Segmento OBX en FHIR
Cómo el segmento OBX (Observation/result) se convierte en recursos FHIR R4, según la guía HL7 Version 2 to FHIR.
- Definición HL7 v2
- Definición de OBX en HL7 v2 2.8
- Mapas
- Observation (Component)DocumentReferenceObservation
- Usado en los mensajes
- ADT_A01ADT_A02ADT_A05ADT_A06ADT_A09ADT_A11ADT_A17MDM_T02OML_O21ORM_O01ORU_R01SIU_S12VXU_V04
A ObservationComponent72 filas
| Origen HL7 v2 | Tipo v2 | Elemento FHIR | Tipo FHIR | Condiciones y notas |
|---|---|---|---|---|
OBX-3Observation Identifier | CWE | code | CodeableConcept | |
OBX-3Observation Identifier | CWE | component[each].code | CodeableConcept | |
OBX-4Observation Sub-id | ST | $this | Map to Observation.partOf or Observation.hasMember or Observation.DerivedFrom according to the implementation guidance for the v2 message at hand, otherwise map to the extension-sub-id to enable the final destination to determine how to structure the observations. | |
OBX-5Observation Value | varies | component[each].valueQuantity | quantity | Si IF OBX-2 EQUALS "NM" |
OBX-5Observation Value | varies | component[each].valueString | string | Si IF OBX-2 IN ("ST", "FT", "TX")Any markup in ST, FT or TX data may not present properly given that valueString is a string data type |
OBX-5Observation Value | varies | component[each].valueCodeableConcept | CodeableConcept | Si IF OBX-2 EQUALS "CF" |
OBX-5Observation Value | varies | component[each].valueCodeableConcept | CodeableConcept | Si IF OBX-2 EQUALS "CNE" |
OBX-5Observation Value | varies | component[each].valueCodeableConcept | CodeableConcept | Si IF OBX-2 EQUALS "CE" |
OBX-5Observation Value | varies | component[each].valueCodeableConcept | CodeableConcept | Si IF OBX-2 EQUALS "CWE" |
OBX-5Observation Value | varies | component[each].valueCodeableConcept | CodeableConcept | Si IF OBX-2 EQUALS "IS" |
OBX-5Observation Value | varies | component[each].valuePeriod | Period | Si IF OBX-2 EQUALS "DR" |
OBX-5Observation Value | varies | component[each].valueDateTime | dateTime | Si IF OBX-2 IN ("DTM", "DT") |
OBX-5Observation Value | varies | component[each].valueRange | Range | Si IF OBX-2 EQUALS "NR" |
OBX-5Observation Value | varies | component[each].valueString | string | Si IF OBX-2 EQUALS "VR"Valor OBX-5.1+"-"+OBX-5.2 |
OBX-5Observation Value | varies | component[each].valueTime | time | Si IF OBX-2 EQUALS "TM" |
OBX-5Observation Value | varies | component[each].valueString | string | Si IF (OBX-2 EQUALS "SN" AND OBX-5.1 EQUALS "<>"Valor OBX-5.1+" "+OBX-5.2+" "+OBX-5.3+" "+OBX-5.4" "OBX-6" |
OBX-5Observation Value | varies | component[each].valueRatio[1] | Ratio | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 IN (":", "/") |
OBX-5Observation Value | varies | component[each].valueRange[1] | Range | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 EQUALS "-" |
OBX-5Observation Value | varies | component[each].valueString | string | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 EQUALS "+"Valor OBX-5.1+" "+OBX-5.2+" "+OBX-5.3+" "+OBX-5.4" "OBX-6" |
OBX-5Observation Value | varies | component[each].valueQuantity[1] | Quantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 NOT IN (":", "/", "-", "+") |
OBX-5Observation Value | varies | component[each].valueString | string | If line 19 through 23 all fail while OBX-2 = SNValor OBX-5.1+" "+OBX-5.2+" "+OBX-5.3+" "+OBX-5.4" "OBX-6" |
OBX-5Observation Value | varies | component[each].extension[1].url | uri | Si IF OBX-2 EQUALS "ED" AND IF OBX-5.4 EQUALS "Base64"If none of the other observations in OBX-5 are not derived from the documentation includedValor "https://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.valueAttachment" |
OBX-5Observation Value | varies | component[each].extension[1].valueAttachment | Attachment | Si IF OBX-2 EQUALS "ED" AND IF OBX-5.4 EQUALS "Base64"If none of the other observations in OBX-5 are not derived from the documentation included |
