MyHealth@Eu Patient Summary - Downloaded Version 1.0.0-poc See the Directory of published versions

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 EPS 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.

Patient Summary

Mapping Context

• Source logical model: MyHealthEuPatientSummaryEps
• Target FHIR profile: CompositionMyHealthEuEps; BundleMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
header.subject	Composition.subject	Reference to PatientMyHealthEuEps.

header.author[x]	Composition.author
header.version	Composition.extension:version	R5 preadoption extension for R4.
header.legalAuthenticator	Compostion.attester[legalAuthenticator]
header.date	Composition.date
header.natureOfPS	Composition.category	Distinguishes human, automated or mixed authorship.
header.relatedDocument	Composition.relatesTo	Reference to related or parent document.
alerts	Composition.section:sectionAlert	Use LOINC 104605-1.
alerts.medicalAlert	Composition.section:sectionAlert.text	Textual description of medical alerts.
allergiesAndIntolerances	Composition.section:sectionAllergies	Mandatory slice. Use LOINC 48765-2.
allergiesAndIntolerances.allergyIntolerance	Composition.section:sectionAllergies.entry:allergyOrIntolerance	Reference to AllergyIntoleranceMyHealthEuEps.
problems	Composition.section:sectionProblems	Mandatory slice. Use LOINC 11450-4.
problems.problem	Composition.section:sectionProblems.entry:problem	Reference to ConditionMyHealthEuEps.
medicationSummary	Composition.section:sectionMedications	Mandatory slice. Use LOINC 10160-0.
medicationSummary.medicationUse	Composition.section:sectionMedications.entry:medicationStatementOrRequest	Reference to MedicationStatementMyHealthEuEps.
medicalDevicesAndImplants	Composition.section:sectionMedicalDevices	Mandatory slice. Use LOINC 46264-8.
medicalDevicesAndImplants.deviceUse	Composition.section:sectionMedicalDevices.entry:deviceStatement	Reference to DeviceUseStatementMyHealthEuEps.
procedures	Composition.section:sectionProceduresHx	Mandatory slice. Use LOINC 47519-4.
procedures.procedure	Composition.section:sectionProceduresHx.entry:procedure	Reference to ProcedureMyHealthEuEps.
immunisations	Composition.section:sectionImmunizations	Use LOINC 11369-6.
immunisations.immunisation	Composition.section:sectionImmunizations.entry:immunization	Reference to ImmunizationMyHealthEuEps.
functionalStatus	Composition.section:sectionFunctionalStatus	Use LOINC 47420-5.
functionalStatus.generatedNarrative	Composition.section:sectionFunctionalStatus.text
functionalStatus.assessment	Composition.section:sectionFunctionalStatus.entry	Reference to ObservationVitalSignsMyHealthEuEps or similar.
functionalStatus.condition	Composition.section:sectionFunctionalStatus.entry	Reference to ConditionMyHealthEuEps.
socialHistory	Composition.section:sectionSocialHistory
socialHistory.observation	Composition.section:sectionSocialHistory.entry	Reference to ObservationAlcoholUseMyHealthEuEps or ObservationTobaccoUseMyHealthEuEps.
pregnancyHistory	Composition.section:sectionPregnancyHx	Use LOINC 10162-6.
pregnancyHistory.currentPregnancyStatus	Composition.section:sectionPregnancyHx.entry:pregnancyStatus	Reference to ObservationPregnancyStatusMyHealthEuEps.
pregnancyHistory.previousPregnancies	Composition.section:sectionPregnancyHx.entry:pregnancyOutcome	Reference to ObservationPregnancyOutcomeMyHealthEuEps.
travelHistory	Composition.section:sectionTravelHx	Use LOINC 10182-4.
travelHistory.travelHistory	Composition.section:sectionTravelHx.entry:travelHistory	Reference to ObservationTravelHistoryMyHealthEuEps.
advanceDirectives	Composition.section:sectionAdvanceDirectives	Use LOINC 42348-3.
advanceDirectives.advanceDirective	Composition.section:sectionAdvanceDirectives.entry:advanceDirective	Reference to AdvanceDirectiveMyHealthEuEps.
observationResults	Composition.section:sectionResults	When the result is a diagnostic result.
observationResults	Composition.section:sectionVitalSigns	When the result is a vital sign.
observationResults.result	Composition.section:sectionResults.entry	Reference to MedicalTestResultMyHealthCore or DiagnosticReportMyHealthEuEps.
observationResults.result	Composition.section:sectionVitalSigns.entry:vitalSign	Reference to ObservationVitalSignsMyHealthEuEps.
carePlans	Composition.section:sectionPlanOfCare
carePlans.carePlan	Composition.section:sectionPlanOfCare.entry	Reference to CarePlan.

