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/cda2fhirVaccination | Version: 0.1.0 | |||
| Draft as of 2025-10-01 | Computable Name: cda2fhirVaccination | |||
map "http://hl7.it/fhir/cda2fhir/StructureMap/cda2fhirVaccination" = "cda2fhirVaccination"
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/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
uses "http://hl7.org/fhir/StructureDefinition/Immunization" alias Immunization 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 e5, e5.request = create('BackboneElement') as request, request.method = 'POST', e5.resource = create('DocumentReference') as DocumentReference, DocumentReference.id = uuid() as uuid5, e5.fullUrl = append('https://example/DocumentReference/', uuid5), 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";
} "record";
} "recPat";
} "ClinicalDocumentToBody";
}
group ClinicalDocumentToBundle(source cda : ClinicalDocument, target patient : Patient, target composition : Composition, target encounter : Encounter, target bundle : Bundle, target DocumentReference : DocumentReference) {
cda -> encounter.status = 'finished' "finished";
cda -> encounter.class = create('Coding') as coding then {
cda -> coding.code = 'AMB' "amb";
} "coding";
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.component as component then {
component.structuredBody as body then {
body.component as component then {
component.section as srcSection then {
srcSection -> composition.section as tgtSection then ClinicalDocumentSection(cda, srcSection, patient, tgtSection, bundle, encounter) "TerapiaFarmacologicaAllaDimissione";
};
};
} "body";
};
}
// --------------------------------
group ClinicalDocumentSection(source cda : ClinicalDocument, source src : Section, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter) {
src.title as t -> tgt.title = (t.dataString);
src.code -> tgt.code;
src.text as cdaText -> tgt.text as fhirText then {
cdaText -> fhirText.status = 'generated' "narrativeStatus";
cdaText as t -> fhirText.div = t "narrativeText";
} "cdaText";
src.entry as entry1 then {
entry1.substanceAdministration as substance then {
substance.templateId where (root = '2.16.840.1.113883.2.9.10.1.11.4.1') -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Immunization') as immunization, immunization.id = uuid() as uuid1, e1.fullUrl = append('https://example/Immunization/', uuid1), request.url = 'Immunization', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Immunization/' + %immunization.id) then {
substance -> immunization.patient = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "patientRef";
// substance.templateId as tid -> immunization.identifier as idf then{
substance.statusCode as statusc where (code = 'completed') -> immunization.status = 'completed';
substance.statusCode as statusc where (code = 'aborted') -> immunization.status = 'final';
substance.statusCode as statusc where (code = 'suspended') -> immunization.status = 'enterer-in-error';
substance.statusCode as statusc where (code = 'cancelled') -> immunization.status = 'not-done';
substance.effectiveTime as eff where (value.exists()) -> immunization.occurrence = create('dateTime') as value then TSDateTime(eff, value) "value1";
substance.effectiveTime as eff where (low.exists()) -> immunization.occurrence = create('Period') as value then IVLTSPeriod(eff, value) "valuePeriod";
substance.routeCode -> immunization.route "route";
substance.approachSiteCode -> immunization.site "site";
substance -> immunization.doseQuantity = create('SimpleQuantity') as quantity then {
substance.doseQuantity as q then {
q -> quantity.value = (q.value) "val";
q -> quantity.unit = (q.unit) "uni";
} "qua";
} "q";
substance.consumable as cons then {
cons.manufacturedProduct as manufact then {
manufact.manufacturedMaterial as manufactmat then {
manufactmat.code -> immunization.vaccineCode;
manufactmat.lotNumberText as t -> immunization.lotNumber = (t.dataString);
} "manufactmat";
manufact.manufacturerOrganization as manufactOrg -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Organization') as organization then {
manufactOrg -> organization.meta as meta then {
manufactOrg -> meta.tag = create('Coding') as coding then {
manufactOrg -> coding.system = 'http://algoritmodiscoring' "system";
manufactOrg -> coding.code = 'ClinicalDocument/body/manufacturerOrganization' "code";
} "coding";
} "meta";
manufactOrg.id as id -> organization.identifier as identifier then {
id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1";
id.extension as ext -> identifier.value = ext then {
ext -> request.url = append('Organization?identifier=', ext) "UUID";
} "ext";
id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s;
id.root as r then {
id.extension as ext -> organization.id = (r + '-' + ext) as uuid5, e1.fullUrl = append('https://example/Organization/', uuid5), immunization.manufacturer = create('Reference') as reference, reference.reference = ('https://example/Organization/' + %uuid5);
} "r";
} "identifier";
// manufactOrg.id as id then{
manufactOrg.name as n -> organization.name = (n.other);
} "manufactOrg";
} "manufact";
} "cons";
substance.participant as part -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Location') as location then {
part -> location.meta as meta then {
part -> meta.tag = create('Coding') as coding then {
