CDA Module Mappings for ImportExperimental
All of the mappings for CDA Import are based on the Consolidated CDA Templates for Clinical Notes Release 2.1.
- "Continuity of Care Document" (template id 2.16.840.1.113883.10.20.22.1.2)
Resources derived from the headerExperimental
- 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
Allergy and Intolerances SectionExperimental
Supported CDA Entries:
- Allergy Concern Act
- Each Allergy Concern Act entry will be converted to an
AllergyIntolerance resource.
Supported CDA Entries:
The Care Plan section as a whole will be converted to a CarePlan resource.
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.
Supported CDA Entries:
- Encounter Activity
- Each Encounter Activity entry will be converted to an
Encounter resource.
Supported CDA Entries:
- Family History Observation
- Each Family History Observation entry will be converted to a
FamilyMemberHistory resource.
Functional Status SectionExperimental
Supported CDA Entries:
- Functional Status Observation
- Each Functional Status Observation entry will be converted to an
Observation resource.
Supported CDA Entries:
- Goal Observation
- Each Goal Observation entry will be converted to a
Goal resource.
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.
Supported CDA Entries:
- Immunization Activity
- Each Immunization Activity entry will be converted to an
Immunization resource.
Medical Equipment SectionExperimental
Supported CDA Entries:
- Procedure Activity Procedure
- Each Procedure Activity Procedure entry will be converted to a
Procedure resource.
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.
- A General Status narrative-only section will be created within the
Composition resource
History of Present Illness SectionExperimental
- A History of Present Illness narrative-only section will be created within the
Composition resource
Review of Systems SectionExperimental
- A Review of Systems narrative-only section will be created within the
Composition resource
Plan of Treatment SectionExperimental
Supported CDA Entries:
- Planned Observation
- Each Planned Observation entry will be converted to a
ServiceRequest resource.
- Planned Encounter
- Each Encounter Observation entry will be converted to a
Encounter resource.
- Planned Act
- Each Act Observation entry will be converted to a
ServiceRequest resource.
- Planned Procedure
- Each Planned Procedure entry will be converted to a
ServiceRequest resource.
- Planned Medication
- Each Planned Medication entry will be converted to a
MedicationRequest resource.
- Planned Immunization
- Each Planned Immunization entry will be converted to a
MedicationRequest resource.
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.
Supported CDA Entries:
- Procedure Activity Procedure
- Each Procedure Activity Procedure entry will be converted to a
Procedure resource.
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.
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.
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.
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.
Discharge Diagnosis SectionExperimental
Supported CDA Entries:
- Hospital Discharge Diagnosis
- The section is expected to contain a single Hospital Discharge Diagnosis entry, which contains one or more nested Problem Observation entries.
- Each Problem Observation entry will be converted to a
Condition resource.
Admission Diagnosis SectionExperimental
Supported CDA Entries:
- Hospital Admission Diagnosis
- The section is expected to contain a single Hospital Admission Diagnosis entry, which contains one or more nested Problem Observation entries.
- Each Problem Observation entry will be converted to a
Condition resource.
Admission Medications SectionExperimental
Supported CDA Entries:
- Admission Medication
- The section is expected to contain a single Admission Medication entry, which contains one or more nested Medication Activity entries.
- Each Medication Activity entry will be converted to a
MedicationStatement resource.
Discharge Medications SectionExperimental
Supported CDA Entries:
- Discharge Medication
- The section is expected to contain a single Discharge Medication entry, which contains one or more nested Medication Activity entries.
- Each Medication Activity entry will be converted to a
MedicationStatement resource.
Past Medical History SectionExperimental
Supported CDA Entries:
- Past Medical History
- The section is expected to contain one or more nested Problem Observation entries.
- Each Problem Observation entry will be converted to a
Condition resource.
Medications Administered SectionExperimental
Supported CDA Entries:
- Medication Activity
- Each Medication Activity entry will be converted to a
MedicationStatement resource.