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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<ConceptMap xmlns="http://hl7.org/fhir">
  <id value="v2-0123-to-diagnostic-report-status"/>
  <language value="en"/>
  <text>
    <status value="generated"/>
    <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>
  </text>
  <url
       value="https://examplesihe.org.uk/ConceptMap/v2-0123-to-diagnostic-report-status"/>
  <version value="0.1.0"/>
  <name value="V20123ToDiagnosticReportStatus"/>
  <title value="HL7 v2 Result Status to DiagnosticReport.status"/>
  <status value="draft"/>
  <experimental value="true"/>
  <date value="2026-11-04"/>
  <publisher value="Kevin Mayfield"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="https://github.com/KevinMayfield/PathologyAndLaboratory"/>
    </telecom>
  </contact>
  <description
               value="HL7 v2 table 0123 Result Status (OBR-25) to FHIR `DiagnosticReport.status`. Indicative, based on the HL7 v2-to-FHIR IG."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="GB"/>
      <display value="United Kingdom of Great Britain and Northern Ireland"/>
    </coding>
  </jurisdiction>
  <sourceUri value="http://terminology.hl7.org/ValueSet/v2-0123"/>
  <targetUri value="http://hl7.org/fhir/ValueSet/diagnostic-report-status"/>
  <group>
    <source value="http://terminology.hl7.org/CodeSystem/v2-0123"/>
    <target value="http://hl7.org/fhir/diagnostic-report-status"/>
    <element>
      <code value="O"/>
      <target>
        <code value="registered"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="I"/>
      <target>
        <code value="registered"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="S"/>
      <target>
        <code value="partial"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="A"/>
      <target>
        <code value="partial"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="P"/>
      <target>
        <code value="preliminary"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="C"/>
      <target>
        <code value="corrected"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="R"/>
      <target>
        <code value="partial"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <code value="F"/>
      <target>
        <code value="final"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="X"/>
      <target>
        <code value="cancelled"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <code value="Y"/>
      <target>
        <equivalence value="unmatched"/>
        <comment
                 value="No order on record for this test - reject the message"/>
      </target>
    </element>
    <element>
      <code value="Z"/>
      <target>
        <equivalence value="unmatched"/>
        <comment value="No record of this patient - reject the message"/>
      </target>
    </element>
  </group>
</ConceptMap>