ]
        },
        {
          "code" : "ORN",
          "display" : "Other Residence Number",
          "target" : [
            {
              "code" : "home",
              "display" : "Home",
              "equivalence" : "equivalent",
              "comment" : "FHIR doesn't distinguish types of homes for contacts"
            }
          ]
        },
        {
          "code" : "WPN",
          "display" : "Work Number",
          "target" : [
            {
              "code" : "work",
              "display" : "Work",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "VHN",
          "display" : "Vacation Home Number",
          "target" : [
            {
              "code" : "home",
              "display" : "Home",
              "equivalence" : "equivalent",
              "comment" : "FHIR doesn't distinguish types of homes for contacts"
            }
          ]
        },
        {
          "code" : "ASN",
          "display" : "Answering Service Number",
          "target" : [
            {
              "equivalence" : "unmatched"
            }
          ]
        },
        {
          "code" : "EMR",
          "display" : "Emergency Number",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "unsure how to map this"
            }
          ]
        },
        {
          "code" : "PRS",
          "display" : "Personal",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "unsure how to map this"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0201",
      "target" : "http://hl7.org/fhir/contact-point-system",
      "element" : [
        {
          "code" : "NET",
          "display" : "Network (email) Address",
          "target" : [
            {
              "code" : "email",
              "display" : "Email",
              "equivalence" : "equivalent",
              "comment" : "would need to map to different datatype element and use different value set"
            }
          ]
        },
        {
          "code" : "BPN",
          "display" : "Beeper Number",
          "target" : [
            {
              "code" : "pager",
              "display" : "Pager",
              "equivalence" : "equivalent",
              "comment" : "would need to map to different datatype element and use different value set"
            }
          ]
        }
      ]
    },
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0201",
      "element" : [
        {
          "code" : "DSM",
          "display" : "Direct Secure Messaging",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "does not map at the vocabulary level - maps to extension in US Core = https://hl7.org/fhir/us/core/StructureDefinition-us-core-direct.html"
            }
          ]
        }
      ]
    }
  ]
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.