NHS North West Genomics - Local Development build (v2.2.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Mappings for the DiagnosticReport resource profile.
| Name | Workflow Pattern | HL7 v2 Mapping | RIM Mapping | FiveWs Pattern Mapping |
 DiagnosticReport |
Event |
ORU -> OBR |
- Observation[classCode=OBS
- moodCode=EVN]
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  DiagnosticReport / id |
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  DiagnosticReport / meta |
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  DiagnosticReport / implicitRules |
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  DiagnosticReport / language |
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  DiagnosticReport / text |
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Act.text? |
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  DiagnosticReport / contained |
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N/A |
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  DiagnosticReport / Slices for extension |
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   DiagnosticReport / Slices for extension / extension:DiagnosticReportCompositionR5 |
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    DiagnosticReport / Slices for extension / extension:DiagnosticReportCompositionR5 / id |
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n/a |
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    DiagnosticReport / Slices for extension / extension:DiagnosticReportCompositionR5 / extension |
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    DiagnosticReport / Slices for extension / extension:DiagnosticReportCompositionR5 / url |
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N/A |
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    DiagnosticReport / Slices for extension / extension:DiagnosticReportCompositionR5 / value[x] |
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N/A |
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   DiagnosticReport / Slices for extension / extension:note |
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    DiagnosticReport / Slices for extension / extension:note / id |
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n/a |
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    DiagnosticReport / Slices for extension / extension:note / extension |
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    DiagnosticReport / Slices for extension / extension:note / url |
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N/A |
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    DiagnosticReport / Slices for extension / extension:note / value[x] |
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N/A |
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     DiagnosticReport / Slices for extension / extension:note / value[x] / id |
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n/a |
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     DiagnosticReport / Slices for extension / extension:note / value[x] / Slices for extension |
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n/a |
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     DiagnosticReport / Slices for extension / extension:note / value[x] / Slices for extension |
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      DiagnosticReport / Slices for extension / extension:note / value[x] / Slices for extension / extension:annotation-type |
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       DiagnosticReport / Slices for extension / extension:note / value[x] / Slices for extension / extension:annotation-type / id |
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n/a |
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       DiagnosticReport / Slices for extension / extension:note / value[x] / Slices for extension / extension:annotation-type / extension |
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       DiagnosticReport / Slices for extension / extension:note / value[x] / Slices for extension / extension:annotation-type / url |
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N/A |
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       DiagnosticReport / Slices for extension / extension:note / value[x] / Slices for extension / extension:annotation-type / value[x] |
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N/A |
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     DiagnosticReport / Slices for extension / extension:note / value[x] / author[x] |
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N/A |
Act.participant[typeCode=AUT].role |
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     DiagnosticReport / Slices for extension / extension:note / value[x] / time |
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N/A |
Act.effectiveTime |
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     DiagnosticReport / Slices for extension / extension:note / value[x] / text |
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N/A |
Act.text |
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   DiagnosticReport / Slices for extension / extension:studyR5 |
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   DiagnosticReport / Slices for extension / extension:supportingInfoR5 |
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  DiagnosticReport / modifierExtension |
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N/A |
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  DiagnosticReport / Slices for 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 |
   DiagnosticReport / Slices for identifier / identifier:ReportIdentifier |
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 |
  DiagnosticReport / Slices for basedOn |
Event.basedOn |
ORC? OBR-2/3? |
outboundRelationship[typeCode=FLFS].target |
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   DiagnosticReport / Slices for basedOn / basedOn:All Slices |
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    DiagnosticReport / Slices for basedOn / basedOn:All Slices / id |
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n/a |
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    DiagnosticReport / Slices for basedOn / basedOn:All Slices / Slices for extension |
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n/a |
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     DiagnosticReport / Slices for basedOn / basedOn:All Slices / Slices for extension / extension:concept |
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    DiagnosticReport / Slices for basedOn / basedOn:All Slices / reference |
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N/A |
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    DiagnosticReport / Slices for basedOn / basedOn:All Slices / type |
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N/A |
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    DiagnosticReport / Slices for basedOn / basedOn:All Slices / identifier |
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.identifier |
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    DiagnosticReport / Slices for basedOn / basedOn:All Slices / display |
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N/A |
