CDA-FHIR-Maps (R4)
0.3.0 - DSTU 1
This page is part of the CDA-FHIR-Maps (R4) (v0.3.0: DSTU 1) based on FHIR R4. . For a full list of available versions, see the Directory of published versions 
map "http://fhir.ch/ig/cda-fhir-maps/StructureMap/CdaToBundle" = "CdaToBundle"
// CDA document
// 2020-01-16 Oliver Egger, copyright ahdis ag, Apache License
// CDA: http://build.fhir.org/ig/ahdis/cda-core-2.0/branches/master/index.html
// FHIR: http://hl7.org/fhir/r4/
conceptmap "cm-v3-administrative-gender" {
prefix s = "http://terminology.hl7.org/ValueSet/v3-AdministrativeGender"
prefix t = "http://hl7.org/fhir/ValueSet/administrative-gender"
s:M == t:male
s:F == t:female
}
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/CustodianOrganization" alias CustodianOrganization 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/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/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
imports "http://fhir.ch/ig/cda-fhir-maps/StructureMap/CdaToFhirTypes"
group CdaToBundle(source cda : ClinicalDocument, target bundle : Bundle) {
cda -> bundle.entry as e, e.resource = create('Composition') as composition, composition.id = uuid() as uuid, e.fullUrl = append('urn:uuid:', uuid), bundle.entry as e2, e2.resource = create('Patient') as patient, patient.id = uuid() as uuid2, e2.fullUrl = append('urn:uuid:', uuid2) then {
cda then ClinicalDocumentToBundle(cda, patient, composition, bundle) "cdatobundle";
} "ClinicalDocumentToBody";
}
group ClinicalDocumentToBundle(source cda : ClinicalDocument, target patient : Patient, target composition : Composition, target bundle : Bundle) {
cda -> bundle.id = uuid() "id";
cda.id -> bundle.identifier "identifier";
cda -> bundle.type = 'document' "type";
cda.effectiveTime -> bundle.timestamp;
cda then ClinicalDocumentComposition(cda, composition, patient, bundle) "composition";
cda.component as component then {
component.structuredBody as body then {
body.component as component log 'component' then {
component.section as srcSection where $this.code.empty() -> composition.section as tgtSection then ClinicalDocumentSection(cda, srcSection, patient, tgtSection, bundle);
};
} "body";
};
}
// _________________________ Section Level Templates _________________________
group ClinicalDocumentSection(source cda : ClinicalDocument, source src : Section, source patient : Patient, target tgt, target bundle : Bundle) {
src.id as id where ($this.root = %cda.id.root) = false -> tgt.extension as ext then ChExtEprSectionId(id, ext) "sectionId";
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.section as srcSection -> tgt.section as tgtSection then ClinicalDocumentSection(cda, srcSection, patient, tgtSection, bundle);
}
// _________________________ Entry Level Templates ________________________
// _________________________ Header Level Templates _________________________
group ClinicalDocumentComposition(source src : ClinicalDocument, target tgt : Composition, target patientResource : Patient, target bundle : Bundle) {
src.languageCode -> tgt.language;
src.id where src.setId.exists().not() -> tgt.identifier "identifier";
src.setId -> tgt.identifier "identifier";
src -> tgt.status = 'final' "status";
src.code -> tgt.type;
src.title as t -> tgt.title = (t.dataString);
src.recordTarget as recordTarget then {
recordTarget.patientRole as patient -> tgt.subject = create('Reference') as reference, reference.reference = ('urn:uuid:' + %patientResource.id) then ClinicalDocumentPatientRole(patient, patientResource, bundle) "subject";
} "patientRole";
src.componentOf as comp -> bundle.entry as e, e.resource = create('Encounter') as encounter, encounter.id = uuid() as uuid, e.fullUrl = append('urn:uuid:', uuid) then {
comp.encompassingEncounter as srcEnc -> tgt.encounter = create('Reference') as reference, reference.reference = ('urn:uuid:' + %encounter.id) then ClinicalDocumentEncounter(srcEnc, bundle, encounter) "srcEncounter";
} "encompassingEncounter";
src.effectiveTime -> tgt.date;
src.author as srcAuthor -> bundle.entry as e, e.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid2, e.fullUrl = append('urn:uuid:', uuid2), tgt.author = create('Reference') as reference, reference.reference = ('urn:uuid:' + %practitioner.id) then {
srcAuthor.time as time -> reference.extension as exttime then ChExtEprTime(time, exttime);
