FHIR R4 Symptoms Implementation Guide
0.1.0 - ci-build International flag

FHIR R4 Symptoms Implementation Guide, published by HL7 International / Clinical Interoperability Council. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-symptoms-ig/ and changes regularly. See the Directory of published versions

Resource Profile: SymptomObservation - Mappings

Page standards status: Trial-use Maturity Level: 1

Mappings for the SymptomObservation resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
.. Observation
Event
< 363787002 |Observable entity|
OBX
  • Observation[classCode=OBS
  • moodCode=EVN]
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:associatedSymptom
..... id
n/a
..... extension
..... url
N/A
..... value[x]
N/A
.... extension:associatedCondition
..... id
n/a
..... extension
..... url
N/A
..... value[x]
N/A
... modifierExtension
N/A
... identifier
Event.identifier
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.
id
FiveWs.identifier
... basedOn
Event.basedOn
ORC
.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
... partOf
Event.partOf
Varies by domain
.outboundRelationship[typeCode=FLFS].target
... status
Event.status
< 445584004 |Report by finality status|
OBX-11
status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
FiveWs.status
... category
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
FiveWs.class
... code
Event.code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
116680003 |Is a|
... subject
Event.subject
PID-3
participation[typeCode=RTGT]
FiveWs.subject
... focus
OBX-3
participation[typeCode=SBJ]
FiveWs.subject
... encounter
Event.context
PV1
  • inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
FiveWs.context
... effective[x]
Event.occurrence[x]
  • OBX-14
  • and/or OBX-19 after v2.4 (depends on who observation made)
effectiveTime
FiveWs.done[x]
... issued
  • OBR.22 (or MSH.7)
  • or perhaps OBX-19 (depends on who observation made)
participation[typeCode=AUT].time
FiveWs.recorded
... performer
Event.performer.actor
  • OBX.15 / (Practitioner) OBX-16
  • PRT-4='RO' / (Device) OBX-18
  • PRT-4='EQUIP' / (Organization) OBX-23
  • PRT-4='PO'
participation[typeCode=PRF]
FiveWs.actor
... value[x]
< 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
... dataAbsentReason
N/A
value.nullFlavor
... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
... note
  • NTE.3 (partner NTE to OBX
  • or sometimes another (child?) OBX)
subjectOf.observationEvent[code="annotation"].value
... bodySite
< 123037004 |Body structure|
OBX-20
targetSiteCode
718497002 |Inherent location|
... method
OBX-17
methodCode
... specimen
< 123038009 |Specimen|
SPM segment
participation[typeCode=SPC].specimen
704319004 |Inherent in|
... device
< 49062001 |Device|
OBX-17 / PRT -10
participation[typeCode=DEV]
424226004 |Using device|
... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
... hasMember
Relationships established by OBX-4 usage
outBoundRelationship
... derivedFrom
Relationships established by OBX-4 usage
.targetObservation
... Slices for component
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
.... component:All Slices
..... id
n/a
..... Slices for extension
...... extension:text
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:quality
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
...... extension:scaleCode
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:severity
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
...... extension:scaleCode
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:functionalImpact
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
...... extension:scaleCode
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:clinicalCourse
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
...... extension:scaleCode
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:trend
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:affectiveGrade
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:triggersOrExacerbatingFactors
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
...... extension:relatedMedication
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:alleviatingFactors
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
...... extension:relatedMedication
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:otherEvents
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:frequency
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... Slices for value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
...... value[x]:valueRatio
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
....... id
n/a
....... extension
n/a
....... numerator
.numerator
....... denominator
.denominator
........ id
n/a
........ extension
n/a
........ value
SN.2 / CQ - N/A
  • PQ.value
  • CO.value
  • MO.value
  • IVL.high or IVL.low depending on the value
........ comparator
SN.1 / CQ.1
IVL properties
........ unit
(see OBX.6 etc.) / CQ.2
PQ.unit
........ system
(see OBX.6 etc.) / CQ.2
  • CO.codeSystem
  • PQ.translation.codeSystem
........ code
(see OBX.6 etc.) / CQ.2
  • PQ.code
  • MO.currency
  • PQ.translation.code
...... value[x]:valueCodeableConcept
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... component:speedOfOnset
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
..... id
n/a
..... Slices for extension
...... extension:text
..... modifierExtension
N/A
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
..... dataAbsentReason
N/A
value.nullFlavor
..... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
..... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]

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