US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701
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Active as of 2025-06-20 |
Mappings for the VitalSignsSpO2 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.
key | status | direction | source | mapApproach | mapCase | FHIR Path | subPath | mapValue | mapParameter | mapComment | FHIR URL | Ver |
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1239 | for review | V2F | GMRV VITAL MEASUREMENT - SUPPLEMENTAL O2 (120.5-1.4) | transform | VUID = 4500637 | Observation.component[FlowRate] | .valueQuantity.value | Split_SpO2_value.Flow() | .valueQuantity.code = #L/min .valueQuantity.unit = L/min .code = http://loinc.org#3151-8 |
Value needs to be parsed from VistA | http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry | 5.0.1 |
1240 | for review | V2F | GMRV VITAL MEASUREMENT - SUPPLEMENTAL O2 (120.5-1.4) | transform | VUID = 4500637 | Observation.component[Concentration] | .valueQuantity.value | Split_SpO2_value.Consentration() | .valueQuantity.code = #% .valueQuantity.unit = % .code = http://loinc.org#3150-0 |
Value needs to be parsed from VistA | http://hl7.org/fhir/us/core/StructureDefinition/us-core-pulse-oximetry | 5.0.1 |
652 | for review | V2F | GMRV VITAL MEASUREMENT - DATE/TIME VITALS ENTERED (120.5-.04) | source value | Observation.issued | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | |||||
1653 | for review | V2F | GMRV VITAL MEASUREMENT - HOSPITAL LOCATION (120.5-.05) | reference | Observation.performer | /Organization | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | ||||
655 | for review | V2F | GMRV VITAL MEASUREMENT - REASON ENTERED IN ERROR (120.5-4) | fixed value | null | Observation.status | #final | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | |||
656 | for review | V2F | GMRV VITAL MEASUREMENT - REASON ENTERED IN ERROR (120.5-4) | fixed value | not null | Observation.status | #entered-in-error | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | |||
657 | for review | V2F | GMRV VITAL MEASUREMENT - DATE/TIME VITALS TAKEN (120.5-.01) | source value | Observation.effectiveDateTime | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | |||||
658 | for review | V2F | fixed value | Observation.category[VSCat] | http://terminology.hl7.org/CodeSystem/observation-category#vital-signs | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | |||||
659 | for review | V2F | GMRV VITAL MEASUREMENT - PATIENT (120.5-.02) | reference | Observation.subject | /Patient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | ||||
660 | for review | V2F | GMRV VITAL MEASUREMENT - IEN (120.5-.001) | source value | Observation.identifier | .value | .system = http://va.gov/identifiers/$Sta3n/120.5 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | |||
661 | for review | V2F | GMRV VITAL MEASUREMENT - VITAL TYPE > GMRV VITAL TYPE - VUID (120.5-.03 > 120.51-99.99) | terminologyMaps | Observation.code | .coding | VF_VitalsCodes | Pulse Oximetry has 2 code values per US Core | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | ||
662 | for review | V2F | GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) | terminologyMaps | Observation.bodySite | VF_VitalsBodySite | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | ||||
663 | for review | V2F | GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) | terminologyMaps | Observation.extension[http://hl7.org/fhir/StructureDefinition/observation-deviceCode].valueCodeableConcept | VF_VitalsMeasurementDevice | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | ||||
867 | for review | V2F | GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) | terminologyMaps | Observation.method | VF_VitalsMethod | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | ||||
1802 | for review | V2F | GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) | terminologyMaps | Observation.component[va-pre-condition] | .valueCodeableConcept | VF_VitalsPrecondition | .code = http://loinc.org#104158-1 "Associated precondition - Reported" | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | ||
1803 | for review | V2F | GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) | terminologyMaps | Observation.component[va-pre-condition-device] | .valueCodeableConcept | VF_VitalsQualifyingDevice | .code = http://loinc.org#104158-1 "Associated precondition - Reported" | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | ||
1804 | for review | V2F | GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) | terminologyMaps | Observation.extension[http://hl7.org/fhir/StructureDefinition/observation-bodyPosition] | .valueCodeableConcept | VF_VitalsBodyPosition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | |||
664 | for review | V2F | GMRV VITAL MEASUREMENT - RATE (120.5-1.2) | source value | VUID not = 4500634 | Observation.valueQuantity | .value | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 | |||
665 | for review | V2F | GMRV VITAL MEASUREMENT - VITAL TYPE (120.5-.03) | transform | Observation.valueQuantity | .code | VF_VitalsUnits | VPR may transform | http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1 |
No Mappings Found
No Mappings Found
Name | Workflow Pattern | SNOMED CT Concept Domain Binding | HL7 v2 Mapping | RIM Mapping | FiveWs Pattern Mapping | SNOMED CT Attribute Binding![]() |
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Event |
< 363787002 |Observable entity| |
OBX |
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Act.text? |
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N/A |
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n/a |
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N/A |
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N/A |
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n/a |
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N/A |
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N/A |
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N/A |
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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 |
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n/a |
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n/a |
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N/A |
Role.code or implied by context |
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CX.5 |
Role.code or implied by context |
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CX.4 / EI-2-4 |
II.root or Role.id.root |
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CX.1 / EI.1 |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
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CX.7 + CX.8 |
Role.effectiveTime or implied by context |
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II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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Event.basedOn |
ORC |
.inboundRelationship[typeCode=COMP].source[moodCode=EVN] |
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Event.partOf |
Varies by domain |
.outboundRelationship[typeCode=FLFS].target |
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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 |
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FiveWs.class |
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FiveWs.class |
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n/a |
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n/a |
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n/a |
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n/a |
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C*E.3 |
./codeSystem |
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C*E.7 |
./codeSystemVersion |
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C*E.1 |
./code |
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C*E.2 - but note this is not well followed |
CV.displayName |
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Sometimes implied by being first |
CD.codingRationale |
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C*E.9. But note many systems use C*E.2 for this |
./originalText[mediaType/code="text/plain"]/data |
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Event.code |
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
116680003 |Is a| |
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n/a |
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n/a |
