國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG)
1.0.0 - ci-build

This page is part of the 國家級人體生物資料庫整合平台共同資料模式實作指引(NBCT Common Data Model IG) (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. 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: ObservationLABDM - Mappings

Active as of 2024-09-01

Mappings for the ObservationLABDM resource profile.

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

ObservationLABDM
ObservationEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   partOfEvent.partOf
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer.actor

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

ObservationLABDM
Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
   value[x]< 441742003 |Evaluation finding|
   value[x] (valueQuantity)< 441742003 |Evaluation finding|
   value[x] (valueString)< 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|

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

ObservationLABDM
ObservationOBX
   identifierCX / EI (occasionally, more often EI maps to a resource id or a URL), 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.
      useN/A
      typeCE/CNE/CWE, CX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodDR, CX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   basedOnORC
   partOfVaries by domain
   statusOBX-11
   categoryCE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   category (twcore)CE/CNE/CWE
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   codeCE/CNE/CWE, OBX-3
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      coding (LOINCObservationCode)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      coding (TWLaboratoryCategory)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      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
   value[x] (valueQuantity)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
   value[x] (valueString)OBX.2, OBX.5, OBX.6
   dataAbsentReasonCE/CNE/CWE, N/A
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   interpretationCE/CNE/CWE, OBX-8
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   noteN/A, NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
      author[x]N/A
      timeN/A
      textN/A
   bodySiteCE/CNE/CWE, OBX-20
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   methodCE/CNE/CWE, OBX-17
      codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
      textC*E.9. But note many systems use C*E.2 for this
   specimenSPM segment
   deviceOBX-17 / PRT -10
   referenceRangeOBX.7
      lowSN (see also Range) or CQ, OBX-7
         valueSN.2 / CQ - N/A
         unit(see OBX.6 etc.) / CQ.2
         system(see OBX.6 etc.) / CQ.2
         code(see OBX.6 etc.) / CQ.2
      highSN (see also Range) or CQ, OBX-7
         valueSN.2 / CQ - N/A
         unit(see OBX.6 etc.) / CQ.2
         system(see OBX.6 etc.) / CQ.2
         code(see OBX.6 etc.) / CQ.2
      typeCE/CNE/CWE, OBX-10
         codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      appliesToCE/CNE/CWE, OBX-10
         codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      ageNR and also possibly SN (but see also quantity)
      textOBX-7
   hasMemberRelationships established by OBX-4 usage
   derivedFromRelationships established by OBX-4 usage
   componentcontainment by OBX-4?
      codeCE/CNE/CWE, OBX-3
         codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         coding (LOINCObservationCode)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         coding (TWLaboratoryCategory)CE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonCE/CNE/CWE, N/A
         codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      interpretationCE/CNE/CWE, OBX-8
         codingCE/CNE/CWE subset one of the sets of component 1-3 or 4-6, C*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      referenceRangeOBX.7