OBX-5Observation Value | varies | derivedFrom(DocumentReference) | Reference | Si IF OBX-2 EQUALS "ED" AND IF OBX-5.4 EQUALS "Base64"And if other observation in OBX-5 are derived from the documentation included |
OBX-5Observation Value | varies | component[each].extension[1].url | uri | Si IF OBX-2 EQUALS "RP"If none of the other observations in OBX-5 are not derived from the documentation referencedValor "https://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.valueAttachment" |
OBX-5Observation Value | varies | component[each].extension[1].valueAttachment | Attachment | Si IF OBX-2 EQUALS "RP"If none of the other observations in OBX-5 are not derived from the documentation referenced |
OBX-5Observation Value | varies | derivedFrom(DocumentReference) | Reference | Si IF OBX-2 EQUALS "RP"And if other observation in OBX-5 are derived from the documentation being referenced |
OBX-6Units | CWE | component[each].valueQuantity | Quantity | Si IF OBX-2 IN ("NA", "NM") |
OBX-6Units | CWE | component[each].valueQuantity[1] | Quantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 NOT IN (":", "/", "-", "+") |
OBX-6Units | CWE | component[each].valueRange[1].low | SimpleQuantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 EQUALS "-" |
OBX-6Units | CWE | component[each].valueRange[1].high | SimpleQuantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 EQUALS "-" |
OBX-6Units | CWE | component[each].valueRatio[1].numerator | Quantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 IN (":", "/") |
OBX-6Units | CWE | component[each].valueRatio[1].denominator | Quantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 IN (":", "/") |
OBX-7References Range | ST | component[each].referenceRange.text | ||
OBX-8Interpretation Codes | CWE | interpretation | CodeableConcept | Mapa de códigos v3-observationinterpretation |
OBX-10Nature Of Abnormal Test | ID | extension[2].uri | uri | Valor "http://hl7.org/fhir/StructureDefinition/observation-nature-of-abnormal-test" |
OBX-10Nature Of Abnormal Test | ID | extension[2].valueCodeableConcept | CodeableConcept | Mapa de códigos v2-0080 |
OBX-11Observation Result Status | ID | status | code | Mapa de códigos observation-status |
OBX-11Observation Result Status | ID | status.extension[1].url | uri | Si IF OBX-11 IS "X"Valor "http://hl7.org/fhir/StructureDefinition/alternate-codes" |
OBX-11Observation Result Status | ID | status.extension[1].valueCodeableConcept.coding.code | CodeableConcept | Si IF OBX-11 IS "X"Valor "X" |
OBX-11Observation Result Status | ID | status.extension[1].valueCodeableConcept.coding.system | string | Si IF OBX-11 IS "X"Valor "http://terminology.hl7.org/CodeSystem/v2-0085" |
OBX-11Observation Result Status | ID | dataAbsentReason.coding[2].code | Si IF OBX-11 IS "N"Valor "not-asked" | |
OBX-11Observation Result Status | ID | dataAbsentReason.coding[2].system | Si IF OBX-11 IS "N"Valor "http://terminology.hl7.org/CodeSystem/data-absent-reason" | |
OBX-14Date/Time Of The Observation | DTM | effectiveDateTime | dateTime | |
OBX-16Responsible Observer | XCN | performer[1](PractitionerRole.practitioner(Practitioner)) | Reference(PractitionerRole) | |
OBX-16Responsible Observer | XCN | performer[1](PractitionerRole.code.coding.code) | string | Valor "responsibleObserver" |
OBX-16Responsible Observer | XCN | performer[1](PractitionerRole.code.coding.system) | uri | Valor "http://terminology.hl7.org/CodeSystem/practitioner-role" |
OBX-17Observation Method | CWE | method | CodeableConcept | |
OBX-18Equipment Instance Identifier | EI | device(Device.identifier) | Identifier | |
OBX-19Date/Time Of The Analysis | DTM | extension[1].url | uri | |
OBX-19Date/Time Of The Analysis | DTM | extension[1].valueDateTime | dateTime | |