Allergy Intolerance

Mapping Context

• Source logical model: MyHealthEuAllergyIntoleranceEps
• Target FHIR profile: AllergyIntoleranceMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
header.status	AllergyIntolerance.clinicalStatus
agentOrAllergen	AllergyIntolerance.code	Bound to EHDSIAllergenWithExceptions (required).
type	AllergyIntolerance.type	Type of propensity (allergy or intolerance).
note	AllergyIntolerance.note
criticality	AllergyIntolerance.criticality
certainty	AllergyIntolerance.verificationStatus
onsetDate	AllergyIntolerance.onset[x]
endDate	AllergyIntolerance.extension:abatement
reaction	AllergyIntolerance.reaction
reaction.agentOrAllergen	AllergyIntolerance.reaction.substance	Bound to EHDSIAllergenSubstanceWithExceptions.
reaction.manifestation	AllergyIntolerance.reaction.manifestation	Bound to EHDSIAllergyReactionWithExceptions.
reaction.severity	AllergyIntolerance.reaction.severity
reaction.onset	AllergyIntolerance.reaction.onset

Condition

Mapping Context

• Source logical model: MyHealthEuCondition
• Target FHIR profile: ConditionMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
header.status	Condition.clinicalStatus
problem	Condition.code	Bound to EHDSIProblemWithExceptions (required).
onsetDate	Condition.onset[x]
endDate	Condition.abatement[x]
resolutionCircumstances	Condition.note
category	Condition.category
diagnosisAssertionStatus	Condition.verificationStatus
specialistContact	Condition.extension	Reference to PractitionerRoleMyHealthEuEps or PractitionerMyHealthEuEps.
externalResource	Condition.extension	Link to external resource (e.g. rare disease guideline).

Functional Status Condition

Mapping Context

• Source logical model: MyHealthEuFunctionalStatusConditionEps
• Target FHIR profile: ConditionMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
problem	Condition.code	Bound to EHDSIProblemWithExceptions (required).
onsetDate	Condition.onset[x]
specialistContact	Condition.extension	Reference to PractitionerRoleMyHealthEuEps.

Medication Statement

Mapping Context

• Source logical model: MyHealthEuMedicationStatementEps
• Target FHIR profile: MedicationStatementMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
treatmentStatus	MedicationStatement.extension:adherence.extension:code	R5 preadoption extension.
medication	MedicationStatement.medication[x]	Reference to MedicationMyHealthEuEps.
periodOfUse	MedicationStatement.effective[x]:effectivePeriod
reason[x]	MedicationStatement.reasonCode
dosageInstructions	MedicationStatement.dosage	See Dosage mapping section below.
dosage.route	MedicationStatement.dosage.route	Bound to eHDSIRouteofAdministration (extensible).

Dosage

Mapping Context

• Source logical model: MyHealthEuDosageEps
• Target FHIR profile: MedicationStatementMyHealthEuEps (dosage)

Logical model element	FHIR Path (R4)	Comment
dosageDetails	MedicationStatement.Dosage	One Dosage entry per dosage step.
dosageDetails.doseAndRate	MedicationStatement.Dosage.doseAndRate
dosageDetails.repeat	MedicationStatement.Dosage.timing.repeat
dosageDetails.repeat.bounds	MedicationStatement.Dosage.timing.repeat.bounds[x]
dosageDetails.repeat.duration	MedicationStatement.Dosage.timing.repeat.duration; Dosage.timing.repeat.durationUnit
dosageDetails.repeat.frequency	MedicationStatement.Dosage.timing.repeat.frequency; Dosage.timing.repeat.period; Dosage.timing.repeat.periodUnit
dosageDetails.repeat.eventTime	MedicationStatement.Dosage.timing.repeat.when
dosageDetails.routeOfAdministration	MedicationStatement.Dosage.route	Bound to eHDSIRouteofAdministration (extensible).

