This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Mappings for the ch-emed-epr-composition-medicationcard resource profile.
| CHEMEDEPRCompositionMedicationCard |
| Composition | Entity. Role, or Act, Document[classCode="DOC" and moodCode="EVN" and isNormalAct()] |
| meta | |
| id | n/a |
| text | Act.text? |
| contained | N/A |
| identifier | Document.id / Document.setId |
| id | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| status | interim: .completionCode="IN" & ./statusCode[isNormalDatatype()]="active"; final: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and not(./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct()]); amended: .completionCode="AU" && ./statusCode[isNormalDatatype()]="complete" and ./inboundRelationship[typeCode="SUBJ" and isNormalActRelationship()]/source[subsumesCode("ActClass#CACT") and moodCode="EVN" and domainMember("ReviseComposition", code) and isNormalAct() and statusCode="completed"]; withdrawn : .completionCode=NI && ./statusCode[isNormalDatatype()]="obsolete" |
| type | ./code |
| id | n/a |
| coding | union(., ./translation) |
| id | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| text | ./originalText[mediaType/code="text/plain"]/data |
| category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code |
| subject | .participation[typeCode="SBJ"].role[typeCode="PAT"] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| encounter | unique(highest(./outboundRelationship[typeCode="SUBJ" and isNormalActRelationship()], priorityNumber)/target[moodCode="EVN" and classCode=("ENC", "PCPR") and isNormalAct]) |
| date | .effectiveTime[type="TS"] |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| title | ./title |
| confidentiality | .confidentialityCode |
| extension | |
| extension (confidentialityCode) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| value[x] (valueCodeableConcept) | N/A |
| id | n/a |
| coding | union(., ./translation) |
| id | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| text | ./originalText[mediaType/code="text/plain"]/data |
| attester | .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| mode | unique(./modeCode) |
| time | ./time[type="TS" and isNormalDatatype()] |
| party | ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| attester (legalAuthenticator) | .participation[typeCode="AUTHEN"].role[classCode="ASSIGNED"] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| mode | unique(./modeCode) |
| time | ./time[type="TS" and isNormalDatatype()] |
| party | ./role[classCode="ASSIGNED" and isNormalRole]/player[determinerCode="INST" and classCode=("DEV", "PSN") and isNormalEntity()] or ./role[classCode="ASSIGNED" and isNormalRole and not(player)]/scoper[determinerCode="INST" and classCode="ORG" and isNormalEntity()] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| custodian | .participation[typeCode="RCV"].role[classCode="CUST"].scoper[classCode="ORG" and determinerCode="INST"] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| relatesTo | .outboundRelationship |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| code | .outboundRelationship.typeCode |
| target[x] | .target[classCode="DOC", moodCode="EVN"].id |
| event | outboundRelationship[typeCode="SUBJ"].target[classCode<'ACT'] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| code | .code |
| period | .effectiveTime |
| detail | .outboundRelationship[typeCode="SUBJ"].target |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| title | ./title |
| code | ./code |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| section (originalRepresentation) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| title | ./title |
| code | ./code |
| id | n/a |
| coding | union(., ./translation) |
| id | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| text | ./originalText[mediaType/code="text/plain"]/data |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section (card) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| title | ./title |
| code | ./code |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section (annotation) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| title | ./title |
| code | ./code |
| id | n/a |
| coding | union(., ./translation) |
| id | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| text | ./originalText[mediaType/code="text/plain"]/data |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section (vitalSigns) | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| id | n/a |
| extension | n/a |
| title | ./title |
| code | ./code |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| text | ./originalText[mediaType/code="text/plain"]/data |
| author | .participation[typeCode="AUT"].role[classCode="ASSIGNED"] |
| text | .text |
| mode | .outBoundRelationship[typeCode=COMP].target[classCode=OBS"].value |
| orderedBy | .outboundRelationship[typeCode=COMP].sequenceNumber > 1 |
| entry | .outboundRelationship[typeCode=COMP] or .participation[typeCode=SBJ] |
| emptyReason | .inboundRelationship[typeCode=SUBJ,code<ListEmptyReason].value[type=CD] |
| section | ./outboundRelationship[typeCode="COMP" and isNormalActRelationship()]/target[moodCode="EVN" and classCode="DOCSECT" and isNormalAct] |
| CHEMEDEPRCompositionMedicationCard |
| Composition | ClinicalDocument |
| identifier | .setId |
| status | n/a |
| type | .code |
| category | n/a |
| subject | .recordTarget |
| encounter | .componentOf.encompassingEncounter |
| date | .effectiveTime |
| author | .author.assignedAuthor |
| title | .title |
| confidentiality | .confidentialityCode |
| attester | .authenticator/.legalAuthenticator |
| mode | implied by .authenticator/.legalAuthenticator |
| time | .authenticator.time |
| party | .authenticator.assignedEnttty |
| attester (legalAuthenticator) | .authenticator/.legalAuthenticator |
| mode | implied by .authenticator/.legalAuthenticator |
| time | .authenticator.time |
| party | .authenticator.assignedEnttty |
| custodian | .custodian.assignedCustodian |
| relatesTo | .relatedDocument |
| code | .relatedDocument.typeCode |
| target[x] | .relatedDocument.id |
| event | .documentationOf.serviceEvent |
| code | .code |
| period | .effectiveTime |
| detail | n/a |
| section | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| emptyReason | n/a |
| section | .component.section |
| section (originalRepresentation) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| emptyReason | n/a |
| section (card) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| emptyReason | n/a |
| section (annotation) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| emptyReason | n/a |
| section (vitalSigns) | .component.structuredBody.component.section |
| title | .title |
| code | .code |
| author | .author.assignedAuthor |
| focus | .subject? (CDA did not differentiate between subject and focus) |
| text | .text |
| mode | n/a |
| orderedBy | n/a |
| entry | .entry |
| emptyReason | n/a |
| section | .component.section |
| CHEMEDEPRCompositionMedicationCard |
| Composition | when described by DocumentReference |
| identifier | DocumentReference.masterIdentifier |
| status | DocumentReference.status |
| type | DocumentReference.type |
| category | DocumenttReference.category |
| subject | DocumentReference.subject |
| encounter | DocumentReference.context.encounter |
| date | DocumentReference.content.attachment.date, DocumentReference.created |
| author | DocumentReference.agent |
| title | DocumentReference.description, DocumentReference.content.attachment.title |
| confidentiality | DocumentReference.securityLabel |
| attester | DocumentReference.authenticator |
| attester (legalAuthenticator) | DocumentReference.authenticator |
| custodian | DocumentReference.custodian |
| relatesTo | DocumentReference.relatesTo |
| code | DocumentReference.relatesTo.code |
| target[x] | DocumentReference.relatesTo.target |
| event | DocumentReference.event |
| code | DocumentReference.event.code |
| period | DocumentReference.event.period |
