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

Draft as of 2025-06-13

Mappings for the LungCancerScreening 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: Lung Cancer Screening (Source)Use Case: Lung Cancer Screening (Source)TIU DOCUMENT (8925).02PATIENT.03VISIT2REPORT TEXT1202AUTHOR/DICTATORPATIENT/IHS (9000001).01NAME

Cross Mappings

FHIR Path VistA CDW SDA VPR
DiagnosticReport.presentedForm 8925-2   AdvanceDirective.Comments
Alert.Comments
Documents.NoteText
document.content[n]
DiagnosticReport.subject 9000001-.01      
DiagnosticReport.performer 8925-1202 TIU.TIUDocument.AuthorDictatorStaffIEN Alert.EnteredBy document.clinician [m] (>200-.01)
document.clinician [m] (>200-20.2)
document.clinician [m] (>200-8932.1)
DiagnosticReport.encounter 8925-.03 TIU.TIUDocument.VisitIEN AdvanceDirective.EncounterNumber
Alert.EncounterNumber
Documents.EncounterNumber
document.encounter

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
932 in process V2F TIU DOCUMENT - REPORT TEXT (8925-2) source value DiagnosticReport.presentedForm http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
933 in process V2F TIU DOCUMENT - PATIENT > PATIENT/IHS - NAME (8925-.02 > 9000001-.01) reference DiagnosticReport.subject /Patient http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
934 in process V2F TIU DOCUMENT - AUTHOR/DICTATOR (8925-1202) reference DiagnosticReport.performer /Practitioner http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
935 in process V2F TIU DOCUMENT - VISIT (8925-.03) reference DiagnosticReport.encounter /EncounterOutpatient http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
2159 in process V2F target not supported DiagnosticReport.status auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
2161 in process V2F target not supported DiagnosticReport.category[us-core] auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
2162 in process V2F target not supported DiagnosticReport.code auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
2163 in process V2F target not supported DiagnosticReport.effectiveDateTime auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
2164 in process V2F target not supported DiagnosticReport.issued auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
2165 in process V2F target not supported DiagnosticReport.result auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
2166 in process V2F target not supported DiagnosticReport.media auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note
2167 in process V2F target not supported DiagnosticReport.media.link auto added because of must-support http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note

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

LungCancerScreening
DiagnosticReport
   status2159: target not supported

auto added because of must-support

   category (us-core)2161: target not supported

auto added because of must-support

   code2162: target not supported

auto added because of must-support

   subject933: reference based on TIU DOCUMENT - PATIENT > PATIENT/IHS - NAME (8925-.02 > 9000001-.01)
   encounter935: reference based on TIU DOCUMENT - VISIT (8925-.03)
   effective[x] (effectiveDateTime)2163: target not supported

auto added because of must-support

   issued2164: target not supported

auto added because of must-support

   performer934: reference based on TIU DOCUMENT - AUTHOR/DICTATOR (8925-1202)
   result2165: target not supported

auto added because of must-support

   media2166: target not supported

auto added because of must-support

      link2167: target not supported

auto added because of must-support

   presentedForm932: source value based on TIU DOCUMENT - REPORT TEXT (8925-2)

Mappings for Clinical Data Warehouse (CDW) ()

LungCancerScreening
DiagnosticReport
   subjectTIU.TIUDocument.PatientIEN
   encounterTIU.TIUDocument.VisitIEN
   performerTIU.TIUDocument.AuthorDictatorStaffIEN

Mappings for Summary Document Architecure (SDA) ()

LungCancerScreening
DiagnosticReport
   subjectDocuments.DocumentType
   encounterAdvanceDirective.EncounterNumber Alert.EncounterNumber Documents.EncounterNumber
   performerAlert.EnteredBy
   presentedFormAdvanceDirective.Comments Alert.Comments Documents.NoteText

Mappings for Virtual Patient Record XML (VPR) ()

LungCancerScreening
DiagnosticReport
   encounterdocument.encounter
   performerdocument.clinician [m] (>200-.01) document.clinician [m] (>200-20.2) document.clinician [m] (>200-8932.1)
   presentedFormdocument.content[n]

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

LungCancerScreening
DiagnosticReportEvent
   identifierEvent.identifier
   basedOnEvent.basedOn
   statusEvent.status
   codeEvent.code
   subjectEvent.subject
   encounterEvent.encounter
   effective[x]Event.occurrence[x]
   effective[x] (effectiveDateTime)Event.occurrence[x]
   performerEvent.performer.actor
   resultsInterpreterEvent.performer.actor

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

LungCancerScreening
DiagnosticReportORU -> OBR
   identifierOBR-51/ for globally unique filler ID - OBR-3 , For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4
   basedOnORC? OBR-2/3?
   statusOBR-25 (not 1:1 mapping)
   categoryOBR-24
   category (us-core)OBR-24
   codeOBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
   subjectPID-3 (no HL7 v2 mapping for Group or Device)
   encounterPV1-19
   effective[x]OBR-7
   effective[x] (effectiveDateTime)OBR-7
   issuedOBR-22
   performerPRT-8 (where this PRT-4-Participation = "PO")
   resultsInterpreterOBR-32, PRT-8 (where this PRT-4-Participation = "PI")
   specimenSPM
   resultOBXs
   mediaOBX?
   conclusionOBX
   conclusionCodeOBX
   presentedFormOBX

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

LungCancerScreening
DiagnosticReportEntity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifierid
   basedOnoutboundRelationship[typeCode=FLFS].target
   statusstatusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
   categoryinboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
   category (us-core)inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code
   codecode
   subjectparticipation[typeCode=SBJ]
   encounterinboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
   effective[x]effectiveTime
   effective[x] (effectiveDateTime)effectiveTime
   issuedparticipation[typeCode=VRF or AUT].time
   performer.participation[typeCode=PRF]
   resultsInterpreter.participation[typeCode=PRF]
   specimenparticipation[typeCode=SBJ]
   resultoutboundRelationship[typeCode=COMP].target
   imagingStudyoutboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN]
   mediaoutboundRelationship[typeCode=COMP].target
      idn/a
      extensionn/a
      modifierExtensionN/A
      comment.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value
      link.value.reference
   conclusioninboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST)
   conclusionCodeinboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD)
   presentedFormtext (type=ED)

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

LungCancerScreening
DiagnosticReport
   identifierFiveWs.identifier
   statusFiveWs.status
   categoryFiveWs.class
   category (us-core)FiveWs.class
   codeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   effective[x]FiveWs.done[x]
   effective[x] (effectiveDateTime)FiveWs.done[x]
   issuedFiveWs.recorded
   performerFiveWs.actor
   resultsInterpreterFiveWs.actor