US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.49 - 250701
US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.49 - 250701
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| Active as of 2025-06-13 |
Mappings for the ProcedureSurgeryProcedure 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 |
|---|---|---|---|---|
| Procedure.encounter | 130-.015 | Procedure.Extension[ProcedureExtension].SecondaryVisit | surgery.encounter | |
| Procedure.performedDateTime | 130-.09 | SPatient.ImplantedProsthesis.SurgeryDateTime SPatient.OperationsIndication.SurgeryDateTime Surg.AnesthesiaAgent.SurgeryDateTime Surg.AnesthesiaBlockSite.SurgeryDateTime Surg.AnesthesiaTechnique.SurgeryDateTime Surg.AnesthesiaTestDose.SurgeryDateTime Surg.ReferringPhysician.SurgeryDateTime Surg.ReplacementFluidType.SurgeryDateTime Surg.SurgeryAssistant.SurgeryDateTime Surg.SurgeryAssistantOther.SurgeryDateTime Surg.SurgeryDelay.SurgeryDateTime Surg.SurgeryINTRA.SurgeryDateTime Surg.SurgeryIrrigation.SurgeryDateTime Surg.SurgeryMedication.SurgeryDateTime Surg.SurgeryOccurrenceNonOp.SurgeryDateTime Surg.SurgeryOtherPostOpDiagnosis.SurgeryDateTime Surg.SurgeryOtherProcedure.SurgeryDateTime Surg.SurgeryOtherProcedureCPTModifier.SurgeryDateTime Surg.SurgeryOtherProcedureDiagnosis.SurgeryDateTime Surg.SurgeryPOST.SurgeryDateTime Surg.SurgeryPostOpDiagnosis.SurgeryDateTime Surg.SurgeryPRE.SurgeryDateTime Surg.SurgeryPreOpDiagnosis.SurgeryDateTime Surg.SurgeryPrincipalAssociatedDiagnosis.SurgeryDateTime Surg.SurgeryPrincipalAssociatedProcedure.SurgeryDateTime Surg.SurgeryPrincipalCPTModifier.SurgeryDateTime Surg.SurgeryPrincipalDiagnosis.SurgeryDateTime Surg.SurgeryProcedureCPTModifier.SurgeryDateTime Surg.SurgeryProcedureDiagnosisCode.SurgeryDateTime Surg.SurgeryProcedureOccurrence.SurgeryDateTime Surg.SurgeryRequiredBloodProducts.SurgeryDateTime Surg.SurgeryReturnCase.SurgeryDateTime Surg.SurgORCircSupport.SurgeryDateTime Surg.SurgORCircSupportTime.SurgeryDateTime Surg.SurgORScrubSupport.SurgeryDateTime Surg.SurgORScrubSupportTime.SurgeryDateTime |
Procedure.ProcedureTime | surgery.dateTime |
| Procedure.subject | 130-.01 | SPatient.ImplantedProsthesis.PatientIEN SPatient.OperationsIndication.PatientIEN Surg.AnesthesiaAgent.PatientIEN Surg.AnesthesiaBlockSite.PatientIEN Surg.AnesthesiaTechnique.PatientIEN Surg.AnesthesiaTestDose.PatientIEN Surg.ReferringPhysician.PatientIEN Surg.ReferringPhysician.PatientSID Surg.ReplacementFluidType.PatientIEN Surg.ReplacementFluidType.PatientSID Surg.SurgeryAssistant.PatientIEN Surg.SurgeryAssistantOther.PatientIEN Surg.SurgeryDelay.PatientIEN Surg.SurgeryINTRA.PatientIEN Surg.SurgeryIrrigation.PatientIEN Surg.SurgeryIrrigation.PatientSID Surg.SurgeryMedication.PatientIEN Surg.SurgeryOccurrenceNonOp.PatientIEN Surg.SurgeryOccurrenceNonOp.PatientSID Surg.SurgeryOtherPostOpDiagnosis.PatientIEN Surg.SurgeryOtherProcedure.PatientIEN Surg.SurgeryOtherProcedureCPTModifier.PatientIEN Surg.SurgeryOtherProcedureCPTModifier.PatientSID Surg.SurgeryOtherProcedureDiagnosis.PatientIEN Surg.SurgeryPOST.PatientIEN Surg.SurgeryPostOpDiagnosis.PatientIEN Surg.SurgeryPreOpDiagnosis.PatientIEN Surg.SurgeryPreOpDiagnosis.PatientSID Surg.SurgeryPrincipalAssociatedDiagnosis.PatientIEN Surg.SurgeryPrincipalAssociatedProcedure.PatientIEN Surg.SurgeryPrincipalCPTModifier.PatientIEN Surg.SurgeryPrincipalDiagnosis.PatientIEN Surg.SurgeryProcedureCPTModifier.PatientIEN Surg.SurgeryProcedureDiagnosisCode.PatientIEN Surg.SurgeryProcedureOccurrence.PatientIEN Surg.SurgeryProcedureOccurrence.PatientSID Surg.SurgeryRequiredBloodProducts.PatientIEN Surg.SurgeryReturnCase.PatientIEN Surg.SurgORCircSupport.PatientIEN Surg.SurgORCircSupportTime.PatientIEN Surg.SurgORCircSupportTime.PatientSID Surg.SurgORScrubSupport.PatientIEN Surg.SurgORScrubSupportTime.PatientIEN Surg.SurgORScrubSupportTime.PatientSID |
