Inera Core Implementation Guide
0.2.0 - ci-build Sweden

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: ConceptMap GetDiagnosis TKB to FHIR Condition - JSON Representation

Draft as of 2025-11-24

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{
  "resourceType" : "ConceptMap",
  "id" : "ConceptMapGetDiagnosisTKBToCondition",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap ConceptMapGetDiagnosisTKBToCondition</b></p><a name=\"ConceptMapGetDiagnosisTKBToCondition\"> </a><a name=\"hcConceptMapGetDiagnosisTKBToCondition\"> </a><p>Mapping from https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2 to <a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a></p><br/><p><b>Group 1 </b>Mapping from <code>https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2</code> to <a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>patientId (Query parameter: Patient ID filter)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">NOT MAPPED. Used as search parameter: GET /Condition?subject=Patient/191212121212</td></tr><tr><td>careUnitHSAid (Query parameter: Filter by care unit HSA-ID)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">NOT MAPPED. Used as search parameter: GET /Condition?asserter.onBehalfOf.identifier=https://hsaid.se|SE2321000016-A001</td></tr><tr><td>timePeriod (Query parameter: Time period filter (from-to))</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">NOT MAPPED. Used as search parameter: GET /Condition?recorded-date=ge2025-01-01&amp;recorded-date=le2025-12-31</td></tr></table><hr/><p><b>Group 2 </b>Mapping from <code>https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2</code> to <a href=\"http://hl7.org/fhir/R4/condition.html\">Condition</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>diagnosis.diagnosisHeader.documentId (Diagnosis ID (unique business identifier))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>identifier</td><td>Unique diagnosis identifier within source system. System derived from sourceSystemHSAid.</td></tr><tr><td>diagnosis.diagnosisHeader.patientId (Patient ID (personnummer/samordningsnummer/reservnummer))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>subject</td><td>Reference to Patient with Swedish national identifier. OID 1.2.752.129.2.1.3.1 (personnummer), 1.2.752.129.2.1.3.3 (samordningsnummer)</td></tr><tr><td>diagnosis.diagnosisHeader.approvedForPatient (Approved for patient access (true/false))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>meta.security</td><td>If false, add security label NOPATIENT to restrict patient access (menprövningsflagga).</td></tr><tr><td>diagnosis.diagnosisBody.diagnosisCode (Diagnosis code (ICD-10-SE, KVÅ))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>code</td><td>ICD-10-SE (http://hl7.org/fhir/sid/icd-10) or KVÅ codes. code.coding.code, code.coding.display, code.text. May have multiple codings.</td></tr><tr><td>diagnosis.diagnosisBody.diagnosisCode.code (Diagnosis code value)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>code.coding.code</td><td>ICD-10-SE code value (e.g., I10, E11.9). System: http://hl7.org/fhir/sid/icd-10</td></tr><tr><td>diagnosis.diagnosisBody.diagnosisCode.codeSystem (Diagnosis code system OID)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>code.coding.system</td><td>OID → FHIR URL. ICD-10-SE OID → http://hl7.org/fhir/sid/icd-10. KVÅ → Swedish classification URL.</td></tr><tr><td>diagnosis.diagnosisBody.diagnosisCode.displayName (Diagnosis text/display name)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>code.coding.display</td><td>Human-readable diagnosis name. Also populate code.text for overall display.</td></tr><tr><td>diagnosis.diagnosisBody.diagnosisCode.originalText (Original diagnosis text)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>code.text</td><td>Free-text diagnosis description. Use when no exact code match.</td></tr><tr><td>diagnosis.diagnosisBody.diagnosisType (Diagnosis type (primär, sekundär, underdiagnos))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>category</td><td>Swedish diagnosis types → FHIR category. May need ConceptMap. Use condition-category: problem-list-item|encounter-diagnosis.</td></tr><tr><td>diagnosis.diagnosisBody.diagnosisStatus (Diagnosis clinical status)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>clinicalStatus</td><td>Swedish status → FHIR clinicalStatus (active|recurrence|relapse|inactive|remission|resolved). Requires transformation.