OBX-20Observation Site | CWE | bodySite | CodeableConcept | |
OBX-21Observation Instance Identifier | EI | identifier | Identifier | |
OBX-21Observation Instance Identifier | EI | identifier.type.coding.code | code | Valor "FILL" |
OBX-23Performing Organization Name | XON | performer[2](Organization) | Reference(Organization) | |
OBX-23Performing Organization Name | XON | performer[2](PractitionerRole.organization(Organization)) | Reference(Organization) | Si IF OBX-25 VALUED |
OBX-24Performing Organization Address | XAD | performer[2](Organization.address) | Address | |
OBX-24Performing Organization Address | XAD | performer[2](PractitionerRole.organization(Organization.address)) | Address | Si IF OBX-25 VALUED |
OBX-25Performing Organization Medical Director | XCN | performer[2](PractitionerRole) | Reference(PractitionerRole) | |
OBX-25Performing Organization Medical Director | XCN | performer[2](PractitionerRole.code.coding.value) | string | Valor "MDIR" |
OBX-25Performing Organization Medical Director | XCN | performer[2](PractitionerRole.code.coding.system) | uri | Valor "http://terminology.hl7.org/CodeSystem/v2-0912" |
OBX-29 | ID | category[1].coding.code | code | |
OBX-29 | ID | category[1].coding.system | uri | |
OBX-30 | ID | extension[2].url | uri | Valor "http://hl7.org/fhir/StructureDefinition/observation-structure-type" |
OBX-30 | ID | extension[2].valueCodeableConcept.coding.code | code | |
OBX-30 | ID | extension[2].valueCodeableConcept.coding.system | uri | Valor "http://hl7.org/fhir/StructureDefinition/observation-structure-type" |
OBX-33 | EIP | extension[1].uri | Reference | Si IF OBX-33 COUNT>1Valor "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.specimen" |
OBX-33 | EIP | extension[1].valueReference(Group.member.entity(Specimen.identifier[1]) | Si IF OBX-33 COUNT>1 | |
OBX-33 | EIP | extension[2].uri | Si IF OBX-33 COUNT>1Valor "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.specimen" | |
OBX-33 | EIP | extension[2].valueReference(Group.member.entity(Specimen.identifier[2])) | Si IF OBX-33 COUNT>1 | |
OBX-33 | EIP | specimen(Specimen.identifier[1]) | Identifier | Si IF OBX-33 COUNT=1 |
OBX-33 | EIP | specimen(Specimen.identifier[2]) | Identifier | Si IF OBX-33 COUNT=1 |
A DocumentReference6 filas
| Origen HL7 v2 | Tipo v2 | Elemento FHIR | Tipo FHIR | Condiciones y notas |
|---|---|---|---|---|
OBX-5Observation Value | varies | content[1].attachment | Attachment | Si IF OBX-2="ED" |
OBX-5Observation Value | varies | content[2].data | binary64 | Si IF OBX-2="FT" |
OBX-5Observation Value | varies | content[2].contentType | code | Si IF OBX-2="FT"Valor "text/hl7v2" |
OBX-5Observation Value | varies | content[3].url | uri | Si IF OBX-2="RP" |
OBX-5Observation Value | varies | content[4].data | binary64 | Si IF OBX-2="TX" |
OBX-5Observation Value | varies | content[4].contentType | code | Si IF OBX-2="TX"Valor "application/text" |
A Observation72 filas
| Origen HL7 v2 | Tipo v2 | Elemento FHIR | Tipo FHIR | Condiciones y notas |
|---|---|---|---|---|
OBX-3Observation Identifier | CWE | code | CodeableConcept | |
OBX-4Observation Sub-id | OG | $this | Map to Observation.partOf or Observation.hasMember or Observation.DerivedFrom according to the implementation guidance for the v2 message at hand, otherwise map to the extension-sub-id to enable the final destination to determine how to structure the observations. | |
OBX-5Observation Value | varies | valueQuantity.value | quantity | Si IF OBX-2 EQUALS "NM" |
OBX-5Observation Value | varies | valueString | string | Si IF OBX-2 IN ("ST", "FT", "TX")Any markup in ST, FT or TX data may not present properly given that valueString is a string data type |
OBX-5Observation Value | varies | valueCodeableConcept[1] | CodeableConcept | Si IF OBX-2 EQUALS "CF" |
