Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: BRRegistroAtendimentoClinico - Mappings

Page standards status: Informative

Maturity Level: 1

Mappings for the BRRegistroAtendimentoClinico resource profile.

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

BRRegistroAtendimentoClinico
Composition	Event
status	Event.status
type	Event.code
category	Event.subject
date	Event.occurrence[x]
author	Event.performer

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

BRRegistroAtendimentoClinico
Composition	Entity. Role, or Act, Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
status	interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
type	./code
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
category	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
subject	.participation[typeCode="SBJ"].role[typeCode="PAT"]
id	n/a
extension	n/a
extension (unidentifiedPatient)
id	n/a
extension
extension (gender)
id	n/a
extension	n/a
url	N/A
value[x]	N/A
extension (birthYear)
id	n/a
extension	n/a
url	N/A
value[x]	N/A
extension (reason)
id	n/a
extension	n/a
url	N/A
value[x]	N/A
url	N/A
identifier	.identifier
id	n/a
extension	n/a
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
date	.effectiveTime[type="TS"]
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
id	n/a
extension	n/a
identifier	.identifier
id	n/a
extension	n/a
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
title	./title
relatesTo	.outboundRelationship
id	n/a
extension	n/a
modifierExtension	N/A
code	.outboundRelationship.typeCode
target[x]	.target[classCode="DOC", moodCode="EVN"].id
extension	n/a
reference	N/A
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
mode	.outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (informacoesContatoAssistencial)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
id	n/a
extension	n/a
reference	N/A
section (problemasDiagnosticosAvaliados)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
id	n/a
extension	n/a
reference	N/A
section (procedimentosRealizados)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
id	n/a
extension	n/a
reference	N/A
section (observacoes)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
id	n/a
extension	n/a
reference	N/A
section (alergiaReacaoAdversa)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
id	n/a
extension	n/a
reference	N/A
section (prescricao)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
id	n/a
extension	n/a
reference	N/A
identifier	.identifier
id	n/a
extension	n/a
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
section (planoCuidados)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
id	n/a
extension	n/a
reference	N/A
section (atestadoMedicoOdontologico)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
id	n/a
extension	n/a
reference	N/A

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

BRRegistroAtendimentoClinico
Composition	ClinicalDocument
status	n/a
type	.code
category	n/a
subject	.recordTarget
date	.effectiveTime
author	.author.assignedAuthor
title	.title
relatesTo	.relatedDocument
code	.relatedDocument.typeCode
target[x]	.relatedDocument.id
section	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
mode	n/a
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (informacoesContatoAssistencial)	.component.structuredBody.component.section
entry	.entry
section (problemasDiagnosticosAvaliados)	.component.structuredBody.component.section
entry	.entry
section (procedimentosRealizados)	.component.structuredBody.component.section
entry	.entry
section (observacoes)	.component.structuredBody.component.section
entry	.entry
section (alergiaReacaoAdversa)	.component.structuredBody.component.section
entry	.entry
section (prescricao)	.component.structuredBody.component.section
entry	.entry
section (planoCuidados)	.component.structuredBody.component.section
entry	.entry
section (atestadoMedicoOdontologico)	.component.structuredBody.component.section
entry	.entry

Mappings for FHIR DocumentReference (http://hl7.org/fhir/documentreference)

BRRegistroAtendimentoClinico
Composition	when described by DocumentReference
status	DocumentReference.status
type	DocumentReference.type
category	DocumenttReference.category
subject	DocumentReference.subject
date	DocumentReference.content.attachment.date, DocumentReference.created
author	DocumentReference.agent
title	DocumentReference.description, DocumentReference.content.attachment.title
relatesTo	DocumentReference.relatesTo
code	DocumentReference.relatesTo.code
target[x]	DocumentReference.relatesTo.target

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

BRRegistroAtendimentoClinico
Composition
status	FiveWs.status
type	FiveWs.class
category	FiveWs.class
subject	FiveWs.subject[x], FiveWs.subject
date	FiveWs.done[x]
author	FiveWs.author
section
author	FiveWs.author
mode	FiveWs.class
section (informacoesContatoAssistencial)
section (problemasDiagnosticosAvaliados)
section (procedimentosRealizados)
section (observacoes)
section (alergiaReacaoAdversa)
section (prescricao)
section (planoCuidados)
section (atestadoMedicoOdontologico)