Release 5 FHIR CI-Build

This page is part of the Continuous Integration Build of FHIR Specification (v5.0.0: R5 - STU ). This is the current published version in it's permanent home (it will always (will be available incorrect/inconsistent at this URL). For a full list of available versions, see times).
See the Directory of published versions icon . Page versions: R5 R4B R4

Maturity Level : n/a
Responsible Owner: FHIR Infrastructure icon Work Group Standards Status : Informative

For many of the resources and other content defined in this specification, mappings are provided to other standards. These mappings are informative and are provided to help implementers of this specification understand the content and use it correctly.

Due to wide variation in the implementation of standards in healthcare, none of the mappings are authoritative or normative, and implementers always have to check local usage before using these mappings in production.

This table summarizes the mappings that may be provided through the specification:

Name Details
Logical Mapping Formal URL: http://hl7.org/fhir/logical

These mappings map logical models to their conceptual equivalents in FHIR. One example of their use is to map from the CDA and V2 coded data types to CodeableConcept and Coding so that the validator can validate them on a terminology server

ClinicalTrials.gov Mapping icon Formal URL: http://clinicaltrials.gov
Workflow Pattern icon Formal URL: http://hl7.org/fhir/workflow
CDISC Define XML 2.0 metadata standard icon Formal URL: http://www.cdisc.org/define-xml
FHIR Consent FiveWs Pattern Mapping icon Formal URL: http://hl7.org/fhir/consent http://hl7.org/fhir/fivews
BRIDG 5.1 Mapping to NCPDP SCRIPT 10.6 icon Formal URL: http://ncpdp.org/SCRIPT10_6 https://bridgmodel.nci.nih.gov
FiveWs Pattern IDMP Mapping icon Formal URL: http://hl7.org/fhir/fivews https://www.iso.org/obp/ui/#iso:std:iso:11615
BRIDG 5.1 Bluetooth Technology icon Formal URL: https://www.bluetooth.com
R3-ReferalRequest Mapping icon Formal URL: https://bridgmodel.nci.nih.gov http://hl7.org/fhir/rr
HL7 V2 Mapping icon Formal URL: http://hl7.org/v2
The mappings provided in this tab are indicative of how HL7 v2 fields relate to HL7 FHIR Composition attributes in this resource, but is not complete and without critical HL7 v2 context. The HL7 v2-FHIR Implementation guide, located here icon , provides additional guidance on transforming an HL7 v2 message to FHIR resources for FHIR R4 and FHIR R6.
RIM Mapping icon Formal URL: http://hl7.org/fhir/composition http://hl7.org/v3
IDMP MDMI Referent Index Mapping icon Formal URL: https://www.iso.org/obp/ui/#iso:std:iso:11615 http://github.com/MDMI/ReferentIndexContent
IHE Structured Data Capture ISBT 128 Codes icon Formal URL: http://siframework.org/ihe-sdc-profile https://www.isbt128.org/uri/
IDMP Mapping (Substance) Quality Improvement and Clinical Knowledge (QUICK) icon Formal URL: https://www.iso.org/obp/ui/#iso:std:iso:11238 http://siframework.org/cqf
Canadian Dental Pharmacy Association eclaims standard icon Formal URL: http://www.cda-adc.ca/en/services/cdanet/ http://www.pharmacists.ca/
SNOMED CT Concept Domain Binding UDI Mapping icon Formal URL: http://snomed.info/conceptdomain http://fda.gov/UDI

Concept domain bindings link UDI is a resource unique numeric or an element to alphanumeric code that consists of two parts: (1) a set device identifier (DI), a mandatory, fixed portion of SNOMED CT concepts a UDI that represent identifies the intended semantics of labeler and the instances (whether specific version or not SNOMED CT is used to encode that data element). This set model of concepts is represented using a SNOMED CT expression constraint. Note device, and (2) a production identifier (PI), a conditional, variable portion of a UDI that identifies one or more of the 'Concept domain binding' may be following when included on the label of a superset device: (2a) the lot or batch number within which a device was manufactured; (2b) the serial number of a specific device; (2c) the 'value set binding'. expiration date of a specific device; (2d) the date a specific device was manufactured; (2e) the distinct identification code required by §1271.290(c) for a human cell, tissue, or cellular and tissue-based product (HCT/P) regulated as a device.

