Interweave Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the R4 profiles here.

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Resource Profile: CareConnect-Observation-1 - Mappings

Draft as of 2021-04-27

Mappings for the CareConnect-Observation-1 resource profile.

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

CareConnect-Observation-1
Observation	Event
identifier	Event.identifier
basedOn	Event.basedOn
status	Event.status
code	Event.code
subject	Event.subject
context	Event.context
effective[x]	Event.occurrence[x]
performer	Event.performer
value[x]	Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
dataAbsentReason	Event.notDone, Event.notDoneReason (maps to valeu[x] or dataAbsentReason)
comment	Event.note

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

CareConnect-Observation-1
Observation	< 363787002 |Observable entity|
status	< 445584004 |Report by finality status|
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	< 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
bodySite	< 123037004 |Body structure|
specimen	< 123038009 |Specimen|
device	< 49062001 |Device|
referenceRange
type	< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
appliesTo	< 260245000 |Findings values| OR < 365860008 |General clinical state finding| OR < 250171008 |Clinical history or observation findings| OR < 415229000 |Racial group| OR < 365400002 |Finding of puberty stage| OR < 443938003 |Procedure carried out on subject|
component
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|

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

CareConnect-Observation-1
Observation	OBX
identifier	OBX.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.
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
basedOn	ORC
status	OBX-11
category
coding	C*E.1-8, C*E.10-22
coding (snomedCT)	C*E.1-8, C*E.10-22
system	C*E.3
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
code	OBX-3
coding	C*E.1-8, C*E.10-22
coding (snomedCT)	C*E.1-8, C*E.10-22
system	C*E.3
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3
context	PV1
effective[x]	OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
issued	OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
performer	OBX.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
dataAbsentReason	N/A
interpretation	OBX-8
comment	NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
bodySite	OBX-20
coding	C*E.1-8, C*E.10-22
coding (snomedCT)	C*E.1-8, C*E.10-22
system	C*E.3
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
method	OBX-17
coding	C*E.1-8, C*E.10-22
coding (snomedCT)	C*E.1-8, C*E.10-22
system	C*E.3
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
specimen	SPM segment
device	OBX-17 / PRT -10
referenceRange	OBX.7
low	OBX-7
high	OBX-7
type	OBX-10
appliesTo	OBX-10
text	OBX-7
related	Relationships established by OBX-4 usage
type	N/A
component	containment by OBX-4?
code	OBX-3
coding	C*E.1-8, C*E.10-22
coding (snomedCT)	C*E.1-8, C*E.10-22
system	C*E.3
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7

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

CareConnect-Observation-1
Observation	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
contained	N/A
extension (reason)	n/a, N/A
modifierExtension	N/A
identifier	id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
basedOn	.outboundRelationship[typeCode=FLFS].target
status	status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
category	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
id	n/a
extension	n/a
coding	union(., ./translation)
coding (snomedCT)	union(., ./translation)
id	n/a
extension (snomedCTDescriptionID)	n/a, N/A
system	./codeSystem
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
code	code
id	n/a
extension	n/a
coding	union(., ./translation)
coding (snomedCT)	union(., ./translation)
id	n/a
extension (snomedCTDescriptionID)	n/a, N/A
system	./codeSystem
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
subject	participation[typeCode=SBJ]
context	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	effectiveTime
issued	participation[typeCode=AUT].time
performer	participation[typeCode=PRF]
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
comment	subjectOf.observationEvent[code="annotation"].value
bodySite	targetSiteCode
id	n/a
extension	n/a
coding	union(., ./translation)
coding (snomedCT)	union(., ./translation)
id	n/a
extension (snomedCTDescriptionID)	n/a, N/A
system	./codeSystem
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
method	methodCode
id	n/a
extension	n/a
coding	union(., ./translation)
coding (snomedCT)	union(., ./translation)
id	n/a
extension (snomedCTDescriptionID)	n/a, N/A
system	./codeSystem
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
specimen	participation[typeCode=SPC].specimen
device	participation[typeCode=DEV]
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
low	value:IVL_PQ.low
high	value:IVL_PQ.high
type	interpretationCode
appliesTo	interpretationCode
age	outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
text	value:ST
related	outBoundRelationship
id	n/a
extension	n/a
modifierExtension	N/A
type	.typeCode
target	.targetObservation
component	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
id	n/a
extension	n/a
coding	union(., ./translation)
coding (snomedCT)	union(., ./translation)
id	n/a
extension (snomedCTDescriptionID)	n/a, N/A
system	./codeSystem
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Mappings for W5 Mapping (http://hl7.org/fhir/w5)

CareConnect-Observation-1
Observation	clinical.diagnostics
identifier	id
status	status
category	class
code	what
subject	who.focus
context	context
effective[x]	when.done
issued	when.recorded
performer	who.actor
component
code	what

Mappings for SNOMED CT Attribute Binding (http://snomed.info/sct)

CareConnect-Observation-1
Observation
code	116680003 |Is a|
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
bodySite	718497002 |Inherent location|
specimen	704319004 |Inherent in|
device	424226004 |Using device|
component
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|