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Resource Profile: MHVbloodPressure - Mappings

Page standards status: Trial-use

Maturity Level: 2

Mappings for the VA.MHV.bloodPressure resource profile.

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

MHVbloodPressure
Observation	Event
identifier	Event.identifier
status	Event.status
code	Event.code
subject	Event.subject
effective[x]	Event.occurrence[x]
effective[x] (effectiveDateTime)	Event.occurrence[x]

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

MHVbloodPressure
Observation	< 363787002 |Observable entity|
status	< 445584004 |Report by finality status|
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
component
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (diastolicBP)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (systolicBP)
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)

MHVbloodPressure
Observation	OBX
identifier	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 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
status	OBX-11
code	OBX-3
coding	C*E.1-8, C*E.10-22
coding (loincCode1)	C*E.1-8, C*E.10-22
coding (loincCode2)	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3
effective[x]	OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
effective[x] (effectiveDateTime)	OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
note	NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
hasMember	Relationships established by OBX-4 usage
component	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (diastolicBP)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
value	SN.2 / CQ - N/A
comparator	SN.1 / CQ.1
unit	(see OBX.6 etc.) / CQ.2
system	(see OBX.6 etc.) / CQ.2
code	(see OBX.6 etc.) / CQ.2
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (systolicBP)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
value	SN.2 / CQ - N/A
comparator	SN.1 / CQ.1
unit	(see OBX.6 etc.) / CQ.2
system	(see OBX.6 etc.) / CQ.2
code	(see OBX.6 etc.) / CQ.2
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7

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

MHVbloodPressure
Observation	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
meta
id	n/a
extension	n/a
text	Act.text?
identifier	id
status	status 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
code	code
id	n/a
extension	n/a
coding	union(., ./translation)
coding (loincCode1)	union(., ./translation)
coding (loincCode2)	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
subject	participation[typeCode=RTGT]
effective[x]	effectiveTime
effective[x] (effectiveDateTime)	effectiveTime
note	subjectOf.observationEvent[code="annotation"].value
hasMember	outBoundRelationship
component	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (diastolicBP)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	IVL properties
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (systolicBP)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	IVL properties
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

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

MHVbloodPressure
Observation
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
effective[x]	FiveWs.done[x]
effective[x] (effectiveDateTime)	FiveWs.done[x]
component
code	FiveWs.what[x]
component (diastolicBP)
code	FiveWs.what[x]
component (systolicBP)
code	FiveWs.what[x]

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

MHVbloodPressure
Observation
code	116680003 |Is a|
component
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (diastolicBP)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (systolicBP)
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|