Generated Narrative: ConceptMap ConceptMapGetCareContactsTKBToEncounter Mapping from https://rivta.se/domains/clinicalprocess/logistics/logistics/GetCareContactsResponder/2 to Encounter Group 1 Mapping from https://rivta.se/domains/clinicalprocess/logistics/logistics/GetCareContactsResponder/2 to Bundle Source Code Relationship Target Code Comment GetCareContactsResponse.patient-id (Patient ID (personnummer/samordningsnummer)) is equivalent to subject Reference to Patient resource with Swedish national identifier GetCareContactsResponse.careContact.careContactId (Care contact ID (unique identifier)) is equivalent to identifier Business identifier for care contact. Use system from source system URL. GetCareContactsResponse.careContact.contactStatus (Contact status (planned, arrived, in-progress, finished)) is equivalent to status Encounter status: planned|arrived|triaged|in-progress|onleave|finished|cancelled|entered-in-error|unknown GetCareContactsResponse.careContact.careContactType.class (Care contact class (inpatient, outpatient, emergency)) is equivalent to class Encounter class. System: http://terminology.hl7.org/CodeSystem/v3-ActCode. Values: IMP (inpatient), AMB (ambulatory/outpatient), EMER (emergency), HH (home health), VR (virtual) GetCareContactsResponse.careContact.careContactType.code (Care contact type code (detailed Swedish contact type)) is equivalent to type.coding.code Swedish care contact type codes. System: https://terminologitjansten.inera.se/inera-kodverksforvaltning/kodverk/kv_vardkontakttyp (OID: 1.2.752.129.2.2.2.25). Examples: läkarbesök, sjuksköterskebesök, hembesök, telefonkontakt GetCareContactsResponse.careContact.serviceType.code (Service type (specialty, clinic type)) is equivalent to serviceType.coding.code Type of service provided. Swedish specialty codes or clinic types. GetCareContactsResponse.careContact.priority (Contact priority (routine, urgent, emergency)) is equivalent to priority Encounter priority. System: http://terminology.hl7.org/CodeSystem/v3-ActPriority GetCareContactsResponse.careContact.period.start (Contact start date/time) is equivalent to period.start When care contact started (admission time for inpatient, arrival time for outpatient) GetCareContactsResponse.careContact.period.end (Contact end date/time) is equivalent to period.end When care contact ended (discharge time for inpatient, departure time for outpatient) GetCareContactsResponse.careContact.length (Contact length/duration) is equivalent to length Quantity of time the encounter lasted. Can be calculated from period if not explicitly provided. GetCareContactsResponse.careContact.reasonCode.code (Reason for contact (chief complaint, diagnosis)) is equivalent to reasonCode.coding.code Coded reason for encounter. ICD-10-SE, SNOMED CT, or Swedish symptom codes. GetCareContactsResponse.careContact.reasonReference (Reason reference (condition, observation)) is equivalent to reasonReference Reference to Condition, Observation, or Procedure representing reason for encounter GetCareContactsResponse.careContact.diagnosis.diagnosisCode (Encounter diagnosis) is equivalent to diagnosis.condition Reference to Condition resource. Can have multiple diagnoses with different uses (admission, discharge, billing). GetCareContactsResponse.careContact.diagnosis.use (Diagnosis use (admission, discharge, billing)) is equivalent to diagnosis.use Role of diagnosis. System: http://terminology.hl7.org/CodeSystem/diagnosis-role. Values: AD (admission), DD (discharge), CC (chief complaint), billing GetCareContactsResponse.careContact.diagnosis.rank (Diagnosis rank (primary, secondary)) is equivalent to diagnosis.rank Ranking of diagnosis (1 = primary diagnosis) GetCareContactsResponse.careContact.participant.healthcareProfessionalHSAId (Participant HSA-ID (physician, nurse, etc.)) is equivalent to participant.individual Reference to Practitioner participating in encounter. Can have multiple participants. GetCareContactsResponse.careContact.participant.participantType (Participant type/role (attending, consulting, etc.)) is equivalent to participant.type.coding.code Type of participation. System: http://terminology.hl7.org/CodeSystem/v3-ParticipationType. Values: ATND (attender), CON (consultant), ADM (admitter), DIS (discharger) GetCareContactsResponse.careContact.participant.period (Participant period (when