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FHIR Infrastructure icon Work GroupMaturity Level: n/aStandards Status: Informative

For many of the resources and other content defined in this specification, mappings are provided to other standards. These mappings are informative and are provided to help implementers of this specification understand the content and use it correctly.

Due to wide variation in the implementation of standards in healthcare, none of the mappings are authoritative or normative, and implementers always have to check local usage before using these mappings in production.

This table summarizes the mappings that may be provided through the specification:

Name Details
Logical Mapping Formal URL: http://hl7.org/fhir/logical

These mappings map logical models to their conceptual equivalents in FHIR. One example of their use is to map from the CDA and V2 coded data types to CodeableConcept and Coding so that the validator can validate them on a terminology server

ClinicalTrials.gov Mapping icon Formal URL: http://clinicaltrials.gov
Workflow Pattern icon Formal URL: http://hl7.org/fhir/workflow
CDISC Define XML 2.0 metadata standard icon Formal URL: http://www.cdisc.org/define-xml
FHIR Consent Mapping icon Formal URL: http://hl7.org/fhir/consent
Mapping to NCPDP SCRIPT 10.6 icon Formal URL: http://ncpdp.org/SCRIPT10_6
FiveWs Pattern Mapping icon Formal URL: http://hl7.org/fhir/fivews
BRIDG 5.1 Mapping icon Formal URL: https://bridgmodel.nci.nih.gov
FHIR Composition icon Formal URL: http://hl7.org/fhir/composition
IDMP Mapping icon Formal URL: https://www.iso.org/obp/ui/#iso:std:iso:11615
IHE Structured Data Capture icon Formal URL: http://siframework.org/ihe-sdc-profile
IDMP Mapping (Substance) icon Formal URL: https://www.iso.org/obp/ui/#iso:std:iso:11238
Canadian Dental Association eclaims standard icon Formal URL: http://www.cda-adc.ca/en/services/cdanet/
SNOMED CT Concept Domain Binding icon Formal URL: http://snomed.info/conceptdomain

Concept domain bindings link a resource or an element to a set of SNOMED CT concepts that represent the intended semantics of the instances (whether or not SNOMED CT is used to encode that data element). This set of concepts is represented using a SNOMED CT expression constraint. Note that the 'Concept domain binding' may be a superset of the 'value set binding'. These bindings help to support:

  • Quality checking FHIR resources by ensuring that (a) the intended semantics of the instances matches the valid range of the corresponding SNOMED CT attribute, and (b) the intended value set is appropriate for the intended semantics of the instances
  • Semantic checking of data instances by helping to detect potential inconsistencies caused by overlap between the semantics incorporated in two concept domains
R3-ReferalRequest Mapping icon Formal URL: http://hl7.org/fhir/rr
HL7 V2 Mapping icon Formal URL: http://hl7.org/v2
RIM Mapping icon Formal URL: http://hl7.org/v3
ISO/IEEE 11073-10207 icon Formal URL: urn:iso:std:iso:11073:10207
ISO 11179 icon Formal URL: http://metadata-standards.org/11179/

These mappings are included to indicate where properties of the data elements defined by the FHIR specification relate to similar fields in the ISO 11179 specification.

Mapping to Quality Improvement Domain Analysis Model icon Formal URL: http://hl7.org/qidam
Interface Pattern icon Formal URL: http://hl7.org/fhir/interface
DICOM Tag Mapping icon Formal URL: http://nema.org/dicom
MDMI Referent Index Mapping icon Formal URL: http://github.com/MDMI/ReferentIndexContent
V3 Pharmacy Dispense RMIM icon Formal URL: http://www.hl7.org/v3/PORX_RM020070UV
XDS metadata equivalent icon Formal URL: http://ihe.net/xds
ISBT 128 Codes icon Formal URL: https://www.isbt128.org/uri/
Equivalent CAP Code icon Formal URL: http://cap.org/ecc
CDA (R2) icon Formal URL: http://hl7.org/v3/cda
Quality Improvement and Clinical Knowledge (QUICK) icon Formal URL: http://siframework.org/cqf
FHIR DocumentReference icon Formal URL: http://hl7.org/fhir/documentreference
ISO/IEEE 11073-10201 icon Formal URL: urn:iso:std:iso:11073:10201
Canadian Pharmacy Association eclaims standard icon Formal URL: http://www.pharmacists.ca/
UDI Mapping icon Formal URL: http://fda.gov/UDI

UDI is a unique numeric or alphanumeric code that consists of two parts: (1) a device identifier (DI), a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device, and (2) a production identifier (PI), a conditional, variable portion of a UDI that identifies one or more of the following when included on the label of a device: (2a) the lot or batch number within which a device was manufactured; (2b) the serial number of a specific device; (2c) the expiration date of a specific device; (2d) the date a specific device was manufactured; (2e) the distinct identification code required by §1271.290(c) for a human cell, tissue, or cellular and tissue-based product (HCT/P) regulated as a device.

Quality Data Model icon Formal URL: http://www.healthit.gov/quality-data-model
FHIR AuditEvent Mapping icon Formal URL: http://hl7.org/fhir/auditevent
IHE Data Element Exchange (DEX) icon Formal URL: http://ihe.net/data-element-exchange
SNOMED CT Attribute Binding icon Formal URL: http://snomed.org/attributebinding

Attribute bindings link coded data elements in FHIR resources to a corresponding attribute in the SNOMED CT concept model. These bindings help to support:

  • clarifying the intended meaning of the data element
  • Quality checking the alignment between FHIR resource design and any coresponding SNOMED CT concept model
  • Composition and decomposition of data instances by indicating the SNOMED CT concept model attribute whose value may be used to decompose a precoordinated concept into this data element
W3C PROV icon Formal URL: http://www.w3.org/ns/prov

The provenance resource is based on known practices in the HL7 implementation space, particularly those found in the v2 EVN segment, the v3 ControlAct Wrapper, the CDA header, and IHE ATNA. The conceptual model underlying the design is the W3C provenance Specification icon . Though the content and format of the resource is designed to meet specific requirements for FHIR, all the parts of the resource are formally mapped to the PROV-O specification, and FHIR resources can be transformed to their W3C PROV equivalent.

Ontological RIM Mapping icon Formal URL: http://hl7.org/orim
LOINC code for the element icon Formal URL: http://loinc.org
vCard Mapping icon Formal URL: http://w3.org/vcard
Open EHR Archetype Mapping icon Formal URL: http://openehr.org
ServD icon Formal URL: http://www.omg.org/spec/ServD/1.0/
FHIR Provenance Mapping icon Formal URL: http://hl7.org/fhir/provenance
iCalendar icon Formal URL: http://ietf.org/rfc/2445