CDA to FHIR Maps
0.1.0 - ci-build
CDA to FHIR Maps
0.1.0 - ci-build
CDA to FHIR Maps, published by HL7 Italy. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/cda2fhir/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirSpecPrescription | Version: 0.1.0 | |||
| Draft as of 2025-10-01 | Computable Name: cda2fhirSpecPrescription | |||
map "http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirSpecPrescription" = "cda2fhirSpecPrescription"
uses "http://hl7.org/fhir/cda/StructureDefinition/ClinicalDocument" alias ClinicalDocument as source
uses "http://hl7.org/fhir/cda/StructureDefinition/AssignedAuthor" alias AssignedAuthor as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/AssignedEntity" alias AssignedEntity as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/AssociatedEntity" alias AssociatedEntity as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/CustodianOrganization" alias CustodianOrganization as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/OrganizationPartOf" alias OrganizationPartOf as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/Organization" alias rapresentedOrganization as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/Section" alias Section as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/PatientRole" alias PatientRole as queried
uses "http://hl7.org/fhir/cda/StructureDefinition/AD" alias AD as source
uses "http://hl7.org/fhir/StructureDefinition/Bundle" alias Bundle as target
uses "http://hl7.org/fhir/StructureDefinition/Composition" alias Composition as produced
uses "http://hl7.org/fhir/StructureDefinition/Patient" alias Patient as produced
uses "http://hl7.org/fhir/StructureDefinition/Encounter" alias Encounter as produced
uses "http://hl7.org/fhir/StructureDefinition/Person" alias Patient as produced
uses "http://hl7.org/fhir/StructureDefinition/List" alias List as produced
uses "http://hl7.org/fhir/StructureDefinition/Practitioner" alias Practitioner as produced
uses "http://hl7.org/fhir/StructureDefinition/Organization" alias Organization as produced
uses "http://hl7.org/fhir/cda/StructureDefinition/Act" alias Act as produced
uses "http://hl7.org/fhir/cda/StructureDefinition/IVL-PQ" alias IVL_PQ as source
uses "http://hl7.org/fhir/cda/StructureDefinition/PQ" alias PQ as source
uses "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" alias SimpleQuantity as target
imports "http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirDataTypes"
imports "http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirHeader"
group CdaToBundle(source cda : ClinicalDocument, target bundle : Bundle) {
cda -> bundle.entry as e, e.request = create('BackboneElement') as request, request.method = 'POST', e.resource = create('Composition') as composition, composition.id = uuid() as uuid1, e.fullUrl = append('https://example/Composition/', uuid1), request.url = 'Composition', bundle.entry as e2, e2.request = create('BackboneElement') as requestPAT, requestPAT.method = 'PUT', e2.resource = create('Patient') as patient, patient.id = uuid() as uuid2, e2.fullUrl = append('https://example/Patient/', uuid2), bundle.entry as e3, e3.request = create('BackboneElement') as request, request.method = 'POST', e3.resource = create('Encounter') as encounter, encounter.id = uuid() as uuid3, e3.fullUrl = append('https://example/Encounter/', uuid3), request.url = 'Encounter', bundle.entry as e4, e4.request = create('BackboneElement') as request, request.method = 'POST', e4.resource = create('DocumentReference') as DocumentReference, DocumentReference.id = uuid() as uuid4, e4.fullUrl = append('https://example/DocumentReference/', uuid4), request.url = 'DocumentReference' then {
cda then ClinicalDocumentToBundle(cda, patient, composition, encounter, bundle, DocumentReference) "cdatobundle";
cda.recordTarget as recordTarget then {
recordTarget.patientRole as patient then {
patient.id as id -> patient.identifier as identifier then {
id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1";
id.extension as ext1 -> identifier.value = ext1 "value";
id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s;
} "idfr";
