Vital Signs with Qualifying Elements
1.0.0 - STU 1 US

This page is part of the Vital Signs FHIR IG (v1.0.0: STU1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: VitalSignsPanel - Mappings

Active as of 2022-09-12

Mappings for the vital-signs-panel resource profile.

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

VitalSignsPanel
ObservationEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   partOfEvent.partOf
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer.actor

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

VitalSignsPanel
Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
   interpretation< 260245000 |Findings values|

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

VitalSignsPanel
ObservationOBX
   identifierOBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 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.
   basedOnORC
   partOfVaries by domain
   statusOBX-11
   category
   category (VSCat)
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   codeOBX-3
      codingC*E.1-8, C*E.10-22
      coding (VitalsPanelCode)C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-3
   focusOBX-3
   encounterPV1
   effective[x]OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
   issuedOBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
   performerOBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
   interpretationOBX-8
   noteNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
   hasMemberRelationships established by OBX-4 usage
   hasMember (OxygenSaturationArterialBloodPulseOx)Relationships established by OBX-4 usage
   hasMember (BodyWeight)Relationships established by OBX-4 usage
   hasMember (HeadOccipitalFrontalCircumference)Relationships established by OBX-4 usage
   hasMember (Height)Relationships established by OBX-4 usage
   hasMember (BodyLength)Relationships established by OBX-4 usage
   hasMember (BodyTemperature)Relationships established by OBX-4 usage
   hasMember (BloodPressurePanel)Relationships established by OBX-4 usage
   hasMember (HeartRate)Relationships established by OBX-4 usage
   hasMember (RespiratoryRate)Relationships established by OBX-4 usage
   hasMember (BodyMassIndex)Relationships established by OBX-4 usage
   derivedFromRelationships established by OBX-4 usage

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

VitalSignsPanel
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierid
   basedOn.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
   partOf.outboundRelationship[typeCode=FLFS].target
   statusstatus Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   category (VSCat).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   codecode
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (VitalsPanelCode)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   subjectparticipation[typeCode=RTGT]
   focusparticipation[typeCode=SBJ]
   encounterinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   issuedparticipation[typeCode=AUT].time
   performerparticipation[typeCode=PRF]
   interpretationinterpretationCode
   notesubjectOf.observationEvent[code="annotation"].value
   hasMemberoutBoundRelationship
   hasMember (OxygenSaturationArterialBloodPulseOx)outBoundRelationship
   hasMember (BodyWeight)outBoundRelationship
   hasMember (HeadOccipitalFrontalCircumference)outBoundRelationship
   hasMember (Height)outBoundRelationship
   hasMember (BodyLength)outBoundRelationship
   hasMember (BodyTemperature)outBoundRelationship
   hasMember (BloodPressurePanel)outBoundRelationship
   hasMember (HeartRate)outBoundRelationship
   hasMember (RespiratoryRate)outBoundRelationship
   hasMember (BodyMassIndex)outBoundRelationship
   derivedFrom.targetObservation

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

VitalSignsPanel
Observation
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   category (VSCat)FiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   focusFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

VitalSignsPanel
Observation
   code116680003 |Is a|
   interpretation363713009 |Has interpretation|