HL7中国症状数据交换实施指南
2026.02.23 - release

HL7中国症状数据交换实施指南 - Local Development build (v2026.02.23) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: SymptomObservationPanel - Mappings

Draft as of 2026-02-23

Mappings for the Symptoms-Panel resource profile.

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

SymptomObservationPanel
Observation | Event
identifier | Event.identifier
instantiates[x] | Event.instantiatesCanonical
basedOn | Event.basedOn
partOf | Event.partOf
status | Event.status
code | Event.code
subject | Event.subject
encounter | Event.encounter
effective[x] | Event.occurrence[x]
performer | Event.performer.actor

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

SymptomObservationPanel
Observation | clinical.diagnostics
identifier | FiveWs.identifier
status | FiveWs.status
category | FiveWs.class
category (symptomCode) | FiveWs.class
code | FiveWs.what[x]
subject | FiveWs.subject[x]
focus | FiveWs.subject[x]
encounter | FiveWs.context
effective[x] | FiveWs.done[x]
issued | FiveWs.recorded
performer | FiveWs.actor

### Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

SymptomObservationPanel
Observation | < 363787002 |Observable entity|
status | < 445584004 |Report by finality status|
code | < 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
bodySite | < 123037004 |Body structure|

### Mappings for HL7 V2 Mapping (http://hl7.org/v2)

SymptomObservationPanel
Observation | OBX
identifier | OBX-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 3) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4.
basedOn | ORC
triggeredBy | ORC
partOf | Varies by domain
status | OBX-11
code | OBX-3
subject | PID-3
focus | OBX-3
encounter | PV1
effective[x] | OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
issued | OBR-22 (or MSH-7), or perhaps OBX-19 (depends on who observation made)
performer | OBX-15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
note | NTE-3 (partner NTE to OBX, or sometimes another (child?) OBX)
bodySite | OBX-20
method | OBX-17
hasMember | Relationships established by OBX-4 usage

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

SymptomObservationPanel
Observation | Entity, Role, or Act,Observation[classCode=OBS, moodCode=EVN]
text | Act.text?
contained | N/A
extension | N/A
modifierExtension | N/A
identifier | id
instantiates[x] | .outboundRelationship[typeCode=DEFN].target
basedOn | .inboundRelationship[typeCode=COMP].source[moodCode=EVN]
triggeredBy | .inboundRelationship[typeCode=COMP].source[moodCode=EVN]
id | n/a
extension | n/a
modifierExtension | N/A
observation | outBoundRelationship
type | code
reason | annotation
partOf | .outboundRelationship[typeCode=FLFS].target
status | status 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 (symptomCode) | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
code | code
subject | participation[typeCode=RTGT]
focus | participation[typeCode=SBJ]
encounter | inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x] | effectiveTime
issued | participation[typeCode=AUT].time
performer | participation[typeCode=PRF]
note | subjectOf.observationEvent[code="annotation"].value
bodySite | targetSiteCode
bodyStructure | targetSiteCode
method | methodCode
hasMember | outBoundRelationship

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

SymptomObservationPanel
Observation |
code | 116680003 |Is a|
bodySite | 718497002 |Inherent location|