Procedure.Procedure[CodeTableDetail.Procedure].Code | |
| Procedure.note | 130-.28 | |||
| Procedure.reasonCode.text | 130-32 | Surg.SurgeryPRE.PrincipalPreOpDiagnosisText | ||
| Procedure.performedPeriod.start | 130-.22 | Surg.SurgeryINTRA.BeginOperationDateTime Surg.SurgeryPRE.BeginOperationDateTime |
||
| Procedure.performedPeriod.end | 130-.23 | Surg.SurgeryINTRA.EndOperationDateTime Surg.SurgeryPRE.EndOperationDateTime |
||
| Procedure.location | 130-.02 | Surg.SurgeryINTRA.OperatingRoomIEN Surg.SurgeryPOST.OperatingRoomIEN |
||
| Procedure.complication.coding | 130-258 | |||
| Procedure.performer[va-p0].actor | 130-.167 | Surg.SurgeryINTRA.PerfusionistStaffIEN | ||
| Procedure.performer[va-p1].actor | 130-.14 | Surg.SurgeryINTRA.SurgeonStaffIEN | Procedure.Clinician | surgery.provider (>200-.01) |
| Procedure.performer[va-p2].actor | 130-.15 | Surg.SurgeryINTRA.FirstAssistingStaffIEN | ||
| Procedure.performer[va-p3].actor | 130-.16 | Surg.SurgeryINTRA.SecondAssistingStaffIEN | ||
| Procedure.performer[va-p4].actor | 130-.164 | Surg.SurgeryINTRA.AttendingSurgeonStaffIEN | Procedure.Extension[ProcedureExtension].AttendingClinician | |
| Procedure.performer[va-p5].actor | 130-.168 | Surg.SurgeryINTRA.AssistingPerfusionistStaffIEN | ||
| Procedure.performer[va-p6].actor | 130-.18 | Surg.SurgeryINTRA.SkinPreparationStaffIEN | ||
| Procedure.performer[va-p7].actor | 130-.31 | Surg.SurgeryINTRA.PrincipalAnesthetistStaffIEN | ||
| Procedure.performer[va-p8].actor | 130-.32 | Surg.SurgeryINTRA.ReliefAnesthetistStaffIEN | ||
| Procedure.performer[va-p9].actor | 130-.33 | Surg.SurgeryINTRA.AssistingAnesthetistStaffIEN | ||
| Procedure.performer[va-p10].actor | 130-.34 | Surg.SurgeryINTRA.AnesthesiologistSupervisorStaffIEN | ||
| Procedure.performer[va-p11].actor | 130-.522 | Surg.SurgeryINTRA.VerifierStaffIEN | ||
| Procedure.performer[va-p12].actor | 130-123 | Surg.SurgeryINTRA.ProviderIEN | Procedure.Clinician | surgery.provider |
| Procedure.performer[va-p13].actor | 130-.57 | Surg.SurgeryINTRA.FoleyCatheterStaffIEN | ||
| Procedure.code.text | 130-26 | Surg.SurgeryPRE.PrincipalProcedureText | surgery.name | |
| Procedure.code.coding | 81 | |||
| Procedure.code.coding.code | 81-.01 | Dim.CPT.CPTCode Dim.CPT.CPTCode |
||
| Procedure.code.coding.display | 81-2 | Dim.CPT.CPTName Dim.CPT.CPTName |
| key | status | direction | source | mapApproach | mapCase | FHIR Path | subPath | mapValue | mapParameter | mapComment | FHIR URL | Ver |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285 | for review | V2F | SURGERY - VISIT (130-.015) | reference | Procedure.encounter | /EncounterOutpatient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1286 | for review | V2F | SURGERY - DATE OF OPERATION (130-.09) | source value | Procedure.performedDateTime | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||||
| 1287 | for review | V2F | SURGERY - PATIENT (130-.01) | reference | Procedure.subject | /Patient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1288 | for review | V2F | SURGERY - GENERAL COMMENTS (130-.28) | source value | Procedure.note | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||||
| 1289 | for review | V2F | SURGERY - PRINCIPAL PRE-OP DIAGNOSIS (130-32) | source value | Procedure.reasonCode | .text | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1290 | for review | V2F | SURGERY - TIME PROCEDURE BEGAN (130-121) | source value | 130-118 NON-OR PROCEDURE == ‘Y’ | Procedure.performedPeriod | .start | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1291 | for review | V2F | SURGERY - TIME PROCEDURE ENDED (130-122) | source value | 130-118 NON-OR PROCEDURE == ‘Y’ | Procedure.performedPeriod | .end | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1292 | for review | V2F | SURGERY - TIME OPERATION BEGAN (130-.22) | source