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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
ObservationEvent
   identifierEvent.identifier
   statusEvent.status
   codeEvent.code
   subjectEvent.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
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 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
   statusOBX-11
   codeOBX-3
      codingC*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
      textC*E.9. But note many systems use C*E.2 for this
   subjectPID-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)
   noteNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
   hasMemberRelationships 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 (diastolicBP)containment by OBX-4?
      codeOBX-3
      value[x]OBX.2, OBX.5, OBX.6
         valueSN.2 / CQ - N/A
         comparatorSN.1 / CQ.1
         unit(see OBX.6 etc.) / CQ.2
         system(see OBX.6 etc.) / CQ.2
         code(see OBX.6 etc.) / CQ.2
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7
   component (systolicBP)containment by OBX-4?
      codeOBX-3
      value[x]OBX.2, OBX.5, OBX.6
         valueSN.2 / CQ - N/A
         comparatorSN.1 / CQ.1
         unit(see OBX.6 etc.) / CQ.2
         system(see OBX.6 etc.) / CQ.2
         code(see OBX.6 etc.) / CQ.2
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7

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

MHVbloodPressure
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   meta
      idn/a
      extensionn/a
   textAct.text?
   identifierid
   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 (loincCode1)union(., ./translation)
      coding (loincCode2)union(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   subjectparticipation[typeCode=RTGT]
   effective[x]effectiveTime
   effective[x] (effectiveDateTime)effectiveTime
   notesubjectOf.observationEvent[code="annotation"].value
   hasMemberoutBoundRelationship
   componentoutBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (diastolicBP)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         comparatorIVL properties
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (systolicBP)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
      value[x]value
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         comparatorIVL properties
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

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

MHVbloodPressure
Observation
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   effective[x]FiveWs.done[x]
   effective[x] (effectiveDateTime)FiveWs.done[x]
   component
      codeFiveWs.what[x]
   component (diastolicBP)
      codeFiveWs.what[x]
   component (systolicBP)
      codeFiveWs.what[x]

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

MHVbloodPressure
Observation
   code116680003 |Is a|
   component
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (diastolicBP)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (systolicBP)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|