England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: HL7 v2 Interpretation Codes (OBX-8) to Observation.interpretation

Draft as of 2026-11-04

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

<http://hl7.org/fhir/ConceptMap/v2-0078-to-observation-interpretation> a fhir:ConceptMap ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:Resource.id [ fhir:value "v2-0078-to-observation-interpretation"] ;
  fhir:Resource.language [ fhir:value "en"] ;
  fhir:DomainResource.text [
     fhir:Narrative.status [ fhir:value "generated" ] ;
     fhir:Narrative.div "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap v2-0078-to-observation-interpretation</b></p><a name=\"v2-0078-to-observation-interpretation\"> </a><a name=\"hcv2-0078-to-observation-interpretation\"> </a><p>Mapping from <a href=\"http://hl7.org/fhir/R4/v2/0078/index.html\">v2 ABNORMAL FLAGS</a> to <a href=\"http://hl7.org/fhir/R4/valueset-observation-interpretation.html\">Observation Interpretation Codes</a></p><br/><p>Mapping from <a href=\"http://hl7.org/fhir/R4/v2/0078/index.html\">v2 ABNORMAL FLAGS</a> to <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v3-ObservationInterpretation.html\">ObservationInterpretation</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td></tr><tr><td>N (Normal)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>N (Normal)</td></tr><tr><td>L (Low)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>L (Low)</td></tr><tr><td>H (High)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>H (High)</td></tr><tr><td>LL (Critically low)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>LL (Critical low)</td></tr><tr><td>HH (Critically high)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>HH (Critical high)</td></tr><tr><td>A (Abnormal)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>A (Abnormal)</td></tr><tr><td>AA (Critically abnormal)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>AA (Critical abnormal)</td></tr><tr><td>S (Susceptible)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>S (Susceptible)</td></tr><tr><td>R (Resistant)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>R (Resistant)</td></tr><tr><td>I (Intermediate)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>I (Intermediate)</td></tr><tr><td>POS (Positive)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>POS (Positive)</td></tr><tr><td>NEG (Negative)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-equivalent\" title=\"equivalent\">is equivalent to</a></td><td>NEG (Negative)</td></tr></table></div>"
  ] ;
  fhir:ConceptMap.url [ fhir:value "https://examplesihe.org.uk/ConceptMap/v2-0078-to-observation-interpretation"] ;
  fhir:ConceptMap.version [ fhir:value "0.1.0"] ;
  fhir:ConceptMap.name [ fhir:value "V20078ToObservationInterpretation"] ;
  fhir:ConceptMap.title [ fhir:value "HL7 v2 Abnormal Flags to Observation.interpretation"] ;
  fhir:ConceptMap.status [ fhir:value "draft"] ;
  fhir:ConceptMap.experimental [ fhir:value "true"^^xsd:boolean] ;
  fhir:ConceptMap.date [ fhir:value "2026-11-04"^^xsd:date] ;
  fhir:ConceptMap.publisher [ fhir:value "Kevin Mayfield"] ;
  fhir:ConceptMap.contact [
     fhir:index -1 ;
     fhir:ContactDetail.telecom [
       fhir:index -1 ;
       fhir:ContactPoint.system [ fhir:value "url" ] ;
       fhir:ContactPoint.value [ fhir:value "https://github.com/KevinMayfield/PathologyAndLaboratory" ]
     ]
  ] ;
  fhir:ConceptMap.description [ fhir:value "HL7 v2 table 0078 Interpretation Codes (OBX-8 Abnormal Flags) to FHIR `Observation.interpretation` (v3 ObservationInterpretation). The codes are the same in both."] ;
  fhir:ConceptMap.jurisdiction [
     fhir:index -1 ;
     fhir:CodeableConcept.coding [
       fhir:index -1 ;
       fhir:Coding.system [ fhir:value "urn:iso:std:iso:3166" ] ;
       fhir:Coding.code [ fhir:value "GB" ] ;
       fhir:Coding.display [ fhir:value "United Kingdom of Great Britain and Northern Ireland" ]
     ]
  ] ;
  fhir:ConceptMap.sourceUri [ fhir:value "http://terminology.hl7.org/ValueSet/v2-0078"] ;
  fhir:ConceptMap.targetUri [ fhir:value "http://hl7.org/fhir/ValueSet/observation-interpretation"] ;
  fhir:ConceptMap.group [
     fhir:index -1 ;
     fhir:ConceptMap.group.source [ fhir:value "http://terminology.hl7.org/CodeSystem/v2-0078" ] ;
     fhir:ConceptMap.group.target [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ObservationInterpretation" ] ;
     fhir:ConceptMap.group.element [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "N" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "N" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "L" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "L" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "H" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "H" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "LL" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "LL" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "HH" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "HH" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "A" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "A" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "AA" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "AA" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "S" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "S" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "R" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "R" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "I" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "I" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "POS" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "POS" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ], [
       fhir:index -1 ;
       fhir:ConceptMap.group.element.code [ fhir:value "NEG" ] ;
       fhir:ConceptMap.group.element.target [
         fhir:index -1 ;
         fhir:ConceptMap.group.element.target.code [ fhir:value "NEG" ] ;
         fhir:ConceptMap.group.element.target.equivalence [ fhir:value "equivalent" ]
       ]
     ]
  ] .

# - ontology header ------------------------------------------------------------

<http://hl7.org/fhir/ConceptMap/v2-0078-to-observation-interpretation.ttl> a owl:Ontology ;
  owl:imports fhir:fhir.ttl ;
  owl:versionIRI <http://build.fhir.org/ConceptMap/v2-0078-to-observation-interpretation.ttl> .