value | 130-118 NON-OR PROCEDURE != ‘Y’ | Procedure.performedPeriod | .start | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1293 | for review | V2F | SURGERY - TIME OPERATION ENDS (130-.23) | source value | 130-118 NON-OR PROCEDURE != ‘Y’ | Procedure.performedPeriod | .end | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1294 | for review | V2F | SURGERY - NON-OR LOCATION (130-119) | reference | 130-118 NON-OR PROCEDURE == ‘Y’ | Procedure.location | /Location | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1295 | for review | V2F | SURGERY - OP ROOM PROCEDURE PERFORMED (130-.02) | reference | 130-118 NON-OR PROCEDURE != ‘Y’ | Procedure.location | LocationOR | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1296 | for review | V2F | SURGERY - STOMA COMPLICATIONS (130-688) | fixed value | == ‘Y’ | Procedure.complication | .coding | http://snomed.info/sct#88797001 "Complication of surgical procedure (disorder)" | .text="STOMA COMPLICATIONS" | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |
| 1297 | for review | V2F | SURGERY - MYOCARDIAL INFARCTION (130-258) | fixed value | == ‘Y’ | Procedure.complication | .coding | http://snomed.info/sct#22298006 "Myocardial infarction (disorder)" | .text="MYOCARDIAL INFARCTION" | Removed "perioperative" in the .text | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 |
| 1298 | for review | V2F | SURGERY - PERFUSIONIST (130-.167) | reference | Procedure.performer[va-p0] | .actor | /Practitioner | .function.text=PERFUSIONIST .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.167 “PERFUSIONIST" .function.coding=http://snomed.info/sct#721942007 ”Cardiovascular perfusionist (occupation)” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1313 | for review | V2F | fixed value | Procedure.category | .coding | http://snomed.info/sct#387713003 "Surgical procedure" | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1330 | for review | V2F | SURGERY - PRIMARY SURGEON (130-.14) | reference | Procedure.performer[va-p1] | .actor | /Practitioner | .function.text="PRIMARY SURGEON" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.14 ”PRIMARY SURGEON” .function.coding=http://snomed.info/sct#304292004 ”Surgeon (occupation)” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1331 | for review | V2F | SURGERY - FIRST ASST (130-.15) | reference | Procedure.performer[va-p2] | .actor | /Practitioner | .function.text="FIRST ASST" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.15 "FIRST ASST" |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1332 | for review | V2F | SURGERY - SECOND ASST (130-.16) | reference | Procedure.performer[va-p3] | .actor | /Practitioner | .function.text="SECOND ASST" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.16 ”SECOND ASST” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1333 | for review | V2F | SURGERY - ATTENDING SURGEON (130-.164) | reference | Procedure.performer[va-p4] | .actor | /Practitioner | .function.text="ATTENDING SURGEON" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.164 ”ATTENDING SURGEON” .function.coding=http://snomed.info/sct#304292004 ”Surgeon (occupation)” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1334 | for review | V2F | SURGERY - ASST PERFUSIONIST (130-.168) | reference | Procedure.performer[va-p5] | .actor | /Practitioner | .function.text="ASST PERFUSIONIST" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.168 ”ASST PERFUSIONIST” .function.coding=http://snomed.info/sct#721942007 ”Cardiovascular perfusionist (occupation)” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1335 | for review | V2F | SURGERY - SKIN PREPPED BY (1) (130-.18) | reference | Procedure.performer[va-p6] | .actor | /Practitioner | .function.text="SKIN PREPPED BY (1)" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.18 ”SKIN PREPPED BY (1)” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1336 | for review | V2F | SURGERY - PRINC ANESTHETIST (130-.31) | reference | Procedure.performer[va-p7] | .actor | /Practitioner | .function.text="PRINC ANESTHETIST" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.31 “PRINC ANESTHETIST” .function.coding=http://snomed.info/sct#88189002 ”Anesthesiologist” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1337 | for review | V2F | SURGERY - RELIEF ANESTHETIST (130-.32) | reference | Procedure.performer[va-p8] | .actor | /Practitioner | .function.text="RELIEF ANESTHETIST" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.32 ”RELIEF ANESTHETIST” .function.coding=http://snomed.info/sct#88189002 ”Anesthesiologist” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1338 | for review | V2F | SURGERY - ASST ANESTHETIST (130-.33) | reference | Procedure.performer[va-p9] | .actor | /Practitioner | .function.text="ASST ANESTHETIST" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.33 “ASST ANESTHETIST” .function.coding=http://snomed.info/sct#88189002 ”Anesthesiologist” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1339 | for review | V2F | SURGERY - ANESTHESIOLOGIST SUPVR (130-.34) | reference | Procedure.performer[va-p10] | .actor | /Practitioner | .function.text="ANESTHESIOLOGIST SUPVR" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.34 ”ANESTHESIOLOGIST SUPVR” .function.coding=http://snomed.info/sct#88189002 ”Anesthesiologist” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1340 | for review | V2F | SURGERY - VERIFIER (130-.522) | reference | Procedure.performer[va-p11] | .actor | /Practitioner | .function.text="VERIFIER" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.522 ”VERIFIER” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1341 | for review | V2F | SURGERY - PROVIDER (130-123) | reference | Procedure.performer[va-p12] | .actor | /Practitioner | .function.text="PROVIDER" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#123 ”PROVIDER” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1342 | for review | V2F | SURGERY - FOLEY CATHETER INSERTED BY (130-.57) | reference | Procedure.performer[va-p13] | .actor | /Practitioner | .function.text="FOLEY CATHETER INSERTED BY" .function.coding=http://va.gov/terminology/vistaDefinedTerms/130#.57 ”FOLEY CATHETER INSERTED BY” |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||
| 1343 | for review | V2F | SURGERY - PRINCIPAL PROCEDURE (130-26) | source value | Procedure.code | .text | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1344 | for review | V2F | SURGERY - PLANNED PRIN PROCEDURE CODE > CPT (130-27 > 81) | source value | Procedure.code.coding | .code = {CPT CODE(.01)} .system = http://www.ama-assn.org/go/cpt .display = {SHORT NAME(2)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1520 | for review | V2F | transform | Procedure.status | see VistaRulesForProcStat sheet | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 |
| ProcedureSurgeryProcedure | ||
| Procedure | ||
| status | 1520: transform using see VistaRulesForProcStat sheet | |
| category | ||
| coding | 1313: fixed value = http://snomed.info/sct#387713003 "Surgical procedure" | |
| code | ||
| coding | 1344: source value based on SURGERY - PLANNED PRIN PROCEDURE CODE > CPT (130-27 > 81) | |
| system | 1344-2: fixed value = http://www.ama-assn.org/go/cpt | generated from mapParameter line 2 |
| code | 1344-1: source value based on SURGERY - PLANNED PRIN PROCEDURE CODE > CPT - CPT CODE (130-27 > 81-.01) | generated from mapParameter line 1 |
| display | 1344-3: source value based on SURGERY - PLANNED PRIN PROCEDURE CODE > CPT - SHORT NAME (130-27 > 81-2) | generated from mapParameter line 3 |
| text | 1343: source value based on SURGERY - PRINCIPAL PROCEDURE (130-26) | |
| subject | 1287: reference based on SURGERY - PATIENT (130-.01) | |
