This page is part of the FHIR Specification (v3.0.2: (v4.0.1: R4 - Mixed Normative and STU 3). ) in it's permanent home (it will always be available at this URL). 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 R4 R3 R2

• Content
• Examples
• Detailed Descriptions
• Mappings
• Profiles & Extensions
• R2 R3 Conversions

10.2.9 10.3.9 Resource DiagnosticReport - Mappings

Orders and Observations Work Group

Maturity Level : N/A

Ballot Standards Status : Informative

Security Category : Patient

Compartments : Device , Encounter , Patient , Practitioner

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

10.2.9.1 10.3.9.1 Mappings for RIM FiveWs Pattern Mapping (http://hl7.org/v3) ( http://hl7.org/fhir/fivews )

.participation[typeCode=PRF] .functionCode

DiagnosticReport	Observation[classCode=OBS, moodCode=EVN]     identifier id
basedOn     identifier	outboundRelationship[typeCode=FLFS].target FiveWs.identifier
status	statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise" FiveWs.status
category	inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code FiveWs.class
code	code FiveWs.what[x]
subject	participation[typeCode=SBJ] FiveWs.subject[x]
context     encounter	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] FiveWs.context
effective[x]	effectiveTime FiveWs.done[x]
issued	participation[typeCode=VRF or AUT].time FiveWs.recorded
performer	FiveWs.actor
role     resultsInterpreter	FiveWs.actor

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

.role .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value .value.reference

actor DiagnosticReport	Event
specimen     identifier	participation[typeCode=SBJ] Event.identifier
result     basedOn	outboundRelationship[typeCode=COMP].target Event.basedOn
imagingStudy     status	outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN] Event.status
image     code	outboundRelationship[typeCode=COMP].target Event.code
comment     subject	Event.subject
link     encounter	Event.encounter
conclusion     effective[x]	inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST) Event.occurrence[x]
codedDiagnosis     performer	inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD) Event.performer.actor
presentedForm     resultsInterpreter	text (type=ED) Event.performer.actor

10.2.9.2 10.3.9.3 Mappings for HL7 v2 Mapping (http://hl7.org/v2) ( http://hl7.org/v2 )

DiagnosticReport	ORU -> OBR
identifier	OBR-51 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)
subject	PID-3 (no HL7 v2 mapping for Group or Device)
context     encounter	PV1-19
effective[x]	OBR-7
issued	OBR-22
performer	PRT-8 (where this PRT-4-Participation = "PO")         role PRT-8 (where this PRT-4-Participation = "PO") "PO")
actor     resultsInterpreter	OBR-32, PRT-8 (where this PRT-4-Participation = "PO") "PI")
specimen	SPM
result	OBXs
imagingStudy
image     media	OBX?
comment
link
conclusion	OBX
codedDiagnosis     conclusionCode	OBX
presentedForm	OBX

10.2.9.3 10.3.9.4 Mappings for Workflow RIM Mapping (http://hl7.org/fhir/workflow) ( http://hl7.org/v3 )

Event.performer Event.performer.role

DiagnosticReport	Event Observation[classCode=OBS, moodCode=EVN]
identifier	Event.identifier id
basedOn	Event.basedOn outboundRelationship[typeCode=FLFS].target
status	Event.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	Event.code code
subject	Event.subject participation[typeCode=SBJ]
context     encounter	Event.context inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	Event.occurrence[x] effectiveTime
issued	participation[typeCode=VRF or AUT].time
performer	.participation[typeCode=PRF]
role     resultsInterpreter	.participation[typeCode=PRF]
actor     specimen	Event.performer.actor participation[typeCode=SBJ]
specimen     result	result outboundRelationship[typeCode=COMP].target
imagingStudy	outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]
image     media	outboundRelationship[typeCode=COMP].target
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)
codedDiagnosis     conclusionCode	inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)
presentedForm	text (type=ED)