Breast Imaging Reporting - 2nd STU ballot, published by HL7 International - Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 0.3.0). This version is based on the current content of https://github.com/HL7/fhir-breast-radiology-ig/ and changes regularly. See the Directory of published versions

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Resource Profile: MassAbnormality - Mappings

Active as of 2022-12-07

Mappings for the MassAbnormality resource profile.

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

MassAbnormality
Observation	Event
identifier	Event.identifier
status	Event.status
code	Event.code
subject	Event.subject
encounter	Event.context
effective[x]	Event.occurrence[x]
performer	Event.performer.actor

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

MassAbnormality
Observation	< 363787002 |Observable entity|
status	< 445584004 |Report by finality status|
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
bodySite	< 123037004 |Body structure|
component
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (breastMassPresence)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (breastMassType)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (obsChanges)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (breastAssessmentCategory)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (shape)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (density)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (margin)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (orientation)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (observedCount)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (obsSize)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
value[x] (valueQuantity)	363714003 |Interprets| < 441742003 |Evaluation finding|
value[x] (valueRange)	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (obsDistribution)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (obsDistRegionSize)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
value[x] (valueQuantity)	363714003 |Interprets| < 441742003 |Evaluation finding|
value[x] (valueRange)	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (notPreviouslySeen)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (correspondsWith)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (prevDemBy)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|

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

MassAbnormality
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.
status	OBX-11
code	OBX-3
subject	PID-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'
note	NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
bodySite	OBX-20
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
method	OBX-17
hasMember	Relationships established by OBX-4 usage
hasMember (associatedFeature)	Relationships established by OBX-4 usage
hasMember (consistentWith)	Relationships established by OBX-4 usage
hasMember (tumorSatellite)	Relationships established by OBX-4 usage
derivedFrom	Relationships established by OBX-4 usage
component	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (breastMassPresence)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (breastMassType)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (obsChanges)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (breastAssessmentCategory)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (shape)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (density)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (margin)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (orientation)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (observedCount)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (obsSize)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
value[x] (valueQuantity)	OBX.2, OBX.5, OBX.6
value[x] (valueRange)	OBX.2, OBX.5, OBX.6
low	NR.1
high	NR.2
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (obsDistribution)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (obsDistRegionSize)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
value[x] (valueQuantity)	OBX.2, OBX.5, OBX.6
value[x] (valueRange)	OBX.2, OBX.5, OBX.6
low	NR.1
high	NR.2
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (notPreviouslySeen)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (correspondsWith)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (prevDemBy)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7

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

MassAbnormality
Observation	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
extension	N/A
modifierExtension	N/A
identifier	id
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
category (imaging)	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
category (categoryImaging)	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
code	code
subject	participation[typeCode=RTGT]
encounter	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	effectiveTime
issued	participation[typeCode=AUT].time
performer	participation[typeCode=PRF]
note	subjectOf.observationEvent[code="annotation"].value
bodySite	targetSiteCode
id	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
method	methodCode
hasMember	outBoundRelationship
hasMember (associatedFeature)	outBoundRelationship
hasMember (consistentWith)	outBoundRelationship
hasMember (tumorSatellite)	outBoundRelationship
derivedFrom	.targetObservation
component	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (breastMassPresence)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (breastMassType)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (obsChanges)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (breastAssessmentCategory)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (shape)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (density)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (margin)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (orientation)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (observedCount)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (obsSize)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
value[x] (valueQuantity)	value
value[x] (valueRange)	value
id	n/a
extension	n/a
low	./low
high	./high
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (obsDistribution)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (obsDistRegionSize)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
value[x] (valueQuantity)	value
value[x] (valueRange)	value
id	n/a
extension	n/a
low	./low
high	./high
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (notPreviouslySeen)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (correspondsWith)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (prevDemBy)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

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

MassAbnormality
Observation
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
category (imaging)	FiveWs.class
category (categoryImaging)	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
effective[x]	FiveWs.done[x]
issued	FiveWs.recorded
performer	FiveWs.actor
component
code	FiveWs.what[x]
component (breastMassPresence)
code	FiveWs.what[x]
component (breastMassType)
code	FiveWs.what[x]
component (obsChanges)
code	FiveWs.what[x]
component (breastAssessmentCategory)
code	FiveWs.what[x]
component (shape)
code	FiveWs.what[x]
component (density)
code	FiveWs.what[x]
component (margin)
code	FiveWs.what[x]
component (orientation)
code	FiveWs.what[x]
component (observedCount)
code	FiveWs.what[x]
component (obsSize)
code	FiveWs.what[x]
component (obsDistribution)
code	FiveWs.what[x]
component (obsDistRegionSize)
code	FiveWs.what[x]
component (notPreviouslySeen)
code	FiveWs.what[x]
component (correspondsWith)
code	FiveWs.what[x]
component (prevDemBy)
code	FiveWs.what[x]

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

MassAbnormality
Observation
code	116680003 |Is a|
bodySite	718497002 |Inherent location|
component
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (breastMassPresence)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (breastMassType)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (obsChanges)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (breastAssessmentCategory)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (shape)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (density)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (margin)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (orientation)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (observedCount)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (obsSize)
value[x]	363714003 |Interprets|
value[x] (valueQuantity)	363714003 |Interprets|
value[x] (valueRange)	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (obsDistribution)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (obsDistRegionSize)
value[x]	363714003 |Interprets|
value[x] (valueQuantity)	363714003 |Interprets|
value[x] (valueRange)	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (notPreviouslySeen)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (correspondsWith)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (prevDemBy)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|