Athena Core Implementation Guide
4.5.0 - release

Athena Core Implementation Guide - Local Development build (v4.5.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AthenahealthDocumentReference - Mappings

Active as of 2025-05-09

Mappings for the ah-documentreference resource profile.

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

AthenahealthDocumentReference
DocumentReferenceEvent
   identifierEvent.identifier
   statusEvent.status
   typeEvent.code
   subjectEvent.subject
   dateEvent.occurrence[x]
   authorEvent.performer.actor
   custodianEvent.performer.actor
   context
      encounterEvent.context

Mappings for FHIR Composition (http://hl7.org/fhir/composition)

AthenahealthDocumentReference
DocumentReferencewhen describing a Composition
   docStatusComposition.status
   typeComposition.type
   categoryComposition.class
   subjectComposition.subject
   dateComposition.date
   authorComposition.author
   custodianComposition.custodian
   contentBundle(Composition+*)
      attachmentComposition.language, Composition.title, Composition.date
      formatComposition.meta.profile
   context
      encounterComposition.encounter
      periodComposition.event.period

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

AthenahealthDocumentReference
DocumentReferenceEntity. Role, or Act, Document[classCode="DOC" and moodCode="EVN"]
   meta
      idn/a
      extensionn/a
   textAct.text?
   containedN/A
   modifierExtensionN/A
   identifier.id / .setId
   statusinterim: .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("ReviseDocument", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
   docStatus.statusCode
   type./code
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   subject.participation[typeCode="SBJ"].role[typeCode="PAT"]
   date.availabilityTime[type="TS"]
   author.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
   custodian.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
   contentdocument.text
      idn/a
      extensionn/a
      modifierExtensionN/A
      attachmentdocument.text
      formatdocument.text
   contextoutboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
      idn/a
      extensionn/a
      modifierExtensionN/A
      encounterunique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
      period.effectiveTime

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

AthenahealthDocumentReference
DocumentReferencewhen describing a CDA
   typeClinicalDocument/code/@code The typeCode should be mapped from the ClinicalDocument/code element to a set of document type codes configured in the affinity domain. One suggested coding system to use for typeCode is LOINC, in which case the mapping step can be omitted.
   categoryDerived from a mapping of /ClinicalDocument/code/@code to an Affinity Domain specified coded value to use and coding system. Affinity Domains are encouraged to use the appropriate value for Type of Service, based on the LOINC Type of Service (see Page 53 of the LOINC User's Manual). Must be consistent with /ClinicalDocument/code/@code
   subjectClinicalDocument/recordTarget/
   authorClinicalDocument/author
   content
      attachmentClinicalDocument/languageCode, ClinicalDocument/title, ClinicalDocument/date
      formatderived from the IHE Profile or Implementation Guide templateID
   context
      periodClinicalDocument/documentationOf/ serviceEvent/effectiveTime/low/ @value --> ClinicalDocument/documentationOf/ serviceEvent/effectiveTime/high/ @value

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

AthenahealthDocumentReference
DocumentReference
   identifierFiveWs.identifier
   statusFiveWs.status
   docStatusFiveWs.status
   typeFiveWs.class
   categoryFiveWs.class
   subjectFiveWs.subject[x], FiveWs.subject
   dateFiveWs.recorded
   context
      encounterFiveWs.context

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

AthenahealthDocumentReference
DocumentReference
   identifierTXA-16?
   statusTXA-19
   docStatusTXA-17
   typeTXA-2
   subjectPID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message)
   authorTXA-9 (No standard way to indicate a Device in HL7 v2 MDM message)
   content
      attachmentTXA-3 for mime type

Mappings for XDS metadata equivalent (http://ihe.net/xds)

AthenahealthDocumentReference
DocumentReference
   identifierDocumentEntry.entryUUID
   statusDocumentEntry.availabilityStatus
   typeDocumentEntry.type
   categoryDocumentEntry.class
   subjectDocumentEntry.patientId
   authorDocumentEntry.author
   content
      attachmentDocumentEntry.mimeType, DocumentEntry.languageCode, DocumentEntry.URI, DocumentEntry.size, DocumentEntry.hash, DocumentEntry.title, DocumentEntry.creationTime
      formatDocumentEntry.formatCode
   context
      periodDocumentEntry.serviceStartTime, DocumentEntry.serviceStopTime