Mappings for the laboratoryObservation-obl-eu-hdr resource profile.
| Name | Workflow Pattern | SNOMED CT Concept Domain Binding | HL7 v2 Mapping | RIM Mapping | FiveWs Pattern Mapping | SNOMED CT Attribute Binding |
 Observation |
Event |
< 363787002 |Observable entity| |
OBX |
- Observation[classCode=OBS
- moodCode=EVN]
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  Observation / id |
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  Observation / meta |
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  Observation / implicitRules |
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  Observation / language |
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  Observation / text |
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Act.text? |
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  Observation / contained |
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N/A |
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  Observation / Slices for extension |
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   Observation / Slices for extension / extension:bodyStructure |
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   Observation / Slices for extension / extension:triggeredBy |
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    Observation / Slices for extension / extension:triggeredBy / id |
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n/a |
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    Observation / Slices for extension / extension:triggeredBy / Slices for extension |
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    Observation / Slices for extension / extension:triggeredBy / Slices for extension |
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     Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:observation |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:observation / id |
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n/a |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:observation / extension |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:observation / url |
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N/A |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:observation / value[x] |
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N/A |
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     Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:type |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:type / id |
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n/a |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:type / extension |
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n/a |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:type / url |
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N/A |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:type / value[x] |
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N/A |
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     Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:reason |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:reason / id |
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n/a |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:reason / extension |
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n/a |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:reason / url |
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N/A |
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      Observation / Slices for extension / extension:triggeredBy / Slices for extension / extension:reason / value[x] |
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N/A |
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    Observation / Slices for extension / extension:triggeredBy / url |
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N/A |
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    Observation / Slices for extension / extension:triggeredBy / value[x] |
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N/A |
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   Observation / Slices for extension / extension:value-r5 |
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    Observation / Slices for extension / extension:value-r5 / id |
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n/a |
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    Observation / Slices for extension / extension:value-r5 / extension |
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    Observation / Slices for extension / extension:value-r5 / url |
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N/A |
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    Observation / Slices for extension / extension:value-r5 / value[x] |
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N/A |
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  Observation / modifierExtension |
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N/A |
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  Observation / identifier |
Event.identifier |
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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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  Observation / basedOn |
Event.basedOn |
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ORC |
.inboundRelationship[typeCode=COMP].source[moodCode=EVN] |
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  Observation / partOf |
Event.partOf |
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Varies by domain |
.outboundRelationship[typeCode=FLFS].target |
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  Observation / 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 |
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  Observation / category |
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- .outboundRelationship[typeCode="COMP].target[classCode="LIST"
- moodCode="EVN"].code
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FiveWs.class |
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  Observation / code |
Event.code |
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
116680003 |Is a| |
   Observation / code / id |
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n/a |
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   Observation / code / extension |
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n/a |
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   Observation / code / coding |
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   Observation / code / text |
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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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  Observation / subject |
Event.subject |
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PID-3 |
participation[typeCode=RTGT] |
FiveWs.subject |
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  Observation / focus |
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OBX-3 |
participation[typeCode=SBJ] |
FiveWs.subject |
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  Observation / encounter |
Event.context |
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PV1 |
- inboundRelationship[typeCode=COMP].source[classCode=ENC
- moodCode=EVN]
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FiveWs.context |
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  Observation / Slices for effective[x] |
Event.occurrence[x] |
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- OBX-14
- and/or OBX-19 after v2.4 (depends on who observation made)
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effectiveTime |
FiveWs.done[x] |
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   Observation / Slices for effective[x] / effective[x]:effectiveDateTime |
Event.occurrence[x] |
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- OBX-14
- and/or OBX-19 after v2.4 (depends on who observation made)
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effectiveTime |
FiveWs.done[x] |
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   Observation / Slices for effective[x] / effective[x]:effectivePeriod |
