England Pathology and Laboratory Medicine (PaLM) Technical Framework
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: HL7 v2 Result Status (OBR-25) to DiagnosticReport.status

Draft as of 2026-11-04

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{
  "resourceType" : "ConceptMap",
  "id" : "v2-0123-to-diagnostic-report-status",
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ConceptMap v2-0123-to-diagnostic-report-status</b></p><a name=\"v2-0123-to-diagnostic-report-status\"> </a><a name=\"hcv2-0123-to-diagnostic-report-status\"> </a><p>Mapping from <a href=\"http://terminology.hl7.org/7.5.0/ValueSet-v2-0123.html\">hl7VS-resultStatus-Obr</a> to <a href=\"http://hl7.org/fhir/R4/valueset-diagnostic-report-status.html\">DiagnosticReportStatus</a></p><br/><p>Mapping from <a href=\"http://terminology.hl7.org/7.5.0/CodeSystem-v2-0123.html\">resultStatus</a> to <a href=\"http://hl7.org/fhir/R4/codesystem-diagnostic-report-status.html\">DiagnosticReportStatus</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>O (Order received; specimen not yet received)</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>I (No results available; specimen received, procedure incomplete)</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>S (No results available; procedure scheduled, but not done)</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>partial</td><td/></tr><tr><td>A (Some, but not all, results available)</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>partial</td><td/></tr><tr><td>P (Preliminary)</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>C (Corrected, final)</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>R (Results stored; not yet 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>partial</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>X (No results available; Order canceled)</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>cancelled</td><td/></tr><tr><td>Y (No order on record for this test)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">No order on record for this test - reject the message</td></tr><tr><td>Z (No record of this patient)</td><td colspan=\"2\" style=\"background-color: #efefef\">(not mapped)</td><td style=\"background-color: #efefef\">No record of this patient - reject the message</td></tr></table></div>"
  },
  "url" : "https://examplesihe.org.uk/ConceptMap/v2-0123-to-diagnostic-report-status",
  "version" : "0.1.0",
  "name" : "V20123ToDiagnosticReportStatus",
  "title" : "HL7 v2 Result Status to DiagnosticReport.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 0123 Result Status (OBR-25) to FHIR `DiagnosticReport.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/v2-0123",
  "targetUri" : "http://hl7.org/fhir/ValueSet/diagnostic-report-status",
  "group" : [
    {
      "source" : "http://terminology.hl7.org/CodeSystem/v2-0123",
      "target" : "http://hl7.org/fhir/diagnostic-report-status",
      "element" : [
        {
          "code" : "O",
          "target" : [
            {
              "code" : "registered",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "I",
          "target" : [
            {
              "code" : "registered",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "S",
          "target" : [
            {
              "code" : "partial",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "A",
          "target" : [
            {
              "code" : "partial",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "P",
          "target" : [
            {
              "code" : "preliminary",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "C",
          "target" : [
            {
              "code" : "corrected",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "R",
          "target" : [
            {
              "code" : "partial",
              "equivalence" : "wider"
            }
          ]
        },
        {
          "code" : "F",
          "target" : [
            {
              "code" : "final",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "X",
          "target" : [
            {
              "code" : "cancelled",
              "equivalence" : "equivalent"
            }
          ]
        },
        {
          "code" : "Y",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "No order on record for this test - reject the message"
            }
          ]
        },
        {
          "code" : "Z",
          "target" : [
            {
              "equivalence" : "unmatched",
              "comment" : "No record of this patient - reject the message"
            }
          ]
        }
      ]
    }
  ]
}