Release 4B R5 Final QA

This page is part of the FHIR Specification (v4.3.0: R4B (v5.0.0-draft-final: Final QA Preview for R5 - STU see ballot notes ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

10.3.10 Resource DiagnosticReport - Mappings

Orders and Observations icon Work Group Maturity Level : N/A Standards Status : Informative Security Category : Patient Compartments : Device , Encounter , Patient , Practitioner

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 v2 V2 Mapping

RIM Mapping

Mappings for the diagnosticreport resource (see Mappings to Other Standards for further information & status).

10.3.10.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews icon )

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

10.3.10.2 Workflow Pattern ( http://hl7.org/fhir/workflow icon )

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

10.3.10.3 HL7 v2 V2 Mapping ( http://hl7.org/v2 icon )

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 V2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
    subject PID-3 (no HL7 v2 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
    imagingStudy     note
    study
    supportingInfo
        type
        reference
    media OBX?
        comment
        link
    composition
    conclusion OBX
    conclusionCode OBX
    presentedForm OBX

10.3.10.4 RIM Mapping ( http://hl7.org/v3 icon )

DiagnosticReport Observation[classCode=OBS, moodCode=EVN]
    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
    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     note outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN] unknown
    media outboundRelationship[typeCode=COMP].target
        comment .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value
        link .value.reference
    composition .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)