C-CDA on FHIR
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C-CDA on FHIR, published by HL7 International / Cross-Group Projects. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ccda-on-fhir/ and changes regularly. See the Directory of published versions

Artifacts Summary

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Terminology: Concept Maps

These define transformations to convert between codes by systems conforming with this implementation guide.

C-CDA NullFlavor to FHIR Data Absent Reason

C-CDA NullFlavor to FHIR Data Absent Reason. Adapted from https://hl7.org/fhir/R4/cm-data-absent-reason-v3.html but several key changes have been made. Note that this prior concept map (from R4) is no longer included in current FHIR build.

C-CDA Problem Status value to FHIR Condition clinicalStatus

C-CDA Problem Status value to FHIR Condition clinicalStatus

C-CDA Severity to FHIR Severity

C-CDA Severity to FHIR Severity

C-CDA section to FHIR Condition category code

C-CDA section code to FHIR Condition category

C-CDA to FHIR Address Use

C-CDA to FHIR Address Use

C-CDA to FHIR Administrative Gender

C-CDA to FHIR Administrative Gender

C-CDA to FHIR Allergy Status

C-CDA to FHIR Allergy Status

C-CDA to FHIR Encounter Status

C-CDA to FHIR Encounter Status

C-CDA to FHIR Immunization Status

C-CDA to FHIR Immunization Status

C-CDA to FHIR Medication Status

C-CDA to FHIR Medication Status. Based on http://cdasearch.hl7.org/examples/view/Medications/Medication%20statusCodes

C-CDA to FHIR NameUse

C-CDA to FHIR NameUse

C-CDA to FHIR No Known Allergies

C-CDA Allergy Intolerance Observation value to FHIR code for No Known Allergies

C-CDA to FHIR Procedure Status

C-CDA to FHIR Procedure Status

C-CDA to FHIR Telecom Type

C-CDA to FHIR Telecom Type. In CDA, these are prefixes inside the value attribute.

C-CDA to FHIR Telecom Use

C-CDA to FHIR Telecom Use

CCDA Criticality to FHIR Criticality

C-CDA Criticality to FHIR Criticality

CCDA Medication Activity Mood to FHIR MedicationRequest.intent

CCDA Medication Activity Mood to FHIR MedicationRequest.intent

CCDA Problem Concern Status to FHIR Condition Clinical Status

CCDA Problem Concern Status to FHIR Condition Clinical Status

CCDA ResultStatus to FHIR DiagnosticReport status

C-CDA Result Status to FHIR DiagnosticReport status

CCDA ResultStatus to FHIR Observation Status

C-CDA Result Status to FHIR Observation Status

CCDA to FHIR Allergy Intolerance Category

C-CDA Allergy Intolerance Observation value elements to FHIR category codes

CCDA to FHIR Allergy Intolerance Type

C-CDA Allergy Intolerance Observation value elements to FHIR type codes

FHIR Allergy Intolerance Type to CCDA value

FHIR type codes to C-CDA Allergy Intolerance Observation value

FHIR Condition category to C-CDA section code

FHIR Condition category to C-CDA section code

FHIR Condition clinicalStatus to C-CDA Problem Status value

FHIR Condition clinicalStatus to C-CDA Problem Status value

FHIR Criticality to C-CDA Criticality

FHIR Criticality to C-CDA Criticality

FHIR Data Absent Reason to C-CDA NullFlavor

FHIR Data Absent Reason to C-CDA NullFlavor. Adapted from https://hl7.org/fhir/R4/cm-data-absent-reason-v3.html but several key changes have been made. Note that this prior concept map (from R4) is no longer included in current FHIR build.

FHIR Immunization Site to C-CDA Immunization approachSiteCode

FHIR Immunization Site to C-CDA Immunization approachSiteCode. Note that the FHIR valueset is example and may be incomplete (only 2 codes)

FHIR Immunization Status Reason to C-CDA Immunization Refusal

FHIR Immunization Status Reason to C-CDA Immunization Refusal

FHIR ObservationStatus to C-CDA ObservationStatus

FHIR ObservationStatus to C-CDA ObservationStatus

FHIR Severity to C-CDA Severity

FHIR Severity to C-CDA Severity

FHIR to C-CDA Address Use

FHIR to C-CDA Address Use. Based on http://hl7.org/fhir/cm-address-use-v3.html

FHIR to C-CDA Administrative Gender

FHIR to C-CDA Administrative Gender. Based on http://hl7.org/fhir/cm-administrative-gender-v3.html

FHIR to C-CDA Allergy Status

FHIR to C-CDA Allergy Status

FHIR to C-CDA Immunization Status

FHIR to C-CDA Immunization Status

FHIR to C-CDA Medication Status

FHIR to C-CDA Medication Status. Based on http://cdasearch.hl7.org/examples/view/Medications/Medication%20statusCodes

FHIR to C-CDA NameUse

FHIR to C-CDA NameUse. Based on http://hl7.org/fhir/cm-name-use-v3.html

FHIR to C-CDA No Known Allergies

FHIR negated code for No Known Allergies to C-CDA Allergy Intolerance Observation value.

Note that when placing the target code in the C-CDA AllergyIntolerance Observation, the Observation must have @negationInd=true.

FHIR to C-CDA Procedure Status

FHIR to C-CDA Procedure Status

FHIR to C-CDA Telecom Type

FHIR to C-CDA Telecom Type. In CDA, these are prefixes inside the value attribute.

FHIR to C-CDA Telecom Use

FHIR to C-CDA Telecom Use. Note that CDA's PG use code is equivalent to FHIR's ContactPoint.system of 'pager'.

FHIR to CCDA Allergy Intolerance Category

FHIR AllergyIntolerance category code to C-CDA Allergy Intolerance Observation value

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Acme Clinic

Acme Clinic

Acme Labs

Acme Labs

CF-allergy-example

ccda-to-fhir-allergy

CF-immunization-example

ccda-to-fhir-immunization

CF-medication-example

ccda-to-fhir-medication

CF-patient-example

ccda-to-fhir-patient

CF-problem-example

ccda-to-fhir-problem

CF-procedure-example

ccda-to-fhir-procedure

FC-allergy-example

fhir-to-ccda-allergy

FC-immunization-example

fhir-to-ccda-immunization

FC-medication-example

fhir-to-ccda-medication

FC-problem-example

fhir-to-ccda-problem

Practitioner Brenda Jennings Richard

Practitioner Brenda Jennings Richard

ccda-practitionerrole-example

ccda-practitionerrole-example

Other

These are resources that are used within this implementation guide that do not fit into one of the other categories.

CF-allergy

ccda-to-fhir-allergy

CF-immunization

ccda-to-fhir-immunization

CF-medication

ccda-to-fhir-medication

CF-patient

ccda-to-fhir-patient

CF-problem

ccda-to-fhir-problem

CF-procedure

ccda-to-fhir-procedure

FC-allergy

fhir-to-ccda-allergy

FC-immunization

fhir-to-ccda-immunization

FC-medication

fhir-to-ccda-medication

FC-problem

fhir-to-ccda-problem