RIVO-Noord Zorgviewer Implementation Guide
1.5.0 - CI build Netherlands flag

RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions

Resource Profile: LaboratoryTestResult - Mappings

Active as of 2024-09-16

Mappings for the LaboratoryTestResult resource profile.

Mappings for HCIM LaboratoryTestResult-v4.1(2017EN) (https://zibs.nl/wiki/LaboratoryTestResult-v4.1(2017EN))

LaboratoryTestResult
ObservationNL-CM:13.1.1, NL-CM:13.1.3

LaboratoryTestResult

,

LaboratoryTest
   basedOnNL-CM:13.1.34

Contains Requester::HealthProfessional
   status
      extension (TestResultStatus)NL-CM:13.1.31

TestResultStatus
   category (ResultType)NL-CM:13.1.7

ResultType
   codeNL-CM:13.1.4, NL-CM:13.1.8

PanelOrBattery

,

TestCode
   effective[x]NL-CM:13.1.13

TestDateTime
   effective[x] (effectiveDateTime)NL-CM:13.1.13

TestDateTime
   value[x]NL-CM:13.1.10

TestResult
   value[x] (valueQuantity)NL-CM:13.1.10

TestResult
   interpretation
      coding (InterpretatieVlaggenCodelijst)NL-CM:13.1.14

ResultFlags - see ConceptMap 'HCIM InterpretatieVlaggenCodelijst to Observation Interpretation Codes'
   commentNL-CM:13.1.5, NL-CM:13.1.32

Comment

,

ResultInterpretation
   methodNL-CM:13.1.9

TestMethod
   specimenNL-CM:13.1.2

Specimen
   referenceRange
      lowNL-CM:13.1.12

ReferenceRangeLowerLimit
      highNL-CM:13.1.11

ReferenceRangeUpperLimit
   relatedNL-CM:13.1.33, NL-CM:13.1.3

RelatedResults

,

LaboratoryTest
   componentNL-CM:13.1.3

LaboratoryTest
      codeNL-CM:13.1.8

TestCode
      value[x]NL-CM:13.1.10

TestResult
      interpretationNL-CM:13.1.14

ResultFlags

Mappings for HCIM BasicElements-v1.0(2017EN) (https://zibs.nl/wiki/BasicElements-v1.0(2017EN))

LaboratoryTestResult
Observation
   identifierNL-CM:0.0.6

IdentificationNumber
   subjectNL-CM:0.0.11

Subject
   effective[x]NL-CM:0.0.14

DateTime
   effective[x] (effectiveDateTime)NL-CM:0.0.14

DateTime
   performerNL-CM:0.0.7

Author

Mappings for HCIM LaboratoryTestResultForTransfer-v3.0(2016EN) (https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v3.0(2016EN))

LaboratoryTestResult
ObservationNL-CM:13.1.1, NL-CM:13.1.3

LaboratoryTestResult

,

LaboratoryTest
   category (ResultType)NL-CM:13.1.7

ResultType
   codeNL-CM:13.1.4, NL-CM:13.1.8

Test

,

TestName
   effective[x]NL-CM:13.1.13

TestDateTime
   effective[x] (effectiveDateTime)NL-CM:13.1.13

TestDateTime
   value[x]NL-CM:13.1.10

TestResult
   value[x] (valueQuantity)NL-CM:13.1.10

TestResult
   interpretation
      coding (InterpretatieVlaggenCodelijst)NL-CM:13.1.14

ResultFlags
   commentNL-CM:13.1.5

Explanation
   methodNL-CM:13.1.9

TestMethod
   specimenNL-CM:13.1.2

Specimen
   referenceRange
      lowNL-CM:13.1.12

LowerReferenceLimit
      highNL-CM:13.1.11

UpperReferenceLimit
   componentNL-CM:13.1.3

LaboratoryTest
      codeNL-CM:13.1.8

TestName
      value[x]NL-CM:13.1.10

TestResult
      interpretationNL-CM:13.1.14

ResultFlags

Mappings for HCIM LaboratoryTestResultForTransfer-v1.2.2(2015EN) (https://zibs.nl/wiki/LaboratoryTestResultForTransfer-v1.2.2(2015EN))

LaboratoryTestResult
ObservationNL-CM:13.1.1, NL-CM:13.1.3

LaboratoryTestResult

,

LaboratoryTest
   category (ResultType)NL-CM:13.1.7

ResultType
   codeNL-CM:13.1.4, NL-CM:13.1.8

Test

,

TestName
   effective[x]NL-CM:13.1.13

TestDateTime
   effective[x] (effectiveDateTime)NL-CM:13.1.13

TestDateTime
   value[x]NL-CM:13.1.10

TestResult
   value[x] (valueQuantity)NL-CM:13.1.10

TestResult
   interpretation
      coding (InterpretatieVlaggenCodelijst)NL-CM:13.1.14

