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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 Prescription and Medication 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.

Medication Prescription

The MyHealthEuPrescription model refines EHDSMedicationPrescription. The prescription maps primarily to MedicationRequestMyHealthEuEpd. The prescribed medication is represented using MedicationMyHealthEuEpd.

EHDS Medication Prescription allows multiple prescribed items on one prescription. In such cases, the prescription identifier may be represented using MedicationRequest.groupIdentifier, and one MedicationRequest instance represents each prescribed item.

Logical model element	FHIR Path (R4)	Comment
header.identifier	MedicationRequest.identifier; MedicationRequest.groupIdentifier	Use groupIdentifier when several prescribed items belong to the same prescription.
header.author[x]	MedicationRequest.requester	Reference to PractitionerRoleMyHealthCore.
header.date	MedicationRequest.authoredOn
prescriptionItem	MedicationRequest	One MedicationRequest represents one prescribed item.
prescriptionItem.identifier	MedicationRequest.identifier
prescriptionItem.validityPeriod	MedicationRequest.dispenseRequest.validityPeriod
prescriptionItem.substitution	MedicationRequest.substitution
prescriptionItem.dosageInstructions	MedicationRequest.dosageInstruction	Constrained by the dosage mappings below.
prescriptionItem.note	MedicationRequest.note
prescriptionItem.medication	MedicationRequest.medication[x]	Reference to MedicationMyHealthEuEpd.
prescriptionItem.quantityPrescribed	MedicationRequest.dispenseRequest.extension:prescribedQuantity
prescriptionItem.treatmentPeriod	MedicationRequest.extension:effectiveDosePeriod	R5 preadoption extension.
prescriptionItem.renderedDosageInstruction	MedicationRequest.extension:renderedDosageInstruction	R5 preadoption extension.

Medication

The MyHealthEuMedication model refines EHDSMedication. It maps to MedicationMyHealthEuEpd.

Logical model element	FHIR Path (R4)	Comment
identifyingCode[x]	Medication.code; Medication.identifier
productName	Medication.extension:productName
classification	Medication.extension:classification
marketingAuthorisationHolder	Medication.manufacturer	Reference to OrganizationMyHealthCore where available.
item	Medication	FHIR R4 Medication represents both the medicinal product and its package/item details.
item.ingredient	Medication.ingredient
item.ingredient.isActive	Medication.ingredient.isActive
item.ingredient.substance	Medication.ingredient.itemCodeableConcept; Medication.ingredient.itemReference
item.ingredient.strengthInfo	Medication.ingredient.strength
item.ingredient.strengthInfo.strength	Medication.ingredient.strengthRatio
item.doseForm	Medication.form
item.containedQuantity	Medication.extension:sizeOfItem
item.amount	Medication.amount
item.packageType	Medication.extension:packageType

Dosaging

The MyHealthEuDosaging model refines EHDSDosage. It maps to the MedicationRequest.dosageInstruction and MedicationDispense.dosageInstruction elements.

Logical model element	FHIR Path (R4)	Comment
dosageDetails	Dosage
dosageDetails.note	Dosage.text; Dosage.patientInstruction	Used for free-text instructions to the patient or dispenser.
dosageDetails.doseAndRate	Dosage.doseAndRate
dosageDetails.repeat.frequency	Dosage.timing.repeat.frequency; Dosage.timing.repeat.frequencyMax; Dosage.timing.repeat.period; Dosage.timing.repeat.periodUnit
dosageDetails.repeat.eventTime	Dosage.timing.repeat.when; Dosage.timing.repeat.offset; Dosage.timing.repeat.timeOfDay
dosageDetails.repeat.bounds.duration	Dosage.timing.repeat.boundsDuration
dosageDetails.routeOfAdministration	Dosage.route

Medication Dispense

The MyHealthEuMedicationDispense model refines EHDSMedicationDispense. It maps to MedicationDispenseMyHealthEuEpd. The dispensed medication is represented using MedicationMyHealthEuEpd.

Logical model element	FHIR Path (R4)	Comment
header.identifier	MedicationDispense.identifier
header.date	MedicationDispense.whenHandedOver	May also be represented as the recorded event time where supported by the implementation context.
relatedRequest	MedicationDispense.authorizingPrescription	Reference to MedicationRequestMyHealthEuEpd.
medication	MedicationDispense.medicationReference	Reference to MedicationMyHealthEuEpd.
dispensedQuantity	MedicationDispense.quantity
timeOfDispensation	MedicationDispense.whenHandedOver
substitutionOccurred	MedicationDispense.substitution.wasSubstituted
dosageInstructions	MedicationDispense.dosageInstruction	Constrained by the dosage mappings above.
renderedDosageInstruction	MedicationDispense.extension:renderedDosageInstruction	R5 preadoption extension.

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

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	PractitionerRole
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.