MII IG Symptom
2027.0.0-ballot - Germany

This page is part of the MII Implementation Guide Symptom (v2027.0.0-ballot: 2027 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Ressourcenprofil: MII_PR_Symptom_Observation - Mappings

Active Stand: 2026-09-11

Mappings für mii-pr-symptom-observation ressourcenprofil.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
.. Observation
Event
< 363787002 |Observable entity|
OBX
... id
... meta
... implicitRules
... language
... text
... contained
... Slices for extension
.... extension:associatedSymptomOrCondition
..... id
..... extension
..... url
..... value[x]
... modifierExtension
... identifier
Event.identifier
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.
FiveWs.identifier
... basedOn
Event.basedOn
ORC
... partOf
Event.partOf
Varies by domain
... status
Event.status
< 445584004 |Report by finality status|
OBX-11
FiveWs.status
... category
FiveWs.class
... code
Event.code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
FiveWs.what[x]
116680003 |Is a|
... subject
Event.subject
PID-3
FiveWs.subject
... focus
OBX-3
FiveWs.subject
... encounter
Event.context
PV1
FiveWs.context
... effective[x]
Event.occurrence[x]
  • OBX-14
  • and/or OBX-19 after v2.4 (depends on who observation made)
FiveWs.done[x]
... issued
  • OBR.22 (or MSH.7)
  • or perhaps OBX-19 (depends on who observation made)
FiveWs.recorded
... performer
Event.performer.actor
  • OBX.15 / (Practitioner) OBX-16
  • PRT-4='RO' / (Device) OBX-18
  • PRT-4='EQUIP' / (Organization) OBX-23
  • PRT-4='PO'
FiveWs.actor
... value[x]
< 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
363714003 |Interprets|
... dataAbsentReason
N/A
... interpretation
< 260245000 |Findings values|
OBX-8
363713009 |Has interpretation|
... note
  • NTE.3 (partner NTE to OBX
  • or sometimes another (child?) OBX)
... bodySite
< 123037004 |Body structure|
OBX-20
718497002 |Inherent location|
.... id
.... Slices for extension
..... extension:bodySite
...... id
...... extension
...... url
...... value[x]
.... coding
  • C*E.1-8
  • C*E.10-22
.... text
C*E.9. But note many systems use C*E.2 for this
... method
OBX-17
... specimen
< 123038009 |Specimen|
SPM segment
704319004 |Inherent in|
... device
< 49062001 |Device|
OBX-17 / PRT -10
424226004 |Using device|
... referenceRange
OBX.7
.... id
.... extension
.... modifierExtension
.... low
OBX-7
.... high
OBX-7
.... 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|
OBX-10
.... 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|
OBX-10
.... age
.... text
OBX-7
... hasMember
Relationships established by OBX-4 usage
... derivedFrom
Relationships established by OBX-4 usage
... component
containment by OBX-4?
.... id
.... extension
.... modifierExtension
.... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
OBX-3
FiveWs.what[x]
.... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
  • OBX.2
  • OBX.5
  • OBX.6
363714003 |Interprets|
.... dataAbsentReason
N/A
.... interpretation
< 260245000 |Findings values|
OBX-8
363713009 |Has interpretation|
.... referenceRange
OBX.7

doco Documentation for this format