| Name of Guide | Version | Status | Date |
|---|---|---|---|
| PDex IG Companion Guide Template | 0.1 | DRAFT | 2019-06-26 |
Why this companion guide
Purpose: To provide a guide for translating from different sources including providing a provenance resource to describe the actions taken to translate to the observation resource.
Most likely sources:
- HL7 V2 2.3, 2.5.1
- C-CDA R1.1, R2.1
- X12 837
Three target audiences:
- Provider
- Member
- Next Payer
We are working with US Core resources. Each profile has a minimum set of required fields. Beyond those fields additional data SHALL be provided if it is available. When dealing with different data sources there will likely be different levels of data granularity.
In the context of this guide this document provides a mapping of different data sources to the observation profile. The objective of this guide is to enable Payers to map their data from different sources consistently.
A provenance resource SHALL be constructed for each record to identify the originator of the data (the provider/organization etc.), the transmission format (C-CDA, ADT, 837 etc.) which indicates the type of translation performed.
Mapping from Sources:
| Source Information | Target | Minimum FHIR Fields | Link |
|---|---|---|---|
| HL7 V2 | Observation | https://www.hl7.org/fhir/us/core/StructureDefinition-us-core-observation-lab.html | |
| C-CDA | Observation | ||
| Claim (X12) | Observation | ||
| DiagnosticReport | |||
| Specimen |
Resource Mappings
Mapping Assumptions
HL7v2-to-FHIR
- We will leverage as much of the ongoing work from the O&O HL7v2-to-FHIR mapping project as possible.
- HL7v2.5.1 will be the source data standard which will be mapped to FHIR. While there are other more recent versions of HL7v2, version 2.5.1 is cited for CLIA conformance.
- Semantic mappings might be approximate in cases where the term descriptions are ambiguous.
- Structural mappings might not align in several ways noted below:
- cardinality
- data type
- non-existent elements
The HL7v2-to-FHIR sub-team is currently working through these mapping alignment issues and noting them within the documentation of each HL7v2 segment mapping
Mapping Artifacts
The attached Spreadsheet provides a mapping from Health Plan data sources to the FHIR US Core (R4) Profile:
Latest: Observation-FHIR_R4 v1.4.xlsx
Earlier versions
Examples
Provenance Resource
https://www.hl7.org/fhir/provenance.html
Data received from:
- Provider via HL7 V2
- Provider via C-CDA
- Provider via 837 Claim
- Provider via "Paper Chart"
- Provider Attestation (Pass through billing)
- Payer Intermediate Translation
- Provider by copy of formal lab report
Health Plan Data Exchange Overview
Document how the health plan will support the use case scenario outlined above....
Health Plan Data Sources
Identify the potential data sources the Health Plan would use to support the data exchange...
PDex FHIR Resources
Identify the FHIR Resources from the PDex IG that are used to support the data exchange...
Value Sets and Terminologies
Identify the value sets, codings and terminologies that will support the data exchange
Data Crosswalks
Identify the source to target field mapping by FHIR Resource
Resource
| FHIR Field | Value/Coding Set used | Example values | Health Plan Source Data Field | Industry Standard document/field source |
|---|---|---|---|---|
Data Preparations
Identify the dependencies for creating FHIR resources.....
For example, Patient and Practitioner Resources need to be created before Encounter, Procedure etc.
Author
Author/contact person with contact information for this page
Tony Benson , BCBS Alabama
Mark Scrimshire, NewWave, mark@ekivemark.com