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Map between OIOXML Advis and FHIR HospitalNotification Messages

This document describes mapping between the OIOXML Advis(XDIS17/XDIS20) and the FHIR HospitalNotification message. Not all elements from OIOXML Advis are relevant in FHIR HospitalNotification message, which is marked with a ‘NA’. The purpose of this document is to help implementers of FHIR HospitalNotification message. The actual implementation guide which includes all requirements for the HospitalNotificationMessage can be found here

Please notice, that the expressions in ‘Actual FHIR path’ are made using the windows app called FHIRPath tester. In other applications, are the apostrophe ( ‘…’ ) might not used.

Data OIOXML Pseudo FHIR path Must Support Comment
Actual FHIR path
Date for Message sent Emessage.Envelope.Sent.Date MedComHospitalNotificationMessage.timestamp Yes All FHIR timestamps contain both date and time. This element holds information about when a bundle is created. The timestamp is equivalent to MedComHospitalNotificationMessage.MedcomMessagingProvenance. occurredDateTime
Bundle.timestamp
Time for Message sent Emessage.Envelope.Sent.Time MedComHospitalNotificationMessage.timestamp Yes All FHIR timestamps contain both date and time. This element holds information about when a bundle is created. The timestamp is equivalent to MedComHospitalNotificationMessage.MedcomMessagingProvenance. occurredDateTime
Bundle.timestamp
Message envelope id Emessage.Envelope.Identifier MedComHospitalNotificationMessage.id Yes A unique identifier for a bundle. The MedComHospitalNotificationMessage.id must be updated with a new value each time a new message is sent, or a message is resent.
Bundle.id
AcknowledgementCode Emessage.Envelope.AcknowledgementCode NA Not relevant, as all FHIR messages shall be acknowledged.
Message letter id Emessage.NotificationOfAdmission.Letter.Identifier MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.id Yes A unique identifier for each message. This identifier should be globally unique.
Bundle.entry.resource.ofType('MessageHeader').id
Version code Emessage.NotificationOfAdmission.Letter.
VersionCode
NA The version of a FHIR message can be found in the respective Implementation Guide, but is not included when exchanging a message.
Statistical code Emessage.NotificationOfAdmission.Letter.
StatisticalCode
NA Only VANSEnvelope contains a statistical code.
Authorization timestamp date Emessage.NotificationOfAdmission.Letter.Authorisation.Date MedComHospitalNotificationMessage. medcomHospitalNotificationEncounter.period.start Yes This timestamp includes a date and time. It represents the date and time for when the encounter starts.
Bundle.entry.resource.ofType('Encounter').period.start
Authorization timestamp time Emessage.NotificationOfAdmission.Letter.Authorisation.Time MedComHospitalNotificationMessage. medcomHospitalNotificationEncounter.period.start Yes This timestamp includes a date and time. It represents the date and time for when the encounter starts.
Bundle.entry.resource.ofType('Encounter').period.start
Message type (DIS20/DIS17) Emessage.NotificationOfAdmission.Letter.TypeCode MedComHospitalNotificationMessage.medcomHospitalNotificationMessageHeader.event[x].eventcoding.code Yes The type of message. For HospitalNotification the code shall be "hospital-notification-message"
Bundle.entry.resource.ofType('MessageHeader').event.code
Message status Emessage.NotificationOfAdmission.Letter.StatusCode MedcomHospitalNotificationMessage.MedcomMessagingProvenance.activity.coding.code Yes The element that describes the status of the HospitalNotification eg. admit-inpatient.
Bundle.entry.where(resource.ofType('Provenance').target.reference.replace('MessageHeader/','') = %resource.entry.resource.ofType('MessageHeader' ).id).resource.ofType('Provenance').activity.coding.code
Episode of care identifier Emessage.NotificationOfAdmission.Letter.NotificationIdentifier MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.
MedComHospitalNotificationEncounter.episodeOfCare.identifier.value
No A unique identifier for the episode of care.
Bundle.entry.resource.ofType('Encounter').episodeOfCare.identifier.value
EAN id for sender Emessage.NotificationOfAdmission.sender.
EANIdentifier
MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.sender.MedComMessaging
Organization.identifier.eanIdentifier
Yes The EAN identifier for a sending organisation.
Bundle.entry.where(resource.ofType('Organization').id.replace('string', 'id') = %resource.entry.resource.ofType('MessageHeader').sender.reference.replace('Organization/','')).
resource.ofType('Organization').identifier.where(system = 'urn:oid:1.3.88').value
EAN id for receiver Emessage.NotificationOfAdmission.receiver.EANIdentifier MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.destination.primary.receiver.
MedComMessagingOrganization.identifier.eanIdentifier
Yes The EAN identifier for a receiving organisation.
Bundle.entry.where(resource.ofType('Organization').id.replace('string', 'id') = %resource.entry.resource.ofType('MessageHeader').destination.receiver.reference.replace('Organization/','')).
resource.ofType('Organization').identifier.where(system = 'urn:oid:1.3.88').value
Sender id Emessage.NotificationOfAdmission.sender.Identifier MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.sender.
MedcomMessagingOrganization.identifier
Yes The identifier that describes the sender of the HospitalNotification message. Both a SOR- and EAN-identifier must be sent.
Bundle.entry.where(resource.ofType('Organization').id.replace('string', 'id') = %resource.entry.resource.ofType('MessageHeader').sender.reference.replace('Organization/','')).
