US Veterans Health Administration FHIR Map Set Implementation Guide
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Resource Profile: EncounterInpatientCondition - Mappings

Draft as of 2025-06-13

Mappings for the EncounterInpatientCondition resource profile.

Scroll down for the Raw FHIR, CDW & SDA mappings (if any).

Note that the CDW, SDA and VPR XML mappings are derived from a look-up based on the VistA source.

Mapping Sources

Use Case: Encounter: Inpatient (Source)Use Case: Encounter: Inpatient (Source)WARD LOCATION (42)44HOSPITAL LOCATION FILE POINTERPTF (45).001NUMBER.01PATIENT2ADMISSION DATE2.1INTERNAL ADMISSION #2.2WARD AT DISCHARGE3FACILITY20SOURCE OF ADMISSION21.1TRANSFERRING FACILITY70DISCHARGE DATE75PLACE OF DISPOSITION76.1RECEIVING FACILITY79PRINCIPAL DIAGNOSIS79.1PROVIDER79.*SECONDARY DIAGNOSIS 1-2445.01+to+45.05PROCEDURE 1-5INPATIENT CPT CODE (46).01CPT CODEICD DIAGNOSIS (80).01CODE NUMBERCPT (81).01CPT CODE2SHORT NAMEICD OPERATION/PROCEDURE (80.1).01CODE NUMBERSOURCE OF ADMISSION (45.1).01PTF CODE

Cross Mappings

FHIR Path VistA CDW SDA VPR
Condition.code 45-79 Inpat.Inpatient.PrincipalDiagnosisICDIEN Diagnosis.Diagnosis
Diagnosis.DiagnosisType
 

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
956 team-approved V2F PTF - PRINCIPAL DIAGNOSIS (45-79) source value Condition .code .category[us-core] = http://terminology.hl7.org/CodeSystem/condition-category#encounter-diagnosis Infer Condition; no clinical status ; updated category to encounter-diagnosis http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
2145 in process V2F target not supported Condition.extension[assertedDate] .valueDateTime auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
2146 in process V2F target not supported Condition.clinicalStatus auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
2147 in process V2F target not supported Condition.verificationStatus auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
2148 in process V2F target not supported Condition.subject auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
2149 in process V2F target not supported Condition.onsetDateTime auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
2150 in process V2F target not supported Condition.abatementDateTime auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns
2151 in process V2F target not supported Condition.recordedDate auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns

Mappings for Veterans Health Information Systems Technology and Architecture (VistA) ()

EncounterInpatientCondition
Condition
   extension
   extension (assertedDate)
      value[x]2145: target not supported

auto added because of must-support

   clinicalStatus2146: target not supported

auto added because of must-support

   verificationStatus2147: target not supported

auto added because of must-support

   category (us-core)956-1: fixed value = http://terminology.hl7.org/CodeSystem/condition-category#encounter-diagnosis

generated from mapParameter line 1

   code956: source value based on PTF - PRINCIPAL DIAGNOSIS (45-79)

Infer Condition; no clinical status ; updated category to encounter-diagnosis

   subject2148: target not supported

auto added because of must-support

   onset[x] (onsetDateTime)2149: target not supported

auto added because of must-support

   abatement[x] (abatementDateTime)2150: target not supported

auto added because of must-support

   recordedDate2151: target not supported

auto added because of must-support

Mappings for Clinical Data Warehouse (CDW) ()

EncounterInpatientCondition
Condition
   codeInpat.Inpatient.PrincipalDiagnosisICDIEN

Mappings for Summary Document Architecure (SDA) ()

EncounterInpatientCondition
Condition
   codeDiagnosis.Diagnosis Diagnosis.DiagnosisType

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

EncounterInpatientCondition
ConditionEvent
   identifierEvent.identifier
   clinicalStatusEvent.status
   verificationStatusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.context
   onset[x]Event.occurrence[x]
   onset[x] (onsetDateTime)Event.occurrence[x]
   evidence
      codeEvent.reasonCode
   noteEvent.note

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

EncounterInpatientCondition
Condition< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
   clinicalStatus< 303105007 |Disease phases|
   verificationStatus< 410514004 |Finding context value|
   category< 404684003 |Clinical finding|
   category (us-core)< 404684003 |Clinical finding|
   category (sdoh)< 404684003 |Clinical finding|
   severity< 272141005 |Severities|
   codecode 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 413350009 |Finding with explicit context| OR < 272379006 |Event|
   bodySite< 442083009 |Anatomical or acquired body structure|
   stage
      summary< 254291000 |Staging and scales|
   evidence
      code< 404684003 |Clinical finding|

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

EncounterInpatientCondition
ConditionPPR message
   clinicalStatusPRB-14
   verificationStatusPRB-13
   category'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   category (us-core)'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   category (sdoh)'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
   severityPRB-26 / ABS-3
   codePRB-3
   subjectPID-3
   encounterPV1-19 (+PV1-54)
   onset[x]PRB-16
   onset[x] (onsetDateTime)PRB-16
   recordedDateREL-11
   asserterREL-7.1 identifier + REL-7.12 type code
   stage
      summaryPRB-14
   noteNTE child of PRB

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

EncounterInpatientCondition
ConditionEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
   textAct.text?
   containedN/A
   extension
   extension (assertedDate)
      idn/a
      urlN/A
      value[x]N/A
   modifierExtensionN/A
   identifier.id
   clinicalStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
   verificationStatusObservation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
   category.code
   category (us-core).code
   category (sdoh).code
   severityCan be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
   code.value
   bodySite.targetBodySiteCode
   subject.participation[typeCode=SBJ].role[classCode=PAT]
   encounter.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   onset[x].effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
   onset[x] (onsetDateTime).effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
   abatement[x].effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
   abatement[x] (abatementDateTime).effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
   recordedDate.participation[typeCode=AUT].time
   recorder.participation[typeCode=AUT].role
   asserter.participation[typeCode=INF].role
   stage./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
      idn/a
      extensionn/a
      modifierExtensionN/A
      summary.value
      assessment.self
      type./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
   evidence.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      code[code="diagnosis"].value
      detail.self
   note.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

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

EncounterInpatientCondition
Condition
   identifierFiveWs.identifier
   clinicalStatusFiveWs.status
   verificationStatusFiveWs.status
   categoryFiveWs.class
   category (us-core)FiveWs.class
   category (sdoh)FiveWs.class
   severityFiveWs.grade
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   onset[x]FiveWs.init
   onset[x] (onsetDateTime)FiveWs.init
   abatement[x]FiveWs.done[x]
   abatement[x] (abatementDateTime)FiveWs.done[x]
   recordedDateFiveWs.recorded
   recorderFiveWs.author
   asserterFiveWs.source
   evidence
      codeFiveWs.why[x]
      detailFiveWs.why[x]

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

EncounterInpatientCondition
Condition
   verificationStatus408729009
   severity246112005
   code246090004
   bodySite363698007