patient.id as id where (root = '2.16.840.1.113883.2.9.4.3.2') or (root = '2.16.840.1.113883.2.9.4.3.7') or (root = '2.16.840.1.113883.2.9.4.3.3') or (root = '2.16.840.1.113883.2.9.4.3.17') or (root = '2.16.840.1.113883.2.9.4.3.18') or (root = '2.16.840.1.113883.2.9.2.10.4.1.1') or (root = '2.16.840.1.113883.2.9.2.20.4.1.1') or (root = '2.16.840.1.113883.2.9.2.30.4.1.1') or (root = '2.16.840.1.113883.2.9.2.41.4.1.1') or (root = '2.16.840.1.113883.2.9.2.42.4.1.1') or (root = '2.16.840.1.113883.2.9.2.50.4.1.1') or (root = '2.16.840.1.113883.2.9.2.60.4.1.1') or (root = '2.16.840.1.113883.2.9.2.70.4.1.1') or (root = '2.16.840.1.113883.2.9.2.80.4.1.1') or (root = '2.16.840.1.113883.2.9.2.90.4.1.1') or (root = '2.16.840.1.113883.2.9.2.100.4.1.1') or (root = '2.16.840.1.113883.2.9.2.110.4.1.1') or (root = '2.16.840.1.113883.2.9.2.120.4.1.1') or (root = '2.16.840.1.113883.2.9.2.130.4.1.1') or (root = '2.16.840.1.113883.2.9.2.140.4.1.1') or (root = '2.16.840.1.113883.2.9.2.150.4.1.1') or (root = '2.16.840.1.113883.2.9.2.160.4.1.1') or (root = '2.16.840.1.113883.2.9.2.170.4.1.1') or (root = '2.16.840.1.113883.2.9.2.180.4.1.1') or (root = '2.16.840.1.113883.2.9.2.190.4.1.1') or (root = '2.16.840.1.113883.2.9.2.200.4.1.1') or (root = '2.16.840.1.113883.2.9.2.10.4.1') or (root = '2.16.840.1.113883.2.9.2.20.4.1') or (root = '2.16.840.1.113883.2.9.2.30.4.1') or (root = '2.16.840.1.113883.2.9.2.41.4.1') or (root = '2.16.840.1.113883.2.9.2.42.4.1') or (root = '2.16.840.1.113883.2.9.2.50.4.1') or (root = '2.16.840.1.113883.2.9.2.60.4.1') or (root = '2.16.840.1.113883.2.9.2.70.4.1') or (root = '2.16.840.1.113883.2.9.2.80.4.1') or (root = '2.16.840.1.113883.2.9.2.90.4.1') or (root = '2.16.840.1.113883.2.9.2.100.4.1') or (root = '2.16.840.1.113883.2.9.2.110.4.1') or (root = '2.16.840.1.113883.2.9.2.120.4.1') or (root = '2.16.840.1.113883.2.9.2.130.4.1') or (root = '2.16.840.1.113883.2.9.2.140.4.1') or (root = '2.16.840.1.113883.2.9.2.150.4.1') or (root = '2.16.840.1.113883.2.9.2.160.4.1') or (root = '2.16.840.1.113883.2.9.2.170.4.1') or (root = '2.16.840.1.113883.2.9.2.180.4.1') or (root = '2.16.840.1.113883.2.9.2.190.4.1') or (root = '2.16.840.1.113883.2.9.2.200.4.1') or (root = '2.16.840.1.113883.2.9.4.3.15') then {
id.extension as ext -> requestPAT.url = append('Patient?identifier=', ext) "UUID";
} "ext";
} "recPat";
} "patient";
} "ClinicalDocumentToBody";
}
group ClinicalDocumentToBundle(source cda : ClinicalDocument, target patient : Patient, target composition : Composition, target encounter : Encounter, target bundle : Bundle, target DocumentReference : DocumentReference) {
cda -> bundle.id = uuid() "id";
cda.id -> bundle.identifier "identifier";
cda -> bundle.type = 'transaction' "type";
cda -> bundle.timestamp = (timestamp.now()) "date";
cda then ClinicalDocumentComposition(cda, composition, patient, encounter, bundle, DocumentReference) "composition";
cda -> bundle.entry as e, e.request = create('BackboneElement') as request, request.method = 'POST', e.resource = create('ServiceRequest') as ServiceRequest, ServiceRequest.id = uuid() as uuid1, e.fullUrl = append('https://example/ServiceRequest/', uuid1), request.url = 'ServiceRequest' then {
cda -> ServiceRequest.intent = 'order' "intent";
cda -> ServiceRequest.status = 'unknown' "stats";
cda -> ServiceRequest.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference";
cda.component as component then {
component.structuredBody as body then {
body.component as component then {
component.section as srcSection then {
srcSection.code -> composition.section as tgtSection then ClinicalDocumentSection(cda, srcSection, patient, tgtSection, bundle, encounter, ServiceRequest);
};
};
} "body";
};
} "ServiceRequest";
}
group ClinicalDocumentSection(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter, target ServiceRequest : ServiceRequest) {
src.title as t -> tgt.title = (t.dataString);
src.code -> tgt.code;
src.code as code where (code = '48767-8') or (code = '51851-4') or (code = '57827-8') or (code = '57828-6') then {
src -> tgt.entry = create('Reference') as reference, reference.reference = ('https://example/ServiceRequest/' + %ServiceRequest.id) "reference";
} "Note";
// src.entry as entry then{
src.text as cdaText -> tgt.text as fhirText then {
cdaText -> fhirText.status = 'generated' "narrativeStatus";
cdaText as t -> fhirText.div = t "narrativeText";
} "cdaText";
// --------------Sezione Esenzioni------------------------------------------------------------------------------------------------------------------------------------
src.code as code where (code = '57827-8') then {
src.id -> ServiceRequest.identifier;
src.entry as entry -> bundle.entry as e11, e11.request = create('BackboneElement') as request, request.method = 'POST', e11.resource = create('Coverage') as Coverage, Coverage.id = uuid() as uuid11, e11.fullUrl = append('https://example/Coverage/', uuid11), request.url = 'Coverage', ServiceRequest.insurance = create('Reference') as reference, reference.reference = ('https://example/Coverage/' + %Coverage.id) then {
