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Mapping to Profiles

Mappings from MyHealth@EU / EHDS models to FHIR profiles

MyHealth@EU logical models refine the EHDS logical information models provided by the Xt-EHR project. These models add obligation levels (Mandatory, Required, Optional) to the EHDS base elements.
Please read more about the models on the HDR Models Overview page.

The mappings below show how the logical model elements explicitly defined in the MyHealth@EU models are realised in the FHIR R4 profiles of this guide.

Hospital Discharge Report

The MyHealthEuHdrDischargeReport model refines EHDSDischargeReport. The report maps to multiple FHIR resources: BundleHdrMyHealthEu and CompositionHdrMyHealthEu.

Logical model element	FHIR Path (R4)	Comment
header.subject	Composition.subject	Reference to PatientMyHealthCore.
header.identifier	Composition.identifier; Bundle.identifier
header.documentType	Composition.type
header.documentTitle	Composition.title
header.status	Composition.status
header.date	Composition.date
header.language	Composition.language
header.version	Composition.extension:versionNumber
header.custodian	Composition.custodian	Reference to OrganizationMyHealthCore.
header.author[x]	Composition.author	Reference to PractitionerRoleMyHealthCore, OrganizationMyHealthCore, or Device.
header.attestation.attester[x]	Composition.attester.party	Where attester.mode = 'professional'.
header.attestation.datetime	Composition.attester.time
header.legalAuthentication.legalAuthenticator[x]	Composition.attester.party	Where attester.mode = 'legal'.
header.legalAuthentication.datetime	Composition.attester.time
header.intendedRecipient[x]	Composition.extension:information-recipient
body.alerts	Composition.section:sectionAllergies; Composition.section:sectionAlerts	Allergies in sectionAllergies, medical alerts in sectionAlerts.
body.encounterInformation.encounter	Composition.encounter	Reference to EncounterHdrMyHealthEu.
body.admissionEvaluation.objectiveFindings	Composition.section:sectionAdmissionEvaluation.entry
body.admissionEvaluation.functionalStatus[x]	Composition.section:sectionAdmissionEvaluation.entry
body.patientHistory.pastProblems	Composition.section:sectionPastIllnessHx.entry
body.patientHistory.devicesAndImplants	Composition.section:sectionMedicalDevices.entry
body.patientHistory.procedures	Composition.section:sectionProceduresHx.entry
body.courseOfEncounter.diagnosticSummary	Composition.section:sectionDiagnosticSummary.entry	Reference to ConditionHdrMyHealthEu.
body.courseOfEncounter.procedures	Composition.section:sectionSignificantProcedures.entry
body.courseOfEncounter.medicalDevicesAndImplants	Composition.section:sectionMedicalDevices.entry	Reference to DeviceUseStatementHdrMyHealthEu.
body.courseOfEncounter.pharmacotherapy	Composition.section:sectionMedications.entry
body.courseOfEncounter.testResults[x]	Composition.section:sectionSignificantResults.entry
body.courseOfEncounter.note	Composition.section:sectionSynthesis.text
body.dischargeDetails.objectiveFindings	Composition.section:sectionDischargeDetails.entry
body.dischargeDetails.functionalStatus[x]	Composition.section:sectionFunctionalStatus.entry
body.dischargeDetails.note	Composition.section:sectionDischargeDetails.text
body.medicationSummary.medicationUse	Composition.section:sectionDischargeMedications.entry
body.carePlan.carePlan	Composition.section:sectionPlanOfCare.entry
body.carePlan.otherRecommendations	Composition.section:sectionDischargeInstructions.text
body.synthesis	Composition.section:sectionSynthesis.text
attachments	Composition.section.entry	Attachment entries.

Encounter

The MyHealthEuHdrEncounter model refines EHDSEncounter. It maps to EncounterHdrMyHealthEu.

Logical model element	FHIR Path (R4)	Comment
type	Encounter.class
period	Encounter.period
period (admission date)	Encounter.period.start
period (discharge date)	Encounter.period.end
serviceProvider	Encounter.serviceProvider	Reference to OrganizationMyHealthCore.
referringProfessional	Encounter.participant	Where participant.type = 'REF'.
reason[x]	Encounter.reasonCode; Encounter.reasonReference
admission.admitter	Encounter.participant	Where participant.type = 'ADM'.
admission.admitSource	Encounter.hospitalization.admitSource
dischargeDiagnosis[x]	Encounter.diagnosis	Where diagnosis.use = 'discharge-diagnosis'.
dischargeDestination.type	Encounter.hospitalization.dischargeDisposition
dischargeDestination.location[x]	Encounter.hospitalization.destination
serviceLocation	Encounter.location
serviceLocation.period	Encounter.location.period
serviceLocation.organisationPart[x]	Encounter.location.location	Reference to Location.

Condition

The MyHealthEuHdrCondition model refines EHDSCondition. It maps to ConditionHdrMyHealthEu.

Logical model element	FHIR Path (R4)	Comment
problem	Condition.code
onsetDate	Condition.onset[x]
endDate	Condition.abatement[x]
category	Condition.category	Includes POA (present on admission) and HAC (hospital acquired condition) categories.
severity	Condition.severity
bodySite	Condition.bodySite	Reference to BodyStructureMyHealthCore.
stage	Condition.stage.summary
diagnosisAssertionStatus	Condition.verificationStatus
resolutionCircumstances	Condition.note

Observation

The MyHealthEuHdrObservation model refines EHDSObservation. It maps to ObservationVitalSignsHdrMyHealthEu and other observation profiles.

