Details
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Change Request
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Resolution: Persuasive
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Highest
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US C-CDA on FHIR (FHIR)
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1.2.0-ballot
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Cross-Group Projects
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STU
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CF-medication
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C-CDA to FHIR Medications
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Jay Lyle/John D'Amore: 16-0-6
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Enhancement
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Non-substantive
Description
There is no guidance on mapping medication frequency (the effectiveTime[@operator='A'] element in CDA). This is a key part of discrete medications and needs to be handled when converting CDA to FHIR.
Not to design the entire thing here, but some things it needs to address:
- EIVL_TS times need to populate `when` and `offset` (or possibly dayOfWeek and timeOfDay)
- PIVL_TS should populate frequency/period/periodUnit (and potentially frequencyMax / periodMax if a range is given) depending on value and @institutionSpecified
This is another area where additional intelligence beyond a table-map is needed, since there can be different interpretations depending on the value.
The C-CDA examples task force put together a list of common frequencies that shows different variations that mean the same thing. Often times the value in CDA may be a decimal, but if it corresponds to a FHIR period, then it must be converted to a different unit.
For example, bid could be represented as 0.5 d or 12 h (with institutionSpecified=true), but both should be converted to a FHIR timing of frequency: 2, periodUnit = day.
Meanwhile if institutionSpecified = false, that frequency (aka Q12H) should be represented as frequency: 1, period: 12, periodUnit = hour.
Attachments
Issue Links
- is voted on by
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BALLOT-49300 Negative - Benjamin Flessner : 2023-May-FHIR IG CCDA R1 STU
- Withdrawn
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BALLOT-49395 Negative - Gay Dolin : 2023-May-FHIR IG CCDA R1 STU
- Withdrawn
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BALLOT-49472 Negative - Mike Paetz : 2023-May-FHIR IG CCDA R1 STU
- Balloted
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BALLOT-49523 Negative - Nick Hatt : 2023-May-FHIR IG CCDA R1 STU
- Balloted
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BALLOT-49583 Negative - Matthew Moore : 2023-May-FHIR IG CCDA R1 STU
- Balloted
- relates to
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FHIR-40832 C-CDA -> FHIR Medications: Need clarity on duration vs. frequency effectiveTimes
- Published