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

ObservationLABDM
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   metan/a, N/A
   implicitRulesn/a
   languagen/a
   textn/a, N/A, Act.text?
   containedEntity. Role, or Act, N/A
   extensionn/a, N/A
   modifierExtensionn/a, N/A
   identifiern/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT], id
      idn/a
      extensionn/a, N/A
      usen/a, Role.code or implied by context
      typen/a, CD, Role.code or implied by context
      systemn/a, II.root or Role.id.root
      valuen/a, II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodn/a, IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"], Role.effectiveTime or implied by context
      assignern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   basedOnn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .inboundRelationship[typeCode=COMP].source[moodCode=EVN]
   partOfn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .outboundRelationship[typeCode=FLFS].target
   statusn/a, status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
   categoryn/a, CD, .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
      idn/a
      extensionn/a, N/A
      codingn/a, CV, union(., ./translation)
         idn/a
         extensionn/a, N/A
         systemn/a, ./codeSystem
         versionn/a, ./codeSystemVersion
         coden/a, ./code
         displayn/a, CV.displayName
         userSelectedn/a, CD.codingRationale
      textn/a, ./originalText[mediaType/code="text/plain"]/data
   category (twcore)n/a, CD, .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
      idn/a
      extensionn/a, N/A
      codingn/a, CV, union(., ./translation)
      textn/a, ./originalText[mediaType/code="text/plain"]/data
   coden/a, CD, code
      idn/a
      extensionn/a, N/A
      codingn/a, CV, union(., ./translation)
         idn/a
         extensionn/a, N/A
         systemn/a, ./codeSystem
         versionn/a, ./codeSystemVersion
         coden/a, ./code
         displayn/a, CV.displayName
         userSelectedn/a, CD.codingRationale
      coding (LOINCObservationCode)n/a, CV, union(., ./translation)
         idn/a
         extensionn/a, N/A
         systemn/a, ./codeSystem
         versionn/a, ./codeSystemVersion
         coden/a, ./code
         displayn/a, CV.displayName
         userSelectedn/a, CD.codingRationale
      coding (TWLaboratoryCategory)n/a, CV, union(., ./translation)
         idn/a
         extensionn/a, N/A
         systemn/a, ./codeSystem
         versionn/a, ./codeSystemVersion
         coden/a, ./code
         displayn/a, CV.displayName
         userSelectedn/a, CD.codingRationale
      textn/a, ./originalText[mediaType/code="text/plain"]/data
   subjectn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), participation[typeCode=RTGT]
   focusn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), participation[typeCode=SBJ]
   encountern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]n/a, effectiveTime
   issuedn/a, participation[typeCode=AUT].time
   performern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), participation[typeCode=PRF]
   value[x]n/a, value
   value[x] (valueQuantity)n/a, value
      idn/a
      extensionn/a, N/A
      valuen/a, PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
      comparatorn/a, IVL properties
      unitn/a, PQ.unit
      systemn/a, CO.codeSystem, PQ.translation.codeSystem
      coden/a, PQ.code, MO.currency, PQ.translation.code
   value[x] (valueString)n/a, value
   dataAbsentReasonn/a, CD, value.nullFlavor
      idn/a
      extensionn/a, N/A
      codingn/a, CV, union(., ./translation)
         idn/a
         extensionn/a, N/A
         systemn/a, ./codeSystem
         versionn/a, ./codeSystemVersion
         coden/a, ./code
         displayn/a, CV.displayName
         userSelectedn/a, CD.codingRationale
      textn/a, ./originalText[mediaType/code="text/plain"]/data
   interpretationn/a, CD, interpretationCode
      idn/a
      extensionn/a, N/A
      codingn/a, CV, union(., ./translation)
         idn/a
         extensionn/a, N/A
         systemn/a, ./codeSystem
         versionn/a, ./codeSystemVersion
         coden/a, ./code
         displayn/a, CV.displayName
         userSelectedn/a, CD.codingRationale
      textn/a, ./originalText[mediaType/code="text/plain"]/data
   noten/a, Act, subjectOf.observationEvent[code="annotation"].value
      idn/a
      extensionn/a, N/A
      author[x]n/a, Act.participant[typeCode=AUT].role
      timen/a, Act.effectiveTime
      textn/a, Act.text
   bodySiten/a, CD, targetSiteCode
      idn/a
      extensionn/a, N/A
      codingn/a, CV, union(., ./translation)
         idn/a
         extensionn/a, N/A
         systemn/a, ./codeSystem
         versionn/a, ./codeSystemVersion
         coden/a, ./code
         displayn/a, CV.displayName
         userSelectedn/a, CD.codingRationale
      textn/a, ./originalText[mediaType/code="text/plain"]/data
   methodn/a, CD, methodCode
      idn/a
      extensionn/a, N/A
      codingn/a, CV, union(., ./translation)
         idn/a
         extensionn/a, N/A
         systemn/a, ./codeSystem
         versionn/a, ./codeSystemVersion
         coden/a, ./code
         displayn/a, CV.displayName
         userSelectedn/a, CD.codingRationale