srcAuthor.assignedAuthor as assignedAuthor then {
assignedAuthor.id -> practitioner.identifier;
assignedAuthor.addr -> practitioner.address;
assignedAuthor.telecom -> practitioner.telecom;
assignedAuthor.assignedPerson as person then {
person.name -> practitioner.name;
} "name";
assignedAuthor.representedOrganization as srcOrg -> bundle.entry as e2, e2.resource = create('Organization') as organization, organization.id = uuid() as uuid3, e2.fullUrl = append('urn:uuid:', uuid3), tgt.author = create('Reference') as reference2, reference2.reference = ('urn:uuid:' + %organization.id) then ClinicalDocumentOrganization(srcOrg, organization);
} "author";
} "srcAuthor";
src.confidentialityCode -> tgt.confidentiality;
src.legalAuthenticator as legalAuth -> bundle.entry as e, e.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid2, e.fullUrl = append('urn:uuid:', uuid2) then {
legalAuth -> tgt.attester as attester then {
legalAuth -> attester.mode = 'legal' "mode";
legalAuth.time -> attester.time;
legalAuth.assignedEntity as entity -> attester.party = create('Reference') as reference, reference.reference = ('urn:uuid:' + %practitioner.id) then ClinicalDocumentEntityPractitioner(entity, practitioner) "entity";
} "attester";
} "legalAuth";
src.authenticator as auth -> bundle.entry as e, e.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid2, e.fullUrl = append('urn:uuid:', uuid2) then {
auth -> tgt.attester as attester then {
auth -> attester.mode = 'official' "mode";
auth.time -> attester.time;
auth.assignedEntity as entity -> attester.party = create('Reference') as reference, reference.reference = ('urn:uuid:' + %practitioner.id) then ClinicalDocumentEntityPractitioner(entity, practitioner) "entity";
} "attester";
} "auth";
src.custodian as custodian -> bundle.entry as e then {
custodian.assignedCustodian as assignedCustodian -> e.resource = create('Organization') as organization, organization.id = uuid() as uuid3, e.fullUrl = append('urn:uuid:', uuid3) then {
assignedCustodian.representedCustodianOrganization as srcOrg -> tgt.custodian = create('Reference') as reference, reference.reference = ('urn:uuid:' + %organization.id) then ClinicalDocumentOrganization(srcOrg, organization) "assignedCustodian";
} "custodian";
} "cust";
src.documentationOf as docOf then {
docOf.serviceEvent as serviceEvent -> tgt.event as event then {
serviceEvent.code -> event.code "eventCode";
serviceEvent.effectiveTime -> event.period "eventTime";
} "docOf";
};
src.relatedDocument as relatedDoc -> tgt.relatesTo as relates then {
relatedDoc.typeCode -> relates.code;
relatedDoc.parentDocument as parentDoc then {
parentDoc.setId -> relates.targetIdentifier;
} "parentDoc";
} "relatedDoc";
}
group ClinicalDocumentEntityPractitioner(source src : AssignedEntity, target tgt : Practitioner) {
src.id -> tgt.identifier;
src.addr -> tgt.address;
src.telecom -> tgt.telecom;
src.assignedPerson as person then {
person.name -> tgt.name;
} "name";
}
group ClinicalDocumentOrganization(source src : CustodianOrganization, target tgt : Organization) {
src.id -> tgt.identifier;
src.name as v -> tgt.name = (v.other);
src.telecom -> tgt.telecom;
src.addr -> tgt.address;
}
group ClinicalDocumentPatientRole(source src : PatientRole, target tgt : Patient, target bundle : Bundle) {
// src.id -> tgt.identifier;
src -> tgt.identifier as identifier then {
src.id as id -> identifier.type as type, type.coding as coding, coding.system as system, coding.code as code then {
src -> system.value = 'http://terminology.hl7.org/CodeSystem/v2-0203' "system";
src -> code.value = 'MR' "code";
id.extension as extension -> identifier.value as value, value.value = extension;
id.root as root -> identifier.system as system, system.value = append('urn:oid:', root);
};
} "identifier";
src.addr -> tgt.address;
src.telecom -> tgt.telecom;
src.patient as patient then {
patient.name -> tgt.name;
patient.administrativeGenderCode as gender then {
gender.code as v -> tgt.gender = translate(v, '#cm-v3-administrative-gender', 'code') "gender";
} "gender";
patient.birthTime -> tgt.birthDate "birthDate";
patient.deceasedInd as indicator where patient.deceasedTime.empty() -> tgt.deceased = create('boolean') as bool then boolean(indicator, bool) "deceasedBL";
patient.deceasedTime -> tgt.deceased;