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   DiagnosticReport / Slices for basedOn / basedOn:OrderIdentifier |
Event.basedOn |
ORC? OBR-2/3? |
outboundRelationship[typeCode=FLFS].target |
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    DiagnosticReport / Slices for basedOn / basedOn:OrderIdentifier / id |
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n/a |
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    DiagnosticReport / Slices for basedOn / basedOn:OrderIdentifier / extension |
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n/a |
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    DiagnosticReport / Slices for basedOn / basedOn:OrderIdentifier / reference |
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N/A |
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    DiagnosticReport / Slices for basedOn / basedOn:OrderIdentifier / type |
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N/A |
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    DiagnosticReport / Slices for basedOn / basedOn:OrderIdentifier / identifier |
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.identifier |
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    DiagnosticReport / Slices for basedOn / basedOn:OrderIdentifier / display |
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N/A |
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  DiagnosticReport / 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 |
  DiagnosticReport / Slices for category |
|
OBR-24 |
- inboundRelationship[typeCode=COMP].source[classCode=LIST
- moodCode=EVN
- code < LabService].code
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FiveWs.class |
   DiagnosticReport / Slices for category / category:Genetics |
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OBR-24 |
- inboundRelationship[typeCode=COMP].source[classCode=LIST
- moodCode=EVN
- code < LabService].code
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FiveWs.class |
    DiagnosticReport / Slices for category / category:Genetics / id |
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n/a |
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    DiagnosticReport / Slices for category / category:Genetics / extension |
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n/a |
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    DiagnosticReport / Slices for category / category:Genetics / coding |
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    DiagnosticReport / Slices for category / category:Genetics / 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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  DiagnosticReport / 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] |
   DiagnosticReport / code / id |
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n/a |
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   DiagnosticReport / code / extension |
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n/a |
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   DiagnosticReport / code / Slices for coding |
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    DiagnosticReport / code / Slices for coding / coding:ProcedureCodeGenomicTestDirectory |
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     DiagnosticReport / code / Slices for coding / coding:ProcedureCodeGenomicTestDirectory / id |
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n/a |
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     DiagnosticReport / code / Slices for coding / coding:ProcedureCodeGenomicTestDirectory / extension |
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n/a |
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     DiagnosticReport / code / Slices for coding / coding:ProcedureCodeGenomicTestDirectory / system |
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C*E.3 |
./codeSystem |
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     DiagnosticReport / code / Slices for coding / coding:ProcedureCodeGenomicTestDirectory / version |
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C*E.7 |
./codeSystemVersion |
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     DiagnosticReport / code / Slices for coding / coding:ProcedureCodeGenomicTestDirectory / code |
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C*E.1 |
./code |
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     DiagnosticReport / code / Slices for coding / coding:ProcedureCodeGenomicTestDirectory / display |
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C*E.2 - but note this is not well followed |
CV.displayName |
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     DiagnosticReport / code / Slices for coding / coding:ProcedureCodeGenomicTestDirectory / userSelected |
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Sometimes implied by being first |
CD.codingRationale |
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    DiagnosticReport / code / Slices for coding / coding:UKCoreReportCode |
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     DiagnosticReport / code / Slices for coding / coding:UKCoreReportCode / id |
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n/a |
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     DiagnosticReport / code / Slices for coding / coding:UKCoreReportCode / extension |
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n/a |
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     DiagnosticReport / code / Slices for coding / coding:UKCoreReportCode / system |
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C*E.3 |
./codeSystem |
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     DiagnosticReport / code / Slices for coding / coding:UKCoreReportCode / version |
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C*E.7 |
./codeSystemVersion |
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     DiagnosticReport / code / Slices for coding / coding:UKCoreReportCode / code |
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C*E.1 |
./code |
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     DiagnosticReport / code / Slices for coding / coding:UKCoreReportCode / display |
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C*E.2 - but note this is not well followed |
CV.displayName |
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     DiagnosticReport / code / Slices for coding / coding:UKCoreReportCode / userSelected |
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Sometimes implied by being first |
CD.codingRationale |
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   DiagnosticReport / 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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  DiagnosticReport / subject |
Event.subject |
PID-3 (no HL7 v2 mapping for Group or Device) |
participation[typeCode=SBJ] |
FiveWs.subject |
   DiagnosticReport / subject / id |
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n/a |
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   DiagnosticReport / subject / extension |
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n/a |
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   DiagnosticReport / subject / reference |