src -> Coverage.beneficiary = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference";
src -> Coverage.payor = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference";
src where statusCode.exists().not() -> Coverage.status = 'active' "statusAbsent";
entry.act as act then {
act.code -> Coverage.type;
};
};
} "Esenzioni";
// -------------Sezione Prescrizioni-------------------------------------------------------------------------------------------------------------------------------------
src.code as code where (code = '57828-6') then {
src.entry as entry then {
entry.observation as observation then {
observation.code -> ServiceRequest.code;
// observation.priorityCode->ServiceRequest.priority"priority";
observation.priorityCode as priorityCode then {
priorityCode.code as v -> ServiceRequest.priority = translate(v, '#priority', 'code') "priority";
};
observation.repeatNumber as repeatNumber -> ServiceRequest.quantity = create('Quantity') as Ratio then {
repeatNumber.value as value -> Ratio.value = value;
} "value";
observation.participant as participant then {
participant.participantRole as partRol then {
partRol.scopingEntity as scopingEntity then {
scopingEntity.code -> ServiceRequest.locationCode;
} "ScopingEntity";
} "PartROle";
} "Location";
// ----------------codice Patologia------------------------------------------------------------------------------------------------------------------------------------
observation.entryRelationship as entryRelationship then {
entryRelationship.act as act then {
act.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.275') -> bundle.entry as e11, e11.request = create('BackboneElement') as request, request.method = 'POST', e11.resource = create('Condition') as Condition, Condition.id = uuid() as uuid11, e11.fullUrl = append('https://example/Condition/', uuid11), request.url = 'Condition', ServiceRequest.reasonReference = create('Reference') as reference, reference.reference = ('https://example/Condition/' + %Condition.id) then {
act -> Condition.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference";
act -> Condition.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference";
act -> Condition.clinicalStatus as status2 then {
act -> status2.coding as status3 then {
act -> status3.code = 'unknown' "finald";
act -> status3.system = 'http://terminology.hl7.org/CodeSystem/condition-clinical' "system";
} "st3";
} "status";
act.code -> Condition.code;
} "Condition";
};
} "entryrelationshipCondition";
// ---------Tipo di Visita---------------------------------------------------------------------------------------------------------------------------------
observation.entryRelationship as entryRelationship then {
entryRelationship.encounter as encounter then {
encounter.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.276') then {
encounter -> ServiceRequest.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) then {
observation.entryRelationship as entryRelationship then {
entryRelationship.encounter as encounter1 then {
encounter1.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.281') then {
// encounter1.code -> enc.class;
encounter1.code as code1 -> enc.class = create('Coding') as coding then {
code1.code as code -> coding.code = cast(code, 'string');
code1.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
code1.displayName as display -> coding.display = cast(display, 'string');
} "class";
} "reference";
} "templateId";
} "Act";
} "encounter";
};
} "Act";
};
// ------------Nota esplicita--------------------------------------------------------------------------------------------------------------------------------------------
observation.entryRelationship as entryRelationship then {
entryRelationship.act as act then {
act.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.274') then {
act.text as text -> ServiceRequest.note as note then {
text.reference as t then {
t.value as l -> note.text = l "reference";
} "tcx";
} "reference";
};
} "Act";
};
observation.entryRelationship as entryRelationship then {
entryRelationship.act as act then {
act.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.278') then {
act.code -> ServiceRequest.reasonCode;
} "reference";
} "templateId";
} "Act";
// -----Sedute-----------------------------------------------------------------------------------------------------------------------------------------------