patient.maritalStatusCode -> tgt.maritalStatus "maritalStatus";
patient.languageCommunication as language -> tgt.communication as communication then {
language.languageCode -> communication.language "communication";
} "language";
};
src.providerOrganization as org -> bundle.entry as e, e.resource = create('Organization') as organization, organization.id = uuid() as uuid3, e.fullUrl = append('urn:uuid:', uuid3) then {
org -> tgt.managingOrganization = create('Reference') as reference, reference.reference = ('urn:uuid:' + %organization.id) "reference";
org.id -> organization.identifier;
org.name as v -> organization.name = (v.other);
org.telecom -> organization.telecom;
org.addr -> organization.address;
} "organization";
}
group ClinicalDocumentEncounter(source src : EncompassingEncounter, target bundle : Bundle, target tgt : Encounter) {
src.id -> tgt.identifier;
src.code -> tgt.type;
src.effectiveTime -> tgt.period;
src where admissionReferralSourceCode.exists() or dischargeDispositionCode.exists() -> tgt.hospitalization as hosp then {
src.admissionReferralSourceCode -> hosp.admitSource "adminReferral";
src.dischargeDispositionCode -> hosp.dischargeDisposition "discDisposition";
} "hospitalization";
src.encounterParticipant as srcPart -> tgt.participant as tgtPart then {
srcPart.typeCode as code -> tgtPart.type = cc('http://terminology.hl7.org/CodeSystem/v3-ParticipationType', code);
srcPart.time -> tgtPart.period;
srcPart.assignedEntity as entity -> bundle.entry as e, e.resource = create('Practitioner') as practitioner, practitioner.id = uuid() as uuid2, e.fullUrl = append('urn:uuid:', uuid2) then {
entity -> tgtPart.individual = create('Reference') as reference, reference.reference = ('urn:uuid:' + %practitioner.id) then ClinicalDocumentEntityPractitioner(entity, practitioner) "entry";
} "entity";
} "participant";
src.location as srcLocation then {
srcLocation.healthCareFacility as facility -> bundle.entry as e, e.resource = create('Location') as location, location.id = uuid() as uuid2, e.fullUrl = append('urn:uuid:', uuid2) then {
facility -> tgt.location as tgtLocation, tgtLocation.location = create('Reference') as reference, reference.reference = ('urn:uuid:' + %location.id) then ClinicalDocumentLocation(facility, bundle, location) "facLocation";
} "facility";
};
}
group ClinicalDocumentLocation(source src : HealthCareFacility, target bundle : Bundle, target tgt : Location) {
src.id -> tgt.identifier;
src.code -> tgt.type;
src.location as location then {
// place names are usually stored with no parts location.name as srcName -> tgt.name = cast(srcName, 'string');
location.addr -> tgt.address;
location.serviceProviderOrganization as srcOrg -> bundle.entry as e, e.resource = create('Organization') as organization, organization.id = uuid() as uuid3, e.fullUrl = append('urn:uuid:', uuid3) then {
srcOrg -> tgt.managingOrganization = create('Reference') as reference, reference.reference = ('urn:uuid:' + %organization.id) then ClinicalDocumentOrganization(srcOrg, organization) "organization";
} "org";
};
}
// source dataEnterer: https://art-decor.org/art-decor/decor-templates--hl7chcda-?id=2.16.756.5.30.1.1.10.2.7
// source author: https://art-decor.org/art-decor/decor-templates--hl7chcda-?id=2.16.840.1.113883.10.12.102
// target: https://build.fhir.org/ig/hl7ch/ch-core//StructureDefinition-ch-ext-epr-time.html
group ChExtEprTime(source src : TSDateTime, target ext : Extension) {
src -> ext.url = 'http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time' "url";
src -> ext.value = create('dateTime') as value then TSDateTime(src, value) "value";
}
// https://art-decor.org/art-decor/decor-templates--hl7chcda-?id=2.16.756.5.30.1.1.10.3.45
// target: http://build.fhir.org/ig/hl7ch/ch-core/branches/master/StructureDefinition-ch-ext-epr-sectionid.html
group ChExtEprSectionId(source src : II, target ext : Extension) {
src -> ext.url = 'http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-sectionid' "url";
src -> ext.value = create('Identifier') as value then II(src, value) "value";
}
// _________________________ Template Type not specified ___________________
group NarrativeLink(source url, target ext : Extension) {
url -> ext.url = 'http://hl7.org/fhir/StructureDefinition/narrativeLink' "url";
url -> ext.value = create('url') as value, value.value = url "value";
}