Logical model element	FHIR Path (R4)	Comment
type	Observation.code
observationDate[x]	Observation.effective[x]
performer[x]	Observation.performer
result.value[x]	Observation.value[x]
interpretation	Observation.interpretation
referenceRange	Observation.referenceRange
note	Observation.note
component	Observation.component
component.result.value[x]	Observation.component.value[x]

Procedure

The MyHealthEuHdrProcedure model refines EHDSProcedure. It maps to a Procedure resource conforming to the EU HDR Procedure profile.

Logical model element	FHIR Path (R4)	Comment
code	Procedure.code
procedureDate[x]	Procedure.performed[x]
performer	Procedure.performer.actor	Reference to PractitionerRoleMyHealthCore.
bodySite	Procedure.bodySite	Reference to BodyStructureMyHealthCore.
reason[x]	Procedure.reasonCode; Procedure.reasonReference
outcome	Procedure.outcome
note	Procedure.note

Device Use

The MyHealthEuHdrDeviceUse model refines EHDSDeviceUse. It maps to DeviceUseStatementHdrMyHealthEu.

Logical model element	FHIR Path (R4)	Comment
device[x]	DeviceUseStatement.device	Reference to DeviceHdrMyHealthEu.
periodOfUse	DeviceUseStatement.timing[x]
bodySite	DeviceUseStatement.bodySite	Reference to BodyStructureMyHealthCore.
reason[x]	DeviceUseStatement.reasonCode; DeviceUseStatement.reasonReference
note	DeviceUseStatement.note

Medication Use

The MyHealthEuHdrMedicationUse model refines EHDSMedicationUse. It maps to MedicationRequestHdrMyHealthEu, MedicationAdministrationHdrMyHealthEu, or MedicationDispenseHdrMyHealthEu depending on context.

Logical model element	FHIR Path (R4)	Comment
medication	MedicationRequest.medication[x]; MedicationAdministration.medication[x]	Reference to MedicationHdrMyHealthEu.
treatmentStatus	MedicationStatement.status
changeType	MedicationStatement.extension:treatmentChange
reason[x]	MedicationRequest.reasonCode; MedicationRequest.reasonReference
dosageInstructions	MedicationRequest.dosageInstruction	Constrained to DosageHdrMyHealthEu.
periodOfUse	MedicationRequest.dispenseRequest.validityPeriod; MedicationAdministration.effective[x]
note	MedicationRequest.note

Care Plan

The MyHealthEuHdrCarePlan model refines EHDSCarePlan. It maps to a CarePlan resource referenced from the plan of care section.

Logical model element	FHIR Path (R4)	Comment
title	CarePlan.title
description	CarePlan.description
period	CarePlan.period
addresses[x]	CarePlan.addresses	Reference to ConditionHdrMyHealthEu.
activity[x]	CarePlan.activity
goal	CarePlan.goal

Allergy Intolerance

The MyHealthEuHdrAllergyIntolerance model refines EHDSAllergyIntolerance. It maps to an AllergyIntolerance resource referenced from the allergies section.

Logical model element	FHIR Path (R4)	Comment
agentOrAllergen	AllergyIntolerance.code
criticality	AllergyIntolerance.criticality
certainty	AllergyIntolerance.verificationStatus
onsetDate	AllergyIntolerance.onset[x]
endDate	AllergyIntolerance.extension:abatement
reaction.manifestation	AllergyIntolerance.reaction.manifestation
reaction.severity	AllergyIntolerance.reaction.severity

Alert

The MyHealthEuHdrAlert model refines EHDSAlert. It maps to a Flag resource referenced from the alerts section.

Logical model element	FHIR Path (R4)	Comment
code	Flag.code
description	Flag.code.text; Flag.text
priority	Flag.extension:flag-priority
period	Flag.period

Supporting models mapped in MyHealth@EU Core

Several referenced EHDS models are implemented through the MyHealth@EU Core IG. The mappings below cover only the elements explicitly defined in the MyHealth@EU models.

Patient

The MyHealthEuPatient model refines EHDSPatient.

Logical model element	FHIR Path (R4)	Comment
identifier	Patient.identifier
name	Patient.name	Constrained to MyHealthEuHumanName.
dateOfBirth	Patient.birthDate
administrativeGender	Patient.gender
address	Patient.address	Constrained to MyHealthEuAddress.
telecom	Patient.telecom	Constrained to MyHealthEuTelecom.

Health Professional

The MyHealthEuHealthProfessional model refines EHDSHealthProfessional.

Logical model element	FHIR Path (R4)	Comment
identifier	Practitioner.identifier; PractitionerRole.identifier
name	Practitioner.name	Constrained to MyHealthEuHumanName.
address	Practitioner.address	Constrained to MyHealthEuAddress.
telecom	Practitioner.telecom	Constrained to MyHealthEuTelecom.
professionalRole.role	PractitionerRole.code
professionalRole.organisation	PractitionerRole.organization	Reference to OrganizationMyHealthCore.
professionalRole.specialty	PractitionerRole.specialty

Organisation

The MyHealthEuOrganisation model refines EHDSOrganisation.

Logical model element	FHIR Path (R4)	Comment
identifier	Organization.identifier
name	Organization.name
address	Organization.address	Constrained to MyHealthEuAddress.

Device

The MyHealthEuDevice model refines EHDSDevice.

Logical model element	FHIR Path (R4)	Comment
name	Device.deviceName.name
modelNumber	Device.modelNumber
instanceIdentifier	Device.identifier
type	Device.type
manufacturer	Device.manufacturer