Healthcare Data Exchange Field Mapping Document

Project Overview

Project Name
Owner
Date
Description

Source System Details

Source System Name
System Contact
Data Format (e.g. HL7, FHIR, CSV)

Target System Details

Target System Name
System Contact
Data Format (e.g. HL7, FHIR, CSV)

Field Mapping

Source Field Name	Source Data Type	Source Description	Target Field Name	Target Data Type	Target Description	Transformation / Mapping Rules	Required	Notes

Assumptions & Constraints

Description

Approval

Name	Role	Date	Signature