observation.entryRelationship as entryRelationship then {
entryRelationship.observation as observation then {
observation.templateId as temid where (root = '2.16.840.1.113883.3.1937.777.63.10.277') then {
observation.repeatNumber as repeatNumber -> ServiceRequest.occurrence = create('Timing') as Timing then {
repeatNumber -> Timing.repeat as repeat then {
repeatNumber.value as value -> repeat.count = value "count";
} "event";
} "Count";
} "Timing";
} "templateId";
} "Act";
} "Observation";
};
} "Esenzioni";
// ------------Sezione Annotazioni-----------------------------------------------------------------------------------------------------------------------------------------
src.code as code where (code = '48767-8') then {
src.entry as entry then {
entry.act as act then {
act.text as text -> ServiceRequest.note as note then {
text.reference as t then {
t.value as l -> note.text = l "reference";
} "tcx";
} "reference";
};
};
} "Annotazioni";
// ----------Sezione Messaggio Regionale-----------------------------------------------------------------------------------------------------------------------------------
src.code as code where (code = '51851-4') then {
src.text as cdaText -> ServiceRequest.note as note then {
cdaText as text then {
text as l -> note.text = l "reference";
} "tcx";
} "reference";
} "MessaggioRegionale";
// -------Sezione Parametri Vitali---------------------------------------------------------------------------------------------------------------------------------------
src.code as code where (code = '8716-3') -> bundle.entry as e11, e11.request = create('BackboneElement') as request, request.method = 'POST', e11.resource = create('Observation') as Observation, Observation.id = uuid() as uuid11, e11.fullUrl = append('https://example/Observation/', uuid11), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %Observation.id) then {
src -> Observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference";
src -> Observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference";
src.code -> Observation.code;
src where Observation.statusCode.exists().not() then {
src -> Observation.status = 'final' "status";
} "statuscode";
src.text as cdaText -> Observation.note as note then {
cdaText as t -> note.text = t "reference";
} "reference";
} "ParametriVitali";
// -------Sezione Allergie------------------------------------------------------------------------------------------------------------------------------------------------
src.code as code where (code = '48765-2') -> bundle.entry as e11, e11.request = create('BackboneElement') as request, request.method = 'POST', e11.resource = create('AllergyIntolerance') as AllergyIntolerance, AllergyIntolerance.id = uuid() as uuid11, e11.fullUrl = append('https://example/AllergyIntolerance/', uuid11), request.url = 'AllergyIntolerance', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/AllergyIntolerance/' + %AllergyIntolerance.id) then {
src -> AllergyIntolerance.patient = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference";
src -> AllergyIntolerance.clinicalStatus = create('CodeableConcept') as status then {
src -> status.text = 'string' "text";
src -> status.coding = create('Coding') as coding then {
src -> coding.code = 'active' "active";
src -> coding.system = 'http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical' "system";
} "coding";
} "allergy";
src.text as cdaText -> AllergyIntolerance.note as note then {
cdaText as t -> note.text = t "reference";
} "reference";
} "Allergie";
// ------Sezione Stato Funzionale------------------------------------------------------------------------------------------------------------------------------------------
src.code as code where (code = '47420-5') -> bundle.entry as e11, e11.request = create('BackboneElement') as request, request.method = 'POST', e11.resource = create('Observation') as Observation, Observation.id = uuid() as uuid11, e11.fullUrl = append('https://example/Observation/', uuid11), request.url = 'Observation', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %Observation.id) then {
src -> Observation.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference";
src -> Observation.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference";
src.code -> Observation.code;
src where Observation.statusCode.exists().not() then {
src -> Observation.status = 'final' "status";
} "statuscode";
src.text as cdaText -> Observation.note as note then {
cdaText as t -> note.text = t "reference";
} "reference";
} "StatoFunzionale";
}