Mappings for the VA.MHV.PHR.vitalsPain resource profile.
| MHVvitalsPain |
| 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. |
| identifier (TOid) | 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. |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| status | OBX-11 |
| code | OBX-3 |
| coding | C*E.1-8, C*E.10-22 |
| coding (pain) | 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 |
| 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) |
| 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' |
| value[x] | OBX.2, OBX.5, OBX.6 |
| dataAbsentReason | N/A |
| 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 |
| MHVvitalsPain |
| Observation | Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN] |
| text | Act.text? |
| contained | N/A |
| extension | N/A |
| modifierExtension | N/A |
| identifier | id |
| identifier (TOid) | id |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| 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 (VSCat) | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code |
| code | code |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| coding (pain) | union(., ./translation) |
| text | ./originalText[mediaType/code="text/plain"]/data |
| subject | participation[typeCode=RTGT] |
| effective[x] | effectiveTime |
| effective[x] (effectiveDateTime) | effectiveTime |
| performer | participation[typeCode=PRF] |
| id | n/a |
| extension | n/a |
| extension (site) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| value[x] | value |
| dataAbsentReason | value.nullFlavor |
| 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] |