resource.ofType('Organization').identifier
Receiver id Emessage.NotificationOfAdmission.receiver.Identifier MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.destination.primary.receiver.
MedcomMessagingOrganization.identifier
Yes The identifier that describes the receiver of the HospitalNotification message. Both a SOR- and EAN-identifier must be sent.
Bundle.entry.where(resource.ofType('Organization').id.replace('string', 'id') = %resource.entry.resource.ofType('MessageHeader').destination.receiver.reference.replace('Organization/','')).
resource.ofType('Organization').identifier
Sender type Emessage.NotificationOfAdmission.sender.
IdentifierCode
NA The type of the organisation is given in the SOR identifier. See sender id.
Receiver type Emessage.NotificationOfAdmission.receiver.
IdentifierCode
NA The type of the organisation is given in the SOR identifier. See receiver id.
Sender organization Emessage.NotificationOfAdmission.sender.
OrganizationName
MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.sender.
medcomMessagingOrganization.name
Yes This information is depending on the SOR identifier and shall only be included, if the OrganizationName is given in the SOR identifier.
Bundle.entry.where(resource.ofType('Organization').id.replace('string', 'id') = %resource.entry.resource.ofType('MessageHeader').sender.
reference.replace('Organization/','')).resource.ofType('Organization').name
Receiver organization Emessage.NotificationOfAdmission.receiver.
OrganizationName
MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.destination.primary.
receiver.medcomMessagingOrganization.name
Yes This information is depending on the SOR identifier and shall only be included, if the OrganizationName is given in the SOR identifier.
Bundle.entry.where(resource.ofType('Organization').id.replace('string', 'id') = %resource.entry.resource.ofType('MessageHeader').destination.receiver.reference.replace('Organization/','')).
resource.ofType('Organization').name
Sender department Emessage.NotificationOfAdmission.sender.
DepartmentName
MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.sender.
medcomMessagingOrganization.name
Yes This information is depending on the SOR identifier and shall only be included, if the DepartmentName is given in the SOR identifier.
Bundle.entry.where(resource.ofType('Organization').id.replace('string', 'id') = %resource.entry.resource.ofType('MessageHeader').sender.reference.replace('Organization/','')).
resource.ofType('Organization').name
Sender unit Emessage.NotificationOfAdmission.sender.UnitName MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.sender.
medcomMessagingOrganization.name
Yes This information is depending on the SOR identifier and shall only be included, if the UnitName is given in the SOR identifier.
Bundle.entry.where(resource.ofType('Organization').id.replace('string', 'id') = %resource.entry.resource.ofType('MessageHeader').sender.reference.replace('Organization/','')).
resource.ofType('Organization').name
Sender telephone Emessage.NotificationOfAdmission.sender.
TelephoneSubscriberIdentifier
NA Organisation contactinformation is described by the SOR identifier.
Answer to EAN id Emessage.NotificationOfAdmission.sender.AnswerTo.
EANIdentifier
MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.
MedComHospitalNotificationReportOfAdmissionRecipientExtension.MedComMessagingOrganization.identifier:
eanIdentifier
Yes Contains EANidentifier for the recipient of the report of admission.
Bundle.entry.where(resource.ofType('Organization').id.replace('string', 'id') = %resource.entry.resource.ofType('MessageHeader').extension.where(url = 'http://medcomfhir.dk/fhir/core/1.0/StructureDefinition/medcom-messaging-reportOfAdmissionRecipientExtension').value.reference.replace('Organization/','')).resource.ofType
('Organization').identifier.where(system = 'urn:oid:1.3.88').value
Patient id Emessage.NotificationOfAdmission.Patient.
CivilRegistrationNumber
MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.
MedComHospitalNotificationEncounter.MedComCorePatient.identifier.cpr
Yes Information about the patient cpr-identifier.
Bundle.entry.resource.ofType('Patient').identifier.where(system = 'urn:oid:1.2.208.176.1.2').value
Episode of care status Emessage.NotificationOfAdmission.Patient.
EpisodeOfCareStatusCode
MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.
MedComMessagingProvenance.activity.coding.code MedComHospitalNotificationMessage.
MedComHospitalNotificationMessageHeader.MedComHospitalNotificationEncounter.
MedComCorePatient.deceased
Yes (all) The HospitalNotification message episodeofcare status is more complexed than the OIOXML message, please refer to the implementation guide for more information.
Bundle.entry.where(resource.ofType('Provenance').target.reference.replace('MessageHeader/','') = %resource.entry.resource.ofType('MessageHeader').id).resource.ofType('Provenance').activity.coding.
codeBundle.entry.resource.ofType('Patient').deceased
Notification start date Emessage.NotificationOfAdmission.Admission.Date MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.
MedComHospitalNotificationEncounter.period.start
Yes The start of the admission. Date and time are included in the same element.
Bundle.entry.resource.ofType('Encounter').period.start
Notification start time Emessage.NotificationOfAdmission.Admission.Time MedComHospitalNotificationMessage.MedComHospitalNotificationMessageHeader.
MedComHospitalNotificationEncounter.period.start
Yes The start of the admission. Date and time are included in the same element.
Bundle.entry.resource.ofType('Encounter').period.start



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