Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: FujitsuObservationGenomicVariant - Mappings

Active as of 2025-07-09

Mappings for the fujitsu-observation-genomic-variant resource profile.

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

FujitsuObservationGenomicVariant
ObservationEvent
   identifierEvent.identifier
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   effective[x]Event.occurrence[x]

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

FujitsuObservationGenomicVariant
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] (valueCodeableConcept)< 441742003 |Evaluation finding|
   specimen< 123038009 |Specimen|
   component
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (gene-studied)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (cytogenetic-location)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (genomic-hgvs)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (cytogenomic-nomenclature)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (coding-change-type)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (genomic-source-class)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (sample-allelic-frequency)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (allelic-state)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (variation-code)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (protein-hgvs)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (amino-acid-change-type)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (molecular-consequence)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
   component (copy-number)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|

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

FujitsuObservationGenomicVariant
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
   category
   category (labCategory)
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         codeC*E.1
         displayC*E.2 - but note this is not well followed
      textC*E.9. But note many systems use C*E.2 for this
   codeOBX-3
      codingC*E.1-8, C*E.10-22
         systemC*E.3
         codeC*E.1
         displayC*E.2 - but note this is not well followed
      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)
   value[x]OBX.2, OBX.5, OBX.6
   value[x] (valueCodeableConcept)OBX.2, OBX.5, OBX.6
   dataAbsentReasonN/A
   methodOBX-17
   specimenSPM segment
   componentcontainment by OBX-4?
      codeOBX-3
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7
   component (gene-studied)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (cytogenetic-location)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (genomic-hgvs)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (cytogenomic-nomenclature)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (coding-change-type)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (genomic-source-class)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (sample-allelic-frequency)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      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
   component (allelic-state)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (variation-code)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (protein-hgvs)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (amino-acid-change-type)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (molecular-consequence)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
   component (copy-number)containment by OBX-4?
      codeOBX-3
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            codeC*E.1
            displayC*E.2 - but note this is not well followed
         textC*E.9. But note many systems use C*E.2 for this
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A

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

FujitsuObservationGenomicVariant
ObservationEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   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
   category (labCategory).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
      codingunion(., ./translation)
         system./codeSystem
         code./code
         displayCV.displayName
      text./originalText[mediaType/code="text/plain"]/data
   codecode
      codingunion(., ./translation)
         system./codeSystem
         code./code
         displayCV.displayName
      text./originalText[mediaType/code="text/plain"]/data
   subjectparticipation[typeCode=RTGT]
      referenceN/A
      identifier.identifier
   effective[x]effectiveTime
   value[x]value
   value[x] (valueCodeableConcept)value
   dataAbsentReasonvalue.nullFlavor
   methodmethodCode
   specimenparticipation[typeCode=SPC].specimen
      referenceN/A
      identifier.identifier
   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 (gene-studied)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (cytogenetic-location)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (genomic-hgvs)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (cytogenomic-nomenclature)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (coding-change-type)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (genomic-source-class)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (sample-allelic-frequency)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      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
   component (allelic-state)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (variation-code)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (protein-hgvs)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (amino-acid-change-type)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (molecular-consequence)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
   component (copy-number)outBoundRelationship[typeCode=COMP]
      idn/a
      codecode
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor

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

FujitsuObservationGenomicVariant
Observation
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   category (labCategory)FiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   effective[x]FiveWs.done[x]
   component
      codeFiveWs.what[x]
   component (gene-studied)
      codeFiveWs.what[x]
   component (cytogenetic-location)
      codeFiveWs.what[x]
   component (genomic-hgvs)
      codeFiveWs.what[x]
   component (cytogenomic-nomenclature)
      codeFiveWs.what[x]
   component (coding-change-type)
      codeFiveWs.what[x]
   component (genomic-source-class)
      codeFiveWs.what[x]
   component (sample-allelic-frequency)
      codeFiveWs.what[x]
   component (allelic-state)
      codeFiveWs.what[x]
   component (variation-code)
      codeFiveWs.what[x]
   component (protein-hgvs)
      codeFiveWs.what[x]
   component (amino-acid-change-type)
      codeFiveWs.what[x]
   component (molecular-consequence)
      codeFiveWs.what[x]
   component (copy-number)
      codeFiveWs.what[x]

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

FujitsuObservationGenomicVariant
Observation
   code116680003 |Is a|
   value[x]363714003 |Interprets|
   value[x] (valueCodeableConcept)363714003 |Interprets|
   specimen704319004 |Inherent in|
   component
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (gene-studied)
      value[x]363714003 |Interprets|
   component (cytogenetic-location)
      value[x]363714003 |Interprets|
   component (genomic-hgvs)
      value[x]363714003 |Interprets|
   component (cytogenomic-nomenclature)
      value[x]363714003 |Interprets|
   component (coding-change-type)
      value[x]363714003 |Interprets|
   component (genomic-source-class)
      value[x]363714003 |Interprets|
   component (sample-allelic-frequency)
      value[x]363714003 |Interprets|
   component (allelic-state)
      value[x]363714003 |Interprets|
   component (variation-code)
      value[x]363714003 |Interprets|
   component (protein-hgvs)
      value[x]363714003 |Interprets|
   component (amino-acid-change-type)
      value[x]363714003 |Interprets|
   component (molecular-consequence)
      value[x]363714003 |Interprets|
   component (copy-number)
      value[x]363714003 |Interprets|