participant was involved)) is equivalent to participant.period Time period during which participant was involved in encounter GetCareContactsResponse.careContact.appointmentId (Appointment ID (if contact was pre-scheduled)) is equivalent to appointment Reference to Appointment resource if encounter was scheduled GetCareContactsResponse.careContact.basedOn (Based on (referral, service request)) is equivalent to basedOn Reference to ServiceRequest, CarePlan, or other request that initiated the encounter GetCareContactsResponse.careContact.partOf (Part of (parent encounter)) is equivalent to partOf Reference to parent Encounter. Example: outpatient visit as part of inpatient stay. GetCareContactsResponse.careContact.serviceProvider.organizationHSAId (Service provider HSA-ID (care unit)) is equivalent to serviceProvider Reference to Organization (care unit) providing the encounter GetCareContactsResponse.careContact.location.locationId (Location ID (room, ward, clinic)) is equivalent to location.location Reference to Location resource (room, ward, clinic, building) GetCareContactsResponse.careContact.location.status (Location status (planned, active, completed)) is equivalent to location.status Status of location during encounter: planned|active|reserved|completed GetCareContactsResponse.careContact.location.period (Location period (time at this location)) is equivalent to location.period Time period patient was at this location. Can have multiple locations during one encounter. GetCareContactsResponse.careContact.hospitalization.preAdmissionIdentifier (Pre-admission identifier) is equivalent to hospitalization.preAdmissionIdentifier Pre-admission identifier (e.g., pre-registration number) GetCareContactsResponse.careContact.hospitalization.origin (Admission origin (from where patient came)) is equivalent to hospitalization.origin Reference to Location from where patient came (e.g., home, other hospital, nursing home) GetCareContactsResponse.careContact.hospitalization.admitSource (Admit source (how patient was admitted)) is equivalent to hospitalization.admitSource From where patient was admitted. System: http://terminology.hl7.org/CodeSystem/admit-source GetCareContactsResponse.careContact.hospitalization.reAdmission (Re-admission indicator) is equivalent to hospitalization.reAdmission Whether this hospitalization is a re-admission GetCareContactsResponse.careContact.hospitalization.dietPreference (Dietary preference) is equivalent to hospitalization.dietPreference Diet preferences or restrictions during hospitalization GetCareContactsResponse.careContact.hospitalization.specialArrangement (Special arrangements (interpreter, wheelchair, etc.)) is equivalent to hospitalization.specialArrangement Special arrangements needed during encounter GetCareContactsResponse.careContact.hospitalization.destination (Discharge destination (to where patient discharged)) is equivalent to hospitalization.destination Reference to Location to where patient was discharged (e.g., home, other hospital, nursing home, deceased) GetCareContactsResponse.careContact.hospitalization.dischargeDisposition (Discharge disposition (outcome of hospitalization)) is equivalent to hospitalization.dischargeDisposition Category or kind of location after discharge. System: http://terminology.hl7.org/CodeSystem/discharge-disposition Group 2 Mapping from https://rivta.se/domains/clinicalprocess/logistics/logistics/GetCareContactsResponder/2 to Encounter Source Code Relationship Target Code Comment careContact.careContactHeader.documentId (Care contact document ID (unique business identifier)) is equivalent to identifier Business identifier for care contact. System derived from sourceSystemHSAId. Must be consistent across TKB contract versions. careContact.careContactHeader.patientId (Patient ID (personnummer/samordningsnummer/reservnummer)) is equivalent to subject Reference to Patient resource with Swedish national identifier (OID 1.2.752.129.2.1.3.1 for personnummer, 1.2.752.129.2.1.3.3 for samordningsnummer) careContact.careContactHeader.approvedForPatient (Approved for patient access (true/false)) is equivalent to meta.security If false, add security label NOPATIENT (http://terminology.hl7.org/CodeSystem/v3-ActCode#NOPATIENT) to restrict patient access. See menprövningsflagga documentation. careContact.careContactBody.careContactCode (Care contact type code (vårdkontakttyp)) is equivalent to type Swedish care contact type. System: https://terminologitjansten.inera.se/inera-kodverksforvaltning/kodverk/kv_vardkontakttyp (OID 1.2.752.129.2.2.2.25). Maps to both Encounter.class (high-level) and Encounter.type (detailed). careContact.careContactBody.careContactReason (Care contact reason (free text from patient)) is equivalent to reasonCode.text Free text reason for care contact as stated by patient or representative. Can also create Condition/Observation and reference via reasonReference. careContact.careContactBody.careContactTimePeriod.start (Care contact start time) is equivalent to period.start Start time of care contact (admission for inpatient, arrival for outpatient). For outpatient visits, start and end may be same value. careContact.careContactBody.careContactTimePeriod.end (Care contact end time) is equivalent to period.end End time of care contact (discharge for inpatient, departure for outpatient). For outpatient visits, start and end may be same value. careContact.careContactBody.careContactStatus (Care contact status (SNOMED CT SE codes)) is related to status Maps from SNOMED CT SE (SCTID 53761000052103) to FHIR status. SNOMED 53631000052103 (tidbokad)→planned, 53651000052107 (pågående)→in-progress, 53671000052101 (avslutad)→finished, 53661000052105 (avbruten)→cancelled, 53641000052109 (inställd)→cancelled, 53691000052102 (makulerad)→entered-in-error careContact.careContactBody.additionalPatientInformation.dateOfBirth (Patient date of birth) (not mapped) NOT MAPPED to Encounter. Belongs in Patient.birthDate. Included in TKB for cases without PU lookup. Format can be YYYY, YYYYMM, or YYYYMMDD. careContact.careContactBody.additionalPatientInformation.gender (Patient gender) (not mapped) NOT MAPPED to Encounter. Belongs in Patient.gender. Included in TKB for cases without PU lookup. Use KV Kön (OID 1.2.752.129.2.2.1.1). Group 3 Mapping from https://rivta.se/domains/clinicalprocess/logistics/logistics/GetCareContactsResponder/2 to Provenance Source Code Relationship Target Code Comment careContact.careContactHeader.sourceSystemHSAid (Source system HSA-ID) is equivalent to entity.what HSA-ID of source system. Also mapped to Encounter.meta.source as URI: https://hsaid.se/{HSA-ID}. In Provenance.entity with role=source. careContact.careContactHeader.accountableHealthcareProfessional.authorTime (Author time (when information was registered)) is equivalent to recorded Timestamp when care contact information was recorded/registered. Also mapped to Encounter.meta.lastUpdated. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalHSAid (Healthcare professional HSA-ID) is equivalent to agent.who Reference to Practitioner with HSA-ID identifier. Agent.type=author. Also mapped to Encounter.participant for clinical involvement. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalName (Healthcare professional name) is equivalent to agent.who.display Display name for practitioner. Full Practitioner resource should include structured name. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalRoleCode (Healthcare professional role/befattning) is related to agent.role Professional role (befattning). Use KV Befattning (OID 1.2.752.129.2.2.1.4). Mapped to Provenance.agent.role or stored in Practitioner.qualification. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalOrgUnit.orgUnitHSAid (Organization unit HSA-ID (where professional works)) is equivalent to agent.onBehalfOf Reference to Organization representing organizational unit. Part of organization hierarchy (orgUnit → careUnit → careGiver). careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalOrgUnit.orgUnitName (Organization unit name) is related to Name of organizational unit. Stored in referenced Organization resource, not in Provenance directly. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalOrgUnit.orgUnitTelecom (Organization unit telephone) is related to Phone number. Stored in Organization.telecom with system=phone. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalOrgUnit.orgUnitEmail (Organization unit email) is related to Email address. Stored in Organization.telecom with system=email. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalOrgUnit.orgUnitAddress (Organization unit postal address) is related to Postal address in natural format. Stored in Organization.address.text and parsed into structured elements if possible. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalOrgUnit.orgUnitLocation (Organization unit location (city/place)) is related to Physical location name/city. Stored in Organization.address.city or as Location resource. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalCareUnitHSAid (Care unit HSA-ID (vårdenhet - PDL enhet)) is equivalent to entity.what HSA-ID for care unit (vårdenhet). Reference to Organization. Part of hierarchy chain. Also in Encounter.serviceProvider. careContact.careContactHeader.accountableHealthcareProfessional.healthcareProfessionalCareGiverHSAid (Care provider HSA-ID (vårdgivare)) is equivalent to entity.what HSA-ID for care provider (vårdgivare). Top-level organization in hierarchy. Reference to Organization. careContact.careContactBody.careContactOrgUnit.orgUnitHSAid (Care contact org unit HSA-ID (where contact occurred)) is related to Organization unit where care contact was performed. Can differ from professional's home unit. Mapped to Encounter.serviceProvider or Encounter.location. careContact.careContactBody.careContactOrgUnit.orgUnitName (Care contact org unit name) is related to Name of unit where contact occurred. Stored in Organization or Location resource. careContact.careContactBody.careContactOrgUnit.orgUnitTelecom (Care contact org unit telephone) is related to Phone for unit where contact occurred. careContact.careContactBody.careContactOrgUnit.orgUnitEmail (Care contact org unit email) is related to Email for unit where contact occurred. careContact.careContactBody.careContactOrgUnit.orgUnitAddress (Care contact org unit address) is related to Address of unit where contact occurred. careContact.careContactBody.careContactOrgUnit.orgUnitLocation (Care contact org unit location (city/place)) is related to Physical location/city where contact occurred. Group 4 Mapping from https://rivta.se/domains/clinicalprocess/logistics/logistics/GetCareContactsResponder/2 to Bundle Source Code Relationship Target Code Comment careContact.careContactHeader.documentTitle (Document title (DEPRECATED - shall not be used)) (not mapped) NOT MAPPED. TKB specifies cardinality 0..0 - this field shall not be populated. careContact.careContactHeader.documentTime (Document time (DEPRECATED - shall not be used)) (not mapped) NOT MAPPED. TKB specifies cardinality 0..0 - use accountableHealthcareProfessional.authorTime instead. careContact.careContactHeader.legalAuthenticator (Legal authenticator (DEPRECATED - shall not be used)) (not mapped) NOT MAPPED. TKB specifies cardinality 0..0 - not used for care contacts. careContact.careContactHeader.nullified (Nullified flag (DEPRECATED - shall not be used)) (not mapped) NOT MAPPED. TKB specifies cardinality 0..0 - use careContactStatus=makulerad (53691000052102) instead. careContact.careContactHeader.nullifiedReason (Nullified reason (DEPRECATED - shall not be used)) (not mapped) NOT MAPPED. TKB specifies cardinality 0..0. careContact.careContactHeader.careContactId (Care contact ID in header (DEPRECATED - use documentId)) (not mapped) NOT MAPPED. TKB specifies cardinality 0..0 - use careContactHeader.documentId instead. result.resultCode (Result code (OK, INFO, ERROR)) (not mapped) NOT MAPPED to resources. Used in Bundle-level OperationOutcome or HTTP status codes. OK→200, INFO→200 with warnings, ERROR→4xx/5xx. result.errorCode (Error code (when resultCode=ERROR)) (not mapped) NOT MAPPED to resources. Used in OperationOutcome.issue.code for error responses. result.subCode (Error sub-code) (not mapped) NOT MAPPED. No subcodes specified in GetCareContacts v2.0/v3.0. result.logId (Log ID (UUID for troubleshooting)) (not mapped) NOT MAPPED to resources. Used in OperationOutcome.issue.diagnostics or X-Request-Id header for error tracking. result.message (Result message (descriptive text)) (not mapped) NOT MAPPED to resources. User-facing message in OperationOutcome.issue.diagnostics or Bundle.entry.response.outcome.
ConceptMap GetCareContacts TKB to FHIR Encounter
Complete mapping from GetCareContacts TKB logical model to FHIR Encounter and Provenance resources
Patient ID (personnummer/samordningsnummer)
Reference to Patient resource with Swedish national identifier
Business identifier for care contact. Use system from source system URL.