</td></tr><tr><td>diagnosis.diagnosisBody.verificationStatus (Diagnosis verification status (confirmed, provisional, differential))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>verificationStatus</td><td>FHIR verificationStatus: unconfirmed|provisional|differential|confirmed|refuted|entered-in-error</td></tr><tr><td>diagnosis.diagnosisBody.diagnosisSeverity (Diagnosis severity (mild, moderate, severe))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>severity</td><td>Use SNOMED CT severity codes: 255604002 (mild), 6736007 (moderate), 24484000 (severe)</td></tr><tr><td>diagnosis.diagnosisBody.diagnosisTime (Diagnosis date/time)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#wider\" title=\"wider\">maps to wider concept</a></td><td>onsetDateTime</td><td>When condition started → onsetDateTime. When diagnosis recorded → recordedDate. Use based on context.</td></tr><tr><td>diagnosis.diagnosisHeader.careContactId (Care contact ID (encounter context))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>encounter</td><td>Reference to Encounter when diagnosis made during care contact.</td></tr><tr><td>diagnosis.diagnosisBody.bodyStructure (Body structure/location)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>bodySite</td><td>Body site affected by condition. Use SNOMED CT body structure codes.</td></tr><tr><td>diagnosis.diagnosisHeader.nullified (Diagnosis nullified flag)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>verificationStatus</td><td>If nullified=true, set verificationStatus=entered-in-error. Store nullifiedReason in Provenance.</td></tr></table><hr/><p><b>Group 3 </b>Mapping from <code>https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2</code> to <a href=\"http://hl7.org/fhir/R4/provenance.html\">Provenance</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>diagnosis.diagnosisHeader.sourceSystemHSAid (Source system HSA-ID)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>entity.what</td><td>HSA-ID of source system. Also mapped to Condition.meta.source as https://hsaid.se/{HSA-ID}. Provenance.entity.role=source.</td></tr><tr><td>diagnosis.diagnosisHeader.accountableHealthcareProfessional.authorTime (Author time (registration timestamp))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>recorded</td><td>When diagnosis was recorded. Also mapped to Condition.recordedDate.</td></tr><tr><td>diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalHSAid (Healthcare professional HSA-ID)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>agent.who</td><td>Reference to Practitioner with HSA-ID. Provenance.agent.type=author. Also in Condition.recorder/asserter.</td></tr><tr><td>diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalName (Healthcare professional name)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>agent.who.display</td><td>Display name. Full Practitioner resource should have structured name.</td></tr><tr><td>diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalRoleCode (Healthcare professional role/befattning)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>agent.role</td><td>Professional role (befattning). Use KV Befattning (OID 1.2.752.129.2.2.1.4). Also in Practitioner.qualification.</td></tr><tr><td>diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalOrgUnit (Organization unit (where professional works))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>agent.onBehalfOf</td><td>Reference to Organization (organizational unit). Full details (HSA-ID, name, telecom, address, location) in Organization resource.</td></tr><tr><td>diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalCareUnitHSAid (Care unit HSA-ID (vårdenhet))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>entity.what</td><td>HSA-ID for care unit. Reference to Organization. Part of PDL hierarchy.</td></tr><tr><td>diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalCareGiverHSAid (Care provider HSA-ID (vårdgivare))</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>entity.what</td><td>HSA-ID for care provider. Top-level organization in PDL hierarchy. Reference to Organization.</td></tr><tr><td>diagnosis.diagnosisHeader.legalAuthenticator.signatureTime (Signature timestamp)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>signature.when</td><td>When diagnosis was digitally signed (if applicable).</td></tr><tr><td>diagnosis.diagnosisHeader.legalAuthenticator.legalAuthenticatorHSAid (Legal authenticator HSA-ID)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#equivalent\" title=\"equivalent\">is equivalent to</a></td><td>signature.who</td><td>Reference to Practitioner who signed diagnosis. Provenance.agent.type=legal.</td></tr><tr><td>diagnosis.diagnosisHeader.nullifiedReason (Reason for nullification)</td><td><a href=\"http://hl7.org/fhir/R5/codesystem-concept-map-relationship.html#relatedto\" title=\"relatedto\">is related to</a></td><td>reason</td><td>Why diagnosis was nullified. Store in Provenance.reason when verificationStatus=entered-in-error.</td></tr></table><hr/><p><b>Group 4 </b>Mapping from <code>https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2</code> to <a href=\"http://hl7.org/fhir/R4/bundle.html\">Bundle</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>diagnosis.diagnosisHeader.documentTitle (Document title)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">NOT MAPPED. Cardinality 0..0 for GetDiagnosis. Use diagnosisCode.displayName instead.