Release 4B Snapshot #1

This page is part of the FHIR Specification v4.3.0-snapshot1: R4B Snapshot to support the Jan 2022 Connectathon. About the R4B version of FHIR. The current officially released version is 4.3.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

10.3.13.3.4 StructureDefinition: Example Lipid Profile - Mappings

Orders and Observations Work Group Maturity Level: 0Trial Use Use Context: Not yet ready for Production use

Mappings:

Workflow Pattern

HL7 v2 Mapping

RIM Mapping

FiveWs Pattern Mapping

Mappings for the lipidprofile Profile (see Mappings to Other Standards for further information & status).

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

Example Lipid Profile
DiagnosticReportEvent
   id
   meta
   implicitRules
   language
   text
   contained
   extension
   modifierExtension
   identifierEvent.identifier
   basedOnEvent.basedOn
   statusEvent.status
   category
   codeEvent.code
   subjectEvent.subject
   encounterEvent.encounter
   effective[x]Event.occurrence[x]
   issued
   performerEvent.performer.actor
   resultsInterpreterEvent.performer.actor
   specimen
   result
   resultCholesterol
   resultTriglyceride
   resultHDLCholesterol
   resultLDLCholesterol
   imagingStudy
   media
      id
      extension
      modifierExtension
      comment
      link
   conclusion
   presentedForm

10.3.13.5 HL7 v2 Mapping (http://hl7.org/v2)

Example Lipid Profile
DiagnosticReportORU -> OBR
   id
   meta
   implicitRules
   language
   text
   contained
   extension
   modifierExtension
   identifierOBR-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
   basedOnORC? OBR-2/3?
   statusOBR-25 (not 1:1 mapping)
   categoryOBR-24
   codeOBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
   subjectPID-3 (no HL7 v2 mapping for Group or Device)
   encounterPV1-19
   effective[x]OBR-7
   issuedOBR-22
   performerPRT-8 (where this PRT-4-Participation = "PO")
   resultsInterpreterOBR-32, PRT-8 (where this PRT-4-Participation = "PI")
   specimenSPM
   resultOBXs
   resultCholesterolOBXs
   resultTriglycerideOBXs
   resultHDLCholesterolOBXs
   resultLDLCholesterolOBXs
   imagingStudy
   mediaOBX?
      id
      extension
      modifierExtension
      comment
      link
   conclusionOBX
   presentedFormOBX

10.3.13.6 RIM Mapping (http://hl7.org/v3)

Example Lipid Profile
DiagnosticReportEntity. Role, or Act
   id
   meta
   implicitRules
   language
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierid
   basedOnoutboundRelationship[typeCode=FLFS].target
   statusstatusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
   categoryinboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
   codecode
   subjectparticipation[typeCode=SBJ]
   encounterinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   issuedparticipation[typeCode=VRF or AUT].time
   performer.participation[typeCode=PRF]
   resultsInterpreter.participation[typeCode=PRF]
   specimenparticipation[typeCode=SBJ]
   resultoutboundRelationship[typeCode=COMP].target
   resultCholesteroloutboundRelationship[typeCode=COMP].target
   resultTriglycerideoutboundRelationship[typeCode=COMP].target
   resultHDLCholesteroloutboundRelationship[typeCode=COMP].target
   resultLDLCholesteroloutboundRelationship[typeCode=COMP].target
   imagingStudyoutboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]
   mediaoutboundRelationship[typeCode=COMP].target
      idn/a
      extensionn/a
      modifierExtensionN/A
      comment.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value
      link.value.reference
   conclusioninboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)
   presentedFormtext (type=ED)

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

Example Lipid Profile
DiagnosticReportclinical.diagnostics
   id
   meta
   implicitRules
   language
   text
   contained
   extension
   modifierExtension
   identifierFiveWs.identifier
   basedOn
   statusFiveWs.status
   categoryFiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x]
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor
   resultsInterpreterFiveWs.actor
   specimen
   result
   resultCholesterol
   resultTriglyceride
   resultHDLCholesterol
   resultLDLCholesterol
   imagingStudy
   media
      id
      extension
      modifierExtension
      comment
      link
   conclusion
   presentedForm