Contact status (planned, arrived, in-progress, finished)
Encounter status: planned|arrived|triaged|in-progress|onleave|finished|cancelled|entered-in-error|unknown
Care contact class (inpatient, outpatient, emergency)
Encounter class. System: http://terminology.hl7.org/CodeSystem/v3-ActCode. Values: IMP (inpatient), AMB (ambulatory/outpatient), EMER (emergency), HH (home health), VR (virtual)
Care contact type code (detailed Swedish contact type)
Swedish care contact type codes. System: https://terminologitjansten.inera.se/inera-kodverksforvaltning/kodverk/kv_vardkontakttyp (OID: 1.2.752.129.2.2.2.25). Examples: läkarbesök, sjuksköterskebesök, hembesök, telefonkontakt
Type of service provided. Swedish specialty codes or clinic types.
Contact priority (routine, urgent, emergency)
Encounter priority. System: http://terminology.hl7.org/CodeSystem/v3-ActPriority
When care contact started (admission time for inpatient, arrival time for outpatient)
When care contact ended (discharge time for inpatient, departure time for outpatient)
Quantity of time the encounter lasted. Can be calculated from period if not explicitly provided.
Reason for contact (chief complaint, diagnosis)
Coded reason for encounter. ICD-10-SE, SNOMED CT, or Swedish symptom codes.
Reason reference (condition, observation)
Reference to Condition, Observation, or Procedure representing reason for encounter
Reference to Condition resource. Can have multiple diagnoses with different uses (admission, discharge, billing).
Diagnosis use (admission, discharge, billing)
Role of diagnosis. System: http://terminology.hl7.org/CodeSystem/diagnosis-role. Values: AD (admission), DD (discharge), CC (chief complaint), billing
Ranking of diagnosis (1 = primary diagnosis)
Participant HSA-ID (physician, nurse, etc.)
Reference to Practitioner participating in encounter. Can have multiple participants.
Participant type/role (attending, consulting, etc.)
Type of participation. System: http://terminology.hl7.org/CodeSystem/v3-ParticipationType. Values: ATND (attender), CON (consultant), ADM (admitter), DIS (discharger)
Participant period (when participant was involved)
Time period during which participant was involved in encounter
Appointment ID (if contact was pre-scheduled)
Reference to Appointment resource if encounter was scheduled
Reference to ServiceRequest, CarePlan, or other request that initiated the encounter
Reference to parent Encounter. Example: outpatient visit as part of inpatient stay.
Reference to Organization (care unit) providing the encounter
Reference to Location resource (room, ward, clinic, building)
Location status (planned, active, completed)
Status of location during encounter: planned|active|reserved|completed
Time period patient was at this location. Can have multiple locations during one encounter.
Pre-admission identifier (e.g., pre-registration number)
Admission origin (from where patient came)
Reference to Location from where patient came (e.g., home, other hospital, nursing home)
From where patient was admitted. System: http://terminology.hl7.org/CodeSystem/admit-source
Whether this hospitalization is a re-admission
Diet preferences or restrictions during hospitalization
Special arrangements (interpreter, wheelchair, etc.)
Special arrangements needed during encounter
Discharge destination (to where patient discharged)
Reference to Location to where patient was discharged (e.g., home, other hospital, nursing home, deceased)
Discharge disposition (outcome of hospitalization)
Category or kind of location after discharge. System: http://terminology.hl7.org/CodeSystem/discharge-disposition
Care contact document ID (unique business identifier)
Business identifier for care contact. System derived from sourceSystemHSAId. Must be consistent across TKB contract versions.
Patient ID (personnummer/samordningsnummer/reservnummer)
Reference to Patient resource with Swedish national identifier (OID 1.2.752.129.2.1.3.1 for personnummer, 1.2.752.129.2.1.3.3 for samordningsnummer)
Approved for patient access (true/false)
If false, add security label NOPATIENT (http://terminology.hl7.org/CodeSystem/v3-ActCode#NOPATIENT) to restrict patient access. See menprövningsflagga documentation.
Swedish care contact type. System: https://terminologitjansten.inera.se/inera-kodverksforvaltning/kodverk/kv_vardkontakttyp (OID 1.2.752.129.2.2.2.25). Maps to both Encounter.class (high-level) and Encounter.type (detailed).
Care contact reason (free text from patient)
Free text reason for care contact as stated by patient or representative. Can also create Condition/Observation and reference via reasonReference.