</td></tr><tr><td>diagnosis.diagnosisHeader.documentTime (Document time)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">NOT MAPPED. Cardinality 0..0 for GetDiagnosis. Use authorTime or diagnosisTime instead.</td></tr><tr><td>result.resultCode (Result code (OK, INFO, ERROR))</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">NOT MAPPED to resources. HTTP status: OK→200, INFO→200 with warnings, ERROR→4xx/5xx. Bundle-level OperationOutcome for details.</td></tr><tr><td>result.errorCode (Error code)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">NOT MAPPED to resources. Use in OperationOutcome.issue.code when resultCode=ERROR.</td></tr><tr><td>result.logId (Log ID (UUID for troubleshooting))</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">NOT MAPPED to resources. Use in OperationOutcome.issue.diagnostics or X-Request-Id header.</td></tr><tr><td>result.message (Result message)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">NOT MAPPED to resources. User-facing message in OperationOutcome.issue.diagnostics.</td></tr></table></div>"
  },
  "url" : "https://inera.se/fhir/core/ConceptMap/getdiagnosis-tkb-to-condition",
  "version" : "0.2.0",
  "name" : "ConceptMapGetDiagnosisTKBToCondition",
  "title" : "ConceptMap GetDiagnosis TKB to FHIR Condition",
  "status" : "draft",
  "experimental" : true,
  "date" : "2025-11-24",
  "publisher" : "Inera AB",
  "contact" : [
    {
      "name" : "Inera AB",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.inera.se"
        },
        {
          "system" : "email",
          "value" : "info@inera.se"
        }
      ]
    },
    {
      "name" : "Inera AB",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.inera.se"
        },
        {
          "system" : "email",
          "value" : "info@inera.se"
        }
      ]
    }
  ],
  "description" : "Complete mapping from GetDiagnosis TKB service to FHIR Condition and Provenance resources",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "SE",
          "display" : "Sweden"
        }
      ]
    }
  ],
  "sourceUri" : "https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2",
  "targetCanonical" : "http://hl7.org/fhir/StructureDefinition/Condition",
  "group" : [
    {
      "source" : "https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2",
      "target" : "http://hl7.org/fhir/StructureDefinition/Bundle",
      "element" : [
        {
          "code" : "patientId",
          "display" : "Query parameter: Patient ID filter",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "NOT MAPPED. Used as search parameter: GET /Condition?subject=Patient/191212121212"
            }
          ]
        },
        {
          "code" : "careUnitHSAid",
          "display" : "Query parameter: Filter by care unit HSA-ID",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "NOT MAPPED. Used as search parameter: GET /Condition?asserter.onBehalfOf.identifier=https://hsaid.se|SE2321000016-A001"
            }
          ]
        },
        {
          "code" : "timePeriod",
          "display" : "Query parameter: Time period filter (from-to)",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "NOT MAPPED. Used as search parameter: GET /Condition?recorded-date=ge2025-01-01&recorded-date=le2025-12-31"
            }
          ]
        }
      ]
    },
    {
      "source" : "https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2",
      "target" : "http://hl7.org/fhir/StructureDefinition/Condition",
      "element" : [
        {
          "code" : "diagnosis.diagnosisHeader.documentId",
          "display" : "Diagnosis ID (unique business identifier)",
          "target" : [
            {
              "code" : "identifier",
              "equivalence" : "equivalent",
              "comment" : "Unique diagnosis identifier within source system. System derived from sourceSystemHSAid."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.patientId",
          "display" : "Patient ID (personnummer/samordningsnummer/reservnummer)",
          "target" : [
            {
              "code" : "subject",
              "equivalence" : "equivalent",
              "comment" : "Reference to Patient with Swedish national identifier. OID 1.2.752.129.2.1.3.1 (personnummer), 1.2.752.129.2.1.3.3 (samordningsnummer)"
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.approvedForPatient",
          "display" : "Approved for patient access (true/false)",
          "target" : [
            {
              "code" : "meta.security",
              "equivalence" : "equivalent",
