2026 US Quality Core Implementation Guide
0.5.0 - cibuild US

2026 US Quality Core Implementation Guide, published by Office of the National Coordinator for Health Information Technology (ONC). This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

## Resource Profile: USQualityCoreDiagnosticReportNote - Mappings

Active as of 2026-05-15

Mappings for the us-quality-core-diagnosticreport-note resource profile.

#### Mappings to Structures in this Implementation Guide

No Mappings Found

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | HL7 v2 Mapping | RIM Mapping | FiveWs Pattern Mapping
--- | --- | --- | --- | ---
DiagnosticReport | Event | ORU -> OBR | Observation[classCode=OBS moodCode=EVN] |
id |  |  |  |
meta |  |  |  |
implicitRules |  |  |  |
language |  |  |  |
text |  |  | Act.text? |
contained |  |  | N/A |
extension |  |  | N/A |
modifierExtension |  |  | N/A |
identifier | Event.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 | id | FiveWs.identifier
basedOn | Event.basedOn | ORC? OBR-2/3? | outboundRelationship[typeCode=FLFS].target |
status | Event.status | 1 mapping) | final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise" | FiveWs.status
Slices for category |  | OBR-24 | inboundRelationship[typeCode=COMP].source[classCode=LIST moodCode=EVN code < LabService].code | FiveWs.class
category:us-core |  | OBR-24 | inboundRelationship[typeCode=COMP].source[classCode=LIST moodCode=EVN code < LabService].code | FiveWs.class
code | Event.code | OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel) | code | FiveWs.what[x]
subject | Event.subject | PID-3 (no HL7 v2 mapping for Group or Device) | participation[typeCode=SBJ] | FiveWs.subject
encounter | Event.encounter | PV1-19 | inboundRelationship[typeCode=COMP].source[classCode=ENC moodCode=EVN] | FiveWs.context
effective[x] | Event.occurrence[x] | OBR-7 | effectiveTime | FiveWs.done[x]
issued |  | OBR-22 | participation[typeCode=VRF or AUT].time | FiveWs.recorded
performer | Event.performer.actor | PRT-8 (where this PRT-4-Participation = "PO") | .participation[typeCode=PRF] | FiveWs.actor
resultsInterpreter | Event.performer.actor | OBR-32 PRT-8 (where this PRT-4-Participation = "PI") | .participation[typeCode=PRF] | FiveWs.actor
specimen |  | SPM | participation[typeCode=SBJ] |
result |  | OBXs | outboundRelationship[typeCode=COMP].target |
imagingStudy |  |  | outboundRelationship[typeCode=COMP].target[classsCode=DGIMG moodCode=EVN] |
media |  | OBX? | 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 |  | OBX | inboundRelationship[typeCode="SPRT"].source[classCode=OBS moodCode=EVN 48767-8].value (type=ST) |
conclusionCode |  | OBX | inboundRelationship[typeCode=SPRT].source[classCode=OBS moodCode=EVN 54531-9].value (type=CD) |
presentedForm |  | OBX | text (type=ED) |
Documentation for this format