This page is part of the Genetic Reporting Implementation Guide (v0.1.0: STU 1 Ballot 1) based on FHIR v3.3.0. The current version which supercedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

.7 StructureDefinition: Genetics Diagnostic Report - Mappings

Mappings for the Profile.

Mappings for V2-CG-Results (http://unknown.org/V2-CG-Results)

Genetics Diagnostic Report
DiagnosticReport
   extension
   extension (related-artifact)
   extension (recommended-action)N/A (from other CG FHIR work)
      valueReferenceN/A (from other CG FHIR work)
   extension (supportingInfo)N/A (from other CG FHIR work)
      valueReferenceN/A (from other CG FHIR work)
   result (obs-gen-panel)TBD
   result (overall)A.8
   result (deletion-dup)A.9
   result (obs-chrom-overall)A.9
   result (inh-dis-path)TBD
   result (som-diagnostic)TBD
   result (som-prognostic)TBD
   result (som-predictive)TBD
   result (med-metabolism)TDB
   result (med-efficacy)TDB
   result (med-high-risk)TDB
   result (obs-chrom-g-band)TBD
   result (obs-chrom-fish)TBD
   result (obs-cytogenic-not)TBD
   result (obs-genotype)TBD
   result (obs-haplotype)TBD
   result (obs-complex-variant)TBD
   result (obs-described-variant)TBD
   presentedFormA.10

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

Genetics Diagnostic Report
DiagnosticReportEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   contextEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer.actor
   resultsInterpreterEvent.performer.actor

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

Genetics Diagnostic Report
DiagnosticReportORU -> OBR
   identifierOBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4
   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)
      codingC*E.1-8, C*E.10-22
      coding (code)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 (no HL7 v2 mapping for Group or Device)
   contextPV1-19
   effective[x]OBR-7
   issuedOBR-22
   performerPRT-8 (where this PRT-4-Participation = "PO")
   resultsInterpreterOBR-32, PRT-8 (where this PRT-4-Participation = "PI")
   specimenSPM
   resultOBXs
   result (obs-gen-panel)OBXs
   result (overall)OBXs
   result (deletion-dup)OBXs
   result (obs-chrom-overall)OBXs
   result (inh-dis-path)OBXs
   result (som-diagnostic)OBXs
   result (som-prognostic)OBXs
   result (som-predictive)OBXs
   result (med-metabolism)OBXs
   result (med-efficacy)OBXs
   result (med-high-risk)OBXs
   result (obs-chrom-g-band)OBXs
   result (obs-chrom-fish)OBXs
   result (obs-cytogenic-not)OBXs
   result (obs-genotype)OBXs
   result (obs-haplotype)OBXs
   result (obs-complex-variant)OBXs
   result (obs-described-variant)OBXs
   mediaOBX?
   conclusionOBX
   codedDiagnosisOBX
   presentedFormOBX

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

Genetics Diagnostic Report
DiagnosticReportEntity. Role, or Act
   textAct.text?
   containedN/A
   extension
   extension (related-artifact)
   extension (recommended-action)
      idn/a
      extensionn/a
      urlN/A
      valueReferenceN/A
   extension (supportingInfo)
      idn/a
      extensionn/a
      urlN/A
      valueReferenceN/A
   extension (risk)
      idn/a
      urlN/A
      valueReferenceN/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
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (code)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=SBJ]
   contextinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   issuedparticipation[typeCode=VRF or AUT].time
   performer.participation[typeCode=PRF]
   resultsInterpreter.participation[typeCode=PRF]
   specimenparticipation[typeCode=SBJ]
   resultoutboundRelationship[typeCode=COMP].target
   result (obs-gen-panel)outboundRelationship[typeCode=COMP].target
   result (overall)outboundRelationship[typeCode=COMP].target
   result (deletion-dup)outboundRelationship[typeCode=COMP].target
   result (obs-chrom-overall)outboundRelationship[typeCode=COMP].target
   result (inh-dis-path)outboundRelationship[typeCode=COMP].target
   result (som-diagnostic)outboundRelationship[typeCode=COMP].target
   result (som-prognostic)outboundRelationship[typeCode=COMP].target
   result (som-predictive)outboundRelationship[typeCode=COMP].target
   result (med-metabolism)outboundRelationship[typeCode=COMP].target
   result (med-efficacy)outboundRelationship[typeCode=COMP].target
   result (med-high-risk)outboundRelationship[typeCode=COMP].target
   result (obs-chrom-g-band)outboundRelationship[typeCode=COMP].target
   result (obs-chrom-fish)outboundRelationship[typeCode=COMP].target
   result (obs-cytogenic-not)outboundRelationship[typeCode=COMP].target
   result (obs-genotype)outboundRelationship[typeCode=COMP].target
   result (obs-haplotype)outboundRelationship[typeCode=COMP].target
   result (obs-complex-variant)outboundRelationship[typeCode=COMP].target
   result (obs-described-variant)outboundRelationship[typeCode=COMP].target
   mediaoutboundRelationship[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 FiveWs Pattern (http://hl7.org/fhir/fivews)

Genetics Diagnostic Report
DiagnosticReport
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x]
   contextFiveWs.context
   effective[x]FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor
   resultsInterpreterFiveWs.actor