Fujitsu Healthy Living Implementation Guide
1.1.28 - release

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Resource Profile: FujitsuObservationMetByStandardRmr - Mappings

Active as of 2025-07-09

Mappings for the fujitsu-observation-met-by-standard-rmr resource profile.

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

FujitsuObservationMetByStandardRmr
ObservationEvent
   identifierEvent.identifier
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   effective[x]Event.occurrence[x]
   performerEvent.performer.actor

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

FujitsuObservationMetByStandardRmr
Observation< 363787002 |Observable entity|
   status< 445584004 |Report by finality status|
   code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
   interpretation< 260245000 |Findings values|
   device< 49062001 |Device|
   component
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (standardRmr)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (measuredMet)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (estimatedMet)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (estimatedSource)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (reportedMet)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (reportedSource)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (adjustedMet)
      code< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
      value[x]363714003 |Interprets| < 441742003 |Evaluation finding|
      interpretation< 260245000 |Findings values|
   component (adjustedSource)
      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)

FujitsuObservationMetByStandardRmr
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
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   category (first)
      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
      coding (PHRCode)C*E.1-8, C*E.10-22
         systemC*E.3
         codeC*E.1
         displayC*E.2 - but note this is not well followed
      coding (LOINCCode)C*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)
   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'
   dataAbsentReasonN/A
   interpretationOBX-8
   noteNTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
   deviceOBX-17 / PRT -10
   derivedFromRelationships 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 (standardRmr)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
         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 (measuredMet)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
         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 (estimatedMet)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
         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 (estimatedSource)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
      interpretationOBX-8
      referenceRangeOBX.7
   component (reportedMet)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
         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 (reportedSource)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
      interpretationOBX-8
      referenceRangeOBX.7
   component (adjustedMet)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
         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 (adjustedSource)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
      interpretationOBX-8
      referenceRangeOBX.7

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

FujitsuObservationMetByStandardRmr
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
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   category (first).outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
      idn/a
      extensionn/a
      codingunion(., ./translation)
         system./codeSystem
         code./code
         displayCV.displayName
      text./originalText[mediaType/code="text/plain"]/data
   codecode
      codingunion(., ./translation)
      coding (PHRCode)union(., ./translation)
         system./codeSystem
         code./code
         displayCV.displayName
      coding (LOINCCode)union(., ./translation)
         system./codeSystem
         code./code
         displayCV.displayName
      text./originalText[mediaType/code="text/plain"]/data
   subjectparticipation[typeCode=RTGT]
      referenceN/A
      identifier.identifier
   effective[x]effectiveTime
   issuedparticipation[typeCode=AUT].time
   performerparticipation[typeCode=PRF]
      referenceN/A
      identifier.identifier
   dataAbsentReasonvalue.nullFlavor
   interpretationinterpretationCode
   notesubjectOf.observationEvent[code="annotation"].value
   deviceparticipation[typeCode=DEV]
      referenceN/A
      identifier.identifier
   derivedFrom.targetObservation
   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 (standardRmr)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         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 (measuredMet)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         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 (estimatedMet)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         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 (estimatedSource)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (reportedMet)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         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 (reportedSource)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
   component (adjustedMet)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         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 (adjustedSource)outBoundRelationship[typeCode=COMP]
      idn/a
      extensionn/a
      modifierExtensionN/A
      codecode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            system./codeSystem
            code./code
            displayCV.displayName
         text./originalText[mediaType/code="text/plain"]/data
      value[x]value
      dataAbsentReasonvalue.nullFlavor
      interpretationinterpretationCode
      referenceRangeoutboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

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

FujitsuObservationMetByStandardRmr
Observation
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   category (first)FiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   effective[x]FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor
   component
      codeFiveWs.what[x]
   component (standardRmr)
      codeFiveWs.what[x]
   component (measuredMet)
      codeFiveWs.what[x]
   component (estimatedMet)
      codeFiveWs.what[x]
   component (estimatedSource)
      codeFiveWs.what[x]
   component (reportedMet)
      codeFiveWs.what[x]
   component (reportedSource)
      codeFiveWs.what[x]
   component (adjustedMet)
      codeFiveWs.what[x]
   component (adjustedSource)
      codeFiveWs.what[x]

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

FujitsuObservationMetByStandardRmr
Observation
   code116680003 |Is a|
   interpretation363713009 |Has interpretation|
   device424226004 |Using device|
   component
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (standardRmr)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (measuredMet)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (estimatedMet)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (estimatedSource)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (reportedMet)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (reportedSource)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (adjustedMet)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|
   component (adjustedSource)
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|