Medtech ALEX® AU Implementation Guide
1.0.0 - Trial Use

Medtech ALEX® AU Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: AlexDischargeSummaryIps - Mappings

Active as of 2026-01-12

Mappings for the alex-dischargesummary-ips resource profile.

#### Mappings to Structures in this Implementation Guide

No Mappings Found

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | FHIR Composition | RIM Mapping | CDA (R2) | FiveWs Pattern Mapping | HL7 v2 Mapping | XDS metadata equivalent
--- | --- | --- | --- | --- | --- | --- | ---
DocumentReference | Event | when describing a Composition | Document[classCode="DOC" and moodCode="EVN"] | when describing a CDA |  |  |
id |  |  |  |  |  |  |
meta |  |  |  |  |  |  |
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
versionId |  |  |  |  |  |  |
lastUpdated |  |  |  |  |  |  |
source |  |  |  |  |  |  |
profile |  |  |  |  |  |  |
security |  |  |  |  |  |  |
tag |  |  |  |  |  |  |
implicitRules |  |  |  |  |  |  |
language |  |  |  |  |  |  |
text |  |  | Act.text? |  |  |  |
contained |  |  | N/A |  |  |  |
Slices for extension |  |  |  |  |  |  |
extension:comment |  |  |  |  |  |  |
modifierExtension |  |  | N/A |  |  |  |
masterIdentifier | Event.identifier | Composition.identifier | .id | ClinicalDocument/id | FiveWs.identifier | TXA-12 | DocumentEntry.uniqueId
identifier | Event.identifier |  | .id / .setId |  | FiveWs.identifier | TXA-16? | DocumentEntry.entryUUID
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
use |  |  | Role.code or implied by context |  |  | N/A |
type |  |  | Role.code or implied by context |  |  | CX.5 |
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
coding |  |  | union(. ./translation) |  |  | C*E.1-8 C*E.10-22 |
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
system |  |  | ./codeSystem |  |  | C*E.3 |
version |  |  | ./codeSystemVersion |  |  | C*E.7 |
code |  |  | ./code |  |  | C*E.1 |
display |  |  | CV.displayName |  |  | C*E.2 - but note this is not well followed |
userSelected |  |  | CD.codingRationale |  |  | Sometimes implied by being first |
text |  |  | ./originalText[mediaType/code="text/plain"]/data |  |  | C*E.9. But note many systems use C*E.2 for this |
system |  |  | II.root or Role.id.root |  |  | CX.4 / EI-2-4 |
value |  |  | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |  |  | CX.1 / EI.1 |
period |  |  | Role.effectiveTime or implied by context |  |  | CX.7 + CX.8 |
assigner |  |  | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |  |  | CX.4 / (CX.4 CX.9 CX.10) |
status | Event.status |  | .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" .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseDocument" .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete" |  | FiveWs.status | TXA-19 | DocumentEntry.availabilityStatus
docStatus |  | Composition.status | .statusCode |  | FiveWs.status | TXA-17 |
type | Event.code | Composition.type | ./code | ClinicalDocument/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. | FiveWs.class | TXA-2 | DocumentEntry.type
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
coding |  |  | union(. ./translation) |  |  | C*E.1-8 C*E.10-22 |
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
system |  |  | ./codeSystem |  |  | C*E.3 |
version |  |  | ./codeSystemVersion |  |  | C*E.7 |
code |  |  | ./code |  |  | C*E.1 |
display |  |  | CV.displayName |  |  | C*E.2 - but note this is not well followed |
userSelected |  |  | CD.codingRationale |  |  | Sometimes implied by being first |
text |  |  | ./originalText[mediaType/code="text/plain"]/data |  |  | C*E.9. But note many systems use C*E.2 for this |
category |  | Composition.class | .outboundRelationship[typeCode="COMP].target[classCode="LIST" moodCode="EVN"].code | Derived 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 | FiveWs.class |  | DocumentEntry.class
subject | Event.subject | Composition.subject | .participation[typeCode="SBJ"].role[typeCode="PAT"] | ClinicalDocument/recordTarget/ | FiveWs.subject | PID-3 (No standard way to define a Practitioner or Group subject in HL7 v2 MDM message) | DocumentEntry.patientId
date | Event.occurrence[x] | Composition.date | .availabilityTime[type="TS"] |  | FiveWs.recorded |  |
author | Event.performer.actor | Composition.author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] | ClinicalDocument/author |  | TXA-9 (No standard way to indicate a Device in HL7 v2 MDM message) | DocumentEntry.author
authenticator | Event.performer.actor | Composition.attester | .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] | ClinicalDocument/legalAuthenticator | FiveWs.witness | TXA-10 | DocumentEntry.legalAuthenticator
custodian | Event.performer.actor | Composition.custodian | .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] |  |  |  |
relatesTo |  | Composition.relatesTo | .outboundRelationship |  |  |  | DocumentEntry Associations
description |  |  | .outboundRelationship[typeCode="SUBJ"].target.text |  |  | TXA-25 | DocumentEntry.comments
securityLabel |  | Composition.confidentiality Composition.meta.security | .confidentialityCode | ClinicalDocument/confidentialityCode/@code |  | TXA-18 | DocumentEntry.confidentialityCode
content |  | Bundle(Composition+*) | document.text |  |  |  |
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
modifierExtension |  |  | N/A |  |  |  |
attachment |  | Composition.language Composition.title Composition.date | document.text | ClinicalDocument/languageCode ClinicalDocument/title ClinicalDocument/date |  | TXA-3 for mime type | DocumentEntry.mimeType DocumentEntry.languageCode DocumentEntry.URI DocumentEntry.size DocumentEntry.hash DocumentEntry.title DocumentEntry.creationTime
id |  |  | n/a |  |  |  |
extension |  |  | n/a |  |  |  |
contentType |  |  | ./mediaType ./charset |  |  | ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used |
language |  |  | ./language |  |  |  |
data |  |  | ./data |  |  | ED.5 |
url |  |  | ./reference/literal |  |  | RP.1+RP.2 - if they refer to a URL (see v2.6) |
size |  |  | N/A (needs data type R3 proposal) |  |  |  |
hash |  |  | :ED/integrityCheckAlgorithm="SHA-1"] |  |  |  |
title |  |  | ./title/data |  |  |  |
creation |  |  | N/A (needs data type R3 proposal) |  |  |  |
format |  | Composition.meta.profile | document.text | derived from the IHE Profile or Implementation Guide templateID |  |  | DocumentEntry.formatCode
context |  |  | outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT'] |  |  |  |
Documentation for this format