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Resource Profile: LabObservationChemhemtoxriaserDiagnosticReport - Mappings

Draft as of 2025-06-13

Mappings for the LabObservationChemhemtoxriaserDiagnosticReport resource profile.

Mappings for Veterans Health Information Systems Technology and Architecture (VistA) ()

LabObservationChemhemtoxriaserDiagnosticReport
DiagnosticReport
basedOn	1687: reference based on CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST > ORDERED TEST - CPRS ORDER # (63.04-.35 > 63.07-3)	CDW does not contain this linkage for Chem, but still a valid map
status	2050: target not supported	auto added because of must-support
category
text	1662: source value based on LABORATORY TEST - NATIONAL VA LAB CODE > WKLD CODE - WKLD CODE LAB SECTION > WKLD CODE LAB SECT - NAME (60-64 > 64-13 > 64.21-.01)	Lab Section
category (LaboratorySlice)	1419: fixed value = http://terminology.hl7.org/CodeSystem/v2-0074#LAB
code
coding	1420: source value based on LABORATORY TEST - NATIONAL VA LAB CODE > WKLD CODE - DEFAULT LOINC CODE > LAB LOINC (60-64 > 64-25 > 95.3)	Typically LOINC. Changed VistA mapping to support some coded values and add the lab test name (non-standardized)
system	1420-2: fixed value = http://loinc.org	generated from mapParameter line 2
code	1420-1: source value based on LABORATORY TEST - NATIONAL VA LAB CODE > WKLD CODE - DEFAULT LOINC CODE > LAB LOINC - CODE (60-64 > 64-25 > 95.3-.01)	generated from mapParameter line 1
display	1420-3: source value based on LABORATORY TEST - NATIONAL VA LAB CODE > WKLD CODE - DEFAULT LOINC CODE > LAB LOINC - COMPONENT (60-64 > 64-25 > 95.3-1)	generated from mapParameter line 3
text	1661: source value based on LABORATORY TEST - NAME (60-.01)	Added the lab test name (non-standardized)
subject	1421: reference based on PATIENT - (2-) if {63>63}	Pointer from PATIENT (2)
effective[x] (effectiveDateTime)	2051: target not supported	auto added because of must-support
issued	2052: target not supported	auto added because of must-support
performer	2053: target not supported	auto added because of must-support
result	1437: reference based on See mapping for Lab Observation

Mappings for Clinical Data Warehouse (CDW) ()

LabObservationChemhemtoxriaserDiagnosticReport
DiagnosticReport
category
text	Dim.LabChemTest.NationalVALabCodeIEN
code
coding	Dim.LabChemTest.NationalVALabCodeIEN
code	Dim.LabChemTest.NationalVALabCodeIEN
display	Dim.LabChemTest.NationalVALabCodeIEN
text	Dim.LabChemTest.LabChemTestName

Mappings for Virtual Patient Record XML (VPR) ()

LabObservationChemhemtoxriaserDiagnosticReport
DiagnosticReport
code
text	panel.test med.prescription lab.test pharmacy (med).prescription

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

LabObservationChemhemtoxriaserDiagnosticReport
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)

LabObservationChemhemtoxriaserDiagnosticReport
DiagnosticReport	ORU -> OBR
identifier	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	OBR-24
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
category (LaboratorySlice)	OBR-24
code	OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
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 (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	OBX
presentedForm	OBX

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

LabObservationChemhemtoxriaserDiagnosticReport
DiagnosticReport	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	id
basedOn	outboundRelationship[typeCode=FLFS].target
status	statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
category	inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
category (LaboratorySlice)	inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
code	code
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
subject	participation[typeCode=SBJ]
encounter	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	effectiveTime
effective[x] (effectiveDateTime)	effectiveTime
issued	participation[typeCode=VRF or AUT].time
performer	.participation[typeCode=PRF]
resultsInterpreter	.participation[typeCode=PRF]
specimen	participation[typeCode=SBJ]
result	outboundRelationship[typeCode=COMP].target
imagingStudy	outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]
media	outboundRelationship[typeCode=COMP].target
id	n/a
extension	n/a
modifierExtension	N/A
comment	.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value
link	.value.reference
conclusion	inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)
conclusionCode	inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)
presentedForm	text (type=ED)

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

LabObservationChemhemtoxriaserDiagnosticReport
DiagnosticReport
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
category (LaboratorySlice)	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