Event.occurrence[x] |
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- OBX-14
- and/or OBX-19 after v2.4 (depends on who observation made)
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effectiveTime |
FiveWs.done[x] |
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  Observation / issued |
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- OBR.22 (or MSH.7)
- or perhaps OBX-19 (depends on who observation made)
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participation[typeCode=AUT].time |
FiveWs.recorded |
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  Observation / performer |
Event.performer.actor |
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- OBX.15 / (Practitioner) OBX-16
- PRT-4='RO' / (Device) OBX-18
- PRT-4='EQUIP' / (Organization) OBX-23
- PRT-4='PO'
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participation[typeCode=PRF] |
FiveWs.actor |
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   Observation / performer / id |
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n/a |
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   Observation / performer / Slices for extension |
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n/a |
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    Observation / performer / Slices for extension / extension:performerFunction |
Event.performer.function |
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   Observation / performer / reference |
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N/A |
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   Observation / performer / type |
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N/A |
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   Observation / performer / identifier |
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.identifier |
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   Observation / performer / display |
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N/A |
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  Observation / Slices for value[x] |
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< 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
   Observation / Slices for value[x] / value[x]:valueQuantity |
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< 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
    Observation / Slices for value[x] / value[x]:valueQuantity / id |
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n/a |
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    Observation / Slices for value[x] / value[x]:valueQuantity / Slices for extension |
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n/a |
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    Observation / Slices for value[x] / value[x]:valueQuantity / Slices for extension |
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     Observation / Slices for value[x] / value[x]:valueQuantity / Slices for extension / extension:uncertainty |
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PPD.standardDeviation |
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    Observation / Slices for value[x] / value[x]:valueQuantity / value |
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SN.2 / CQ - N/A |
- PQ.value
- CO.value
- MO.value
- IVL.high or IVL.low depending on the value
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    Observation / Slices for value[x] / value[x]:valueQuantity / comparator |
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SN.1 / CQ.1 |
IVL properties |
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    Observation / Slices for value[x] / value[x]:valueQuantity / unit |
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(see OBX.6 etc.) / CQ.2 |
PQ.unit |
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    Observation / Slices for value[x] / value[x]:valueQuantity / system |
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(see OBX.6 etc.) / CQ.2 |
- CO.codeSystem
- PQ.translation.codeSystem
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    Observation / Slices for value[x] / value[x]:valueQuantity / code |
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(see OBX.6 etc.) / CQ.2 |
- PQ.code
- MO.currency
- PQ.translation.code
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   Observation / Slices for value[x] / value[x]:valueString |
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< 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
   Observation / Slices for value[x] / value[x]:valueRange |
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< 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
   Observation / Slices for value[x] / value[x]:valueRatio |
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< 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
   Observation / Slices for value[x] / value[x]:valueCodeableConcept |
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< 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
  Observation / dataAbsentReason |
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N/A |
value.nullFlavor |
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  Observation / interpretation |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
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363713009 |Has interpretation| |
  Observation / note |
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- NTE.3 (partner NTE to OBX
- or sometimes another (child?) OBX)
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subjectOf.observationEvent[code="annotation"].value |
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  Observation / bodySite |
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< 123037004 |Body structure| |
OBX-20 |
targetSiteCode |
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718497002 |Inherent location| |
  Observation / method |
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OBX-17 |
methodCode |
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  Observation / specimen |
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< 123038009 |Specimen| |
SPM segment |
participation[typeCode=SPC].specimen |
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704319004 |Inherent in| |
  Observation / device |
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< 49062001 |Device| |
OBX-17 / PRT -10 |
participation[typeCode=DEV] |
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424226004 |Using device| |
  Observation / referenceRange |
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OBX.7 |
- outboundRelationship[typeCode=REFV]/target[classCode=OBS
- moodCode=EVN]
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   Observation / referenceRange / id |
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n/a |
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   Observation / referenceRange / extension |
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n/a |
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   Observation / referenceRange / modifierExtension |
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N/A |
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   Observation / referenceRange / low |
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OBX-7 |
IVL_PQ.low |
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   Observation / referenceRange / high |
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OBX-7 |
IVL_PQ.high |
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   Observation / referenceRange / type |
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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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   Observation / referenceRange / appliesTo |
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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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   Observation / referenceRange / age |
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outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value |
