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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 Laboratory 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.

Laboratory Report

The MyHealthEuLabReport model refines EHDSLaboratoryReport. The report maps to multiple FHIR resources: BundleLabReportMyHealthEu, CompositionLabReportMyHealthEu, DiagnosticReportLabMyHealthEu, and ServiceRequestLabMyHealthEu.

Logical model element	FHIR Path (R4)	Comment
header.subject	Composition.subject; DiagnosticReport.subject	Reference to PatientMyHealthCore.
header.identifier	Composition.identifier; DiagnosticReport.identifier; Bundle.identifier
header.documentType	Composition.type; DiagnosticReport.code
header.documentTitle	Composition.title
header.status	DiagnosticReport.status	Composition and DiagnosticReport status are expected to be aligned.
header.date	Composition.date
header.language	Composition.language
header.version	Composition.extension:versionNumber
header.custodian	Composition.custodian	Reference to OrganizationMyHealthCore.
header.eventType	Composition.category[studyType]
header.author[x]	Composition.author	Reference to PractitionerRoleMyHealthCore, OrganizationMyHealthCore, or DeviceMeasuringMyHealthEu.
header.attestation.attester[x]	Composition.attester.party
header.attestation.datetime	Composition.attester.time
header.legalAuthentication.legalAuthenticator[x]	Composition.attester.party	May require attester mode constraints.
header.legalAuthentication.datetime	Composition.attester.time
intendedRecipient[x]	Composition.extension:information-recipient
body.orderInformation	ServiceRequest	ServiceRequest referred in DiagnosticReport.basedOn.
body.supportingInformation.sexForClinicalUse	ServiceRequest.supportingInfo	Extension patient-sexParameterForClinicalUse.
body.specimen	DiagnosticReport.specimen	Reference to SpecimenMyHealthEu.
body.resultData.commentsInterpretationAndRecommendations	Composition.section[annotations].text; DiagnosticReport.conclusion
body.resultData.laboratoryTestResults	DiagnosticReport.result; Composition.section.entry	Reference to ObservationResultsLaboratoryMyHealthEu.
presentedForm	DiagnosticReport.presentedForm
attachments	DiagnosticReport.media.link

Laboratory Observation

The MyHealthEuLabObservation model refines EHDSLaboratoryObservation. It maps to ObservationResultsLaboratoryMyHealthEu.

Logical model element	FHIR Path (R4)	Comment
type	Observation.code
originalName	Observation.code.text
method	Observation.method
order	Observation.basedOn	Reference to ServiceRequestLabMyHealthEu.
specimen	Observation.specimen	Reference to SpecimenMyHealthEu.
performer[x]	Observation.performer
observationDate[x]	Observation.effective[x]
result.value[x]	Observation.value[x]
interpretation	Observation.interpretation
referenceRange	Observation.referenceRange
component.result.value[x]	Observation.component.value[x]
component.referenceRange	Observation.component.referenceRange
component.interpretation	Observation.component.interpretation
note	Observation.note
accreditationStatus	Organization.extension:qualification	On Observation.performer (Organization). Preadopted from R5.
testKit	Observation.device	Reference to DeviceMeasuringMyHealthEu.
calibrator	Observation.extension:certifiedRefMaterialCodeable; Observation.extension:certifiedRefMaterialIdentifier

Service Request

The MyHealthEuLabServiceRequest model refines EHDSServiceRequest. It maps to ServiceRequestLabMyHealthEu.

Logical model element	FHIR Path (R4)	Comment
header.identifier	ServiceRequest.identifier
header.date	ServiceRequest.authoredOn
header.author[x]	ServiceRequest.requester	Reference to PractitionerMyHealthCore, PractitionerRoleMyHealthCore, OrganizationMyHealthCore, or Device.
reason[x]	ServiceRequest.reasonCode; ServiceRequest.reasonReference

Specimen

The MyHealthEuLabSpecimen model refines EHDSSpecimen. It maps to SpecimenMyHealthEu.

Logical model element	FHIR Path (R4)	Comment
identifier	Specimen.identifier
type	Specimen.type
specimenSource[x]	Specimen.subject	Reference to PatientMyHealthCore or DeviceSpecimenMyHealthEu.
collection.collected[x]	Specimen.collection.collected[x]
collection.method	Specimen.collection.method
collection.device	Specimen.collection.extension:device	R5 preadoption extension.
collection.bodySite	Specimen.collection.extension:bodySite	Reference to BodyStructureMyHealthCore.
receivedDate	Specimen.receivedTime

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.

Human Name

The MyHealthEuHumanName model refines EHDSHumanName.

Logical model element	FHIR Path (R4)	Comment
family	HumanName.family
given	HumanName.given

Address

The MyHealthEuAddress model refines EHDSAddress.

Logical model element	FHIR Path (R4)	Comment
street	Address.line.extension:streetName	iso21090-ADXP-streetName extension.
houseNumber	Address.line.extension:houseNumber	iso21090-ADXP-houseNumber extension.
city	Address.city
postalCode	Address.postalCode
country	Address.country

Telecom

The MyHealthEuTelecom model refines EHDSTelecom.

Logical model element	FHIR Path (R4)	Comment
type	ContactPoint.system
value	ContactPoint.value

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

Body Structure

The MyHealthEuBodyStructure model refines EHDSBodyStructure.

Logical model element	FHIR Path (R4)	Comment
morphology	BodyStructure.morphology
location	BodyStructure.location
locationQualifier	BodyStructure.locationQualifier
laterality	BodyStructure.extension:laterality	R5 preadoption extension.