HL7 PT FHIR Implementation Guide: Community Health, published by HL7 Portugal. This guide is not an authorized publication; it is the continuous build for version 1.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AnaCeciliaCoimbra/community-health-ig/ and changes regularly. See the Directory of published versions
Mappings for the observation-symptom resource profile.
| ObservationSymptom |
| Observation | < 363787002 |Observable entity| |
| status | < 445584004 |Report by finality status| |
| code | < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure| |
| value[x] | < 441742003 |Evaluation finding| |
| interpretation | < 260245000 |Findings values| |
| 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| |
| interpretation | < 260245000 |Findings values| |
| ObservationSymptom |
| Observation | OBX |
| identifier | OBX.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. |
| basedOn | ORC |
| partOf | Varies by domain |
| status | OBX-11 |
| code | OBX-3 |
| coding | 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 |
| focus | OBX-3 |
| encounter | PV1 |
| effective[x] | OBX-14, and/or OBX-19 after v2.4 (depends on who observation made) |
| issued | OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made) |
| performer | OBX.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 |
| dataAbsentReason | N/A |
| interpretation | OBX-8 |
| note | NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX) |
| author[x] | N/A |
| time | N/A |
| text | N/A |
| bodySite | OBX-20 |
| method | OBX-17 |
| specimen | SPM segment |
| device | OBX-17 / PRT -10 |
| referenceRange | OBX.7 |
| low | OBX-7 |
| high | OBX-7 |
| type | OBX-10 |
| appliesTo | OBX-10 |
| text | OBX-7 |
| hasMember | Relationships established by OBX-4 usage |
| derivedFrom | Relationships established by OBX-4 usage |
| component | containment by OBX-4? |
| code | OBX-3 |
| coding | 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 |
| value[x] | OBX.2, OBX.5, OBX.6 |
| dataAbsentReason | N/A |
| interpretation | OBX-8 |
| referenceRange | OBX.7 |
| ObservationSymptom |
| Observation | Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN] |
| text | Act.text? |
| contained | N/A |
| extension | N/A |
| modifierExtension | N/A |
| identifier | id |
| basedOn | .inboundRelationship[typeCode=COMP].source[moodCode=EVN] |
| partOf | .outboundRelationship[typeCode=FLFS].target |
| status | status 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 |
| code | code |
| id | n/a |
| extension | n/a |
| coding | 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=RTGT] |
| focus | participation[typeCode=SBJ] |
| encounter | inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] |
| effective[x] | effectiveTime |
| issued | participation[typeCode=AUT].time |
| performer | participation[typeCode=PRF] |
| value[x] | value |
| dataAbsentReason | value.nullFlavor |
| interpretation | interpretationCode |
| note | subjectOf.observationEvent[code="annotation"].value |
| id | n/a |
| extension | n/a |
| author[x] | Act.participant[typeCode=AUT].role |
| time | Act.effectiveTime |
| text | Act.text |
| bodySite | targetSiteCode |
| method | methodCode |
| specimen | participation[typeCode=SPC].specimen |
| device | participation[typeCode=DEV] |
| referenceRange | outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| low | value:IVL_PQ.low |
| high | value:IVL_PQ.high |
| type | interpretationCode |
| appliesTo | interpretationCode |
| age | outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value |
| text | value:ST |
| hasMember | outBoundRelationship |
| derivedFrom | .targetObservation |
| component | outBoundRelationship[typeCode=COMP] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| code | code |
| id | n/a |
| extension | n/a |
| coding | 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 |
| value[x] | value |
| dataAbsentReason | value.nullFlavor |
| interpretation | interpretationCode |
| referenceRange | outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN] |