Start time of care contact (admission for inpatient, arrival for outpatient). For outpatient visits, start and end may be same value.
End time of care contact (discharge for inpatient, departure for outpatient). For outpatient visits, start and end may be same value.
Care contact status (SNOMED CT SE codes)
Maps from SNOMED CT SE (SCTID 53761000052103) to FHIR status. SNOMED 53631000052103 (tidbokad)→planned, 53651000052107 (pågående)→in-progress, 53671000052101 (avslutad)→finished, 53661000052105 (avbruten)→cancelled, 53641000052109 (inställd)→cancelled, 53691000052102 (makulerad)→entered-in-error
NOT MAPPED to Encounter. Belongs in Patient.birthDate. Included in TKB for cases without PU lookup. Format can be YYYY, YYYYMM, or YYYYMMDD.
NOT MAPPED to Encounter. Belongs in Patient.gender. Included in TKB for cases without PU lookup. Use KV Kön (OID 1.2.752.129.2.2.1.1).
HSA-ID of source system. Also mapped to Encounter.meta.source as URI: https://hsaid.se/{HSA-ID}. In Provenance.entity with role=source.
Author time (when information was registered)
Timestamp when care contact information was recorded/registered. Also mapped to Encounter.meta.lastUpdated.
Reference to Practitioner with HSA-ID identifier. Agent.type=author. Also mapped to Encounter.participant for clinical involvement.
Display name for practitioner. Full Practitioner resource should include structured name.
Professional role (befattning). Use KV Befattning (OID 1.2.752.129.2.2.1.4). Mapped to Provenance.agent.role or stored in Practitioner.qualification.
Organization unit HSA-ID (where professional works)
Reference to Organization representing organizational unit. Part of organization hierarchy (orgUnit → careUnit → careGiver).
Name of organizational unit. Stored in referenced Organization resource, not in Provenance directly.
Phone number. Stored in Organization.telecom with system=phone.
Email address. Stored in Organization.telecom with system=email.
Postal address in natural format. Stored in Organization.address.text and parsed into structured elements if possible.
Physical location name/city. Stored in Organization.address.city or as Location resource.
Care unit HSA-ID (vårdenhet - PDL enhet)
HSA-ID for care unit (vårdenhet). Reference to Organization. Part of hierarchy chain. Also in Encounter.serviceProvider.
HSA-ID for care provider (vårdgivare). Top-level organization in hierarchy. Reference to Organization.
Care contact org unit HSA-ID (where contact occurred)
Organization unit where care contact was performed. Can differ from professional's home unit. Mapped to Encounter.serviceProvider or Encounter.location.
Name of unit where contact occurred. Stored in Organization or Location resource.
Care contact org unit location (city/place)
Physical location/city where contact occurred.
Document title (DEPRECATED - shall not be used)
NOT MAPPED. TKB specifies cardinality 0..0 - this field shall not be populated.
Document time (DEPRECATED - shall not be used)
NOT MAPPED. TKB specifies cardinality 0..0 - use accountableHealthcareProfessional.authorTime instead.
Legal authenticator (DEPRECATED - shall not be used)
NOT MAPPED. TKB specifies cardinality 0..0 - not used for care contacts.
Nullified flag (DEPRECATED - shall not be used)
NOT MAPPED. TKB specifies cardinality 0..0 - use careContactStatus=makulerad (53691000052102) instead.
Nullified reason (DEPRECATED - shall not be used)
NOT MAPPED. TKB specifies cardinality 0..0.
Care contact ID in header (DEPRECATED - use documentId)
NOT MAPPED. TKB specifies cardinality 0..0 - use careContactHeader.documentId instead.
NOT MAPPED to resources. Used in Bundle-level OperationOutcome or HTTP status codes. OK→200, INFO→200 with warnings, ERROR→4xx/5xx.
NOT MAPPED to resources. Used in OperationOutcome.issue.code for error responses.
NOT MAPPED. No subcodes specified in GetCareContacts v2.0/v3.0.
NOT MAPPED to resources. Used in OperationOutcome.issue.diagnostics or X-Request-Id header for error tracking.
NOT MAPPED to resources. User-facing message in OperationOutcome.issue.diagnostics or Bundle.entry.response.outcome.