Quality Data Model icon Formal URL: http://www.healthit.gov/quality-data-model
IHE Data Element Exchange (DEX) icon Formal URL: http://ihe.net/data-element-exchange
SNOMED CT Attribute Binding icon Formal URL: http://snomed.org/attributebinding

Attribute bindings link coded data elements in FHIR resources to a corresponding attribute in the SNOMED CT concept model. These bindings help to support:

  • Quality checking FHIR resources by ensuring that (a) clarifying the intended semantics meaning of the instances matches the valid range of data element
  • Quality checking the alignment between FHIR resource design and any corresponding SNOMED CT attribute, and (b) the intended value set is appropriate for the intended semantics of the instances concept model
  • Semantic checking Composition and decomposition of data instances by helping to detect potential inconsistencies caused by overlap between indicating the semantics incorporated in two SNOMED CT concept domains model attribute whose value may be used to decompose a precoordinated concept into this data element
R3-ReferalRequest vCard Mapping icon Formal URL: http://hl7.org/fhir/rr http://w3.org/vcard
HL7 V2 Open EHR Archetype Mapping icon Formal URL: http://hl7.org/v2 http://openehr.org
RIM Mapping ServD icon Formal URL: http://hl7.org/v3 http://www.omg.org/spec/ServD/1.0/
ISO/IEEE 11073-10207 FHIR Provenance Mapping icon Formal URL: urn:iso:std:iso:11073:10207 http://hl7.org/fhir/provenance
ISO 11179 FHIR Consent Mapping icon Formal URL: http://metadata-standards.org/11179/ http://hl7.org/fhir/consent These mappings are included to indicate where properties of the data elements defined by the FHIR specification relate to similar fields in the ISO 11179 specification.
Mapping to Quality Improvement Domain Analysis Model NCPDP SCRIPT 10.6 icon Formal URL: http://hl7.org/qidam http://ncpdp.org/SCRIPT10_6
Interface Pattern FHIR Composition icon Formal URL: http://hl7.org/fhir/interface http://hl7.org/fhir/composition
DICOM Tag Mapping IHE Structured Data Capture icon Formal URL: http://nema.org/dicom http://siframework.org/ihe-sdc-profile
MDMI Referent Index IDMP Mapping (Substance) icon Formal URL: http://github.com/MDMI/ReferentIndexContent https://www.iso.org/obp/ui/#iso:std:iso:11238
V3 Pharmacy Dispense RMIM Canadian Dental Association eclaims standard icon Formal URL: http://www.hl7.org/v3/PORX_RM020070UV http://www.cda-adc.ca/en/services/cdanet/
XDS metadata equivalent icon Formal URL: http://ihe.net/xds https://profiles.ihe.net/ITI/TF/Volume3
ISBT 128 Codes SNOMED CT Concept Domain Binding icon Formal URL: https://www.isbt128.org/uri/ http://snomed.info/conceptdomain

Concept domain bindings link a resource or an element to a set of SNOMED CT concepts that represent the intended semantics of the instances (whether or not SNOMED CT is used to encode that data element). This set of concepts is represented using a SNOMED CT expression constraint. Note that the 'Concept domain binding' may be a superset of the 'value set binding'. These bindings help to support:

  • Quality checking FHIR resources by ensuring that (a) the intended semantics of the instances matches the valid range of the corresponding SNOMED CT attribute, and (b) the intended value set is appropriate for the intended semantics of the instances
  • Semantic checking of data instances by helping to detect potential inconsistencies caused by overlap between the semantics incorporated in two concept domains
Equivalent CAP Code ISO/IEEE 11073-10207: Domain Information and Service Model for Service-Oriented Point-of-Care Medical Device Communication icon Formal URL: http://cap.org/ecc urn:iso:std:iso:11073:10207
CDA (R2) ISO 11179 icon Formal URL: http://hl7.org/v3/cda http://metadata-standards.org/11179/

These mappings are included to indicate where properties of the data elements defined by the FHIR specification relate to similar fields in the ISO 11179 specification.

