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Resource Profile: DiagnosticReportTWNGS - Mappings

Draft as of 2025-01-13

Mappings for the DiagnosticReport-twngs resource profile.

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

DiagnosticReportTWNGS
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]
effective[x] (effectiveDateTime)	Event.occurrence[x]
performer	Event.performer.actor
resultsInterpreter	Event.performer.actor

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

DiagnosticReportTWNGS
DiagnosticReport	ORU -> OBR
identifier	CX / EI (occasionally, more often EI maps to a resource id or a URL), 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	CE/CNE/CWE, OBR-24
code	CE/CNE/CWE, 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)
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	CE/CNE/CWE, OBX
presentedForm	ED/RP, OBX

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

DiagnosticReportTWNGS
DiagnosticReport	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
meta	n/a, N/A
implicitRules	n/a
language	n/a
text	n/a, N/A, Act.text?
contained	Entity. Role, or Act, N/A
extension	n/a, N/A
extension (condition)	n/a, N/A
modifierExtension	n/a, 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], id
basedOn	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), outboundRelationship[typeCode=FLFS].target
status	n/a, statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
category	n/a, CD, inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
code	n/a, CD, code
subject	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), participation[typeCode=SBJ]
encounter	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	n/a, effectiveTime
effective[x] (effectiveDateTime)	n/a, effectiveTime
issued	n/a, participation[typeCode=VRF or AUT].time
performer	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .participation[typeCode=PRF]
resultsInterpreter	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .participation[typeCode=PRF]
specimen	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), participation[typeCode=SBJ]
result	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), outboundRelationship[typeCode=COMP].target
imagingStudy	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]
media	n/a, outboundRelationship[typeCode=COMP].target
id	n/a
extension	n/a, N/A
modifierExtension	n/a, N/A
comment	n/a, .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value
link	n/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .value.reference
conclusion	n/a, inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)
conclusionCode	n/a, CD, inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)
presentedForm	n/a, ED, text (type=ED)

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

DiagnosticReportTWNGS
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]
effective[x] (effectiveDateTime)	FiveWs.done[x]
issued	FiveWs.recorded
performer	FiveWs.actor
resultsInterpreter	FiveWs.actor