| encounter | 1285: reference based on SURGERY - VISIT (130-.015) | |
| performed[x] | ||
| performed[x] (performedDateTime) | 1286: source value based on SURGERY - DATE OF OPERATION (130-.09) | |
| performed[x] (performedPeriod) | ||
| start | 1290: source value based on SURGERY - TIME PROCEDURE BEGAN (130-121) if 130-118 NON-OR PROCEDURE == ‘Y’, 1292: source value based on SURGERY - TIME OPERATION BEGAN (130-.22) if 130-118 NON-OR PROCEDURE != ‘Y’ | , |
| end | 1291: source value based on SURGERY - TIME PROCEDURE ENDED (130-122) if 130-118 NON-OR PROCEDURE == ‘Y’, 1293: source value based on SURGERY - TIME OPERATION ENDS (130-.23) if 130-118 NON-OR PROCEDURE != ‘Y’ | , |
| performer | ||
| function | ||
| performer (va-p0) | ||
| function | ||
| coding | 1298-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.167 "PERFUSIONIST" | generated from mapParameter line 2 |
| text | 1298-1: fixed value = PERFUSIONIST | generated from mapParameter line 1 |
| actor | 1298: reference based on SURGERY - PERFUSIONIST (130-.167) | |
| performer (va-p1) | ||
| function | ||
| coding | 1330-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.14 "PRIMARY SURGEON" | generated from mapParameter line 2 |
| text | 1330-1: fixed value = PRIMARY SURGEON | generated from mapParameter line 1 |
| actor | 1330: reference based on SURGERY - PRIMARY SURGEON (130-.14) | |
| performer (va-p2) | ||
| function | ||
| coding | 1331-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.15 "FIRST ASST" | generated from mapParameter line 2 |
| text | 1331-1: fixed value = FIRST ASST | generated from mapParameter line 1 |
| actor | 1331: reference based on SURGERY - FIRST ASST (130-.15) | |
| performer (va-p3) | ||
| function | ||
| coding | 1332-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.16 "SECOND ASST" | generated from mapParameter line 2 |
| text | 1332-1: fixed value = SECOND ASST | generated from mapParameter line 1 |
| actor | 1332: reference based on SURGERY - SECOND ASST (130-.16) | |
| performer (va-p4) | ||
| function | ||
| coding | 1333-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.164 "ATTENDING SURGEON" | generated from mapParameter line 2 |
| text | 1333-1: fixed value = ATTENDING SURGEON | generated from mapParameter line 1 |
| actor | 1333: reference based on SURGERY - ATTENDING SURGEON (130-.164) | |
| performer (va-p5) | ||
| function | ||
| coding | 1334-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.168 "ASST PERFUSIONIST" | generated from mapParameter line 2 |
| text | 1334-1: fixed value = ASST PERFUSIONIST | generated from mapParameter line 1 |
| actor | 1334: reference based on SURGERY - ASST PERFUSIONIST (130-.168) | |
| performer (va-p6) | ||
| function | ||
| coding | 1335-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.18 "SKIN PREPPED BY (1)" | generated from mapParameter line 2 |
| text | 1335-1: fixed value = SKIN PREPPED BY (1) | generated from mapParameter line 1 |
| actor | 1335: reference based on SURGERY - SKIN PREPPED BY (1) (130-.18) | |
| performer (va-p7) | ||
| function | ||
| coding | 1336-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.31 "PRINC ANESTHETIST" | generated from mapParameter line 2 |
| text | 1336-1: fixed value = PRINC ANESTHETIST | generated from mapParameter line 1 |
| actor | 1336: reference based on SURGERY - PRINC ANESTHETIST (130-.31) | |
| performer (va-p8) | ||
| function | ||
| coding | 1337-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.32 "RELIEF ANESTHETIST" | generated from mapParameter line 2 |
| text | 1337-1: fixed value = RELIEF ANESTHETIST | generated from mapParameter line 1 |
| actor | 1337: reference based on SURGERY - RELIEF ANESTHETIST (130-.32) | |
| performer (va-p9) | ||
| function | ||
