CH ELM (R4), published by Federal Office of Public Health FOPH. This guide is not an authorized publication; it is the continuous build for version 1.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/ch-elm/ and changes regularly. See the Directory of published versions
Mappings for the ch-elm-diagnosticreport resource profile.
| ChElmDiagnosticReport |
| DiagnosticReport | ORU -> OBR |
| identifier | OBR-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 |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| basedOn | ORC? OBR-2/3? |
| status | OBR-25 (not 1:1 mapping) |
| category | OBR-24 |
| category (studyType) | OBR-24 |
| category (specialty) | OBR-24 |
| code | OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel) |
| coding | C*E.1-8, C*E.10-22 |
| coding (CodeCode) | C*E.1-8, C*E.10-22 |
| system | C*E.3 |
| version | C*E.7 |
| code | C*E.1 |
| display | C*E.2 - but note this is not well followed |
| userSelected | Sometimes implied by being first |
| text | C*E.9. But note many systems use C*E.2 for this |
| subject | PID-3 (no HL7 v2 mapping for Group or Device) |
| encounter | PV1-19 |
| effective[x] | OBR-7 |
| issued | OBR-22 |
| performer | PRT-8 (where this PRT-4-Participation = "PO") |
| resultsInterpreter | OBR-32, PRT-8 (where this PRT-4-Participation = "PI") |
| specimen | SPM |
| result | OBXs |
| media | OBX? |
| conclusion | OBX |
| conclusionCode | OBX |
| presentedForm | OBX |
| ChElmDiagnosticReport |
| DiagnosticReport | Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN] |
| text | Act.text? |
| contained | N/A |
| extension | |
| extension (DiagnosticReportCompositionR5) | n/a, N/A |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| modifierExtension | N/A |
| identifier | id |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| 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 |
| category (studyType) | inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code |
| category (specialty) | inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code |
| code | code |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| coding (CodeCode) | union(., ./translation) |
| id | n/a |
| extension | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| text | ./originalText[mediaType/code="text/plain"]/data |
| subject | participation[typeCode=SBJ] |
| encounter | inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] |
| effective[x] | effectiveTime |
| issued | participation[typeCode=VRF or AUT].time |
| performer | .participation[typeCode=PRF] |
| resultsInterpreter | .participation[typeCode=PRF] |
| specimen | participation[typeCode=SBJ] |
| result | outboundRelationship[typeCode=COMP].target |
| imagingStudy | outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN] |
| media | 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) |
| conclusionCode | inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD) |
| presentedForm | text (type=ED) |
