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Resource Profile: LabObservationMicrobiologyBacteriologyObservationbacteria - Mappings

Draft as of 2025-06-13

Mappings for the LabObservationMicrobiologyBacteriologyObservationbacteria resource profile.

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

LabObservationMicrobiologyBacteriologyObservationbacteria
Observation
status	2065: target not supported	auto added because of must-support
category (Laboratory)	2067: target not supported	auto added because of must-support
code	1525: fixed value = http://loinc.org#42803-7 "Bacteria identified in Isolate" when MICROBIOLOGY - ORDERED TEST > ORDERED TEST - LAB TEST ORDERED > LABORATORY TEST - SITE/SPECIMEN > SITE/SPECIMEN - LOINC CODE > LAB LOINC (63.05-.35 > 63.5-13 > 60-100 > 60.01-95.3 > 95.3-) if NULL
subject	2068: target not supported	auto added because of must-support
effective[x] (effectiveDateTime)	2069: target not supported	auto added because of must-support
value[x] (valueString)	1497: source value based on MICROBIOLOGY - ORGANISM > ORGANISM - ORGANISM > ETIOLOGY FIELD - NAME (63.05-12 > 63.3-.01 > 61.2-.01)	Where does organism quantity get mapped? Per LEAF 63, the values in the SNOMED field (61.2-2) are legacy versions of SNOMED with no URI; this will be maped to valueString rather than a codeable concept.
dataAbsentReason	2072: target not supported	auto added because of must-support

Mappings for Virtual Patient Record XML (VPR) ()

LabObservationMicrobiologyBacteriologyObservationbacteria
Observation
value[x] (valueString)	accession.value [m]

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

LabObservationMicrobiologyBacteriologyObservationbacteria
Observation	Event
identifier	Event.identifier
basedOn	Event.basedOn
partOf	Event.partOf
status	Event.status
code	Event.code
subject	Event.subject
encounter	Event.context
effective[x]	Event.occurrence[x]
effective[x] (effectiveDateTime)	Event.occurrence[x]
performer	Event.performer.actor

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

LabObservationMicrobiologyBacteriologyObservationbacteria
Observation	< 363787002 |Observable entity|
status	< 445584004 |Report by finality status|
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	< 441742003 |Evaluation finding|
value[x] (valueString)	< 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)

LabObservationMicrobiologyBacteriologyObservationbacteria
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.
basedOn	ORC
partOf	Varies by domain
status	OBX-11
code	OBX-3
subject	PID-3
focus	OBX-3
encounter	PV1
effective[x]	OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
effective[x] (effectiveDateTime)	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
value[x] (valueString)	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
note	NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
bodySite	OBX-20
method	OBX-17
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
hasMember	Relationships established by OBX-4 usage
derivedFrom	Relationships established by OBX-4 usage
component	containment by OBX-4?
code	OBX-3
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)

LabObservationMicrobiologyBacteriologyObservationbacteria
Observation	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	id
basedOn	.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
partOf	.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
category (Laboratory)	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
code	code
subject	participation[typeCode=RTGT]
focus	participation[typeCode=SBJ]
encounter	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	effectiveTime
effective[x] (effectiveDateTime)	effectiveTime
issued	participation[typeCode=AUT].time
performer	participation[typeCode=PRF]
value[x]	value
value[x] (valueString)	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
note	subjectOf.observationEvent[code="annotation"].value
bodySite	targetSiteCode
method	methodCode
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
hasMember	outBoundRelationship
derivedFrom	.targetObservation
component	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

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

LabObservationMicrobiologyBacteriologyObservationbacteria
Observation
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
category (Laboratory)	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
focus	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
component
code	FiveWs.what[x]

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

LabObservationMicrobiologyBacteriologyObservationbacteria
Observation
code	116680003 |Is a|
value[x]	363714003 |Interprets|
value[x] (valueString)	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|