This page is part of the Quality Improvement Core Framework (v3.1.0: STU 3) based on FHIR R3. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions 
D.4.1.4 StructureDefinition: qicore-diagnosticreport - Mappings
Mappings for the StructureDefinition-qicore-diagnosticreport Profile.
Mappings for Quality Data Model (http://www.healthit.gov/quality-data-model)
| QICore-DiagnosticReport |
| DiagnosticReport | Diagnostic Study, Performed (used only in imaging studies. All others use QICore-Observation)
Note: 1. FHIR DiagnosticReport does not address negation since there would be no report. QDM usage to indicate studies that have not been done should address negation rationale for the order or the recommendation (i.e., ProcedureRequest.extension (reasonRefused).
2. FHIR DiagnosticReport does not address reason since reason is a function of the order or recommendation. QDM reference to indicate the reason for imaging studies should reference qicore-procedurerequest-appropriatenessScore. 3. FHIR DiagnosticReport addresses method through ImagingStudy.modalityList.code. |
| id | id |
| extension (locationPerformed) | facilityLocation |
| status | status |
| code | code |
| effective[x] | relevantPeriod |
| issued | resultDatetime |
| performer | source |
| result | result |
Mappings for Argonaut DQ DSTU2 (http://unknown.org/Argonaut DQ DSTU2)
| QICore-DiagnosticReport |
| DiagnosticReport | DiagnosticReport |
| status | DiagnosticReport.status |
| category | DiagnosticReport.category |
| code | DiagnosticReport.code |
| subject | DiagnosticReport.subject |
| effective[x] | DiagnosticReport.effective[x] |
| issued | DiagnosticReport.issued |
| performer | NA (new element in STU3) |
| actor | DiagnosticReport.performer |
| result | DiagnosticReport.result |
| image | DiagnosticReport.image |
| presentedForm | DiagnosticReport.presentedForm |
Mappings for Workflow Mapping (http://hl7.org/fhir/workflow)
| QICore-DiagnosticReport |
| DiagnosticReport | Event |
| identifier | Event.identifier |
| basedOn | Event.basedOn |
| status | Event.status |
| code | Event.code |
| subject | Event.subject |
| context | Event.context |
| effective[x] | Event.occurrence[x] |
| performer | Event.performer |
| role | Event.performer.role |
| actor | Event.performer.actor |
Mappings for HL7 v2 Mapping (http://hl7.org/v2)
| QICore-DiagnosticReport |
| DiagnosticReport | ORU -> OBR |
| identifier | OBR-51 |
| basedOn | ORC? OBR-2/3? |
| status | OBR-25 (not 1:1 mapping) |
| category | OBR-24 |
| code | OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel) |
| subject | PID-3 (no HL7 v2 mapping for Group or Device) |
| context | PV1-19 |
| effective[x] | OBR-7 |
| issued | OBR-22 |
| performer | PRT-8 (where this PRT-4-Participation = "PO") |
| role | PRT-8 (where this PRT-4-Participation = "PO") |
| actor | PRT-8 (where this PRT-4-Participation = "PO") |
| specimen | SPM |
| result | OBXs |
| image | OBX? |
| conclusion | OBX |
| codedDiagnosis | OBX |
| presentedForm | OBX |
Mappings for RIM Mapping (http://hl7.org/v3)
| QICore-DiagnosticReport |
| DiagnosticReport | Entity. Role, or Act |
| text | Act.text? |
| contained | N/A |
| extension | |
| extension (locationPerformed) | |
| id | n/a |
| extension | n/a |
| url | N/A |
| valueReference (locationPerformed-valueReference) | N/A |
| modifierExtension | N/A |
| identifier | id |
| basedOn | outboundRelationship[typeCode=FLFS].target |
| status | statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise" |
| category | inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code |
| code | code |
| subject | participation[typeCode=SBJ] |
| context | inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] |
| effective[x] | effectiveTime |
| issued | participation[typeCode=VRF or AUT].time |
| performer | .participation[typeCode=PRF] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| role | .functionCode |
| actor | .role |
| specimen | participation[typeCode=SBJ] |
| result | outboundRelationship[typeCode=COMP].target |
| imagingStudy | outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN] |
| image | outboundRelationship[typeCode=COMP].target |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| comment | .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value |
| link | .value.reference |
| conclusion | inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST) |
| codedDiagnosis | inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD) |
| presentedForm | text (type=ED) |
Mappings for W5 Mapping (http://hl7.org/fhir/w5)
| QICore-DiagnosticReport |
| DiagnosticReport | clinical.diagnostics |
| identifier | id |
| status | status |
| category | class |
| code | what |
| subject | who.focus |
| context | context |
| effective[x] | when.done |
| issued | when.recorded |
| performer | who.witness |
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