Evidence Based Medicine on FHIR Implementation Guide, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ebm/ and changes regularly. See the Directory of published versions

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Resource Profile: EvidenceMap - Mappings

Page standards status: Draft

Maturity Level: 1

Mappings for the evidence-map resource profile.

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

EvidenceMap
Composition	Event
identifier	Event.identifier
status	Event.status
type	Event.code
subject	Event.subject
encounter	Event.encounter
date	Event.occurrence[x]
author	Event.performer

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

EvidenceMap
Composition	infrastructure.documents
url	FiveWs.identifier
identifier	FiveWs.identifier
version	FiveWs.version
status	FiveWs.status
type	FiveWs.class
category	FiveWs.class
category (evidenceMap)	FiveWs.class
subject	FiveWs.subject[x]
encounter	FiveWs.context
date	FiveWs.done[x]
author	FiveWs.author
attester
party	FiveWs.witness
section
author	FiveWs.author
section (outcomeDefinition)
author	FiveWs.author
section (comparatorOnlyEvidence)
author	FiveWs.author
section (interventionOnlyEvidence)
author	FiveWs.author
section (comparativeEvidence)
author	FiveWs.author
section (certaintyOfEvidence)
author	FiveWs.author
section (evidenceVariablePopulation)
author	FiveWs.author
section (intervention)
author	FiveWs.author
section (interventionDescription)
author	FiveWs.author
section (interventionGroup)
author	FiveWs.author
section (evidenceClassifier)
author	FiveWs.author
section (relativeImportance)
author	FiveWs.author

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

EvidenceMap
Composition	Entity, Role, or Act,Document[classCode="DOC" and moodCode="EVN" and isNormalAct()]
text	Act.text?
contained	N/A
modifierExtension	N/A
identifier	Document.id / Document.setId
status	interim: .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("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete"
type	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
category	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
category (evidenceMap)	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
subject	.participation[typeCode="SBJ"].role[typeCode="PAT"]
encounter	unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct])
date	.effectiveTime[type="TS"]
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
title	./title
attester	.participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"]
id	n/a
extension	n/a
modifierExtension	N/A
mode	unique(./modeCode)
time	./time[type="TS" and isNormalDatatype()]
party	./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()]
custodian	.participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"]
relatesTo	.outboundRelationship
event	outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT']
id	n/a
extension	n/a
modifierExtension	N/A
period	.effectiveTime
detail	.outboundRelationship[typeCode="SUBJ"].target
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (outcomeDefinition)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (comparatorOnlyEvidence)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (interventionOnlyEvidence)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (comparativeEvidence)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (certaintyOfEvidence)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (evidenceVariablePopulation)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (intervention)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (interventionDescription)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (interventionGroup)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (evidenceClassifier)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
section (relativeImportance)	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]
id	n/a
extension	n/a
modifierExtension	N/A
title	./title
code	./code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
author	.participation[typeCode="AUT"].role[classCode="ASSIGNED"]
text	.text
orderedBy	.outboundRelationship[typeCode=COMP].sequenceNumber > 1
entry	.outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ]
emptyReason	.inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD]
section	./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct]

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

EvidenceMap
Composition	ClinicalDocument
identifier	.setId
version	.versionNumber
status	n/a
type	.code
category	n/a
category (evidenceMap)	n/a
subject	.recordTarget
encounter	.componentOf.encompassingEncounter
date	.effectiveTime
author	.author.assignedAuthor
title	.title
attester	.authenticator/.legalAuthenticator
mode	implied by .authenticator/.legalAuthenticator
time	.authenticator.time
party	.authenticator.assignedEnttty
custodian	.custodian.assignedCustodian
relatesTo	.relatedDocument
event	.documentationOf.serviceEvent
period	.effectiveTime
detail	n/a
section	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (outcomeDefinition)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (comparatorOnlyEvidence)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (interventionOnlyEvidence)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (comparativeEvidence)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (certaintyOfEvidence)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (evidenceVariablePopulation)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (intervention)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (interventionDescription)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (interventionGroup)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (evidenceClassifier)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section
section (relativeImportance)	.component.structuredBody.component.section
title	.title
code	.code
author	.author.assignedAuthor
focus	.subject? (CDA did not differentiate between subject and focus)
text	.text
orderedBy	n/a
entry	.entry
emptyReason	n/a
section	.component.section

Mappings for FHIR DocumentReference (http://hl7.org/fhir/documentreference)

EvidenceMap
Composition	when described by DocumentReference
identifier	DocumentReference.identifier
version	DocumentReference.version
status	DocumentReference.docStatus
type	DocumentReference.type
category	DocumenttReference.category
category (evidenceMap)	DocumenttReference.category
subject	DocumentReference.subject
encounter	DocumentReference.context
date	DocumentReference.content.attachment.date, DocumentReference.date
author	DocumentReference.author
title	DocumentReference.description, DocumentReference.content.attachment.title
attester	DocumentReference.attester
mode	DocumentReference.attester.mode
time	DocumentReference.attester.time
party	DocumentReference.attester.party
custodian	DocumentReference.custodian
relatesTo	DocumentReference.relatesTo
event
period	DocumentReference.period
detail	DocumentReference.event