Quality Improvement and Clinical Knowledge (QUICK) ISO/IEEE 11073-10206: Personal health device communication--Abstract content information model icon Formal URL: http://siframework.org/cqf urn:iso:std:iso:11073:10206
FHIR DocumentReference Mapping to Quality Improvement Domain Analysis Model icon Formal URL: http://hl7.org/fhir/documentreference http://hl7.org/qidam
ISO/IEEE 11073-10201 Interface Pattern icon Formal URL: urn:iso:std:iso:11073:10201 http://hl7.org/fhir/interface
Canadian V3 Pharmacy Association eclaims standard Dispense RMIM icon Formal URL: http://www.pharmacists.ca/ http://www.hl7.org/v3/PORX_RM020070UV
UDI DICOM Tag Mapping icon Formal URL: http://fda.gov/UDI http://nema.org/dicom
Equivalent CAP Code icon Formal URL: http://cap.org/ecc UDI is a unique numeric or alphanumeric code that consists of two parts: (1) a device identifier (DI), a mandatory, fixed portion of a UDI that identifies the labeler and the specific version or model of a device, and (2) a production identifier (PI), a conditional, variable portion of a UDI that identifies one or more of the following when included on the label of a device: (2a) the lot or batch number within which a device was manufactured; (2b) the serial number of a specific device; (2c) the expiration date of a specific device; (2d) the date a specific device was manufactured; (2e) the distinct identification code required by §1271.290(c) for a human cell, tissue, or cellular and tissue-based product (HCT/P) regulated as a device.
Quality Data Model CDA (R2) icon Formal URL: http://www.healthit.gov/quality-data-model http://hl7.org/v3/cda
FHIR AuditEvent DICOM Tag Mapping icon Formal URL: http://hl7.org/fhir/auditevent https://dicomstandard.org/current
IHE Data Element Exchange (DEX) FHIR DocumentReference icon Formal URL: http://ihe.net/data-element-exchange http://hl7.org/fhir/documentreference
SNOMED CT Attribute Binding ISO/IEEE 11073-10201: Domain Information Model icon Formal URL: http://snomed.org/attributebinding urn:iso:std:iso:11073:10201
Attribute bindings link coded data elements in FHIR resources to a corresponding attribute in the SNOMED CT concept model. These bindings help to support: clarifying the intended meaning of the data element Quality checking the alignment between FHIR resource design and any coresponding SNOMED CT concept model Composition and decomposition of data instances by indicating the SNOMED CT concept model attribute whose value may be used to decompose a precoordinated concept into this data element AuditEvent Mapping icon Formal URL: http://hl7.org/fhir/auditevent
W3C PROV icon Formal URL: http://www.w3.org/ns/prov

The provenance resource is based on known practices in the HL7 implementation space, particularly those found in the v2 EVN segment, the v3 ControlAct Wrapper, the CDA header, and IHE ATNA. The conceptual model underlying the design is the W3C provenance Specification icon . Though the content and format of the resource is designed to meet specific requirements for FHIR, all the parts of the resource are formally mapped to the PROV-O specification, and FHIR resources can be transformed to their W3C PROV equivalent.

Ontological RIM Mapping icon Formal URL: http://hl7.org/orim
LOINC code for the element icon Formal URL: http://loinc.org
vCard Mapping Formal URL: http://w3.org/vcard Open EHR Archetype Mapping Formal URL: http://openehr.org ServD Formal URL: http://www.omg.org/spec/ServD/1.0/ FHIR Provenance Mapping Formal URL: http://hl7.org/fhir/provenance iCalendar icon Formal URL: http://ietf.org/rfc/2445