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C*E.9. But note many systems use C*E.2 for this |
./originalText[mediaType/code="text/plain"]/data |
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Event.subject |
PID-3 |
participation[typeCode=RTGT] |
FiveWs.subject |
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OBX-3 |
participation[typeCode=SBJ] |
FiveWs.subject |
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Event.context |
PV1 |
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FiveWs.context |
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Event.occurrence[x] |
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effectiveTime |
FiveWs.done[x] |
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Event.occurrence[x] |
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effectiveTime |
FiveWs.done[x] |
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participation[typeCode=AUT].time |
FiveWs.recorded |
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Event.performer.actor |
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participation[typeCode=PRF] |
FiveWs.actor |
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< 441742003 |Evaluation finding| |
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value |
363714003 |Interprets| | ||
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< 441742003 |Evaluation finding| |
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value |
363714003 |Interprets| | ||
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n/a |
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n/a |
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SN.2 / CQ - N/A |
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SN.1 / CQ.1 |
IVL properties |
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(see OBX.6 etc.) / CQ.2 |
PQ.unit |
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(see OBX.6 etc.) / CQ.2 |
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(see OBX.6 etc.) / CQ.2 |
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N/A |
value.nullFlavor |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
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subjectOf.observationEvent[code="annotation"].value |
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< 123037004 |Body structure| |
OBX-20 |
targetSiteCode |
718497002 |Inherent location| | ||
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OBX-17 |
methodCode |
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< 123038009 |Specimen| |
SPM segment |
participation[typeCode=SPC].specimen |
704319004 |Inherent in| | ||
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< 49062001 |Device| |
OBX-17 / PRT -10 |
participation[typeCode=DEV] |
424226004 |Using device| | ||
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OBX.7 |
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n/a |
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n/a |
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N/A |
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OBX-7 |
IVL_PQ.low |
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OBX-7 |
IVL_PQ.high |
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< 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 |
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< 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 |
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outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value |
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OBX-7 |
ST |
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Relationships established by OBX-4 usage |
outBoundRelationship |
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Relationships established by OBX-4 usage |
.targetObservation |
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containment by OBX-4? |
outBoundRelationship[typeCode=COMP] |
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n/a |
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n/a |
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N/A |
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< 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
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value |
363714003 |Interprets| | ||
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N/A |
value.nullFlavor |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
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OBX.7 |
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containment by OBX-4? |
outBoundRelationship[typeCode=COMP] |
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n/a |
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n/a |
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N/A |
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< 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
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value |
363714003 |Interprets| | ||
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n/a |
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n/a |
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SN.2 / CQ - N/A |
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SN.1 / CQ.1 |
IVL properties |
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(see OBX.6 etc.) / CQ.2 |
PQ.unit |
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(see OBX.6 etc.) / CQ.2 |
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(see OBX.6 etc.) / CQ.2 |
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N/A |
value.nullFlavor |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
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OBX.7 |
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containment by OBX-4? |
outBoundRelationship[typeCode=COMP] |
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n/a |
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n/a |
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N/A |
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< 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
|
value |
363714003 |Interprets| | ||
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n/a |
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n/a |
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SN.2 / CQ - N/A |
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SN.1 / CQ.1 |
IVL properties |
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(see OBX.6 etc.) / CQ.2 |
PQ.unit |
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(see OBX.6 etc.) / CQ.2 |
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(see OBX.6 etc.) / CQ.2 |
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N/A |
value.nullFlavor |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
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OBX.7 |
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containment by OBX-4? |
outBoundRelationship[typeCode=COMP] |
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n/a |
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n/a |
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N/A |
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< 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
|
value |
363714003 |Interprets| | ||
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363714003 |Interprets| < 441742003 |Evaluation finding| |
|
value |
363714003 |Interprets| | ||
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N/A |
value.nullFlavor |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
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OBX.7 |
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containment by OBX-4? |
outBoundRelationship[typeCode=COMP] |
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n/a |
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n/a |
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N/A |
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< 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
|
value |
363714003 |Interprets| | ||
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363714003 |Interprets| < 441742003 |Evaluation finding| |
|
value |
363714003 |Interprets| | ||
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N/A |
value.nullFlavor |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
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OBX.7 |
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