      textn/a, ./originalText[mediaType/code="text/plain"]/data
   specimenn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), participation[typeCode=SPC].specimen
   devicen/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), participation[typeCode=DEV]
   referenceRangen/a, outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a, N/A
      modifierExtensionn/a, N/A
      lown/a, PQ, IVL<PQ>, MO, CO, depending on the values, value:IVL_PQ.low
         idn/a
         extensionn/a, N/A
         valuen/a, PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         unitn/a, PQ.unit
         systemn/a, CO.codeSystem, PQ.translation.codeSystem
         coden/a, PQ.code, MO.currency, PQ.translation.code
      highn/a, PQ, IVL<PQ>, MO, CO, depending on the values, value:IVL_PQ.high
         idn/a
         extensionn/a, N/A
         valuen/a, PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         unitn/a, PQ.unit
         systemn/a, CO.codeSystem, PQ.translation.codeSystem
         coden/a, PQ.code, MO.currency, PQ.translation.code
      typen/a, CD, interpretationCode
         idn/a
         extensionn/a, N/A
         codingn/a, CV, union(., ./translation)
            idn/a
            extensionn/a, N/A
            systemn/a, ./codeSystem
            versionn/a, ./codeSystemVersion
            coden/a, ./code
            displayn/a, CV.displayName
            userSelectedn/a, CD.codingRationale
         textn/a, ./originalText[mediaType/code="text/plain"]/data
      appliesTon/a, CD, interpretationCode
         idn/a
         extensionn/a, N/A
         codingn/a, CV, union(., ./translation)
            idn/a
            extensionn/a, N/A
            systemn/a, ./codeSystem
            versionn/a, ./codeSystemVersion
            coden/a, ./code
            displayn/a, CV.displayName
            userSelectedn/a, CD.codingRationale
         textn/a, ./originalText[mediaType/code="text/plain"]/data
      agen/a, IVL<QTY[not(type="TS")]> [lowClosed="true" and highClosed="true"]or URG<QTY[not(type="TS")]>, outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
      textn/a, value:ST
   hasMembern/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), outBoundRelationship
   derivedFromn/a, The target of a resource reference is a RIM entry point (Act, Role, or Entity), .targetObservation
   componentn/a, outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a, N/A
      modifierExtensionn/a, N/A
      coden/a, CD, code
         idn/a
         extensionn/a, N/A
         codingn/a, CV, union(., ./translation)
            idn/a
            extensionn/a, N/A
            systemn/a, ./codeSystem
            versionn/a, ./codeSystemVersion
            coden/a, ./code
            displayn/a, CV.displayName
            userSelectedn/a, CD.codingRationale
         coding (LOINCObservationCode)n/a, CV, union(., ./translation)
            idn/a
            extensionn/a, N/A
            systemn/a, ./codeSystem
            versionn/a, ./codeSystemVersion
            coden/a, ./code
            displayn/a, CV.displayName
            userSelectedn/a, CD.codingRationale
         coding (TWLaboratoryCategory)n/a, CV, union(., ./translation)
            idn/a
            extensionn/a, N/A
            systemn/a, ./codeSystem
            versionn/a, ./codeSystemVersion
            coden/a, ./code
            displayn/a, CV.displayName
            userSelectedn/a, CD.codingRationale
         textn/a, ./originalText[mediaType/code="text/plain"]/data
      value[x]n/a, value
      dataAbsentReasonn/a, CD, value.nullFlavor
         idn/a
         extensionn/a, N/A
         codingn/a, CV, union(., ./translation)
            idn/a
            extensionn/a, N/A
            systemn/a, ./codeSystem
            versionn/a, ./codeSystemVersion
            coden/a, ./code
            displayn/a, CV.displayName
            userSelectedn/a, CD.codingRationale
         textn/a, ./originalText[mediaType/code="text/plain"]/data
      interpretationn/a, CD, interpretationCode
         idn/a
         extensionn/a, N/A
         codingn/a, CV, union(., ./translation)
            idn/a
            extensionn/a, N/A
            systemn/a, ./codeSystem
            versionn/a, ./codeSystemVersion
            coden/a, ./code
            displayn/a, CV.displayName
            userSelectedn/a, CD.codingRationale
         textn/a, ./originalText[mediaType/code="text/plain"]/data
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

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

ObservationLABDM
Observation
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   category (twcore)FiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   focusFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor
   component
      codeFiveWs.what[x]

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

ObservationLABDM
Observation
   code116680003 |Is a|
   value[x]363714003 |Interprets|
   value[x] (valueQuantity)363714003 |Interprets|
   value[x] (valueString)363714003 |Interprets|
   interpretation363713009 |Has interpretation|
   bodySite718497002 |Inherent location|
   specimen704319004 |Inherent in|
   device424226004 |Using device|
   component
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|