OBX-5Observation Value | varies | valueCodeableConcept | CodeableConcept | Si IF OBX-2 EQUALS "CNE" |
OBX-5Observation Value | varies | valueCodeableConcept | CodeableConcept | Si IF OBX-2 EQUALS "CE" |
OBX-5Observation Value | varies | valueCodeableConcept | CodeableConcept | Si IF OBX-2 EQUALS "CWE" |
OBX-5Observation Value | varies | valueCodeableConcept | CodeableConcept | Si IF OBX-2 EQUALS "IS" |
OBX-5Observation Value | varies | valuePeriod | Period | Si IF OBX-2 EQUALS "DR" |
OBX-5Observation Value | varies | valueDateTime | dateTime | Si IF OBX-2 IN ("DTM", "DT") |
OBX-5Observation Value | varies | valueRange | Range | Si IF OBX-2 EQUALS "NR" |
OBX-5Observation Value | varies | valueString | string | Si IF OBX-2 EQUALS "VR"Valor OBX-5.1+"-"+OBX-5.2 |
OBX-5Observation Value | varies | valueTime | time | Si IF OBX-2 EQUALS "TM" |
OBX-5Observation Value | varies | valueString | string | Si IF (OBX-2 EQUALS "SN" AND OBX-5.1 EQUALS "<>"Valor OBX-5.1+" "+OBX-5.2+" "+OBX-5.3+" "+OBX-5.4" "OBX-6" |
OBX-5Observation Value | varies | valueRatio[1] | Ratio | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 IN (":", "/") |
OBX-5Observation Value | varies | valueRange[1] | Range | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 EQUALS "-" |
OBX-5Observation Value | varies | valueString | string | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 EQUALS "+"Valor OBX-5.1+" "+OBX-5.2+" "+OBX-5.3+" "+OBX-5.4" "OBX-6" |
OBX-5Observation Value | varies | valueQuantity[1] | Quantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 NOT IN (":", "/", "-", "+") |
OBX-5Observation Value | varies | valueString | string | If line 19 through 23 all fail while OBX-2 = SNValor OBX-5.1+" "+OBX-5.2+" "+OBX-5.3+" "+OBX-5.4" "OBX-6" |
OBX-5Observation Value | varies | valueSampedData | SampledData | Si IF OBX-2 EQUALS "NA" |
OBX-5Observation Value | varies | extension[1].url | uri | Si IF OBX-2 EQUALS "ED" AND IF OBX-5.4 EQUALS "Base64"Valor "https://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.valueAttachment" |
OBX-5Observation Value | varies | extension[1].valueAttachment | Attachment | Si IF OBX-2 EQUALS "ED" AND IF OBX-5.4 EQUALS "Base64" |
OBX-5Observation Value | varies | extension[1].url | uri | Si IF OBX-2 EQUALS "RP"Valor "https://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.valueAttachment" |
OBX-5Observation Value | varies | extension[1].valueAttachment | Attachment | Si IF OBX-2 EQUALS "RP" |
OBX-6Units | CWE | valueQuantity[1] | Quantity | Si IF OBX-2 IN ("NA", "NM") |
OBX-6Units | CWE | valueQuantity[1] | Quantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 NOT IN (":", "/", "-", "+") |
OBX-6Units | CWE | valueRange[1].low | SimpleQuantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 EQUALS "-" |
OBX-6Units | CWE | valueRange[1].high | SimpleQuantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 EQUALS "-" |
OBX-6Units | CWE | valueRatio[1].numerator | Quantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 IN (":", "/") |
OBX-6Units | CWE | valueRatio[1].denominator | Quantity | Si IF OBX-2 EQUALS "SN" AND OBX-5.1 NOT EQUALS "<>" AND OBX-5.3 IN (":", "/") |
OBX-7References Range | ST | referenceRange.text | string | |
OBX-8Interpretation Codes | CWE | interpretation | CodeableConcept | Mapa de códigos v3-observationinterpretation |
OBX-10Nature Of Abnormal Test | ID | extension[2].uri | uri | Valor "http://hl7.org/fhir/StructureDefinition/observation-nature-of-abnormal-test" |
OBX-10Nature Of Abnormal Test | ID | extension[2].valueCodeableConcept | CodeableConcept | Mapa de códigos v2-0080 |
OBX-11Observation Result Status | ID | status | code | Mapa de códigos observation-status |
OBX-11Observation Result Status | ID | status.extension[1].url | uri | Si IF OBX-11 IS "X"Valor "http://hl7.org/fhir/StructureDefinition/alternate-codes" |