              "comment" : "If false, add security label NOPATIENT to restrict patient access (menprövningsflagga)."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.diagnosisCode",
          "display" : "Diagnosis code (ICD-10-SE, KVÅ)",
          "target" : [
            {
              "code" : "code",
              "equivalence" : "equivalent",
              "comment" : "ICD-10-SE (http://hl7.org/fhir/sid/icd-10) or KVÅ codes. code.coding.code, code.coding.display, code.text. May have multiple codings."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.diagnosisCode.code",
          "display" : "Diagnosis code value",
          "target" : [
            {
              "code" : "code.coding.code",
              "equivalence" : "equivalent",
              "comment" : "ICD-10-SE code value (e.g., I10, E11.9). System: http://hl7.org/fhir/sid/icd-10"
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.diagnosisCode.codeSystem",
          "display" : "Diagnosis code system OID",
          "target" : [
            {
              "code" : "code.coding.system",
              "equivalence" : "relatedto",
              "comment" : "OID → FHIR URL. ICD-10-SE OID → http://hl7.org/fhir/sid/icd-10. KVÅ → Swedish classification URL."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.diagnosisCode.displayName",
          "display" : "Diagnosis text/display name",
          "target" : [
            {
              "code" : "code.coding.display",
              "equivalence" : "equivalent",
              "comment" : "Human-readable diagnosis name. Also populate code.text for overall display."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.diagnosisCode.originalText",
          "display" : "Original diagnosis text",
          "target" : [
            {
              "code" : "code.text",
              "equivalence" : "equivalent",
              "comment" : "Free-text diagnosis description. Use when no exact code match."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.diagnosisType",
          "display" : "Diagnosis type (primär, sekundär, underdiagnos)",
          "target" : [
            {
              "code" : "category",
              "equivalence" : "wider",
              "comment" : "Swedish diagnosis types → FHIR category. May need ConceptMap. Use condition-category: problem-list-item|encounter-diagnosis."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.diagnosisStatus",
          "display" : "Diagnosis clinical status",
          "target" : [
            {
              "code" : "clinicalStatus",
              "equivalence" : "wider",
              "comment" : "Swedish status → FHIR clinicalStatus (active|recurrence|relapse|inactive|remission|resolved). Requires transformation."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.verificationStatus",
          "display" : "Diagnosis verification status (confirmed, provisional, differential)",
          "target" : [
            {
              "code" : "verificationStatus",
              "equivalence" : "equivalent",
              "comment" : "FHIR verificationStatus: unconfirmed|provisional|differential|confirmed|refuted|entered-in-error"
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.diagnosisSeverity",
          "display" : "Diagnosis severity (mild, moderate, severe)",
          "target" : [
            {
              "code" : "severity",
              "equivalence" : "equivalent",
              "comment" : "Use SNOMED CT severity codes: 255604002 (mild), 6736007 (moderate), 24484000 (severe)"
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.diagnosisTime",
          "display" : "Diagnosis date/time",
          "target" : [
            {
              "code" : "onsetDateTime",
              "equivalence" : "wider",
              "comment" : "When condition started → onsetDateTime. When diagnosis recorded → recordedDate. Use based on context."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.careContactId",
          "display" : "Care contact ID (encounter context)",
          "target" : [
            {
              "code" : "encounter",
              "equivalence" : "equivalent",
              "comment" : "Reference to Encounter when diagnosis made during care contact."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisBody.bodyStructure",
          "display" : "Body structure/location",
          "target" : [
            {
              "code" : "bodySite",
              "equivalence" : "equivalent",
              "comment" : "Body site affected by condition. Use SNOMED CT body structure codes."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.nullified",
          "display" : "Diagnosis nullified flag",
          "target" : [
            {
              "code" : "verificationStatus",
              "equivalence" : "equivalent",
              "comment" : "If nullified=true, set verificationStatus=entered-in-error. Store nullifiedReason in Provenance."
