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

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Resource Profile: LabObservationMicrobiologyObservation - Mappings

Active as of 2025-06-20

Mappings for the LabObservationMicrobiologyObservation 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: Microbiology (Source)Use Case: Lab Observation: Microbiology (Source)PATIENT (2)63LABORATORY REFERENCELABORATORY TEST (60)100SITE/SPECIMENCOLLECTION SAMPLE (62).01NAMELAB DATA (63).01LRDFNMICROBIOLOGY (63.05).001IEN.01DATE/TIME SPECIMEN TAKEN.03DATE REPORT COMPLETED.055COLLECTION SAMPLE.06MICROBIOLOGY ACCESSION.35ORDERED TEST.99COMMENT ON SPECIMENORDERED TEST (63.5)13LAB TEST ORDEREDSITE/SPECIMEN (60.01)95.3LOINC CODELAB LOINC (95.3).01CODE1COMPONENT[Not NULL][Not NULL][Not NULL][Not NULL]

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1450 for review V2F MICROBIOLOGY - DATE/TIME SPECIMEN TAKEN (63.05-.01) source value Observation.effectiveDateTime http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1
1454 for review V2F MICROBIOLOGY - COMMENT ON SPECIMEN (63.05-.99) source value Observation.note http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1
1659 for review V2F MICROBIOLOGY - MICROBIOLOGY ACCESSION (63.05-.06) reference Observation.specimen Specimen http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1
1476 for review V2F MICROBIOLOGY - IEN (63.05-.001) source value Observation.identifier .value .system = http://va.gov/identifiers/$Sta3n/63.05 http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1
1480 for review V2F 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-) source value Not NULL Observation.code.coding .system = "http://loinc.org"
.code = {CODE (.01)}
.display = {COMPONENT (1)}
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1
1484 for review V2F MICROBIOLOGY - DATE REPORT COMPLETED (63.05-.03) source value Observation.issued http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1
843 for review V2F fixed value Observation.category[Laboratory] http://terminology.hl7.org/CodeSystem/observation-category#laboratory http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1
844 for review V2F PATIENT - LABORATORY REFERENCE > LAB DATA - LRDFN (2-63 > 63-.01) reference Observation.subject /Patient Pointer from PATIENT (2) http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
.. Observation
Event
< 363787002 |Observable entity|
OBX
  • Observation[classCode=OBS
  • moodCode=EVN]
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Event.identifier
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.
id
FiveWs.identifier
.... id
n/a
.... extension
n/a
.... use
N/A
Role.code or implied by context
.... type
CX.5
Role.code or implied by context
.... system
CX.4 / EI-2-4
II.root or Role.id.root
.... value
CX.1 / EI.1
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
.... period
CX.7 + CX.8
Role.effectiveTime or implied by context
.... assigner
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
... basedOn
Event.basedOn
ORC
.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
... partOf
Event.partOf
Varies by domain
.outboundRelationship[typeCode=FLFS].target
... status
Event.status
< 445584004 |Report by finality status|
OBX-11
status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
FiveWs.status
... Slices for category
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
FiveWs.class
.... category:Laboratory
  • .outboundRelationship[typeCode="COMP].target[classCode="LIST"
  • moodCode="EVN"].code
FiveWs.class
... code
Event.code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
116680003 |Is a|
.... id
n/a
.... extension
n/a
.... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... id
n/a
..... extension
n/a
..... system
C*E.3
./codeSystem
..... version
C*E.7
./codeSystemVersion
..... code
C*E.1
./code
..... display
C*E.2 - but note this is not well followed
CV.displayName
..... userSelected
Sometimes implied by being first
CD.codingRationale
.... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... subject
Event.subject
PID-3
participation[typeCode=RTGT]
FiveWs.subject
... focus
OBX-3
participation[typeCode=SBJ]
FiveWs.subject
... encounter
Event.context
PV1
  • inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
FiveWs.context
... Slices for effective[x]
Event.occurrence[x]
  • OBX-14
  • and/or OBX-19 after v2.4 (depends on who observation made)
effectiveTime
FiveWs.done[x]
.... effective[x]:effectiveDateTime
Event.occurrence[x]
  • OBX-14
  • and/or OBX-19 after v2.4 (depends on who observation made)
effectiveTime
FiveWs.done[x]
... issued
  • OBR.22 (or MSH.7)
  • or perhaps OBX-19 (depends on who observation made)
participation[typeCode=AUT].time
FiveWs.recorded
... performer
Event.performer.actor
  • OBX.15 / (Practitioner) OBX-16
  • PRT-4='RO' / (Device) OBX-18
  • PRT-4='EQUIP' / (Organization) OBX-23
  • PRT-4='PO'
participation[typeCode=PRF]
FiveWs.actor
... value[x]
< 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
... dataAbsentReason
N/A
value.nullFlavor
... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
... note
  • NTE.3 (partner NTE to OBX
  • or sometimes another (child?) OBX)
subjectOf.observationEvent[code="annotation"].value
... bodySite
< 123037004 |Body structure|
OBX-20
targetSiteCode
718497002 |Inherent location|
... method
OBX-17
methodCode
... specimen
< 123038009 |Specimen|
SPM segment
participation[typeCode=SPC].specimen
704319004 |Inherent in|
... device
< 49062001 |Device|
OBX-17 / PRT -10
participation[typeCode=DEV]
424226004 |Using device|
... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... low
OBX-7
IVL_PQ.low
.... high
OBX-7
IVL_PQ.high
.... 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|
OBX-10
interpretationCode
.... 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|
OBX-10
interpretationCode
.... age
outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
.... text
OBX-7
ST
... hasMember
Relationships established by OBX-4 usage
outBoundRelationship
... derivedFrom
Relationships established by OBX-4 usage
.targetObservation
... component
containment by OBX-4?
outBoundRelationship[typeCode=COMP]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
code
FiveWs.what[x]
.... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
value
363714003 |Interprets|
.... dataAbsentReason
N/A
value.nullFlavor
.... interpretation
< 260245000 |Findings values|
OBX-8
interpretationCode
363713009 |Has interpretation|
.... referenceRange
OBX.7
  • outboundRelationship[typeCode=REFV]/target[classCode=OBS
  • moodCode=EVN]

doco Documentation for this format