OBX-11Observation Result Status | ID | status.extension[1].valueCodeableConcept.coding.code | CodeableConcept | Si IF OBX-11 IS "X"Valor "X" |
OBX-11Observation Result Status | ID | status.extension[1].valueCodeableConcept.coding.system | string | Si IF OBX-11 IS "X"Valor "http://terminology.hl7.org/CodeSystem/v2-0085" |
OBX-11Observation Result Status | ID | dataAbsentReason.coding[2].code | Si IF OBX-11 IS "N"Valor "not-asked" | |
OBX-11Observation Result Status | ID | dataAbsentReason.coding[2].system | Si IF OBX-11 IS "N"Valor "http://terminology.hl7.org/CodeSystem/data-absent-reason" | |
OBX-14Date/Time Of The Observation | DTM | effectiveDateTime | dateTime | |
OBX-15Producer's Id | CWE | performer[2](Organization) | identifier | |
OBX-15Producer's Id | CWE | performer[2](PractitionerRole) | ||
OBX-16Responsible Observer | XCN | performer[1](PractitionerRole.practitioner(Practitioner)) | Reference(PractitionerRole) | |
OBX-16Responsible Observer | XCN | performer[1](PractitionerRole.code.coding.code) | CodeableConcept | Valor "responsibleObserver" |
OBX-16Responsible Observer | XCN | performer[1](PractitionerRole.code.coding.system) | CodeableConcept | Valor "http://terminology.hl7.org/CodeSystem/practitioner-role" |
OBX-17Observation Method | CWE | method | CodeableConcept | |
OBX-18Equipment Instance Identifier | EI | device(Device.identifier) | Identifier | |
OBX-19Date/Time Of The Analysis | DTM | extension[2].url | uri | |
OBX-19Date/Time Of The Analysis | DTM | extension[2].valueDateTime | dateTime | |
OBX-20Observation Site | CWE | bodySite | CodeableConcept | |
OBX-21Observation Instance Identifier | EI | identifier | Identifier | |
OBX-21Observation Instance Identifier | EI | identifier.type.coding.code | code | Valor "FILL" |
OBX-23Performing Organization Name | XON | performer[2](Organization) | Reference(Organization) | Si IF OBX-25 NOT VALUED |
OBX-23Performing Organization Name | XON | performer[2](PractitionerRole[1].organization(Organization)) | Reference(Organization) | Si IF OBX-25 VALUED |
OBX-24Performing Organization Address | XAD | performer[2](Organization.address) | Address | Si IF OBX-25 NOT VALUED |
OBX-24Performing Organization Address | XAD | performer[2](PractitionerRole[1].organization(Organization.address)) | Address | Si IF OBX-25 VALUED |
OBX-25Performing Organization Medical Director | XCN | performer[2](PractitionerRole[1].practitioner) | Reference(PractitionerRole) | |
OBX-25Performing Organization Medical Director | XCN | performer[2](PractitionerRole[1].code.coding.code) | code | Valor "MDIR" |
OBX-25Performing Organization Medical Director | XCN | performer[2](PractitionerRole[1].code.coding.system) | Valor "http://terminology.hl7.org/CodeSystem/v2-0912" | |
OBX-29 | ID | category[1].coding.code | code | |
OBX-29 | ID | category[1].coding.system | uri | |
OBX-30 | ID | extension[2].url | uri | Valor "http://hl7.org/fhir/StructureDefinition/observation-structure-type" |
OBX-30 | ID | extension[2].valueCodeableConcept.coding.code | code | |
OBX-30 | ID | extension[2].valueCodeableConcept.coding.system | uri | Valor "http://hl7.org/fhir/StructureDefinition/observation-structure-type" |
OBX-33 | EIP | extension[1].uri | Reference | Si IF OBX-33 COUNT>1Valor "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.specimen" |
OBX-33 | EIP | extension[1].valueReference(Group.member.entity(Specimen.identifier[1]) | Si IF OBX-33 COUNT>1 | |
OBX-33 | EIP | extension[2].uri | Si IF OBX-33 COUNT>1Valor "http://hl7.org/fhir/5.0/StructureDefinition/extension-Observation.specimen" | |
OBX-33 | EIP | extension[2].valueReference(Group.member.entity(Specimen.identifier[2])) | Si IF OBX-33 COUNT>1 | |
OBX-33 | EIP | specimen(Specimen.identifier[1]) | Identifier | Si IF OBX-33 COUNT=1 |
OBX-33 | EIP | specimen(Specimen.identifier[2]) | Identifier | Si IF OBX-33 COUNT=1 |