MyHealtheVet PHR FHIR API, published by VA Digital Services. This guide is not an authorized publication; it is the continuous build for version 0.3.9-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/department-of-veterans-affairs/mhv-fhir-phr-mapping/ and changes regularly. See the Directory of published versions

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• Detailed Descriptions
• Mappings
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Resource Profile: MHVdiagnosticReport - Mappings

Page standards status: Trial-use

Maturity Level: 1

Mappings for the VA.MHV.PHR.diagnosticReport resource profile.

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

MHVdiagnosticReport
DiagnosticReport	Event
identifier	Event.identifier
basedOn	Event.basedOn
status	Event.status
code	Event.code
subject	Event.subject
effective[x]	Event.occurrence[x]
effective[x] (effectiveDateTime)	Event.occurrence[x]
performer	Event.performer.actor

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

MHVdiagnosticReport
DiagnosticReport	ORU -> OBR
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
basedOn	ORC? OBR-2/3?
status	OBR-25 (not 1:1 mapping)
category	OBR-24
category (LaboratorySlice)	OBR-24
code	OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3 (no HL7 v2 mapping for Group or Device)
effective[x]	OBR-7
effective[x] (effectiveDateTime)	OBR-7
issued	OBR-22
performer	PRT-8 (where this PRT-4-Participation = "PO")
specimen	SPM
result	OBXs
conclusion	OBX
presentedForm	OBX

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

MHVdiagnosticReport
DiagnosticReport	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	id
basedOn	outboundRelationship[typeCode=FLFS].target
status	statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
category	inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
category (LaboratorySlice)	inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
code	code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
subject	participation[typeCode=SBJ]
effective[x]	effectiveTime
effective[x] (effectiveDateTime)	effectiveTime
issued	participation[typeCode=VRF or AUT].time
performer	.participation[typeCode=PRF]
specimen	participation[typeCode=SBJ]
result	outboundRelationship[typeCode=COMP].target
conclusion	inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)
presentedForm	text (type=ED)

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

MHVdiagnosticReport
DiagnosticReport
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
category (LaboratorySlice)	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
effective[x]	FiveWs.done[x]
effective[x] (effectiveDateTime)	FiveWs.done[x]
issued	FiveWs.recorded
performer	FiveWs.actor