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 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.
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 |
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 |
LungCancerScreening | ||
DiagnosticReport | ||
status | 2159: target not supported | auto added because of must-support |
category (us-core) | 2161: target not supported | auto added because of must-support |
code | 2162: target not supported | auto added because of must-support |
subject | 933: reference based on TIU DOCUMENT - PATIENT > PATIENT/IHS - NAME (8925-.02 > 9000001-.01) | |
encounter | 935: reference based on TIU DOCUMENT - VISIT (8925-.03) | |
effective[x] (effectiveDateTime) | 2163: target not supported | auto added because of must-support |
issued | 2164: target not supported | auto added because of must-support |
performer | 934: reference based on TIU DOCUMENT - AUTHOR/DICTATOR (8925-1202) | |
result | 2165: target not supported | auto added because of must-support |
media | 2166: target not supported | auto added because of must-support |
link | 2167: target not supported | auto added because of must-support |
presentedForm | 932: source value based on TIU DOCUMENT - REPORT TEXT (8925-2) |
LungCancerScreening | ||
DiagnosticReport | ||
subject | TIU.TIUDocument.PatientIEN | |
encounter | TIU.TIUDocument.VisitIEN | |
performer | TIU.TIUDocument.AuthorDictatorStaffIEN |
LungCancerScreening | ||
DiagnosticReport | ||
subject | Documents.DocumentType | |
encounter | AdvanceDirective.EncounterNumber Alert.EncounterNumber Documents.EncounterNumber | |
performer | Alert.EnteredBy | |
presentedForm | AdvanceDirective.Comments Alert.Comments Documents.NoteText |
LungCancerScreening | ||
DiagnosticReport | ||
encounter | document.encounter | |
performer | document.clinician [m] (>200-.01) document.clinician [m] (>200-20.2) document.clinician [m] (>200-8932.1) | |
presentedForm | document.content[n] |
LungCancerScreening | ||
DiagnosticReport | Event | |
identifier | Event.identifier | |
basedOn | Event.basedOn | |
status | Event.status | |
code | Event.code | |
subject | Event.subject | |
encounter | Event.encounter | |
effective[x] | Event.occurrence[x] | |
effective[x] (effectiveDateTime) | Event.occurrence[x] | |
performer | Event.performer.actor | |
resultsInterpreter | Event.performer.actor |
LungCancerScreening | ||
DiagnosticReport | ORU -> OBR | |
identifier | OBR-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 | |
basedOn | ORC? OBR-2/3? | |
status | OBR-25 (not 1:1 mapping) | |
category | OBR-24 | |
category (us-core) | OBR-24 | |
code | OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel) | |
subject | PID-3 (no HL7 v2 mapping for Group or Device) | |
encounter | PV1-19 | |
effective[x] | OBR-7 | |
effective[x] (effectiveDateTime) | OBR-7 | |
issued | OBR-22 | |
performer | PRT-8 (where this PRT-4-Participation = "PO") | |
resultsInterpreter | OBR-32, PRT-8 (where this PRT-4-Participation = "PI") | |
specimen | SPM | |
result | OBXs | |
media | OBX? | |
conclusion | OBX | |
conclusionCode | OBX | |
presentedForm | OBX |
LungCancerScreening | ||
DiagnosticReport | Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN] | |
text | Act.text? | |
contained | N/A | |
extension | N/A | |
modifierExtension | N/A | |
identifier | id | |
basedOn | outboundRelationship[typeCode=FLFS].target | |
status | statusCode Note: final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise" | |
category | inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code | |
category (us-core) | inboundRelationship[typeCode=COMP].source[classCode=LIST, moodCode=EVN, code < LabService].code | |
code | code | |
subject | participation[typeCode=SBJ] | |
encounter | inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] | |
effective[x] | effectiveTime | |
effective[x] (effectiveDateTime) | effectiveTime | |
issued | participation[typeCode=VRF or AUT].time | |
performer | .participation[typeCode=PRF] | |
resultsInterpreter | .participation[typeCode=PRF] | |
specimen | participation[typeCode=SBJ] | |
result | outboundRelationship[typeCode=COMP].target | |
imagingStudy | outboundRelationship[typeCode=COMP].target[classsCode=DGIMG, moodCode=EVN] | |
media | outboundRelationship[typeCode=COMP].target | |
id | n/a | |
extension | n/a | |
modifierExtension | N/A | |
comment | .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="annotation"].value | |
link | .value.reference | |
conclusion | inboundRelationship[typeCode="SPRT"].source[classCode=OBS, moodCode=EVN, code=LOINC:48767-8].value (type=ST) | |
conclusionCode | inboundRelationship[typeCode=SPRT].source[classCode=OBS, moodCode=EVN, code=LOINC:54531-9].value (type=CD) | |
presentedForm | text (type=ED) |
LungCancerScreening | ||
DiagnosticReport | ||
identifier | FiveWs.identifier | |
status | FiveWs.status | |
category | FiveWs.class | |
category (us-core) | FiveWs.class | |
code | FiveWs.what[x] | |
subject | FiveWs.subject[x], FiveWs.subject | |
encounter | FiveWs.context | |
effective[x] | FiveWs.done[x] | |
effective[x] (effectiveDateTime) | FiveWs.done[x] | |
issued | FiveWs.recorded | |
performer | FiveWs.actor | |
resultsInterpreter | FiveWs.actor |