Smile CDR v2024.05.PRE
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29.4.1CDA 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.

29.4.2Valid Document Types
Experimental

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

29.4.3Resources 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

29.4.4Valid Section Types and Sources
Experimental

 

29.4.5Allergy and Intolerances Section
Experimental

 

Supported CDA Entries:

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

29.4.6Care Plan Section
Experimental

 

Supported CDA Entries:

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

29.4.7Care 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.

29.4.8Encounters Section
Experimental

 

Supported CDA Entries:

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

29.4.9Family History Section
Experimental

 

Supported CDA Entries:

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

29.4.10Functional Status Section
Experimental

 

Supported CDA Entries:

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

29.4.11Goals Section
Experimental

 

Supported CDA Entries:

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

29.4.12Health 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.

29.4.13Immunizations Section
Experimental

 

Supported CDA Entries:

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

29.4.14Medical Equipment Section
Experimental

 

Supported CDA Entries:

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

29.4.15Medications Section
Experimental

 

Supported CDA Entries:

  • Medication Activity
    • Each Medication Activity entry with moodCode="EVN" will be converted to a MedicationStatement resource. Each Medication Activity entry with moodCode="INT" will be converted to a MedicationRequest resource. Entries with other values of the moodCode attribute are not supported.

29.4.16Plan of Treatment Section
Experimental

 

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

29.4.17Problem 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.

29.4.18Procedures Section
Experimental

 

Supported CDA Entries:

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

29.4.19Results 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.

29.4.20Social 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.

29.4.21Vital Signs Section
Experimental

 

Supported CDA Entries:

  • Vital Signs Organizer
    • Each Vital Sign Organizer entry in the section will be converted to a nested section within the Composition.section.
    • Each Vital Sign Observation entry within a Vital Signs Organizer will be converted to an Observation resource within the corresponding nested section.

29.4.22Note Section
Experimental

 

Supported CDA Entries:

  • Note Act
    • Each Note Act will be converted to a DocumentReference resource
    • Currently only supports note sections with the LOINC code 34109-9, but individual Note Acts can have more specific codes.