| coding | 1338-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.33 "ASST ANESTHETIST" | generated from mapParameter line 2 |
| text | 1338-1: fixed value = ASST ANESTHETIST | generated from mapParameter line 1 |
| actor | 1338: reference based on SURGERY - ASST ANESTHETIST (130-.33) | |
| performer (va-p10) | ||
| function | ||
| coding | 1339-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.34 "ANESTHESIOLOGIST SUPVR" | generated from mapParameter line 2 |
| text | 1339-1: fixed value = ANESTHESIOLOGIST SUPVR | generated from mapParameter line 1 |
| actor | 1339: reference based on SURGERY - ANESTHESIOLOGIST SUPVR (130-.34) | |
| performer (va-p11) | ||
| function | ||
| coding | 1340-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.522 "VERIFIER" | generated from mapParameter line 2 |
| text | 1340-1: fixed value = VERIFIER | generated from mapParameter line 1 |
| actor | 1340: reference based on SURGERY - VERIFIER (130-.522) | |
| performer (va-p12) | ||
| function | ||
| coding | 1341-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#123 "PROVIDER" | generated from mapParameter line 2 |
| text | 1341-1: fixed value = PROVIDER | generated from mapParameter line 1 |
| actor | 1341: reference based on SURGERY - PROVIDER (130-123) | |
| performer (va-p13) | ||
| function | ||
| coding | 1342-2: fixed value = http://va.gov/terminology/vistaDefinedTerms/130#.57 "FOLEY CATHETER INSERTED BY" | generated from mapParameter line 2 |
| text | 1342-1: fixed value = FOLEY CATHETER INSERTED BY | generated from mapParameter line 1 |
| actor | 1342: reference based on SURGERY - FOLEY CATHETER INSERTED BY (130-.57) | |
| location | 1294: reference based on SURGERY - NON-OR LOCATION (130-119) if 130-118 NON-OR PROCEDURE == ‘Y’, 1295: reference based on SURGERY - OP ROOM PROCEDURE PERFORMED (130-.02) if 130-118 NON-OR PROCEDURE != ‘Y’ | , |
| reasonCode | ||
| text | 1289: source value based on SURGERY - PRINCIPAL PRE-OP DIAGNOSIS (130-32) | |
| complication | ||
| coding | 1296: fixed value = http://snomed.info/sct#88797001 "Complication of surgical procedure (disorder)" when SURGERY - STOMA COMPLICATIONS (130-688) if == ‘Y’, 1297: fixed value = http://snomed.info/sct#22298006 "Myocardial infarction (disorder)" when SURGERY - MYOCARDIAL INFARCTION (130-258) if == ‘Y’ | , Removed "perioperative" in the .text |
| text | 1296-1: fixed value = STOMA COMPLICATIONS if == ‘Y’, 1297-1: fixed value = MYOCARDIAL INFARCTION if == ‘Y’ | generated from mapParameter line 1 ,generated from mapParameter line 1 |
| note | 1288: source value based on SURGERY - GENERAL COMMENTS (130-.28) | |
| ProcedureSurgeryProcedure | ||
| Procedure | ||
| code | ||
| coding | ||
| code | Dim.CPT.CPTCode Dim.CPT.CPTCode | |
| display | Dim.CPT.CPTName Dim.CPT.CPTName | |
| text | Surg.SurgeryPRE.PrincipalProcedureText | |
| subject | SPatient.ImplantedProsthesis.PatientIEN SPatient.OperationsIndication.PatientIEN Surg.AnesthesiaAgent.PatientIEN Surg.AnesthesiaBlockSite.PatientIEN Surg.AnesthesiaTechnique.PatientIEN Surg.AnesthesiaTestDose.PatientIEN Surg.ReferringPhysician.PatientIEN Surg.ReferringPhysician.PatientSID Surg.ReplacementFluidType.PatientIEN Surg.ReplacementFluidType.PatientSID Surg.SurgeryAssistant.PatientIEN Surg.SurgeryAssistantOther.PatientIEN Surg.SurgeryDelay.PatientIEN Surg.SurgeryINTRA.PatientIEN Surg.SurgeryIrrigation.PatientIEN Surg.SurgeryIrrigation.PatientSID Surg.SurgeryMedication.PatientIEN Surg.SurgeryOccurrenceNonOp.PatientIEN Surg.SurgeryOccurrenceNonOp.PatientSID Surg.SurgeryOtherPostOpDiagnosis.PatientIEN Surg.SurgeryOtherProcedure.PatientIEN Surg.SurgeryOtherProcedureCPTModifier.PatientIEN Surg.SurgeryOtherProcedureCPTModifier.PatientSID Surg.SurgeryOtherProcedureDiagnosis.PatientIEN Surg.SurgeryPOST.PatientIEN Surg.SurgeryPostOpDiagnosis.PatientIEN Surg.SurgeryPreOpDiagnosis.PatientIEN Surg.SurgeryPreOpDiagnosis.PatientSID