電子病歷交換單張實作指引(EMR-IG)
0.1.0 - ci-build

This page is part of the 電子病歷交換單張實作指引(EMR-IG) (v0.1.0: Releases) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: PMRObservationLabResults - Mappings

Draft as of 2024-08-23

Mappings for the PMRObservationLabResults resource profile.

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

PMRObservationLabResults
ObservationEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   partOfEvent.partOf
   statusEvent.status
   subjectEvent.subject
   encounterEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer.actor

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

PMRObservationLabResults
Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   value[x]< 441742003 |Evaluation finding|
   specimen< 123038009 |Specimen|
   device< 49062001 |Device|
   component
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (BloodType)
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valueCodeableConcept)363714003 |Interprets| < 441742003 |Evaluation finding|
   component (RhType)
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      value[x] (valueCodeableConcept)363714003 |Interprets| < 441742003 |Evaluation finding|

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

PMRObservationLabResults
ObservationOBX
   identifierOBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
   basedOnORC
   partOfVaries by domain
   statusOBX-11
   categoryCE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   codeCE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6
      coding (LabTestResults)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-3
   focusOBX-3
   encounterPV1
   effective[x]OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
   issuedOBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
   performerOBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
   value[x]OBX.2, OBX.5, OBX.6
   dataAbsentReasonCE/CNE/CWE
   interpretationCE/CNE/CWE
   noteNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
   bodySiteCE/CNE/CWE
   methodCE/CNE/CWE
   specimenSPM segment
   deviceOBX-17 / PRT -10
   referenceRangeOBX.7
      lowOBX-7
      highOBX-7
      typeCE/CNE/CWE
      appliesToCE/CNE/CWE
      textOBX-7
   hasMemberRelationships established by OBX-4 usage
   derivedFromRelationships established by OBX-4 usage
   componentcontainment by OBX-4?
      codeCE/CNE/CWE
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonCE/CNE/CWE
      interpretationCE/CNE/CWE
      referenceRangeOBX.7
   component (BloodType)containment by OBX-4?
      codeCE/CNE/CWE
         codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      value[x] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
         codingC*E.1-8, C*E.10-22
         coding (BloodGroup_A)C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         coding (BloodGroup_B)C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         coding (BloodGroup_O)C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         coding (BloodGroup_AB)C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      dataAbsentReasonCE/CNE/CWE
      interpretationCE/CNE/CWE
      referenceRangeOBX.7
   component (RhType)containment by OBX-4?
      codeCE/CNE/CWE
         codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      value[x] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
         codingC*E.1-8, C*E.10-22
         coding (Positive)C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         coding (Negative)C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      dataAbsentReasonCE/CNE/CWE
      interpretationCE/CNE/CWE
      referenceRangeOBX.7

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

PMRObservationLabResults
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierid
   basedOn.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
   partOf.outboundRelationship[typeCode=FLFS].target
   statusstatus Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
   categoryn/a, CD
      idn/a
      codingn/a, CV
         idn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   coden/a, CD
      idn/a
      codingn/a, CV
      coding (LabTestResults)n/a, CV
         idn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   subjectparticipation[typeCode=RTGT]
   focusparticipation[typeCode=SBJ]
   encounterinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   issuedparticipation[typeCode=AUT].time
   performerparticipation[typeCode=PRF]
   value[x]value
   dataAbsentReasonn/a, CD
   interpretationn/a, CD
   notesubjectOf.observationEvent[code="annotation"].value
   bodySiten/a, CD
   methodn/a, CD
   specimenparticipation[typeCode=SPC].specimen
   deviceparticipation[typeCode=DEV]
   referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      lowvalue:IVL_PQ.low
      highvalue:IVL_PQ.high
      typen/a, CD
      appliesTon/a, CD
      ageoutboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
      textvalue:ST
   hasMemberoutBoundRelationship
   derivedFrom.targetObservation
   componentoutBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      coden/a, CD
      value[x]value
      dataAbsentReasonn/a, CD
      interpretationn/a, CD
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (BloodType)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      coden/a, CD
         idn/a
         codingn/a, CV
            idn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      value[x] (valueCodeableConcept)value
         idn/a
         extensionn/a
         codingunion(., ./translation)
         coding (BloodGroup_A)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (BloodGroup_B)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (BloodGroup_O)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (BloodGroup_AB)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      dataAbsentReasonn/a, CD
      interpretationn/a, CD
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (RhType)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      coden/a, CD
         idn/a
         codingn/a, CV
            idn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      value[x] (valueCodeableConcept)value
         idn/a
         extensionn/a
         codingunion(., ./translation)
         coding (Positive)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (Negative)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      dataAbsentReasonn/a, CD
      interpretationn/a, CD
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

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

PMRObservationLabResults
Observation
   identifierFiveWs.identifier
   statusFiveWs.status
   subjectFiveWs.subject[x], FiveWs.subject
   focusFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

PMRObservationLabResults
Observation
   value[x]363714003 |Interprets|
   specimen704319004 |Inherent in|
   device424226004 |Using device|
   component
      value[x]363714003 |Interprets|
   component (BloodType)
      value[x]363714003 |Interprets|
      value[x] (valueCodeableConcept)363714003 |Interprets|
   component (RhType)
      value[x]363714003 |Interprets|
      value[x] (valueCodeableConcept)363714003 |Interprets|