CH ELM (R4)
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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 1.7.0-ci-build 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

Resource Profile: ChElmObservationResultsLaboratory - Mappings

Active as of 2024-11-15

Mappings for the ch-elm-observation-results-laboratory resource profile.

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

ChElmObservationResultsLaboratory
ObservationEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   partOfEvent.partOf
   statusEvent.status
   subjectEvent.subject
   encounterEvent.context
   effective[x]Event.occurrence[x]
   effective[x] (effectiveDateTime)Event.occurrence[x]
   performerEvent.performer.actor
      extension (performerFunction)Event.performer.function

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

ChElmObservationResultsLaboratory
Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   value[x]< 441742003 |Evaluation finding|
   value[x] (valueString)< 441742003 |Evaluation finding|
   value[x] (valueTime)< 441742003 |Evaluation finding|
   value[x] (valueDateTime)< 441742003 |Evaluation finding|
   value[x] (valuePeriod)< 441742003 |Evaluation finding|
   bodySite< 123037004 |Body structure|
   specimen< 123038009 |Specimen|
   device< 49062001 |Device|
   referenceRange
      type< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
      appliesTo< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
   component
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valueString)363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valueTime)363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valueDateTime)363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valuePeriod)363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valueCodeableConcept)363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|

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

ChElmObservationResultsLaboratory
ObservationOBX
   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.
   basedOnORC
   partOfVaries by domain
   statusOBX-11
   codeCE/CNE/CWE
   subjectPID-3
   focusOBX-3
   encounterPV1
   effective[x]OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
   effective[x] (effectiveDateTime)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] (valueString)OBX.2, OBX.5, OBX.6
   value[x] (valueQuantity)SN (see also Range) or CQ
   value[x] (valueCodeableConcept)CE/CNE/CWE
   value[x] (valueRange)NR and also possibly SN (but see also quantity)
   value[x] (valueRatio)N/A
   value[x] (valueTime)OBX.2, OBX.5, OBX.6
   value[x] (valueDateTime)OBX.2, OBX.5, OBX.6
   value[x] (valuePeriod)OBX.2, OBX.5, OBX.6
   dataAbsentReasonN/A
   interpretationCE/CNE/CWE
   noteNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
   bodySiteOBX-20
   methodOBX-17
   specimenSPM segment
   deviceOBX-17 / PRT -10
   referenceRangeOBX.7
      lowOBX-7
      highOBX-7
      typeOBX-10
      appliesToOBX-10
      textOBX-7
   hasMemberRelationships established by OBX-4 usage
   derivedFromRelationships established by OBX-4 usage
   componentcontainment by OBX-4?
      codeOBX-3
      value[x]OBX.2, OBX.5, OBX.6
      value[x] (valueString)OBX.2, OBX.5, OBX.6
      value[x] (valueRange)NR and also possibly SN (but see also quantity)
      value[x] (valueRatio)N/A
      value[x] (valueTime)OBX.2, OBX.5, OBX.6
      value[x] (valueDateTime)OBX.2, OBX.5, OBX.6
      value[x] (valuePeriod)OBX.2, OBX.5, OBX.6
      value[x] (valueQuantity)SN (see also Range) or CQ
      value[x] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7

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

ChElmObservationResultsLaboratory
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extension
   extension (supportingInfo)
   extension (triggeredBy-r5)n/a, N/A
      idn/a
      extensionn/a
      extension (observation)
         idn/a
         urlN/A
         value[x]N/A
      extension (type)
         idn/a
         urlN/A
         value[x]N/A
      extension (reason)
         idn/a
         urlN/A
         value[x]N/A
      urlN/A
   extension (certifiedRefMaterialCodeable)
   extension (certifiedRefMaterialIdentifer)
   extension (labTestKit)
   extension (value-r5)n/a, N/A
      idn/a
      urlN/A
      value[x]N/A
   modifierExtensionN/A
   identifierid
   basedOn.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
   partOf.outboundRelationship[typeCode=FLFS].target
   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
   category (laboratory).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   category (studyType).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   category (specialty).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   coden/a, CD
   subjectparticipation[typeCode=RTGT]
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   focusparticipation[typeCode=SBJ]
   encounterinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
      idn/a
      extensionn/a
      extension (data-absent-reason)ANY.nullFlavor
   effective[x] (effectiveDateTime)effectiveTime
      idn/a
      extensionn/a
      extension (data-absent-reason)ANY.nullFlavor
   issuedparticipation[typeCode=AUT].time
   performerparticipation[typeCode=PRF]
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   value[x]value
   value[x] (valueString)value
   value[x] (valueQuantity)n/a, PQ, IVL<PQ>, MO, CO, depending on the values
   value[x] (valueCodeableConcept)n/a, CD
   value[x] (valueRange)n/a, IVL<QTY[not(type="TS")]> [lowClosed="true" and highClosed="true"]or URG<QTY[not(type="TS")]>
   value[x] (valueRatio)n/a, RTO
   value[x] (valueTime)value
   value[x] (valueDateTime)value
   value[x] (valuePeriod)value
   dataAbsentReasonvalue.nullFlavor
   interpretationn/a, CD
   notesubjectOf.observationEvent[code="annotation"].value
   bodySitetargetSiteCode
   methodmethodCode
   specimenparticipation[typeCode=SPC].specimen
   deviceparticipation[typeCode=DEV]
   referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      lowvalue:IVL_PQ.low
      highvalue:IVL_PQ.high
      typeinterpretationCode
      appliesTointerpretationCode
      ageoutboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
      textvalue:ST
   hasMemberoutBoundRelationship
   derivedFrom.targetObservation
   componentoutBoundRelationship[typeCode=COMP]
      idn/a
      extension
      extension (value-r5)n/a, N/A
         idn/a
         urlN/A
         value[x]N/A
      modifierExtensionN/A
      codecode
      value[x]value
      value[x] (valueString)value
      value[x] (valueRange)n/a, IVL<QTY[not(type="TS")]> [lowClosed="true" and highClosed="true"]or URG<QTY[not(type="TS")]>
      value[x] (valueRatio)n/a, RTO
      value[x] (valueTime)value
      value[x] (valueDateTime)value
      value[x] (valuePeriod)value
      value[x] (valueQuantity)n/a, PQ, IVL<PQ>, MO, CO, depending on the values
      value[x] (valueCodeableConcept)value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

ChElmObservationResultsLaboratory
Observation
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   category (laboratory)FiveWs.class
   category (studyType)FiveWs.class
   category (specialty)FiveWs.class
   subjectFiveWs.subject[x], FiveWs.subject
   focusFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   effective[x] (effectiveDateTime)FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor
   component
      codeFiveWs.what[x]

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

ChElmObservationResultsLaboratory
Observation
   value[x]363714003 |Interprets|
   value[x] (valueString)363714003 |Interprets|
   value[x] (valueTime)363714003 |Interprets|
   value[x] (valueDateTime)363714003 |Interprets|
   value[x] (valuePeriod)363714003 |Interprets|
   bodySite718497002 |Inherent location|
   specimen704319004 |Inherent in|
   device424226004 |Using device|
   component
      value[x]363714003 |Interprets|
      value[x] (valueString)363714003 |Interprets|
      value[x] (valueTime)363714003 |Interprets|
      value[x] (valueDateTime)363714003 |Interprets|
      value[x] (valuePeriod)363714003 |Interprets|
      value[x] (valueCodeableConcept)363714003 |Interprets|
      interpretation363713009 |Has interpretation|