Smile CDR v2023.02.PRE
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26.4CDA Module Mappings for Import
Experimental

 

All of the mappings for CDA Import are based on the Consolidated CDA Templates for Clinical Notes Release 2.1.

26.4.1Valid Document Types
Experimental

 
  • "Continuity of Care Document" (template id 2.16.840.1.113883.10.20.22.1.2)

26.4.2Resources derived from the header
Experimental

 
  • recordTarget: Patient
  • author: Practitioner
  • custodian: Organization
  • legalAuthenticator: Practitioner
  • authenticator: Practitioner
  • documentationOf: Composition.event

There is currently no support for the following optional header tags:

  • dataEnterer
  • informant
  • informationRecipient
  • participant
  • inFulfillmentOf
  • authorization
  • componentOf

26.4.3Valid Section Types and Sources
Experimental

 

26.4.4Allergy and Intolerances Section
Experimental

 

Supported CDA Entries:

  • Allergy Concern Act
    • Each Allergy Concern Act entry will be converted to an AllergyIntolerance resource.

26.4.5Assessment Section
Experimental

 

Supported CDA Entries:

The Assessment section does not contain any entries. The section as a whole will be converted to a ClinicalImpression resource.

26.4.6Care Team Section
Experimental

 

Supported CDA Entries:

The Care Team section as a whole will be converted to a CareTeam resource.

  • Care Team Performer Act
    • Each Care Team Performer Act entry will be converted to a Practitioner resource and added to the CareTeam as a participant.

26.4.7Consultation Note Section
Experimental

 

Supported CDA Entries:

  • Consultation Note Activity
    • Each Consultation Note Activity entry will be converted to a DocumentReference resource.

26.4.8Encounters Section
Experimental

 

Supported CDA Entries:

  • Encounter Activity
    • Each Encounter Activity entry will be converted to an Encounter resource.

26.4.9Family History Section
Experimental

 

Supported CDA Entries:

  • Family History Organizer
    • Each Family History Organizer entry will be converted to a FamilyMemberHistory resource.

26.4.10Functional Status Section
Experimental

 

Supported CDA Entries:

  • Functional Status Organizer
    • Functional Status Observation
      • Each Functional Status Observation entry will be converted to an Observation resource.
    • Self-Care Activities
      • Each Self-Care Activities entry will be converted to an Observation resource.

26.4.11Goals Section
Experimental

 

Supported CDA Entries:

  • Goal Observation
    • Each Goal Observation entry will be converted to a Goal resource.

26.4.12Health Concerns Section
Experimental

 

Supported CDA Entries:

  • Health Status Observation
    • Each Health Status Observation entry will be converted to an Observation resource.
  • Health Concern Act
    • Each Health Concern Act entry will be converted to a Condition resource.

26.4.13Immunizations Section
Experimental

 

Supported CDA Entries:

  • Immunization Activity
    • Each Immunization Activity entry will be converted to an Immunization resource.

26.4.14Medical Equipment Section
Experimental

 

Supported CDA Entries:

  • Non-Medicinal Supply Activity
    • Each Non-Medicinal Supply Activity entry will be converted to a Device resource.
  • Medical Equipment Organizer
    • A Medical Equipment Organizer entry is a wrapper around one or more Non-Medicinal Supply Activity entries. Each of the contained Non-Medicinal Supply Activity entries will be converted to a Device resource.
  • Procedure Activity Procedure
    • Each Procedure Activity Procedure entry will be converted to a Procedure resource.

26.4.15Medications Section
Experimental

 

Supported CDA Entries:

  • Medication Activity
    • Each Medication Activity entry with moodCode="EVN" will be converted to a MedicationStatement resource, unless it contains a Medication Supply Order entry, in which case it will be converted to a MedicationRequest resource. Entries with other values of the moodCode attribute are not supported.

26.4.16Nutrition Section
Experimental

 

Supported CDA Entries:

  • Nutrition Status Observation
    • Each Nutrition Status Observation entry will be converted to an Observation resource.

26.4.17Plan of Care Section
Experimental

 

The Plan of Care section as a whole will be converted to a CarePlan resource.

26.4.18Problem Section
Experimental

 

Supported CDA Entries:

  • Problem Concern Act
    • Each Problem Concern Act entry will be converted to a Condition resource.
  • Health Status Observation
    • The Health Status Observation entry is not supported.

26.4.19Procedures Section
Experimental

 

Supported CDA Entries:

  • Procedure Activity Act
    • Each Procedure Activity Act entry will be converted to a Procedure resource.
  • Procedure Activity Procedure
    • Each Procedure Activity Procedure entry will be converted to a Procedure resource.
  • Procedure Activity Observation
    • Each Procedure Activity Observation entry will be converted to an Observation resource.

26.4.20Results Section
Experimental

 

Supported CDA Entries:

  • Result Organizer
    • Each Result Organizer entry will be converted to a DiagnosticReport resource.
    • Any Result Observation entry within the Result Organizer will be converted to an Observation resource and added to the result list of the DiagnosticReport.

26.4.21Social History Section
Experimental

 

Supported CDA Entries:

  • Pregnancy Observation
  • Caregiver Characteristics
  • Characteristics of Home Environment
  • Cultural and Religious Observation
  • Smoking Status - Meaningful Use
  • Tobacco Use
  • Social History Observation
    • Each entry in the section will be converted to an Observation resource.

26.4.22Vital Signs Section
Experimental

 

Supported CDA Entries:

  • Vital Signs Organizer
    • Each Vital Sign Observation entry within a Vital Signs Organizer will be converted to an Observation resource.