HL7 Europe Base and Core FHIR IG
2.0.0-ballot - ballot 150

HL7 Europe Base and Core FHIR IG - Downloaded Version 2.0.0-ballot See the Directory of published versions

## EHDSDocument to FHIR DiagnosticReport Mapping

EHDSDocument ↔ DiagnosticReport
Ongoing alignment: The Xt-EHR logical models are under active revision and continuous refinement. Updates from Xt-EHR will be progressively incorporated into this Implementation Guide to maintain alignment with the evolving EHDS specifications.
Yellow row/cells: In this ballot publication, some row/cells of the mapping table have been left in yellow to indicate areas requiring further review or refinement; including feedback from the Xt-EHR joint action (see note above). These highlights will be addressed in subsequent updates to ensure accuracy and completeness of the mappings.

### EHDSDocument ↔ DiagnosticReport

This page explains how conceptual elements from the EHDS logical model are expressed in the corresponding FHIR DiagnosticReportEuCore profile used by this Implementation Guide.

Mapping Context

- Source logical model: EHDSDocument
- Target FHIR profile: DiagnosticReportEuCore

EHDSDocument ↔ DiagnosticReport
EHDSDocument (Logical Model) | Relationship | DiagnosticReport
--- | --- | ---
Element | Description | Relation | Resource | Element | Description | Notes
header | Document header elements. | related-to | DiagnosticReport | . | General metadata. | Dataset-level information across the DiagnosticReport instance. Category (classCode) is missing ?
header.subject | Patient/subject information. | equivalent | DiagnosticReport | subject | Who or what the report is about. | Reference to Patient.
header.identifier | Unique identifier of the document. | equivalent | DiagnosticReport | identifier | Version-independent identifier for the DiagnosticReport | Multiple identifiers allowed; DiagnosticReport R4 allows 0..1, R5 0..*. `setId` in HL7 CDA
header.identifier | Unique identifier of the document. | equivalent | Bundle | identifier | Persistent identifier for the bundle | Identifier of a specifc version of this document. `id` in HL7 CDA
header.authorship | Resource authoring details. | related-to | DiagnosticReport | . |  | see sub elements
header.authorship.author[x] | Author(s) who authored the resource. | no-map | DiagnosticReport |  |  | The report author is captured in the composition.
header.authorship.datetime | Date and time of authoring/issuing. | equivalent | DiagnosticReport | issued | DateTime this version was made |
header.lastUpdate | Date/time of last technical update. | equivalent | DiagnosticReport | meta.lastUpdated | System-level modification time. | The map applies only in case it represents when the resource was last updated. It is an Instant (i.e. YYYY-MM-DDThh:mm:ss.sss+zz:zz )
header.status | Status of the resource or document. | equivalent | DiagnosticReport | status | The workflow/clinical status of this report |
header.statusReason[x] | Reason for the current status. | no-map | DiagnosticReport |  |  | No native element
header.language | Language of the resource (IETF BCP-47). | equivalent | DiagnosticReport | language | Language of the narrative. |
header.documentType | Type of document (e.g., LOINC 60591-5). | equivalent | DiagnosticReport | code | Kind of report (LOINC preferred). |
header.documentTitle | Human readable document title. | no-map | DiagnosticReport |  |  |
header.period | Time of service being documented. | related-to | DiagnosticReport | effectivePeriod | Clinically relevant time/time-period for report |
header.version | Business version of the document. | no-map | DiagnosticReport |  |  |
header.attestation | Document attestation details. | no-map | DiagnosticReport |  |  |
header.legalAuthentication | Document legal authentication details. | no-map | DiagnosticReport |  |  |
header.eventType | Categorisation of the event covered by the document. | relatedTo | DiagnosticReport | category | Service category | Clarify the scope. If it is a classification of the report it should be category
header.serviceSpecialty | Details about where the content was created (clinical specialty). | source-is-narrower-than-target | DiagnosticReport | category | Categorizes the report. | Use category to tag specialty if no dedicated extension/profile element exists. Is this a metadata information or something that have to be captured in the document ? in this case we can use DiagnosticReport.category
header.custodian | Organisation maintaining the document/report. | no-map | DiagnosticReport |  |  |
header.confidentiality | Level of confidentiality (implicit normal). | no-map | DiagnosticReport |  |  |
presentedForm | Narrative easy-to-read representation (e.g., PDF). | equivalent | DiagnosticReport | presentedForm | Entire report as issued | To be determined

Return to overview: EHDS Logical Models ↔ FHIR Profiles