Surg.SurgeryPrincipalAssociatedDiagnosis.PatientIEN Surg.SurgeryPrincipalAssociatedProcedure.PatientIEN Surg.SurgeryPrincipalCPTModifier.PatientIEN Surg.SurgeryPrincipalDiagnosis.PatientIEN Surg.SurgeryProcedureCPTModifier.PatientIEN Surg.SurgeryProcedureDiagnosisCode.PatientIEN Surg.SurgeryProcedureOccurrence.PatientIEN Surg.SurgeryProcedureOccurrence.PatientSID Surg.SurgeryRequiredBloodProducts.PatientIEN Surg.SurgeryReturnCase.PatientIEN Surg.SurgORCircSupport.PatientIEN Surg.SurgORCircSupportTime.PatientIEN Surg.SurgORCircSupportTime.PatientSID Surg.SurgORScrubSupport.PatientIEN Surg.SurgORScrubSupportTime.PatientIEN Surg.SurgORScrubSupportTime.PatientSID | |
| performed[x] | ||
| performed[x] (performedDateTime) | SPatient.ImplantedProsthesis.SurgeryDateTime SPatient.OperationsIndication.SurgeryDateTime Surg.AnesthesiaAgent.SurgeryDateTime Surg.AnesthesiaBlockSite.SurgeryDateTime Surg.AnesthesiaTechnique.SurgeryDateTime Surg.AnesthesiaTestDose.SurgeryDateTime Surg.ReferringPhysician.SurgeryDateTime Surg.ReplacementFluidType.SurgeryDateTime Surg.SurgeryAssistant.SurgeryDateTime Surg.SurgeryAssistantOther.SurgeryDateTime Surg.SurgeryDelay.SurgeryDateTime Surg.SurgeryINTRA.SurgeryDateTime Surg.SurgeryIrrigation.SurgeryDateTime Surg.SurgeryMedication.SurgeryDateTime Surg.SurgeryOccurrenceNonOp.SurgeryDateTime Surg.SurgeryOtherPostOpDiagnosis.SurgeryDateTime Surg.SurgeryOtherProcedure.SurgeryDateTime Surg.SurgeryOtherProcedureCPTModifier.SurgeryDateTime Surg.SurgeryOtherProcedureDiagnosis.SurgeryDateTime Surg.SurgeryPOST.SurgeryDateTime Surg.SurgeryPostOpDiagnosis.SurgeryDateTime Surg.SurgeryPRE.SurgeryDateTime Surg.SurgeryPreOpDiagnosis.SurgeryDateTime Surg.SurgeryPrincipalAssociatedDiagnosis.SurgeryDateTime Surg.SurgeryPrincipalAssociatedProcedure.SurgeryDateTime Surg.SurgeryPrincipalCPTModifier.SurgeryDateTime Surg.SurgeryPrincipalDiagnosis.SurgeryDateTime Surg.SurgeryProcedureCPTModifier.SurgeryDateTime Surg.SurgeryProcedureDiagnosisCode.SurgeryDateTime Surg.SurgeryProcedureOccurrence.SurgeryDateTime Surg.SurgeryRequiredBloodProducts.SurgeryDateTime Surg.SurgeryReturnCase.SurgeryDateTime Surg.SurgORCircSupport.SurgeryDateTime Surg.SurgORCircSupportTime.SurgeryDateTime Surg.SurgORScrubSupport.SurgeryDateTime Surg.SurgORScrubSupportTime.SurgeryDateTime | |
| performed[x] (performedPeriod) | ||
| start | Surg.SurgeryINTRA.BeginNonORProcedureDateTime, Surg.SurgeryINTRA.BeginOperationDateTime Surg.SurgeryPRE.BeginOperationDateTime | |
| end | Surg.SurgeryINTRA.EndNonORProcedureDateTime, Surg.SurgeryINTRA.EndOperationDateTime Surg.SurgeryPRE.EndOperationDateTime | |
| performer | ||
| performer (va-p0) | ||
| actor | Surg.SurgeryINTRA.PerfusionistStaffIEN | |
| performer (va-p1) | ||
| actor | Surg.SurgeryINTRA.SurgeonStaffIEN | |
| performer (va-p2) | ||
| actor | Surg.SurgeryINTRA.FirstAssistingStaffIEN | |
| performer (va-p3) | ||
| actor | Surg.SurgeryINTRA.SecondAssistingStaffIEN | |
| performer (va-p4) | ||
| actor | Surg.SurgeryINTRA.AttendingSurgeonStaffIEN | |
| performer (va-p5) | ||
| actor | Surg.SurgeryINTRA.AssistingPerfusionistStaffIEN | |
| performer (va-p6) | ||
| actor | Surg.SurgeryINTRA.SkinPreparationStaffIEN | |
| performer (va-p7) | ||
| actor | Surg.SurgeryINTRA.PrincipalAnesthetistStaffIEN | |
| performer (va-p8) | ||
| actor | Surg.SurgeryINTRA.ReliefAnesthetistStaffIEN | |
| performer (va-p9) | ||
| actor | Surg.SurgeryINTRA.AssistingAnesthetistStaffIEN | |
| performer (va-p10) | ||
| actor | Surg.SurgeryINTRA.AnesthesiologistSupervisorStaffIEN | |
| performer (va-p11) | ||
| actor | Surg.SurgeryINTRA.VerifierStaffIEN | |
| performer (va-p12) | ||
| actor | Surg.SurgeryINTRA.ProviderIEN | |
| performer (va-p13) | ||
| actor | Surg.SurgeryINTRA.FoleyCatheterStaffIEN | |
