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10.3.10 Resource DiagnosticReport - Mappings

Responsible Owner: Orders and Observations icon Work GroupStandards Status: InformativeSecurity Category: Patient Compartments: Device, Encounter, Group, Patient, Practitioner

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 V2 Mapping

RIM Mapping

Mappings for the DiagnosticReport resource (see Mappings to Other Standards for further information & status).

10.3.10.1 FiveWs Pattern Mapping (http://hl7.org/fhir/fivews icon)

DiagnosticReport clinical.diagnostics
    identifier FiveWs.identifier
    status FiveWs.status
    category FiveWs.class
    code FiveWs.what[x]
    subject FiveWs.subject
    encounter FiveWs.context
    effective[x] FiveWs.done[x]
    issued FiveWs.recorded
    performer FiveWs.actor
    resultsInterpreter FiveWs.actor

10.3.10.2 Workflow Pattern (http://hl7.org/fhir/workflow icon)

DiagnosticReport Event
    identifier Event.identifier
    basedOn Event.basedOn
    status Event.status
    statusReason Event.statusReason
    category Event.category
    code Event.code
    subject Event.subject
    encounter Event.encounter
    effective[x] Event.occurrence[x]
    performer Event.performer.actor
    resultsInterpreter Event.performer.actor
    note Event.note

10.3.10.3 HL7 V2 Mapping (http://hl7.org/v2 icon)

The mappings provided in this tab are indicative of how HL7 v2 fields relate to HL7 FHIR attributes in this resource, but is not complete and without critical HL7 v2 context. The HL7 v2-FHIR Implementation guide, located here icon, provides additional guidance on transforming an HL7 v2 message to FHIR resources for FHIR R4 and FHIR R6.
DiagnosticReport ORU -> OBR
    identifier The DiagnosticReport .identifier element is not to be used for the V2 order numbers, it is the instance identifier of the DiagnosticReport. HL7 Version 2 has no formal equivalent to these identifiers. The V2 order number should be located on the basedOn element instead.
    basedOn ORC-2, ORC-3, ORC-4, OBR-2 and OBR-3
    status OBR-25 (not 1:1 mapping)
    statusReason
    category OBR-24
    code OBR-4 (HL7 V2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
    subject PID-3 (no HL7 V2 mapping for Group or Device)
    relatesTo
    encounter PV1-19
    effective[x] OBR-7
    issued OBR-22
    procedure
    performer PRT-8 (where this PRT-4-Participation = "PO")
    resultsInterpreter OBR-32, PRT-8 (where this PRT-4-Participation = "PRI")
    specimen SPM
    result OBXs
    note
    study
    supportingInfo
        type
        reference
    media OBX?
        comment
        link
    composition
    conclusion OBX
    conclusionCode OBX
    recommendation
    presentedForm OBX
    communication
    comparison

10.3.10.4 RIM Mapping (http://hl7.org/v3 icon)

DiagnosticReport Observation[classCode=OBS, moodCode=EVN]
    identifier id
    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
    code code
    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
    note unknown
    media outboundRelationship[typeCode=COMP].target
        comment .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value
        link .value.reference
    composition .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)