US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.49 - 250701
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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.
FHIR Path | VistA | CDW | SDA | VPR |
---|---|---|---|---|
Condition.code | 45-79 | Inpat.Inpatient.PrincipalDiagnosisICDIEN | Diagnosis.Diagnosis Diagnosis.DiagnosisType |
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 |
EncounterInpatientCondition | ||
Condition | ||
extension | ||
extension (assertedDate) | ||
value[x] | 2145: target not supported | auto added because of must-support |
clinicalStatus | 2146: target not supported | auto added because of must-support |
verificationStatus | 2147: 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 |
code | 956: source value based on PTF - PRINCIPAL DIAGNOSIS (45-79) | Infer Condition; no clinical status ; updated category to encounter-diagnosis |
subject | 2148: 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 |
recordedDate | 2151: target not supported | auto added because of must-support |
EncounterInpatientCondition | ||
Condition | ||
code | Inpat.Inpatient.PrincipalDiagnosisICDIEN |
EncounterInpatientCondition | ||
Condition | ||
code | Diagnosis.Diagnosis Diagnosis.DiagnosisType |
EncounterInpatientCondition | ||
Condition | Event | |
identifier | Event.identifier | |
clinicalStatus | Event.status | |
verificationStatus | Event.status | |
code | Event.code | |
subject | Event.subject | |
encounter | Event.context | |
onset[x] | Event.occurrence[x] | |
onset[x] (onsetDateTime) | Event.occurrence[x] | |
evidence | ||
code | Event.reasonCode | |
note | Event.note |
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| | |
code | code 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| |
EncounterInpatientCondition | ||
Condition | PPR message | |
clinicalStatus | PRB-14 | |
verificationStatus | PRB-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 | |
severity | PRB-26 / ABS-3 | |
code | PRB-3 | |
subject | PID-3 | |
encounter | PV1-19 (+PV1-54) | |
onset[x] | PRB-16 | |
onset[x] (onsetDateTime) | PRB-16 | |
recordedDate | REL-11 | |
asserter | REL-7.1 identifier + REL-7.12 type code | |
stage | ||
summary | PRB-14 | |
note | NTE child of PRB |
EncounterInpatientCondition | ||
Condition | Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis] | |
text | Act.text? | |
contained | N/A | |
extension | ||
extension (assertedDate) | ||
id | n/a | |
url | N/A | |
value[x] | N/A | |
modifierExtension | N/A | |
identifier | .id | |
clinicalStatus | Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value | |
verificationStatus | Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value | |
category | .code | |
category (us-core) | .code | |
category (sdoh) | .code | |
severity | Can 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"] | |
id | n/a | |
extension | n/a | |
modifierExtension | N/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] | |
id | n/a | |
extension | n/a | |
modifierExtension | N/A | |
code | [code="diagnosis"].value | |
detail | .self | |
note | .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value |
EncounterInpatientCondition | ||
Condition | ||
identifier | FiveWs.identifier | |
clinicalStatus | FiveWs.status | |
verificationStatus | FiveWs.status | |
category | FiveWs.class | |
category (us-core) | FiveWs.class | |
category (sdoh) | FiveWs.class | |
severity | FiveWs.grade | |
code | FiveWs.what[x] | |
subject | FiveWs.subject[x], FiveWs.subject | |
encounter | FiveWs.context | |
onset[x] | FiveWs.init | |
onset[x] (onsetDateTime) | FiveWs.init | |
abatement[x] | FiveWs.done[x] | |
abatement[x] (abatementDateTime) | FiveWs.done[x] | |
recordedDate | FiveWs.recorded | |
recorder | FiveWs.author | |
asserter | FiveWs.source | |
evidence | ||
code | FiveWs.why[x] | |
detail | FiveWs.why[x] |
EncounterInpatientCondition | ||
Condition | ||
verificationStatus | 408729009 | |
severity | 246112005 | |
code | 246090004 | |
bodySite | 363698007 |