US Core Implementation Guide
8.0.0 - STU 8 United States of America flag

This page is part of the US Core (v8.0.0: STU8) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions. Page versions: R8 R7 R6 R5 R4 R3

Resource Profile: USCoreLaboratoryResultObservationProfile - Mappings

Page standards status: Trial-use Maturity Level: 3

Mappings for the us-core-observation-lab resource profile.

Mappings to Structures in this Implentation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
.. Observation
Event
< 363787002 |Observable entity|
OBX
  • Observation[classCode=OBS
  • moodCode=EVN]
... id
... meta
.... id
n/a
.... extension
n/a
.... versionId
.... lastUpdated
.... source
.... profile
.... security
.... tag
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Event.identifier
1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
id
FiveWs.identifier
... basedOn
Event.basedOn
ORC
.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
... partOf
Event.partOf
Varies by domain
.outboundRelationship[typeCode=FLFS].target
... status
Event.status
< 445584004 |Report by finality status|
OBX-11
status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
FiveWs.status
... Slices for category
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
FiveWs.class
.... category:us-core
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
FiveWs.class
... code
Event.code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
116680003 |Is a|
.... id
n/a
.... extension
n/a
.... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
.... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... subject
Event.subject
PID-3
participation[typeCode=RTGT]
FiveWs.subject
... focus
OBX-3
participation[typeCode=SBJ]
FiveWs.subject
... encounter
Event.context
PV1
  • inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
FiveWs.context
... effective[x]
Event.occurrence[x]
  • OBX-14
  • and/or OBX-19 after v2.4 (depends on who observation made)
effectiveTime
FiveWs.done[x]
... issued
  • OBR.22 (or MSH.7)
  • or perhaps OBX-19 (depends on who observation made)
participation[typeCode=AUT].time
FiveWs.recorded
... performer
Event.performer.actor
  • OBX.15 / (Practitioner) OBX-16
  • PRT-4='RO' / (Device) OBX-18
  • PRT-4='EQUIP' / (Organization) OBX-23
  • PRT-4='PO'
participation[typeCode=PRF]
FiveWs.actor
... value[x]
< 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
... dataAbsentReason
N/A
value.nullFlavor
... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
... note
  • NTE.3 (partner NTE to OBX
  • or sometimes another (child?) OBX)
subjectOf.observationEvent[code="annotation"].value
... bodySite
< 123037004 |Body structure|
OBX-20
targetSiteCode
718497002 |Inherent location|
... method
OBX-17
methodCode
... specimen
< 123038009 |Specimen|
SPM segment
participation[typeCode=SPC].specimen
704319004 |Inherent in|
... device
< 49062001 |Device|
OBX-17 / PRT -10
participation[typeCode=DEV]
424226004 |Using device|
... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... low
OBX-7
IVL_PQ.low
.... high
OBX-7
IVL_PQ.high
.... type
< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
OBX-10
interpretationCode
.... appliesTo
< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
OBX-10
interpretationCode
.... age
outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
.... text
OBX-7
ST
... hasMember
Relationships established by OBX-4 usage
outBoundRelationship
... derivedFrom
Relationships established by OBX-4 usage
.targetObservation
... component
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
.... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
.... dataAbsentReason
N/A
value.nullFlavor
.... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
.... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]

doco Documentation for this format