ResultFlags
   commentNL-CM:13.1.5

Explanation
   methodNL-CM:13.1.9

TestMethod
   specimenNL-CM:13.1.2

Specimen
   referenceRange
      lowNL-CM:13.1.12

LowerReferenceLimit
      highNL-CM:13.1.11

UpperReferenceLimit
   componentNL-CM:13.1.3

LaboratoryTest
      codeNL-CM:13.1.8

TestName
      value[x]NL-CM:13.1.10

TestResult
      interpretationNL-CM:13.1.14

ResultFlags

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

LaboratoryTestResult
ObservationEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   contextEvent.context
   effective[x]Event.occurrence[x]
   effective[x] (effectiveDateTime)Event.occurrence[x]
   performerEvent.performer
   value[x]Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
   value[x] (valueQuantity)Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
   dataAbsentReasonEvent.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
   commentEvent.note

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

LaboratoryTestResult
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] (valueQuantity)< 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|

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

LaboratoryTestResult
ObservationOBX
   identifierOBX.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.
   basedOnORC
   statusOBX-11
   category
   category (LaboratoryTestResultCode)
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   codeOBX-3
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-3
   contextPV1
   effective[x]OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
   effective[x] (effectiveDateTime)OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
   issuedOBR.22 (or MSH.7), or perhaps OBX-19 (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] (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
   dataAbsentReasonN/A
   interpretationOBX-8
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      coding (ObservationInterpretation)C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      coding (InterpretatieVlaggenCodelijst)C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   commentNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
   bodySiteOBX-20
   methodOBX-17
   specimenSPM segment
   deviceOBX-17 / PRT -10
   referenceRangeOBX.7
      lowOBX-7
         valueSN.2 / CQ - N/A
         unit(see OBX.6 etc.) / CQ.2
         system(see OBX.6 etc.) / CQ.2
         code(see OBX.6 etc.) / CQ.2
      highOBX-7
         valueSN.2 / CQ - N/A
         unit(see OBX.6 etc.) / CQ.2
         system(see OBX.6 etc.) / CQ.2
         code(see OBX.6 etc.) / CQ.2
      typeOBX-10
      appliesToOBX-10
      textOBX-7
   relatedRelationships established by OBX-4 usage
      typeN/A
   componentcontainment by OBX-4?
      codeOBX-3
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7

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

LaboratoryTestResult
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierid
   basedOn.outboundRelationship[typeCode=FLFS].target
   statusstatus Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
      extension
      extension (TestResultStatus)
         idn/a
         extensionn/a
         urlN/A
         value[x]N/A
         value[x] (valueCodeableConcept)N/A
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   category (LaboratoryTestResultCode).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   category (ResultType).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   codecode
      idn/a
      extensionn/a
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   subjectparticipation[typeCode=SBJ]
   contextinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   effective[x] (effectiveDateTime)effectiveTime
   issuedparticipation[typeCode=AUT].time
   performerparticipation[typeCode=PRF]
      idn/a
      extension (practitionerRole)n/a, N/A
      referenceN/A
      identifier.identifier
      displayN/A
   value[x]value
   value[x] (valueQuantity)value
      idn/a
      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
   dataAbsentReasonvalue.nullFlavor
   interpretationinterpretationCode
      idn/a
      extensionn/a
      codingunion(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (ObservationInterpretation)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (InterpretatieVlaggenCodelijst)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   commentsubjectOf.observationEvent[code="annotation"].value
   bodySitetargetSiteCode
   methodmethodCode
   specimenparticipation[typeCode=SPC].specimen
   deviceparticipation[typeCode=DEV]
   referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      lowvalue:IVL_PQ.low
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
      highvalue:IVL_PQ.high
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
      typeinterpretationCode
      appliesTointerpretationCode
      ageoutboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
      textvalue:ST
   relatedoutBoundRelationship
      idn/a
      extensionn/a
      modifierExtensionN/A
      type.typeCode
      target.targetObservation
   componentoutBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

LaboratoryTestResult
Observationclinical.diagnostics
   identifierid
   statusstatus
   categoryclass
   category (LaboratoryTestResultCode)class
   category (ResultType)class
   codewhat
   subjectwho.focus
   contextcontext
   effective[x]when.done
   effective[x] (effectiveDateTime)when.done
   issuedwhen.recorded
   performerwho.actor
   component
      codewhat

Mappings for SNOMED CT Attribute Binding (http://snomed.info/sct)

LaboratoryTestResult
Observation
   code116680003 |Is a|
   value[x]363714003 |Interprets|
   value[x] (valueQuantity)363714003 |Interprets|
   interpretation363713009 |Has interpretation|
   bodySite718497002 |Inherent location|
   specimen704319004 |Inherent in|
   device424226004 |Using device|
   component
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|