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   Observation / referenceRange / text |
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OBX-7 |
ST |
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  Observation / hasMember |
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Relationships established by OBX-4 usage |
outBoundRelationship |
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  Observation / derivedFrom |
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Relationships established by OBX-4 usage |
.targetObservation |
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  Observation / component |
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containment by OBX-4? |
outBoundRelationship[typeCode=COMP] |
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   Observation / component / id |
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n/a |
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   Observation / component / Slices for extension |
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    Observation / component / Slices for extension / extension:value-r5 |
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     Observation / component / Slices for extension / extension:value-r5 / id |
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n/a |
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     Observation / component / Slices for extension / extension:value-r5 / extension |
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     Observation / component / Slices for extension / extension:value-r5 / url |
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N/A |
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     Observation / component / Slices for extension / extension:value-r5 / value[x] |
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N/A |
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   Observation / component / modifierExtension |
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N/A |
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   Observation / component / code |
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< 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
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    Observation / component / code / id |
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n/a |
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    Observation / component / code / extension |
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n/a |
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    Observation / component / code / coding |
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    Observation / component / code / text |
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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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   Observation / component / Slices for value[x] |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
    Observation / component / Slices for value[x] / value[x]:valueQuantity |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
     Observation / component / Slices for value[x] / value[x]:valueQuantity / id |
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n/a |
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     Observation / component / Slices for value[x] / value[x]:valueQuantity / Slices for extension |
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n/a |
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     Observation / component / Slices for value[x] / value[x]:valueQuantity / Slices for extension |
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      Observation / component / Slices for value[x] / value[x]:valueQuantity / Slices for extension / extension:uncertainty |
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PPD.standardDeviation |
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     Observation / component / Slices for value[x] / value[x]:valueQuantity / value |
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SN.2 / CQ - N/A |
- PQ.value
- CO.value
- MO.value
- IVL.high or IVL.low depending on the value
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     Observation / component / Slices for value[x] / value[x]:valueQuantity / comparator |
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SN.1 / CQ.1 |
IVL properties |
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     Observation / component / Slices for value[x] / value[x]:valueQuantity / unit |
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(see OBX.6 etc.) / CQ.2 |
PQ.unit |
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     Observation / component / Slices for value[x] / value[x]:valueQuantity / system |
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(see OBX.6 etc.) / CQ.2 |
- CO.codeSystem
- PQ.translation.codeSystem
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     Observation / component / Slices for value[x] / value[x]:valueQuantity / code |
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(see OBX.6 etc.) / CQ.2 |
- PQ.code
- MO.currency
- PQ.translation.code
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    Observation / component / Slices for value[x] / value[x]:valueString |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
    Observation / component / Slices for value[x] / value[x]:valueRange |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
    Observation / component / Slices for value[x] / value[x]:valueRatio |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
    Observation / component / Slices for value[x] / value[x]:valueCodeableConcept |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
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value |
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363714003 |Interprets| |
   Observation / component / dataAbsentReason |
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N/A |
value.nullFlavor |
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   Observation / component / interpretation |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
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363713009 |Has interpretation| |
   Observation / component / referenceRange |
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OBX.7 |
- outboundRelationship[typeCode=REFV]/target[classCode=OBS
- moodCode=EVN]
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    Observation / component / referenceRange / id |
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n/a |
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    Observation / component / referenceRange / extension |
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n/a |
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    Observation / component / referenceRange / modifierExtension |
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N/A |
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    Observation / component / referenceRange / low |
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OBX-7 |
IVL_PQ.low |
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    Observation / component / referenceRange / high |
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OBX-7 |
IVL_PQ.high |
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    Observation / component / referenceRange / type |
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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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    Observation / component / referenceRange / appliesTo |
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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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    Observation / component / referenceRange / age |
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outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value |
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    Observation / component / referenceRange / text |
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OBX-7 |
ST |
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Documentation for this format |