International Patient Summary Implementation Guide
2.0.0-ballot - ci-build International flag

International Patient Summary Implementation Guide, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of and changes regularly. See the Directory of published versions

Resource Profile: ObservationPregnancyStatusUvIps - Mappings

Page standards status: Trial-use Maturity Level: 2

Mappings for the Observation-pregnancy-status-uv-ips resource profile.

Mappings for Workflow Pattern (


Mappings for SNOMED CT Concept Domain Binding (

Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   value[x]< 441742003 |Evaluation finding|
   interpretation< 260245000 |Findings values|

Mappings for HL7 v2 Mapping (

   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.
   partOfVaries by domain
   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'
   value[x]OBX.2, OBX.5, OBX.6
   value[x] (valueCodeableConcept)CE/CNE/CWE
   noteNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
   hasMemberRelationships established by OBX-4 usage
   derivedFromRelationships established by OBX-4 usage

Mappings for RIM Mapping (

ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   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
   coden/a, CD
   encounterinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
      extension (data-absent-reason)ANY.nullFlavor
   value[x] (valueCodeableConcept)n/a, CD

Mappings for FiveWs Pattern Mapping (

   subjectFiveWs.subject[x], FiveWs.subject
   focusFiveWs.subject[x], FiveWs.subject

Mappings for SNOMED CT Attribute Binding (

   value[x]363714003 |Interprets|
   interpretation363713009 |Has interpretation|