part -> coding.system = 'http://algoritmodiscoring' "system";
part -> coding.code = 'ClinicalDocument/body/participant' "code";
} "coding";
} "meta";
part.participantRole as partRole then {
partRole.id as id -> location.identifier as identifier then {
id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1";
id.extension as ext -> identifier.value = ext then {
ext -> request.url = append('Location?identifier=', ext) "UUID";
} "ext";
id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s;
id.root as r then {
id.extension as ext -> location.id = (r + '-' + ext) as uuid6, e1.fullUrl = append('https://example/Location/', uuid6), immunization.location = create('Reference') as reference, reference.reference = ('https://example/Location/' + %uuid6) "ref";
} "r";
} "identifier";
} "role";
} "part";
cda -> immunization.protocolApplied as prot then {
substance.entryRelationship as entrirel4 then {
entrirel4.observation as obs then {
obs.code where (code = '75323-6') then {
obs.value -> prot.targetDisease;
} "codeControl";
} "entrirel2";
entrirel4.observation as obsdosenumber then {
obsdosenumber.code where (code = '30973-2') then {
obsdosenumber.value as v then {
v.value as int -> prot.doseNumber = (int.toString());
} "v";
} "codeControl";
} "entrirel2";
} "entrirel4";
} "protocolAp";
substance.entryRelationship as entrirel2 then {
entrirel2.observation as obs then {
obs.code where ((code = '59778-1') or (code = '30981-5') or (code = '30980-7') or (code = '59777-3')) then {
obs.value as value then {
value.high as h then {
h.value as date -> immunization.expirationDate = truncate(date, 10);
} "da";
};
} "codeControl";
} "obs";
} "entrirel2";
substance.entryRelationship as entrirel3 then {
entrirel3.observation as obs then {
obs.code where (code = '95715-9') -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', immunization.reasonReference = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then {
obs then Observation(entrirel3, patient, tgt, bundle, enc, observation) "observation";
} "codeControl";
} "obs";
} "entrirel2";
substance.entryRelationship as entrirel4 then {
entrirel4.observation as obs then {
obs.code where (code = '59785-6') -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', immunization.reasonReference = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then {
obs then Observation1(entrirel4, patient, tgt, bundle, enc, observation) "observation";
} "codeControl";
} "obs";
} "entrirel2";
substance.entryRelationship as entrirel4 then {
entrirel4.observation as obs then {
obs.code where (code = '31044-1') -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Observation') as observation, observation.id = uuid() as uuid1, e1.fullUrl = append('https://example/Observation/', uuid1), request.url = 'Observation', immunization.reasonReference = create('Reference') as reference, reference.reference = ('https://example/Observation/' + %observation.id) then {
obs then Observation1(entrirel4, patient, tgt, bundle, enc, observation) "observation";
} "codeControl";
} "obs";
} "entrirel2";
} "ControlloImmunization";
substance.templateId where (root = '2.16.840.1.113883.2.9.10.1.11.4.2') -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'POST', e1.resource = create('Immunization') as immunization, immunization.id = uuid() as uuid1, e1.fullUrl = append('https://example/Immunization/', uuid1), request.url = 'Immunization', tgt.entry = create('Reference') as reference, reference.reference = ('https://example/Immunization/' + %immunization.id) then {
substance -> immunization.patient = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "patientRef";
// substance.templateId as tid -> immunization.identifier as idf then{
substance.statusCode as statusc where (code = 'completed') -> immunization.status = 'completed';
substance.statusCode as statusc where (code = 'aborted') -> immunization.status = 'final';
substance.statusCode as statusc where (code = 'suspended') -> immunization.status = 'enterer-in-error';
substance.statusCode as statusc where (code = 'cancelled') -> immunization.status = 'not-done';
substance.effectiveTime as eff where (value.exists()) -> immunization.occurrence = create('dateTime') as value then TSDateTime(eff, value) "value1";
substance.effectiveTime as eff where (low.exists()) -> immunization.occurrence = create('Period') as value then IVLTSPeriod(eff, value) "valuePeriod";
substance.consumable as cons then {
cons.manufacturedProduct as manufact then {
manufact.manufacturedMaterial as manufactmat then {
manufactmat.code -> immunization.vaccineCode;
manufactmat.lotNumberText as t -> immunization.lotNumber = (t.dataString);
} "manufactmat";
manufact.manufacturerOrganization as manufactOrg -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Organization') as organization then {
manufactOrg -> organization.meta as meta then {
manufactOrg -> meta.tag = create('Coding') as coding then {
manufactOrg -> coding.system = 'http://algoritmodiscoring' "system";
manufactOrg -> coding.code = 'ClinicalDocument/body/manufacturerOrganization' "code";
} "coding";
} "meta";
manufactOrg.id as id -> organization2.identifier as identifier then {
id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1";
id.extension as ext -> identifier.value = ext then {
manufactOrg -> request.url = append('Organization?identifier=', ext) "UUID";
} "ext";