Device

Mapping Context

• Source logical model: MyHealthEuDeviceEps
• Target FHIR profile: DeviceMyHealthEuEps

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

Device Use

Mapping Context

• Source logical model: MyHealthEuDeviceUseEps
• Target FHIR profile: DeviceUseStatementMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
device[x]	DeviceUseStatement.device	Reference to DeviceMyHealthEuEps.
periodOfUse	DeviceUseStatement.timing[x]:timingPeriod

Procedure

Mapping Context

• Source logical model: MyHealthEuProcedure
• Target FHIR profile: ProcedureMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
code	Procedure.code	Bound to EHDSIProcedureWithExceptions (extensible).
procedureDate[x]	Procedure.performed[x]
bodySite	Procedure.bodySite	Bound to EHDSIBodySiteWithExceptions.
focalDevice	Procedure.focalDevice.manipulated

Immunisation

Mapping Context

• Source logical model: MyHealthEuImmunisationEps
• Target FHIR profile: ImmunizationMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
header.subject	Immunization.patient	Reference to PatientMyHealthEuEps.
diseaseOrAgentTargeted	Immunization.protocolApplied.targetDisease	Bound to EHDSIIllnessandDisorderWithExceptions (extensible).
vaccine	Immunization.vaccineCode	Bound to EHDSIVaccineWithExceptions (extensible).
administeredProduct	Immunization.extension:administeredProduct	R5 preadoption extension.
administrationTime	Immunization.occurrence[x]
doseNumber	Immunization.protocolApplied.doseNumber[x]
administeringCentre	Immunization.performer[administeringCentreOrHp].actor	Reference to OrganizationMyHealthEuEps.
administrator	Immunization.performer[administeringCentreOrHp].actor	Reference to PractitionerRoleMyHealthEuEps or PractitionerMyHealthEuEps.
countryOfVaccination	Immunization.performer[administeringCentreOrHp].actor.address.country	Country where vaccination was performed.
note	Immunization.note

Observation (Social History, Vital Signs, Functional Status)

Mapping Context

• Source logical model: MyHealthEuObservationEps
• Target FHIR profiles: ObservationVitalSignsMyHealthEuEps; ObservationAlcoholUseMyHealthEuEps; ObservationTobaccoUseMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
type	Observation.code	Bound to EHDSIVitalSignAnthropometricCodeWithExceptions or eHDSISocialHistory depending on context.
observationDate[x]	Observation.effective[x]
result	Observation.value[x]
specimen	Observation.specimen
bodySite	Observation.bodySite	Bound to EHDSIBodySiteWithExceptions.
note	Observation.note
performer[x]	Observation.performer

Current Pregnancy

Mapping Context

• Source logical model: MyHealthEuCurrentPregnancyEps
• Target FHIR profiles: ObservationPregnancyStatusMyHealthEuEps; ObservationPregnancyEddMyHealthEuEps; ObservationPregnancyGestationalAgeMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
currentPregnancyStatus	Observation.valueCodeableConcept	In ObservationPregnancyStatusMyHealthEuEps.
dateOfStatus	Observation.effectiveDateTime	In ObservationPregnancyStatusMyHealthEuEps.
expectedDateOfDelivery	Observation.valueDateTime	In ObservationPregnancyEddMyHealthEuEps, linked via hasMember.
gestationalAge	Observation.valueQuantity	In ObservationPregnancyGestationalAgeMyHealthEuEps.

Pregnancy History

Mapping Context

• Source logical model: MyHealthEuPregnancyHistoryEps
• Target FHIR profile: ObservationPregnancyOutcomeMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
header.status	Observation.status
endDate	Observation.effective[x]
outcome	Observation.code	Use a code from the pregnancy outcome value set.
numberOfFetuses	Observation.valueQuantity
note	Observation.note

Travel History

Mapping Context

• Source logical model: MyHealthEuTravelHistoryEps
• Target FHIR profile: ObservationTravelHistoryMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
country	Observation.valueCodeableConcept	Bound to ISO 3166-1-2 (required).
period	Observation.effectivePeriod

Advance Directive

Mapping Context

• Source logical model: MyHealthEuAdvanceDirectiveEps
• Target FHIR profile: AdvanceDirectiveMyHealthEuEps

Logical model element	FHIR Path (R4)	Comment
attachment	Consent.sourceAttachment	May also be a DocumentReference in source[x].

Care Plan

Mapping Context

• Source logical model: MyHealthEuCarePlanEps
• Target FHIR profile: CarePlan

Logical model element	FHIR Path (R4)	Comment
description	CarePlan.description

Supporting models mapped in MyHealth@EU Core IG

Several referenced models are implemented through the MyHealth@EU Core IG. The entries below link to existing mapping pages for those profiles.

MyHealth@EU Logical Model	FHIR Profile	Mapping Details
MyHealthEuPatient	PatientMyHealthEuEps	MyHealthEuPatient Mapping
MyHealthEuHealthProfessional	PractitionerRoleMyHealthEuEps, PractitionerMyHealthEuEps	MyHealthEuHealthProfessional Mapping
MyHealthEuOrganisation	OrganizationMyHealthEuEps	MyHealthEuOrganisation Mapping