US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701 United States of America flag

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Resource Profile: LabObservationChemhemtoxriaserDiagnosticReport - Mappings

Active as of 2025-06-20

Mappings for the LabObservationChemhemtoxriaserDiagnosticReport resource profile.

Scroll down for the Raw FHIR, CDW & SDA mappings (if any).

Note that the CDW, SDA and VPR XML mappings are derived from a look-up based on the VistA source.

Mapping Sources

Use Case: Lab Observation: Chem, hem, tox, ria, ser (Source)Use Case: Lab Observation: Chem, hem, tox, ria, ser (Source)PATIENT (2)63LABORATORY REFERENCELABORATORY TEST (60)100SITE/SPECIMENCOLLECTION SAMPLE (62).01NAMELAB DATA (63).01LRDFNCHEM, HEM, TOX, RIA, SER, etc. (63.04).001IEN.01DATE/TIME SPECIMEN TAKEN.03ORDERED TEST.04VERIFY PERSON.06ACCESSION.112ACCESSIONING INSTITUTION.35ORDERED TEST.99COMMENT2+through+862testnamesORDERED TEST (63.07)3CPRS ORDER #9COLLECTION SAMPLE10DISPOSITION13LAB TEST ORDEREDCOMMENT (63.041).01COMMENTSITE/SPECIMEN (60.01)1REFERENCE LOW2REFERENCE HIGH6UNITS95.3LOINC CODELAB LOINC (95.3).01CODE1COMPONENT[not NULL]

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1687 for review V2F CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST > ORDERED TEST - CPRS ORDER # (63.04-.35 > 63.07-3) reference DiagnosticReport.basedOn http://hl7.org/fhir/StructureDefinition/ServiceRequest CDW does not contain this linkage for Chem, but still a valid map http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-lab | 5.0.1

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternHL7 v2 MappingRIM MappingFiveWs Pattern Mappingdoco
.. DiagnosticReport
Event
ORU -> OBR
  • Observation[classCode=OBS
  • moodCode=EVN]
... id
... meta
... implicitRules
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Event.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
id
FiveWs.identifier
... basedOn
Event.basedOn
ORC? OBR-2/3?
outboundRelationship[typeCode=FLFS].target
... status
Event.status
1 mapping)
final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
FiveWs.status
... Slices for category
OBR-24
  • inboundRelationship[typeCode=COMP].source[classCode=LIST
  • moodCode=EVN
  • code < LabService].code
FiveWs.class
.... category:LaboratorySlice
OBR-24
  • inboundRelationship[typeCode=COMP].source[classCode=LIST
  • moodCode=EVN
  • code < LabService].code
FiveWs.class
... code
Event.code
OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
code
FiveWs.what[x]
... subject
Event.subject
PID-3 (no HL7 v2 mapping for Group or Device)
participation[typeCode=SBJ]
FiveWs.subject
... encounter
Event.encounter
PV1-19
  • inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
FiveWs.context
... effective[x]
Event.occurrence[x]
OBR-7
effectiveTime
FiveWs.done[x]
... issued
OBR-22
participation[typeCode=VRF or AUT].time
FiveWs.recorded
... performer
Event.performer.actor
PRT-8 (where this PRT-4-Participation = "PO")
.participation[typeCode=PRF]
FiveWs.actor
... resultsInterpreter
Event.performer.actor
  • OBR-32
  • PRT-8 (where this PRT-4-Participation = "PI")
.participation[typeCode=PRF]
FiveWs.actor
... specimen
SPM
participation[typeCode=SBJ]
... result
OBXs
outboundRelationship[typeCode=COMP].target
... imagingStudy
  • outboundRelationship[typeCode=COMP].target[classsCode=DGIMG
  • moodCode=EVN]
... media
OBX?
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
OBX
  • inboundRelationship[typeCode="SPRT"].source[classCode=OBS
  • moodCode=EVN
  • 48767-8].value (type=ST)
... conclusionCode
OBX
  • inboundRelationship[typeCode=SPRT].source[classCode=OBS
  • moodCode=EVN
  • 54531-9].value (type=CD)
... presentedForm
OBX
text (type=ED)

doco Documentation for this format