North West Genomic Medicine Service Alliance
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DRAFT Implementation Guide

This is for collaboration and discussion purposes and is subject to change.

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Resource Profile: DiagnosticReport - Mappings

Draft as of 2025-06-19

Mappings for the DiagnosticReport resource profile.

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
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:recommended-action
.... extension:genomic-risk-assessment
.... extension:coded-note
.... extension:supporting-info
.... extension:genomic-study
.... extension:hla-genotyping-results-allele-database
.... extension:hla-genotyping-results-glstring
.... extension:workflow-relatedArtifact
... 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
... Slices for basedOn
Event.basedOn
ORC? OBR-2/3?
outboundRelationship[typeCode=FLFS].target
.... basedOn:All Slices
..... id
n/a
..... Slices for extension
n/a
...... extension:concept
..... reference
N/A
..... type
N/A
..... identifier
.identifier
..... display
N/A
.... basedOn:fillerOrderNumber
Event.basedOn
ORC? OBR-2/3?
outboundRelationship[typeCode=FLFS].target
..... id
n/a
..... Slices for extension
n/a
...... extension:concept
..... reference
N/A
..... type
N/A
..... identifier
.identifier
..... display
N/A
.... basedOn:accessionNumber
Event.basedOn
ORC? OBR-2/3?
outboundRelationship[typeCode=FLFS].target
..... id
n/a
..... Slices for extension
n/a
...... extension:concept
..... reference
N/A
..... type
N/A
..... identifier
.identifier
..... display
N/A
... 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:Genetics
OBR-24
  • inboundRelationship[typeCode=COMP].source[classCode=LIST
  • moodCode=EVN
  • code < LabService].code
FiveWs.class
..... id
n/a
..... extension
n/a
..... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... 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]
.... id
n/a
.... extension
n/a
.... Slices for coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... coding:GenomicRareAndInheritedDisease
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
.... 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 (no HL7 v2 mapping for Group or Device)
participation[typeCode=SBJ]
FiveWs.subject
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... encounter
Event.encounter
PV1-19
  • inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
FiveWs.context
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... effective[x]
Event.occurrence[x]
OBR-7
effectiveTime
FiveWs.done[x]
... issued
OBR-22
participation[typeCode=VRF or AUT].time
FiveWs.recorded
... Slices for performer
Event.performer.actor
PRT-8 (where this PRT-4-Participation = "PO")
.participation[typeCode=PRF]
FiveWs.actor
.... performer:All Slices
..... id
n/a
..... Slices for extension
n/a
...... extension:performerFunction
Event.performer.function
..... reference
N/A
..... type
N/A
..... identifier
.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
..... display
N/A
.... performer:organisation
Event.performer.actor
PRT-8 (where this PRT-4-Participation = "PO")
.participation[typeCode=PRF]
FiveWs.actor
..... id
n/a
..... Slices for extension
n/a
...... extension:performerFunction
Event.performer.function
..... reference
N/A
..... type
N/A
..... identifier
.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
..... display
N/A
.... performer:operator
Event.performer.actor
PRT-8 (where this PRT-4-Participation = "PO")
.participation[typeCode=PRF]
FiveWs.actor
..... id
n/a
..... Slices for extension
n/a
...... extension:performerFunction
Event.performer.function
....... id
n/a
....... extension
....... url
N/A
....... value[x]
N/A
........ id
n/a
........ extension
n/a
........ coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
........ text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
..... reference
N/A
..... type
N/A
..... identifier
.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
....... id
n/a
....... extension
n/a
....... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
....... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
...... 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
..... display
N/A
... Slices for resultsInterpreter
Event.performer.actor
  • OBR-32
  • PRT-8 (where this PRT-4-Participation = "PI")
.participation[typeCode=PRF]
FiveWs.actor
.... resultsInterpreter:All Slices
..... id
n/a
..... extension
n/a
..... reference
N/A
..... type
N/A
..... identifier
.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
..... display
N/A
.... resultsInterpreter:primaryReporter
Event.performer.actor
  • OBR-32
  • PRT-8 (where this PRT-4-Participation = "PI")
.participation[typeCode=PRF]
FiveWs.actor
..... id
n/a
..... extension
n/a
..... reference
N/A
..... type
N/A
..... identifier
.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
....... id
n/a
....... extension
n/a
....... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
....... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
...... 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
..... display
N/A
... specimen
SPM
participation[typeCode=SBJ]
... Slices for result
OBXs
outboundRelationship[typeCode=COMP].target
.... result:diagnostic-implication
OBXs
outboundRelationship[typeCode=COMP].target
.... result:therapeutic-implication
OBXs
outboundRelationship[typeCode=COMP].target
.... result:molecular-consequence
OBXs
outboundRelationship[typeCode=COMP].target
.... result:variant
OBXs
outboundRelationship[typeCode=COMP].target
.... result:sequence-phase-relation
OBXs
outboundRelationship[typeCode=COMP].target
.... result:genotype
OBXs
outboundRelationship[typeCode=COMP].target
.... result:haplotype
OBXs
outboundRelationship[typeCode=COMP].target
.... result:biomarker
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