OpenMRS Core FHIR Implementation Guide, published by . This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/openmrs/openmrs-contrib-fhir2-ig/ and changes regularly. See the Directory of published versions

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Resource Profile: OpenMRSDiagnosticReport - Mappings

Active as of 2024-12-11

Mappings for the OpenMRS-diagnostic-report resource profile.

Mappings for FHIR HL7 vs OMRS FHIR2 (DiagnosticReport)

Diagnostic Report resource that is part of the Diagnostic Medicine Module. A DiagnosticReport is used to represent the results of diagnostic tests that are performed in a given clinical context.

OpenMRSDiagnosticReport
DiagnosticReport	OpenMRSDiagnosticReport	This profile maps to Diagnostic Report in OMRS FHIR2
id	Obs.uuid
status	Obs.status
code	Obs.concept
subject	Obs.person
encounter	Obs.encounter
issued	Obs.dateCreated
result	Obs.groupMembers

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

OpenMRSDiagnosticReport
DiagnosticReport	Event
identifier	Event.identifier
basedOn	Event.basedOn
status	Event.status
code	Event.code
subject	Event.subject
encounter	Event.encounter
effective[x]	Event.occurrence[x]
performer	Event.performer.actor
resultsInterpreter	Event.performer.actor

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

OpenMRSDiagnosticReport
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
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)
encounter	PV1-19
effective[x]	OBR-7
issued	OBR-22
performer	PRT-8 (where this PRT-4-Participation = "PO")
resultsInterpreter	OBR-32, PRT-8 (where this PRT-4-Participation = "PI")
specimen	SPM
result	OBXs
media	OBX?
conclusion	OBX
conclusionCode	OBX
presentedForm	OBX

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

OpenMRSDiagnosticReport
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
code	code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
subject	participation[typeCode=SBJ]
encounter	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	effectiveTime
issued	participation[typeCode=VRF or AUT].time
performer	.participation[typeCode=PRF]
resultsInterpreter	.participation[typeCode=PRF]
specimen	participation[typeCode=SBJ]
result	outboundRelationship[typeCode=COMP].target
imagingStudy	outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]
media	outboundRelationship[typeCode=COMP].target
id	n/a
extension	n/a
modifierExtension	N/A
comment	.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value
link	.value.reference
conclusion	inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)
conclusionCode	inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)
presentedForm	text (type=ED)

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

OpenMRSDiagnosticReport
DiagnosticReport
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
effective[x]	FiveWs.done[x]
issued	FiveWs.recorded
performer	FiveWs.actor
resultsInterpreter	FiveWs.actor