OpenMRS Core FHIR Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions

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Resource Profile: OpenMRSDiagnosticReport - Mappings

Active as of 2023-06-23

Mappings for the OpenMRS-diagnostic-report resource profile.

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

OpenMRSDiagnosticReport
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]
performer	Event.performer.actor
resultsInterpreter	Event.performer.actor

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

OpenMRSDiagnosticReport
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
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
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
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)

OpenMRSDiagnosticReport
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
code	code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
subject	participation[typeCode=SBJ]
encounter	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	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)

OpenMRSDiagnosticReport
DiagnosticReport
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
effective[x]	FiveWs.done[x]
issued	FiveWs.recorded
performer	FiveWs.actor
resultsInterpreter	FiveWs.actor

Mappings for FHIR HL7 vs OMRS FHIR2 (DiagnosticReport)

Diagnostic Report resource that is part of the Diagnostic Medicine Module. A DiagnosticReport is used to represent the results of diagnostic tests that are performed in a given clinical context.

OpenMRSDiagnosticReport
DiagnosticReport	OpenMRSDiagnosticReport	This profile maps to Diagnostic Report in OMRS FHIR2
id	Obs.uuid
status	Obs.status
code	Obs.concept
subject	Obs.person
encounter	Obs.encounter
issued	Obs.dateCreated
result	Obs.groupMembers