Extensions for Using Data Elements from FHIR R4B in FHIR STU3
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Extensions for Using Data Elements from FHIR R4B in FHIR STU3 - Downloaded Version null See the Directory of published versions

Resource Profile: Profile_R4B_Observation_R3 - Mappings

Page standards status: Trial-use Maturity Level: 0

Mappings for the profile-Observation resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow MappingSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingW5 MappingSNOMED CT Attribute Bindingdoco
.. Observation
Event
< 363787002 |Observable entity|
OBX
  • Observation[classCode=OBS
  • moodCode=EVN]
clinical.diagnostics
... id
... meta
.... id
n/a
.... Slices for extension
..... extension:meta
.... versionId
.... lastUpdated
.... profile
.... security
.... tag
... implicitRules
... language
... text
Act.text?
.... id
n/a
.... Slices for extension
..... extension:text
.... status
N/A
.... div
N/A
... contained
N/A
... Slices for extension
.... extension:effective
.... extension:value
... 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
id
.... id
n/a
.... Slices for extension
..... extension:identifier
.... use
N/A
Role.code or implied by context
.... type
CX.5
Role.code or implied by context
.... system
CX.4 / EI-2-4
II.root or Role.id.root
.... value
CX.1 / EI.1
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
.... period
CX.7 + CX.8
Role.effectiveTime or implied by context
.... assigner
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
... basedOn
Event.basedOn
ORC
.outboundRelationship[typeCode=FLFS].target
.... id
n/a
.... Slices for extension
..... extension:basedOn
.... reference
N/A
.... identifier
.identifier
.... display
N/A
... 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"
status
... category
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
class
... code
Event.code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
what
116680003 |Is a|
... subject
Event.subject
PID-3
participation[typeCode=SBJ]
who.focus
.... id
n/a
.... Slices for extension
..... extension:subject
.... reference
N/A
.... identifier
.identifier
.... display
N/A
... context
Event.context
PV1
  • inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
context
.... id
n/a
.... Slices for extension
..... extension:encounter
.... reference
N/A
.... identifier
.identifier
.... display
N/A
... effective[x]
Event.occurrence[x]
  • OBX-14
  • and/or OBX-19 after v2.4 (depends on who observation made)
effectiveTime
when.done
... issued
  • OBR.22 (or MSH.7)
  • or perhaps OBX-19 (depends on who observation made)
participation[typeCode=AUT].time
when.recorded
... performer
Event.performer
  • OBX.15 / (Practitioner) OBX-16
  • PRT-4='RO' / (Device) OBX-18
  • PRT-4='EQUIP' / (Organization) OBX-23
  • PRT-4='PO'
participation[typeCode=PRF]
who.actor
.... id
n/a
.... Slices for extension
..... extension:performer
.... reference
N/A
.... identifier
.identifier
.... display
N/A
... value[x]
  • Event.notDone
  • Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
< 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
... dataAbsentReason
  • Event.notDone
  • Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
N/A
value.nullFlavor
... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
... comment
Event.note
  • NTE.3 (partner NTE to OBX
  • or sometimes another (child?) OBX)
subjectOf.observationEvent[code="annotation"].value
.... id
.... Slices for extension
..... extension:note
.... 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|
.... id
n/a
.... Slices for extension
..... extension:specimen
.... reference
N/A
.... identifier
.identifier
.... display
N/A
... device
< 49062001 |Device|
OBX-17 / PRT -10
participation[typeCode=DEV]
424226004 |Using device|
.... id
n/a
.... Slices for extension
..... extension:device
.... reference
N/A
.... identifier
.identifier
.... display
N/A
... 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
..... id
n/a
..... Slices for extension
...... extension:age
..... low
NR.1
./low
..... high
NR.2
./high
.... text
OBX-7
ST
... related
Relationships established by OBX-4 usage
outBoundRelationship
.... id
n/a
.... Slices for extension
..... extension:partOf
..... extension:focus
.... modifierExtension
N/A
.... type
N/A
.typeCode
.... target
.targetObservation
..... id
n/a
..... Slices for extension
...... extension:hasMember
...... extension:derivedFrom
..... reference
N/A
..... identifier
.identifier
..... display
N/A
... component
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
.... id
n/a
.... Slices for extension
..... extension:value
.... modifierExtension
N/A
.... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
what
.... 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