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N/A |
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   DiagnosticReport / subject / type |
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N/A |
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   DiagnosticReport / subject / identifier |
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.identifier |
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   DiagnosticReport / subject / display |
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N/A |
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  DiagnosticReport / encounter |
Event.encounter |
PV1-19 |
- inboundRelationship[typeCode=COMP].source[classCode=ENC
- moodCode=EVN]
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FiveWs.context |
   DiagnosticReport / encounter / id |
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n/a |
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   DiagnosticReport / encounter / extension |
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n/a |
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   DiagnosticReport / encounter / reference |
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N/A |
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   DiagnosticReport / encounter / type |
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N/A |
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   DiagnosticReport / encounter / identifier |
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.identifier |
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   DiagnosticReport / encounter / display |
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N/A |
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  DiagnosticReport / Slices for effective[x] |
Event.occurrence[x] |
OBR-7 |
effectiveTime |
FiveWs.done[x] |
   DiagnosticReport / Slices for effective[x] / effective[x]:effectiveDateTime |
Event.occurrence[x] |
OBR-7 |
effectiveTime |
FiveWs.done[x] |
   DiagnosticReport / Slices for effective[x] / effective[x]:effectivePeriod |
Event.occurrence[x] |
OBR-7 |
effectiveTime |
FiveWs.done[x] |
  DiagnosticReport / issued |
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OBR-22 |
participation[typeCode=VRF or AUT].time |
FiveWs.recorded |
  DiagnosticReport / Slices for performer |
Event.performer.actor |
PRT-8 (where this PRT-4-Participation = "PO") |
.participation[typeCode=PRF] |
FiveWs.actor |
   DiagnosticReport / Slices for performer / performer:All Slices |
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    DiagnosticReport / Slices for performer / performer:All Slices / id |
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n/a |
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    DiagnosticReport / Slices for performer / performer:All Slices / Slices for extension |
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n/a |
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     DiagnosticReport / Slices for performer / performer:All Slices / Slices for extension / extension:performerFunction |
Event.performer.function |
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    DiagnosticReport / Slices for performer / performer:All Slices / reference |
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N/A |
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    DiagnosticReport / Slices for performer / performer:All Slices / type |
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N/A |
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    DiagnosticReport / Slices for performer / performer:All Slices / identifier |
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.identifier |
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     DiagnosticReport / Slices for performer / performer:All Slices / identifier / id |
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n/a |
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     DiagnosticReport / Slices for performer / performer:All Slices / identifier / extension |
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n/a |
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     DiagnosticReport / Slices for performer / performer:All Slices / identifier / use |
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N/A |
Role.code or implied by context |
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     DiagnosticReport / Slices for performer / performer:All Slices / identifier / type |
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CX.5 |
Role.code or implied by context |
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     DiagnosticReport / Slices for performer / performer:All Slices / identifier / system |
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CX.4 / EI-2-4 |
II.root or Role.id.root |
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     DiagnosticReport / Slices for performer / performer:All Slices / identifier / value |
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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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     DiagnosticReport / Slices for performer / performer:All Slices / identifier / period |
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CX.7 + CX.8 |
Role.effectiveTime or implied by context |
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     DiagnosticReport / Slices for performer / performer:All Slices / identifier / assigner |
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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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    DiagnosticReport / Slices for performer / performer:All Slices / display |
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N/A |
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   DiagnosticReport / Slices for performer / performer:organization |
Event.performer.actor |
PRT-8 (where this PRT-4-Participation = "PO") |
.participation[typeCode=PRF] |
FiveWs.actor |
    DiagnosticReport / Slices for performer / performer:organization / id |
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n/a |
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    DiagnosticReport / Slices for performer / performer:organization / Slices for extension |
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n/a |
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    DiagnosticReport / Slices for performer / performer:organization / Slices for extension |
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     DiagnosticReport / Slices for performer / performer:organization / Slices for extension / extension:performerFunction |
Event.performer.function |
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    DiagnosticReport / Slices for performer / performer:organization / reference |
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N/A |
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    DiagnosticReport / Slices for performer / performer:organization / type |
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N/A |
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    DiagnosticReport / Slices for performer / performer:organization / identifier |
