EU Imaging Report R5
1.0.0-ballot - ci-build 150

EU Imaging Report R5, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/imaging-r5/ and changes regularly. See the Directory of published versions

Resource Profile: Observation: Narrative Report - Mappings

Page standards status: Draft Maturity Level: 1

Mappings for the ObservationNarrativeReport resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternFiveWs Pattern MappingSNOMED CT Concept Domain BindingHL7 V2 MappingRIM MappingSNOMED CT Attribute Bindingdoco
Observation
Event
clinical.diagnostics
< 363787002 |Observable entity|
OBX
  • Entity
  • Role
  • or Act
  • Observation[classCode=OBS
  • moodCode=EVN]
Observation / id
Observation / meta
Observation / implicitRules
Observation / language
Observation / text
Act.text?
Observation / contained
N/A
Observation / extension
N/A
Observation / modifierExtension
N/A
Observation / identifier
Event.identifier
FiveWs.identifier
1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 3) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
id
Observation / instantiates[x]
Event.instantiatesCanonical
.outboundRelationship[typeCode=DEFN].target
Observation / Slices for basedOn
Event.basedOn
ORC
.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
Observation / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession
Event.basedOn
ORC
.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
Observation / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / id
n/a
Observation / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / extension
n/a
Observation / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / reference
N/A
Observation / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / type
N/A
Observation / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / identifier
.identifier
Observation / Slices for basedOn / basedOn:ServiceRequestOrderEuImagingaccession / display
N/A
Observation / triggeredBy
ORC
.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
Observation / triggeredBy / id
n/a
Observation / triggeredBy / extension
n/a
Observation / triggeredBy / modifierExtension
N/A
Observation / triggeredBy / observation
outBoundRelationship
Observation / triggeredBy / type
code
Observation / triggeredBy / reason
annotation
Observation / partOf
Event.partOf
Varies by domain
.outboundRelationship[typeCode=FLFS].target
Observation / status
Event.status
FiveWs.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"
Observation / category
FiveWs.class
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
Observation / code
Event.code
FiveWs.what[x]
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
116680003 |Is a|
Observation / subject
Event.subject
FiveWs.subject[x]
PID-3
participation[typeCode=RTGT]
Observation / focus
FiveWs.subject[x]
OBX-3
participation[typeCode=SBJ]
Observation / encounter
Event.encounter
FiveWs.context
PV1
  • inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
Observation / effective[x]
Event.occurrence[x]
FiveWs.done[x]
  • OBX-14
  • and/or OBX-19 after v2.4 (depends on who observation made)
effectiveTime
Observation / issued
FiveWs.recorded
  • OBR-22 (or MSH-7)
  • or perhaps OBX-19 (depends on who observation made)
participation[typeCode=AUT].time
Observation / performer
Event.performer.actor
FiveWs.actor
  • OBX-15 / (Practitioner) OBX-16
  • PRT-4='RO' / (Device) OBX-18
  • PRT-4='EQUIP' / (Organization) OBX-23
  • PRT-4='PO'
participation[typeCode=PRF]
Observation / value[x]
< 441742003 |Evaluation finding|
  • OBX-2
  • OBX-5
  • OBX-6
value
363714003 |Interprets|
Observation / value[x] / value[x]All Types
Observation / value[x] / value[x]All Types / id
n/a
Observation / value[x] / value[x]All Types / Slices for extension
n/a
Observation / value[x] / value[x]All Types / Slices for extension / extension:renderingXhtml
ED can be XHTML content
Observation / value[x] / value[x]All Types / Slices for extension / extension:renderingMarkdown
ED can be markdown content
Observation / dataAbsentReason
N/A
value.nullFlavor
Observation / interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
Observation / note
  • NTE-3 (partner NTE to OBX
  • or sometimes another (child?) OBX)
subjectOf.observationEvent[code="annotation"].value
Observation / bodySite
< 123037004 |Body structure|
OBX-20
targetSiteCode
718497002 |Inherent location|
Observation / bodyStructure
targetSiteCode
Observation / method
OBX-17
methodCode
Observation / specimen
< 123038009 |Specimen|
SPM segment
participation[typeCode=SPC].specimen
704319004 |Inherent in|
Observation / device
< 49062001 |Device|
OBX-17 / PRT -10
participation[typeCode=DEV]
424226004 |Using device|
Observation / referenceRange
OBX-7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
Observation / referenceRange / id
n/a
Observation / referenceRange / extension
n/a
Observation / referenceRange / modifierExtension
N/A
Observation / referenceRange / low
OBX-7
IVL_PQ.low
Observation / referenceRange / high
OBX-7
IVL_PQ.high
Observation / referenceRange / normalValue
OBX-7
IVL_PQ.normal
Observation / 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|
OBX-10
interpretationCode
Observation / referenceRange / 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|
OBX-10
interpretationCode
Observation / referenceRange / age
outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
Observation / referenceRange / text
OBX-7
ST
Observation / hasMember
Relationships established by OBX-4 usage
outBoundRelationship
Observation / derivedFrom
Relationships established by OBX-4 usage
.targetObservation
Observation / component
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
Observation / component / id
n/a
Observation / component / extension
n/a
Observation / component / modifierExtension
N/A
Observation / component / code
FiveWs.what[x]
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
Observation / component / value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX-2
  • OBX-5
  • OBX-6
value
363714003 |Interprets|
Observation / component / dataAbsentReason
N/A
value.nullFlavor
Observation / component / interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
Observation / component / referenceRange
OBX-7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]

doco Documentation for this format