Mappings for the mr-diagnosticreport resource profile.
| MRDiagnosticReport |
| DiagnosticReport | ORU -> OBR |
| contained | |
| contained (request) | ORC |
| identifier | CX / EI (occasionally, more often EI maps to a resource id or a URL) |
| instantiatesCanonical | Varies by domain |
| instantiatesUri | Varies by domain |
| basedOn | ORC.8 (plus others) |
| replaces | Handled by message location of ORC (ORC.1=RO or RU) |
| requisition | ORC.4 |
| status | ORC.5,RF1-1 |
| intent | N/A |
| category | RF1-5 |
| priority | TQ1.9, RF1-2 |
| code | PR1-3 / OBR-4 (varies by domain) |
| coding | C*E.1-8, C*E.10-22 |
| text | C*E.9. But note many systems use C*E.2 for this |
| orderDetail | NTE |
| quantity[x] | NTE |
| subject | PID |
| encounter | PV1 |
| occurrence[x] | TQ1/TQ2, OBR-7/OBR-8 |
| authoredOn | ORC.9, RF1-7 / RF1-9 |
| requester | ORC.12, PRT |
| performerType | PRT, RF!-3 |
| performer | PRT, Practitioner: PRD-2/PRD-7 where PRD-3 = RT; Organization: PRD-10 where PRD-3 = RT |
| reasonCode | ORC.16, RF1-10 |
| reasonReference | ORC.16 |
| insurance | IN1/IN2 |
| supportingInfo | Accompanying segments |
| specimen | SPM |
| bodySite | SPM |
| note | NTE |
| patientInstruction | NTE |
| relevantHistory | N/A |
| identifier | CX / EI (occasionally, more often EI maps to a resource id or a URL) |
| 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 |
| effective[x] (effectiveDateTime) | 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 |
| contentType | ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used |
| data | ED.5 |
| url | RP.1+RP.2 - if they refer to a URL (see v2.6) |
| MRDiagnosticReport |
| DiagnosticReport | Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN] |
| meta | n/a, N/A |
| id | n/a |
| extension | n/a |
| text | Act.text? |
| contained | N/A |
| contained (request) | Entity. Role, or Act, Act[moodCode<=INT] |
| text | Act.text? |
| contained | N/A |
| modifierExtension | N/A |
| identifier | n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] |
| instantiatesCanonical | .outboundRelationship[typeCode=DEFN].target |
| instantiatesUri | .outboundRelationship[typeCode=DEFN].target |
| basedOn | .outboundRelationship[typeCode=FLFS].target |
| replaces | .outboundRelationship[typeCode=RPLC].target |
| requisition | .inboundRelationship(typeCode=COMP].source[moodCode=INT].identifier |
| status | .status |
| intent | .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere) |
| category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="INT"].code |
| priority | .priorityCode |
| doNotPerform | .actionNegationInd |
| code | .code |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| text | ./originalText[mediaType/code="text/plain"]/data |
| orderDetail | .code |
| quantity[x] | .quantity |
| subject | .participation[typeCode=SBJ].role |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| encounter | .inboundRelationship(typeCode=COMP].source[classCode<=PCPR, moodCode=EVN] |
| occurrence[x] | .effectiveTime |
| asNeeded[x] | boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false CodeableConcept: precondition.observationEventCriterion[code="Assertion"].value |
| authoredOn | .participation[typeCode=AUT].time |
| requester | .participation[typeCode=AUT].role |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| performerType | .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code |
| performer | .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
| locationCode | .participation[typeCode=LOC].role[scoper.determinerCode=KIND].code |
| locationReference | .participation[typeCode=LOC].role[scoper.determinerCode=INSTANCE] |
| reasonCode | .reasonCode |
| reasonReference | .outboundRelationship[typeCode=RSON].target |
| insurance | .outboundRelationship[typeCode=COVBY].target |
| supportingInfo | .outboundRelationship[typeCode=PERT].target |
| specimen | .participation[typeCode=SPC].role |
| bodySite | targetSiteCode |
| note | .inboundRelationship(typeCode=SUBJ].source[classCode=ANNGEN, moodCode=EVN].value[xsi:type=ST] |
| patientInstruction | .text |
| relevantHistory | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN] |
| extension | |
| extension (note) | |
| extension (checked) | |
| id | n/a |
| extension | n/a |
| extension (checked-on) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| value[x] (valueDateTime) | N/A |
| extension (checked-by) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| value[x] (valueReference) | N/A |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| url | N/A |
| modifierExtension | N/A |
| identifier | n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] |
| basedOn | outboundRelationship[typeCode=FLFS].target |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| 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] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| encounter | inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] |
| effective[x] | effectiveTime |
| effective[x] (effectiveDateTime) | 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) |
| id | n/a |
| extension | n/a |
| contentType | ./mediaType, ./charset |
| language | ./language |
| data | ./data |
| url | ./reference/literal |
| size | N/A (needs data type R3 proposal) |
| hash | .integrityCheck[parent::ED/integrityCheckAlgorithm="SHA-1"] |
| title | ./title/data |
| creation | N/A (needs data type R3 proposal) |