            }
          ]
        }
      ]
    },
    {
      "source" : "https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2",
      "target" : "http://hl7.org/fhir/StructureDefinition/Provenance",
      "element" : [
        {
          "code" : "diagnosis.diagnosisHeader.sourceSystemHSAid",
          "display" : "Source system HSA-ID",
          "target" : [
            {
              "code" : "entity.what",
              "equivalence" : "equivalent",
              "comment" : "HSA-ID of source system. Also mapped to Condition.meta.source as https://hsaid.se/{HSA-ID}. Provenance.entity.role=source."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.accountableHealthcareProfessional.authorTime",
          "display" : "Author time (registration timestamp)",
          "target" : [
            {
              "code" : "recorded",
              "equivalence" : "equivalent",
              "comment" : "When diagnosis was recorded. Also mapped to Condition.recordedDate."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalHSAid",
          "display" : "Healthcare professional HSA-ID",
          "target" : [
            {
              "code" : "agent.who",
              "equivalence" : "equivalent",
              "comment" : "Reference to Practitioner with HSA-ID. Provenance.agent.type=author. Also in Condition.recorder/asserter."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalName",
          "display" : "Healthcare professional name",
          "target" : [
            {
              "code" : "agent.who.display",
              "equivalence" : "equivalent",
              "comment" : "Display name. Full Practitioner resource should have structured name."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalRoleCode",
          "display" : "Healthcare professional role/befattning",
          "target" : [
            {
              "code" : "agent.role",
              "equivalence" : "relatedto",
              "comment" : "Professional role (befattning). Use KV Befattning (OID 1.2.752.129.2.2.1.4). Also in Practitioner.qualification."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalOrgUnit",
          "display" : "Organization unit (where professional works)",
          "target" : [
            {
              "code" : "agent.onBehalfOf",
              "equivalence" : "equivalent",
              "comment" : "Reference to Organization (organizational unit). Full details (HSA-ID, name, telecom, address, location) in Organization resource."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalCareUnitHSAid",
          "display" : "Care unit HSA-ID (vårdenhet)",
          "target" : [
            {
              "code" : "entity.what",
              "equivalence" : "equivalent",
              "comment" : "HSA-ID for care unit. Reference to Organization. Part of PDL hierarchy."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.accountableHealthcareProfessional.healthcareProfessionalCareGiverHSAid",
          "display" : "Care provider HSA-ID (vårdgivare)",
          "target" : [
            {
              "code" : "entity.what",
              "equivalence" : "equivalent",
              "comment" : "HSA-ID for care provider. Top-level organization in PDL hierarchy. Reference to Organization."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.legalAuthenticator.signatureTime",
          "display" : "Signature timestamp",
          "target" : [
            {
              "code" : "signature.when",
              "equivalence" : "equivalent",
              "comment" : "When diagnosis was digitally signed (if applicable)."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.legalAuthenticator.legalAuthenticatorHSAid",
          "display" : "Legal authenticator HSA-ID",
          "target" : [
            {
              "code" : "signature.who",
              "equivalence" : "equivalent",
              "comment" : "Reference to Practitioner who signed diagnosis. Provenance.agent.type=legal."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.nullifiedReason",
          "display" : "Reason for nullification",
          "target" : [
            {
              "code" : "reason",
              "equivalence" : "relatedto",
              "comment" : "Why diagnosis was nullified. Store in Provenance.reason when verificationStatus=entered-in-error."
            }
          ]
        }
      ]
    },
    {
      "source" : "https://rivta.se/domains/clinicalprocess/healthcond/description/GetDiagnosisResponder/2",
      "target" : "http://hl7.org/fhir/StructureDefinition/Bundle",
      "element" : [
        {
          "code" : "diagnosis.diagnosisHeader.documentTitle",
          "display" : "Document title",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "NOT MAPPED. Cardinality 0..0 for GetDiagnosis. Use diagnosisCode.displayName instead."
            }
          ]
        },
        {
          "code" : "diagnosis.diagnosisHeader.documentTime",
          "display" : "Document time",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "NOT MAPPED. Cardinality 0..0 for GetDiagnosis. Use authorTime or diagnosisTime instead."
            }
          ]
        },
        {
          "code" : "result.resultCode",
          "display" : "Result code (OK, INFO, ERROR)",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "NOT MAPPED to resources. HTTP status: OK→200, INFO→200 with warnings, ERROR→4xx/5xx. Bundle-level OperationOutcome for details."
            }
          ]
        },
        {
          "code" : "result.errorCode",
          "display" : "Error code",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "NOT MAPPED to resources. Use in OperationOutcome.issue.code when resultCode=ERROR."
            }
          ]
        },
        {
          "code" : "result.logId",
          "display" : "Log ID (UUID for troubleshooting)",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "NOT MAPPED to resources. Use in OperationOutcome.issue.diagnostics or X-Request-Id header."
            }
          ]
        },
        {
          "code" : "result.message",
          "display" : "Result message",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "NOT MAPPED to resources. User-facing message in OperationOutcome.issue.diagnostics."
            }
          ]
        }
      ]
    }
  ]
}