HL7 Europe Imaging Study Report
0.1.0-ballot - ci-build 150

This page is part of the HL7 Europe Imaging Study Report (v0.1.0-ballot: STU 1 Ballot 1) based on FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: ImRadiationDoseObservation - Mappings

Page standards status: Draft Maturity Level: 1

Mappings for the ImRadiationDoseObservation resource profile.

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

ImRadiationDoseObservation
ObservationEvent
   identifierEvent.identifier
   identifier (radiation-sr-instance-uid)Event.identifier
   instantiates[x]Event.instantiatesCanonical
   basedOnEvent.basedOn
   basedOn (imorderaccession)Event.basedOn
   partOfEvent.partOf
   partOf (study)Event.partOf
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.encounter
   effective[x]Event.occurrence[x]
   performerEvent.performer.actor
      extension (performerFunction)Event.performer.function

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

ImRadiationDoseObservation
Observationclinical.diagnostics
   identifierFiveWs.identifier
   identifier (radiation-sr-instance-uid)FiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x]
   focusFiveWs.subject[x]
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor
   component
      codeFiveWs.what[x]
   component (doseAreaProductTotal)
      codeFiveWs.what[x]
   component (fluorDoseAreaProductTotal)
      codeFiveWs.what[x]
   component (doseAreaProduct)
      codeFiveWs.what[x]
   component (CTDoseLengthProductTotal)
      codeFiveWs.what[x]
   component (DLP)
      codeFiveWs.what[x]
   component (DLPAlertValue)
      codeFiveWs.what[x]
   component (AccumulatedDLPForwardEstimate)
      codeFiveWs.what[x]
   component (DLPNotificationValue)
      codeFiveWs.what[x]
   component (DLPForwardEstimate)
      codeFiveWs.what[x]
   component (CRDoseLengthProductSubTotal)
      codeFiveWs.what[x]
   component (CTEffectiveDoseTotal)
      codeFiveWs.what[x]
   component (EffectiveDose)
      codeFiveWs.what[x]

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

ImRadiationDoseObservation
Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
   value[x]< 441742003 |Evaluation finding|
   interpretation< 260245000 |Findings values|
   bodySite< 123037004 |Body structure|
   specimen< 123038009 |Specimen|
   device< 49062001 |Device|
   referenceRange
      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|
      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|
   component
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (doseAreaProductTotal)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (fluorDoseAreaProductTotal)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (doseAreaProduct)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (CTDoseLengthProductTotal)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (DLP)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (DLPAlertValue)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (AccumulatedDLPForwardEstimate)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (DLPNotificationValue)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (DLPForwardEstimate)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (CRDoseLengthProductSubTotal)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (CTEffectiveDoseTotal)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (EffectiveDose)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|

Mappings for HL7 V2 Mapping (http://hl7.org/v2)

ImRadiationDoseObservation
ObservationOBX
   identifierOBX-21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 3) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
   identifier (radiation-sr-instance-uid)OBX-21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 3) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   basedOnORC
   basedOn (imorderaccession)ORC
   triggeredByORC
   partOfVaries by domain
   partOf (study)Varies by domain
   statusOBX-11
   codeOBX-3
      codingC*E.1-8, C*E.10-22
      coding (radiation-dose)C*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-3
   focusOBX-3
   encounterPV1
   effective[x]OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
   issuedOBR-22 (or MSH-7), or perhaps OBX-19 (depends on who observation made)
   performerOBX-15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
   value[x]OBX-2, OBX-5, OBX-6
   dataAbsentReasonN/A
   interpretationOBX-8
   noteNTE-3 (partner NTE to OBX, or sometimes another (child?) OBX)
   bodySiteOBX-20
   methodOBX-17
   specimenSPM segment
   deviceOBX-17 / PRT -10
   referenceRangeOBX-7
      lowOBX-7
      highOBX-7
      normalValueOBX-7
      typeOBX-10
      appliesToOBX-10
      textOBX-7
   hasMemberRelationships established by OBX-4 usage
   derivedFromRelationships established by OBX-4 usage
   derivedFrom (dicomInstance)Relationships established by OBX-4 usage
   componentcontainment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (doseAreaProductTotal)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (fluorDoseAreaProductTotal)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (doseAreaProduct)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (CTDoseLengthProductTotal)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (DLP)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (DLPAlertValue)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (AccumulatedDLPForwardEstimate)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (DLPNotificationValue)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (DLPForwardEstimate)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (CRDoseLengthProductSubTotal)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (CTEffectiveDoseTotal)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7
   component (EffectiveDose)containment by OBX-4?
      codeOBX-3
      value[x]OBX-2, OBX-5, OBX-6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX-7

Mappings for RIM Mapping (http://hl7.org/v3)

ImRadiationDoseObservation
ObservationEntity, Role, or Act,Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierid
   identifier (radiation-sr-instance-uid)id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   instantiates[x].outboundRelationship[typeCode=DEFN].target
   basedOn.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
   basedOn (imorderaccession).inboundRelationship[typeCode=COMP].source[moodCode=EVN]
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   triggeredBy.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      observationoutBoundRelationship
      typecode
      reasonannotation
   partOf.outboundRelationship[typeCode=FLFS].target
   partOf (study).outboundRelationship[typeCode=FLFS].target
   statusstatus Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
   category.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
   codecode
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (radiation-dose)union(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   subjectparticipation[typeCode=RTGT]
   focusparticipation[typeCode=SBJ]
   encounterinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   issuedparticipation[typeCode=AUT].time
   performerparticipation[typeCode=PRF]
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   value[x]value
      idn/a
      extensionn/a
      extension (dataAbsentReason)ANY.nullFlavor
   dataAbsentReasonvalue.nullFlavor
   interpretationinterpretationCode
   notesubjectOf.observationEvent[code="annotation"].value
   bodySitetargetSiteCode
   bodyStructuretargetSiteCode
   methodmethodCode
   specimenparticipation[typeCode=SPC].specimen
   deviceparticipation[typeCode=DEV]
   referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      lowvalue:IVL_PQ.low
      highvalue:IVL_PQ.high
      normalValuevalue:IVL_PQ.normal
      typeinterpretationCode
      appliesTointerpretationCode
      ageoutboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
      textvalue:ST
   hasMemberoutBoundRelationship
   derivedFrom.targetObservation
   derivedFrom (dicomInstance).targetObservation
   componentoutBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (doseAreaProductTotal)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (fluorDoseAreaProductTotal)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (doseAreaProduct)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (CTDoseLengthProductTotal)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (DLP)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (DLPAlertValue)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (AccumulatedDLPForwardEstimate)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (DLPNotificationValue)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (DLPForwardEstimate)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (CRDoseLengthProductSubTotal)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (CTEffectiveDoseTotal)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (EffectiveDose)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         extension (dataAbsentReason)ANY.nullFlavor
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

ImRadiationDoseObservation
Observation
   code116680003 |Is a|
   value[x]363714003 |Interprets|
   interpretation363713009 |Has interpretation|
   bodySite718497002 |Inherent location|
   specimen704319004 |Inherent in|
   device424226004 |Using device|
   component
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (doseAreaProductTotal)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (fluorDoseAreaProductTotal)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (doseAreaProduct)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (CTDoseLengthProductTotal)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (DLP)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (DLPAlertValue)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (AccumulatedDLPForwardEstimate)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (DLPNotificationValue)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (DLPForwardEstimate)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (CRDoseLengthProductSubTotal)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (CTEffectiveDoseTotal)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (EffectiveDose)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|