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.identifier |
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    DiagnosticReport / Slices for performer / performer:organization / display |
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N/A |
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  DiagnosticReport / Slices for resultsInterpreter |
Event.performer.actor |
- OBR-32
- PRT-8 (where this PRT-4-Participation = "PI")
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.participation[typeCode=PRF] |
FiveWs.actor |
   DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / id |
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n/a |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / extension |
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n/a |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / reference |
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N/A |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / type |
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N/A |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / identifier |
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.identifier |
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     DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / identifier / id |
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n/a |
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     DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / identifier / extension |
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n/a |
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     DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / identifier / use |
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N/A |
Role.code or implied by context |
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     DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / identifier / type |
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CX.5 |
Role.code or implied by context |
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     DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / identifier / system |
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CX.4 / EI-2-4 |
II.root or Role.id.root |
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     DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / identifier / value |
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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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     DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / identifier / period |
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CX.7 + CX.8 |
Role.effectiveTime or implied by context |
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     DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / identifier / assigner |
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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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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:All Slices / display |
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N/A |
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   DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:author |
Event.performer.actor |
- OBR-32
- PRT-8 (where this PRT-4-Participation = "PI")
|
.participation[typeCode=PRF] |
FiveWs.actor |
    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:author / id |
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n/a |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:author / extension |
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n/a |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:author / reference |
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N/A |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:author / type |
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N/A |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:author / identifier |
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.identifier |
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    DiagnosticReport / Slices for resultsInterpreter / resultsInterpreter:author / display |
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N/A |
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  DiagnosticReport / specimen |
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SPM |
participation[typeCode=SBJ] |
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  DiagnosticReport / result |
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OBXs |
outboundRelationship[typeCode=COMP].target |
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  DiagnosticReport / imagingStudy |
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- outboundRelationship[typeCode=COMP].target[classsCode=DGIMG
- moodCode=EVN]
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  DiagnosticReport / media |
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OBX? |
outboundRelationship[typeCode=COMP].target |
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   DiagnosticReport / media / id |
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n/a |
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   DiagnosticReport / media / extension |
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n/a |
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   DiagnosticReport / media / modifierExtension |
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N/A |
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   DiagnosticReport / media / comment |
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- .inboundRelationship[typeCode=COMP].source[classCode=OBS
- moodCode=EVN
- code="annotation"].value
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   DiagnosticReport / media / link |
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.value.reference |
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  DiagnosticReport / conclusion |
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OBX |
- inboundRelationship[typeCode="SPRT"].source[classCode=OBS
- moodCode=EVN
- 48767-8].value (type=ST)
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  DiagnosticReport / conclusionCode |
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OBX |
- inboundRelationship[typeCode=SPRT].source[classCode=OBS
- moodCode=EVN
- 54531-9].value (type=CD)
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   DiagnosticReport / conclusionCode / id |
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n/a |
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   DiagnosticReport / conclusionCode / extension |
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n/a |
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   DiagnosticReport / conclusionCode / Slices for coding |
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    DiagnosticReport / conclusionCode / Slices for coding / coding:GenomicTestOutcomeCode |
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   DiagnosticReport / conclusionCode / 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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  DiagnosticReport / presentedForm |
|
OBX |
text (type=ED) |
|
Documentation for this format |