Fujitsu Healthy Living Implementation Guide
1.1.28 - release

Publication Build: This will be filled in by the publication tooling

Resource Profile: FujitsuObservationMicrosatelliteInstability - Mappings

Active as of 2025-07-09

Mappings for the fujitsu-observation-microsatellite-instability resource profile.

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

FujitsuObservationMicrosatelliteInstability
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)

FujitsuObservationMicrosatelliteInstability
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|

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

FujitsuObservationMicrosatelliteInstability
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
      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
   dataAbsentReasonN/A
   specimenSPM segment
   componentcontainment by OBX-4?
      codeOBX-3
      value[x]OBX.2, OBX.5, OBX.6
      dataAbsentReasonN/A
      interpretationOBX-8
      referenceRangeOBX.7

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

FujitsuObservationMicrosatelliteInstability
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
      codingunion(., ./translation)
         system./codeSystem
         code./code
         displayCV.displayName
      text./originalText[mediaType/code="text/plain"]/data
   dataAbsentReasonvalue.nullFlavor
   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]

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

FujitsuObservationMicrosatelliteInstability
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]

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

FujitsuObservationMicrosatelliteInstability
Observation
   code116680003 |Is a|
   value[x]363714003 |Interprets|
   value[x] (valueCodeableConcept)363714003 |Interprets|
   specimen704319004 |Inherent in|
   component
      value[x]363714003 |Interprets|
      interpretation363713009 |Has interpretation|