US Core Implementation Guide (Release 1.1.0 Ballot )

This page is part of the US Core (v1.1.0: STU2 Ballot) based on FHIR (HL7® FHIR® Standard) R3. The current version which supersedes this version is 8.0.0. For a full list of available versions, see the Directory of published versions

D.4.1.4 StructureDefinition: US Core DiagnosticReport Profile - Mappings

Mappings for the StructureDefinition-us-core-diagnosticreport Profile.

Mappings for Argonaut-DQ-DSTU2 (http://unknown.org/Argonaut-DQ-DSTU2)

US Core DiagnosticReport Profile
DiagnosticReportDiagnosticReport
   statusDiagnosticReport.status
   categoryDiagnosticReport.category
   codeDiagnosticReport.code
   subjectDiagnosticReport.subject
   effective[x]DiagnosticReport.effective[x]
   issuedDiagnosticReport.issued
   performerNA (new element in STU3)
      actorDiagnosticReport.performer
   resultDiagnosticReport.result
   imageDiagnosticReport.image
   presentedFormDiagnosticReport.presentedForm

Mappings for Workflow Mapping (http://hl7.org/fhir/workflow)

US Core DiagnosticReport Profile
DiagnosticReportEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   contextEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer
      roleEvent.performer.role
      actorEvent.performer.actor

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

US Core DiagnosticReport Profile
DiagnosticReportORU -> OBR
   identifierOBR-51
   basedOnORC? OBR-2/3?
   statusOBR-25 (not 1:1 mapping)
   categoryOBR-24
   codeOBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
   subjectPID-3 (no HL7 v2 mapping for Group or Device)
   contextPV1-19
   effective[x]OBR-7
   issuedOBR-22
   performerPRT-8 (where this PRT-4-Participation = "PO")
      rolePRT-8 (where this PRT-4-Participation = "PO")
      actorPRT-8 (where this PRT-4-Participation = "PO")
   specimenSPM
   resultOBXs
   imageOBX?
   conclusionOBX
   codedDiagnosisOBX
   presentedFormOBX

Mappings for RIM Mapping (http://hl7.org/v3)

US Core DiagnosticReport Profile
DiagnosticReportEntity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierid
   basedOnoutboundRelationship[typeCode=FLFS].target
   statusstatusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
   categoryinboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
   codecode
   subjectparticipation[typeCode=SBJ]
   contextinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   issuedparticipation[typeCode=VRF or AUT].time
   performer.participation[typeCode=PRF]
      idn/a
      extensionn/a
      modifierExtensionN/A
      role.functionCode
      actor.role
   specimenparticipation[typeCode=SBJ]
   resultoutboundRelationship[typeCode=COMP].target
   imagingStudyoutboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]
   imageoutboundRelationship[typeCode=COMP].target
      idn/a
      extensionn/a
      modifierExtensionN/A
      comment.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value
      link.value.reference
   conclusioninboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)
   codedDiagnosisinboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)
   presentedFormtext (type=ED)

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

US Core DiagnosticReport Profile
DiagnosticReportclinical.diagnostics
   identifierid
   statusstatus
   categoryclass
   codewhat
   subjectwho.focus
   contextcontext
   effective[x]when.done
   issuedwhen.recorded
   performerwho.witness