England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: HL7 v2 Observation Result Status (OBX-11) to Observation.status

Draft as of 2026-11-04

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{
  "resourceType" : "ConceptMap",
  "id" : "v2-0085-to-observation-status",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap v2-0085-to-observation-status</b></p><a name=\"v2-0085-to-observation-status\"> </a><a name=\"hcv2-0085-to-observation-status\"> </a><p>Mapping from <a href=\"http://terminology.hl7.org/7.5.0/ValueSet-v2-0085.html\">hl7VS-observationResultStatus</a> to <a href=\"http://hl7.org/fhir/R4/valueset-observation-status.html\">ObservationStatus</a></p><br/><p>Mapping from <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v2-0085.html\">observationResultStatusCodesInterpretation</a> to <a href=\"http://hl7.org/fhir/R4/codesystem-observation-status.html\">ObservationStatus</a></p><table class=\"grid\"><tr><td><b>Source Code</b></td><td><b>Relationship</b></td><td><b>Target Code</b></td><td><b>Comment</b></td></tr><tr><td>C (Record coming over is a correction and thus replaces a final result)</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>corrected</td><td/></tr><tr><td>D (Deletes the OBX record)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target\" title=\"source-is-narrower-than-target\">is narrower than</a></td><td>entered-in-error</td><td/></tr><tr><td>F (Final results)</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>final</td><td/></tr><tr><td>I (Specimen in lab; results pending)</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>registered</td><td/></tr><tr><td>N (Not asked; used to affirmatively document that the observation identified in the OBX was not sought when the universal service ID in OBR-4 implies that it would be sought.)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target\" title=\"source-is-narrower-than-target\">is narrower than</a></td><td>cancelled</td><td>Not asked - also set Observation.dataAbsentReason = not-asked</td></tr><tr><td>O (Order detail description only (no result))</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target\" title=\"source-is-narrower-than-target\">is narrower than</a></td><td>registered</td><td/></tr><tr><td>P (Preliminary results)</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>preliminary</td><td/></tr><tr><td>R (Results entered -- not verified)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target\" title=\"source-is-narrower-than-target\">is narrower than</a></td><td>preliminary</td><td/></tr><tr><td>S (Partial results.   Deprecated. Retained only for backward compatibility as of V2.6.)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target\" title=\"source-is-narrower-than-target\">is narrower than</a></td><td>preliminary</td><td/></tr><tr><td>U (Results status change to final without retransmitting results already sent as 'preliminary.'  E.g., radiology changes status from preliminary to final)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target\" title=\"source-is-narrower-than-target\">is narrower than</a></td><td>final</td><td/></tr><tr><td>W (Post original as wrong, e.g., transmitted for wrong patient)</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>entered-in-error</td><td/></tr><tr><td>X (Results cannot be obtained for this observation)</td><td><a href=\"http://hl7.org/fhir/R4/codesystem-concept-map-equivalence.html#concept-map-equivalence-source-is-narrower-than-target\" title=\"source-is-narrower-than-target\">is narrower than</a></td><td>cancelled</td><td>Results cannot be obtained - also set Observation.dataAbsentReason</td></tr></table></div>"
  },
  "url" : "https://examplesihe.org.uk/ConceptMap/v2-0085-to-observation-status",
  "version" : "0.1.0",
  "name" : "V20085ToObservationStatus",
  "title" : "HL7 v2 Observation Result Status to Observation.status",
  "status" : "draft",
  "experimental" : true,
  "date" : "2026-11-04",
  "publisher" : "Kevin Mayfield",
  "contact" : [
    {
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://github.com/KevinMayfield/PathologyAndLaboratory"
        }
      ]
    }
  ],
  "description" : "HL7 v2 table 0085 Observation Result Status Codes Interpretation (OBX-11) to FHIR `Observation.status`. Indicative, based on the HL7 v2-to-FHIR IG.",
  "jurisdiction" : [
    {
      "coding" : [
        {
          "system" : "urn:iso:std:iso:3166",
          "code" : "GB",
          "display" : "United Kingdom of Great Britain and Northern Ireland"
        }
      ]
    }
  ],
  "sourceUri" : "http://terminology.hl7.org/ValueSet/v2-0085",
  "targetUri" : "http://hl7.org/fhir/ValueSet/observation-status",
  "group" : [
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0085",
      "target" : "http://hl7.org/fhir/observation-status",
      "element" : [
        {
          "code" : "C",
          "target" : [
            {
              "code" : "corrected",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "D",
          "target" : [
            {
              "code" : "entered-in-error",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "F",
          "target" : [
            {
              "code" : "final",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "I",
          "target" : [
            {
              "code" : "registered",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "N",
          "target" : [
            {
              "code" : "cancelled",
              "equivalence" : "wider",
              "comment" : "Not asked - also set Observation.dataAbsentReason = not-asked"
            }
          ]
        },
        {
          "code" : "O",
          "target" : [
            {
              "code" : "registered",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "P",
          "target" : [
            {
              "code" : "preliminary",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "R",
          "target" : [
            {
              "code" : "preliminary",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "S",
          "target" : [
            {
              "code" : "preliminary",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "U",
          "target" : [
            {
              "code" : "final",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "W",
          "target" : [
            {
              "code" : "entered-in-error",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "X",
          "target" : [
            {
              "code" : "cancelled",
              "equivalence" : "wider",
              "comment" : "Results cannot be obtained - also set Observation.dataAbsentReason"
            }
          ]
        }
      ]
    }
  ]
}