id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s;
id.root as r then {
id.extension as ext -> organization1.id = (r + '-' + ext) as uuid23, e1.fullUrl = append('https://example/Organization/', uuid23), immunization.manufacturer = create('Reference') as reference, reference.reference = ('https://example/Organization/' + %uuid23) "org";
} "r";
} "identifier";
manufactOrg.name as n -> organization.name = (n.other);
} "manufactOrg";
} "manufact";
} "cons";
cda -> immunization.protocolApplied as prot then {
substance.entryRelationship as entrirel4 then {
entrirel4.observation as obs then {
obs.code where (code = '75323-6') then {
obs.value -> prot.targetDisease;
} "codeControl";
} "entrirel2";
entrirel4.observation as obsdosenumber then {
obsdosenumber.code where (code = '30973-2') then {
obsdosenumber.value as v then {
v.value as int -> prot.doseNumber = (int.toString());
} "v";
} "codeControl";
} "entrirel2";
} "entrirel4";
} "protocolAp";
substance.entryRelationship as entrirel1 then {
entrirel1.observation as obs then {
obs.code where (code = '85714-4') then {
obs.code -> immunization.statusReason;
} "codeControl";
obs.code where (code = '59784-9') then {
obs.value as val then {
val.originalText as original -> immunization.statusReason = create('CodeableConcept') as cod then {
original.reference as reff -> cod.text = (reff.value);
} "cod";
} "val";
} "codeControl";
} "obs";
} "entrirel1";
substance.participant as part -> bundle.entry as e1, e1.request = create('BackboneElement') as request, request.method = 'PUT', e1.resource = create('Location') as location then {
part -> location.meta as meta then {
part -> meta.tag = create('Coding') as coding then {
part -> coding.system = 'http://algoritmodiscoring' "system";
part -> coding.code = 'ClinicalDocument/body/participant' "code";
} "coding";
} "meta";
part.participantRole as partRole then {
partRole.id as id -> location.identifier as identifier then {
id.root as r -> identifier.system = translate(r, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri') "root1";
id.extension as ext -> identifier.value = ext then {
ext -> request.url = append('Location?identifier=', ext) "UUID";
} "ext";
id.assigningAuthorityName as s -> identifier.assigner as a, a.display = s;
id.root as r then {
id.extension as ext -> location.id = (r + '-' + ext) as uuid7, e1.fullUrl = append('https://example/Location/', uuid7), immunization.location = create('Reference') as reference, reference.reference = ('https://example/Location/' + %uuid7) "ref";
} "r";
} "identifier";
} "role";
} "location";
} "sub2";
} "substance";
};
}
group Observation(source entrirel2 : entryRelationship, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter, target obs : Observation) {
entrirel2.observation as observation then {
// observation.templateId as tid -> obs.identifier as idf then{
observation.code -> obs.code;
observation.statusCode as statusc where (code = 'completed') -> obs.status = 'final';
observation.statusCode as statusc where (code = 'active') -> obs.status = 'registered';
observation.statusCode as statusc where (code = 'aborted') -> obs.status = 'cancelled';
observation.statusCode as statusc where (code = 'suspended') -> obs.status = 'partial';
observation -> obs.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference";
observation -> obs.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference";
observation -> obs.referenceRange as refRange then {
observation.value -> refRange.appliesTo;
observation -> refRange.text = 'string' "text";
} "refRange";
} "obs";
}
group Observation1(source entrirel4 : entryRelationship, target patient : Patient, target tgt, target bundle : Bundle, target enc : Encounter, target obs : Observation) {
entrirel4.observation as observation then {
// observation.templateId as tid -> obs.identifier as idf then{
observation.code -> obs.code;
observation.statusCode as statusc where (code = 'completed') -> obs.status = 'final';
observation.statusCode as statusc where (code = 'active') -> obs.status = 'registered';
observation.statusCode as statusc where (code = 'aborted') -> obs.status = 'cancelled';
observation.statusCode as statusc where (code = 'suspended') -> obs.status = 'partial';
observation -> obs.subject = create('Reference') as reference, reference.reference = ('https://example/Patient/' + %patient.id) "reference";
observation -> obs.encounter = create('Reference') as reference, reference.reference = ('https://example/Encounter/' + %enc.id) "reference";
observation.effectiveTime as eff where (value.exists()) -> obs.effective = create('dateTime') as value then TSDateTime(eff, value) "value1";
observation.effectiveTime as eff -> obs.effective = create('Period') as period then IVLTSPeriod(eff, period) "period";
observation -> obs.value = create('CodeableConcept') as concept then {
observation.value -> concept.coding = create('Coding') as coding then {
observation.value as v -> coding.code = (v.code);
observation.value as v then {
v.codeSystem as system -> coding.system = translate(system, 'http://hl7.org/fhir/ConceptMap/special-oid2uri', 'uri');
} "vv";
observation.value as v -> coding.display = (v.displayName);
} "coding";
observation.value as valu then {
valu.originalText as txt then {
txt.reference as ref -> concept.text = (ref.value);
} "txt";
};
} "refRange";
} "obs";
}