Hospital-Community Lab Referral Cycle
1.1.0 - ci-build

This page is part of the LRC IG (v1.1.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: LrcLabReport - Mappings

Active as of 2024-08-12

Mappings for the lrc-lab-report resource profile.

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

LrcLabReport
DiagnosticReportEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.encounter
   effective[x]Event.occurrence[x]
   performerEvent.performer.actor
   resultsInterpreterEvent.performer.actor

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

LrcLabReport
DiagnosticReportORU -> OBR
   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
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   basedOnORC? OBR-2/3?
   statusOBR-25 (not 1:1 mapping)
   categoryOBR-24
   category (hl7-lab)OBR-24
   codeOBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
      codingC*E.1-8, C*E.10-22
      coding (loinc-lab)C*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   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
   mediaOBX?
   conclusionOBX
   conclusionCodeOBX
   presentedFormOBX

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

LrcLabReport
DiagnosticReportEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extension (note)n/a, N/A
   modifierExtensionN/A
   identifierid
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   basedOnoutboundRelationship[typeCode=FLFS].target
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   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
   category (hl7-lab)inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
   codecode
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (loinc-lab)union(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   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
   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)
   conclusionCodeinboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)
   presentedFormtext (type=ED)

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

LrcLabReport
DiagnosticReport
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   category (hl7-lab)FiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor
   resultsInterpreterFiveWs.actor