SMART Health Cards: Vaccination & Testing Implementation Guide
1.0.0 - STU1 Release International flag

SMART Health Cards: Vaccination & Testing Implementation Guide, published by HL7 International / Public Health. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-shc-vaccination-ig/ and changes regularly. See the Directory of published versions

Resource Profile: SHCCovid19LaboratoryResultObservationDM - Mappings

Draft as of 2023-12-27

Mappings for the shc-covid19-laboratory-result-observation-dm resource profile.

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

SHCCovid19LaboratoryResultObservationDM
ObservationEvent
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   effective[x]Event.occurrence[x]
   performerEvent.performer.actor

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

SHCCovid19LaboratoryResultObservationDM
Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
   value[x]< 441742003 |Evaluation finding|
   value[x] (valueCodeableConcept)< 441742003 |Evaluation finding|
   value[x] (valueQuantity)< 441742003 |Evaluation finding|
   value[x] (valueString)< 441742003 |Evaluation finding|
   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|
   component
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (specimen-supervision-status)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valueCodeableConcept)363714003 |Interprets| < 441742003 |Evaluation finding|

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

SHCCovid19LaboratoryResultObservationDM
ObservationOBX
   statusOBX-11
   codeOBX-3
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         codeC*E.1
   subjectPID-3
   effective[x]OBX-14, and/or OBX-19 after v2.4 (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] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         codeC*E.1
   value[x] (valueQuantity)OBX.2, OBX.5, OBX.6
      valueSN.2 / CQ - N/A
      comparatorSN.1 / CQ.1
      unit(see OBX.6 etc.) / CQ.2
      system(see OBX.6 etc.) / CQ.2
      code(see OBX.6 etc.) / CQ.2
   value[x] (valueString)OBX.2, OBX.5, OBX.6
   referenceRangeOBX.7
      lowOBX-7
      highOBX-7
      typeOBX-10
         codingC*E.1-8, C*E.10-22
      textOBX-7
   componentcontainment by OBX-4?
      codeOBX-3
      value[x]OBX.2, OBX.5, OBX.6
   component (specimen-supervision-status)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
      value[x]OBX.2, OBX.5, OBX.6
      value[x] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1

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

SHCCovid19LaboratoryResultObservationDM
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   meta
   statusstatus Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
   codecode
      codingunion(., ./translation)
         system./codeSystem
         code./code
   subjectparticipation[typeCode=RTGT]
      referenceN/A
   effective[x]effectiveTime
   performerparticipation[typeCode=PRF]
      displayN/A
   value[x]value
   value[x] (valueCodeableConcept)value
      codingunion(., ./translation)
         system./codeSystem
         code./code
   value[x] (valueQuantity)value
      extensionn/a
      valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
      comparatorIVL properties
      unitPQ.unit
      systemCO.codeSystem, PQ.translation.codeSystem
      codePQ.code, MO.currency, PQ.translation.code
   value[x] (valueString)value
   referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
      lowvalue:IVL_PQ.low
      highvalue:IVL_PQ.high
      typeinterpretationCode
         codingunion(., ./translation)
      textvalue:ST
   componentoutBoundRelationship[typeCode=COMP]
      codecode
      value[x]value
   component (specimen-supervision-status)outBoundRelationship[typeCode=COMP]
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
      value[x]value
      value[x] (valueCodeableConcept)value
         codingunion(., ./translation)
            system./codeSystem
            code./code

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

SHCCovid19LaboratoryResultObservationDM
Observation
   statusFiveWs.status
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   effective[x]FiveWs.done[x]
   performerFiveWs.actor
   component
      codeFiveWs.what[x]
   component (specimen-supervision-status)
      codeFiveWs.what[x]

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

SHCCovid19LaboratoryResultObservationDM
Observation
   code116680003 |Is a|
   value[x]363714003 |Interprets|
   value[x] (valueCodeableConcept)363714003 |Interprets|
   value[x] (valueQuantity)363714003 |Interprets|
   value[x] (valueString)363714003 |Interprets|
   component
      value[x]363714003 |Interprets|
   component (specimen-supervision-status)
      value[x]363714003 |Interprets|
      value[x] (valueCodeableConcept)363714003 |Interprets|