2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

4.21.9 Resource Observation - Mappings

Mappings:

RIM

HL7 v2

Mappings for the observation resource.

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

ObservationObservation[classCode=OBS, moodCode=EVN]
    codecode
    value[x]value
    dataAbsentReasonvalue.nullFlavor
    interpretationinterpretationCode
    commentssubjectOf.observationEvent[code="annotation"].value
    applies[x]effectiveTime
    issuedparticipation[typeCode=AUT].time
    statusstatus

Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
    reliabilityuncertaintyCode
    bodySite[x]targetSiteCode
    methodmethodCode
    identifierid
    subjectparticipation[typeCode=SBJ]
    specimenparticipation[typeCode=SPC].specimen
    performerparticipation[typeCode=PRF]
    device
    encounterEncounter[moodCode=EVN]
    referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
        lowvalue:IVL_PQ.low
        highvalue:IVL_PQ.high
        meaninginterpretationCode
        ageoutboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
        text
    relatedoutBoundRelationship
        type.typeCode
        target.targetObservation

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

ObservationOBX
    codeOBX-3-observation identifier
    value[x]OBX.2, OBX.5, OBX.6
    dataAbsentReasonN/A
    interpretationOBX-8-interpretation codes
    commentsNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
    applies[x]OBX-14-date/time of the observation, 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)
    statusOBX-11-observation result status
    reliabilityMaybe OBX.8/OBX.9
    bodySite[x]OBX-20-observation site
    methodOBX-17-observation method
    identifierOBX.21
    subjectPID-3-patient ID list
    specimen
    performerOBX.15 / (Practitioner) OBX-16-responsible observer, PRT-5-participation person:PRT-4-participation='RO' /
(Device) OBX-18-equipment instance identifier , PRT-10-participation device:PRT-4-participation='EQUIP' / (Organization) OBX-23-performing organization name, PRT-8-participation organization:PRT-4-participation='PO'
    device
    encounterPV1
    referenceRange
        lowOBX-7-references range
        highOBX-7-references range
        meaningOBX-10-nature of abnormal test?
        age
        text
    relatedRelationships established by OBX-4 usage
        typeN/A
        target