HL7 FHIR Implementation Guide: Transversal Clinical Core
1.2.0 - STU1 Belgium flag

HL7 FHIR Implementation Guide: Transversal Clinical Core, published by eHealth Platform. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-be/core-clinical/ and changes regularly. See the Directory of published versions

Resource Profile: BeDiagnosticReportDiabetes - Mappings

Draft as of 2024-11-22

Mappings for the be-diagnostic-report-diabetes resource profile.

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

BeDiagnosticReportDiabetes
DiagnosticReportEvent
   identifierEvent.identifier
   identifier (UUID)Event.identifier
   basedOnEvent.basedOn
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.encounter
   effective[x]Event.occurrence[x]
   performerEvent.performer.actor
   resultsInterpreterEvent.performer.actor

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

BeDiagnosticReportDiabetes
DiagnosticReportORU -> OBR
   extension
   extension (recorded-date)
   extension (recorder)
   extension (device)
      extension
      extension (reference)
         value[x]
      extension (concept)
         value[x]
            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
   identifierOBR-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
   identifier (UUID)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
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   basedOnORC? OBR-2/3?
   statusOBR-25 (not 1:1 mapping)
   categoryOBR-24
   codeOBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
   subjectPID-3 (no HL7 v2 mapping for Group or Device)
   encounterPV1-19
   effective[x]OBR-7
      startDR.1
      endDR.2
   issuedOBR-22
   performerPRT-8 (where this PRT-4-Participation = "PO")
   resultsInterpreterOBR-32, PRT-8 (where this PRT-4-Participation = "PI")
   specimenSPM
   resultOBXs
   mediaOBX?
   conclusionOBX
   conclusionCodeOBX
   presentedFormOBX
      contentTypeED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used
      dataED.5
      urlRP.1+RP.2 - if they refer to a URL (see v2.6)

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

BeDiagnosticReportDiabetes
DiagnosticReportEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extension
   extension (recorded-date)
   extension (recorder)
   extension (device)
      idn/a
      extensionn/a
      extension (reference)
         idn/a
         urlN/A
         value[x]N/A
      extension (concept)
         idn/a
         urlN/A
         value[x]N/A
            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
      urlN/A
   extension (supportingInfo)n/a, N/A
   modifierExtensionN/A
   identifierid
   identifier (UUID)id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   basedOnoutboundRelationship[typeCode=FLFS].target
   statusstatusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
   categoryinboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
   codecode
   subjectparticipation[typeCode=SBJ]
   encounterinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
      idn/a
      extensionn/a
      start./low
      end./high
   issuedparticipation[typeCode=VRF or AUT].time
   performer.participation[typeCode=PRF]
   resultsInterpreter.participation[typeCode=PRF]
   specimenparticipation[typeCode=SBJ]
   resultoutboundRelationship[typeCode=COMP].target
   imagingStudyoutboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]
   mediaoutboundRelationship[typeCode=COMP].target
      idn/a
      extensionn/a
      modifierExtensionN/A
      comment.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value
      link.value.reference
   conclusioninboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)
   conclusionCodeinboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)
   presentedFormtext (type=ED)
      idn/a
      extensionn/a
      contentType./mediaType, ./charset
      language./language
      data./data
      url./reference/literal
      sizeN/A (needs data type R3 proposal)
      hash.integrityCheck[parent::ED/integrityCheckAlgorithm="SHA-1"]
      title./title/data
      creationN/A (needs data type R3 proposal)

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

BeDiagnosticReportDiabetes
DiagnosticReport
   identifierFiveWs.identifier
   identifier (UUID)FiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor
   resultsInterpreterFiveWs.actor