| location | Surg.SurgeryINTRA.NonORLocationIEN Surg.SurgeryPOST.NonORLocationIEN, Surg.SurgeryINTRA.OperatingRoomIEN Surg.SurgeryPOST.OperatingRoomIEN | |
| reasonCode | ||
| text | Surg.SurgeryPRE.PrincipalPreOpDiagnosisText | |
| ProcedureSurgeryProcedure | ||
| Procedure | ||
| subject | Procedure.Procedure[CodeTableDetail.Procedure].Code | |
| encounter | Procedure.Extension[ProcedureExtension].SecondaryVisit | |
| performed[x] (performedDateTime) | Procedure.ProcedureTime | |
| performer | ||
| performer (va-p0) | ||
| performer (va-p1) | ||
| actor | Procedure.Clinician | |
| performer (va-p2) | ||
| performer (va-p3) | ||
| performer (va-p4) | ||
| actor | Procedure.Extension[ProcedureExtension].AttendingClinician | |
| performer (va-p5) | ||
| performer (va-p6) | ||
| performer (va-p7) | ||
| performer (va-p8) | ||
| performer (va-p9) | ||
| performer (va-p10) | ||
| performer (va-p11) | ||
| performer (va-p12) | ||
| actor | Procedure.Clinician | |
| ProcedureSurgeryProcedure | ||
| Procedure | ||
| code | ||
| text | surgery.name | |
| encounter | surgery.encounter | |
| performed[x] (performedDateTime) | surgery.dateTime | |
| performer | ||
| performer (va-p0) | ||
| performer (va-p1) | ||
| actor | surgery.provider (>200-.01) | |
| performer (va-p2) | ||
| performer (va-p3) | ||
| performer (va-p4) | ||
| performer (va-p5) | ||
| performer (va-p6) | ||
| performer (va-p7) | ||
| performer (va-p8) | ||
| performer (va-p9) | ||
| performer (va-p10) | ||
| performer (va-p11) | ||
| performer (va-p12) | ||
| actor | surgery.provider | |
| ProcedureSurgeryProcedure | ||
| Procedure | Event | |
| identifier | Event.identifier | |
| instantiatesCanonical | Event.instantiatesCanonical | |
| instantiatesUri | Event.instantiatesUri | |
| basedOn | Event.basedOn | |
| partOf | Event.partOf | |
| status | Event.status | |
| statusReason | Event.statusReason | |
| code | Event.code | |
| subject | Event.subject | |
| encounter | Event.context | |
| performed[x] | Event.occurrence[x] | |
| performed[x] (performedDateTime) | Event.occurrence[x] | |
| performed[x] (performedPeriod) | Event.occurrence[x] | |
| performer | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p0) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p1) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p2) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p3) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p4) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p5) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p6) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p7) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p8) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p9) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p10) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p11) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p12) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| performer (va-p13) | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| reasonCode | Event.reasonCode | |
| reasonReference | Event.reasonReference | |
| note | Event.note | |
| ProcedureSurgeryProcedure | ||
| Procedure | Entity. Role, or Act, Procedure[moodCode=EVN] | |
| text | Act.text? | |
| contained | N/A | |
| extension | N/A | |
| modifierExtension | N/A | |
| identifier | .id | |
| instantiatesCanonical | .outboundRelationship[typeCode=DEFN].target | |
| instantiatesUri | .outboundRelationship[typeCode=DEFN].target | |
| basedOn | .outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code | |
| partOf | .inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN] | |
| status | statusCode | |
| statusReason | .reason.Observation.value | |
| category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| code | .code | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| id | n/a | |
| extension | n/a | |
| system | ./codeSystem | |
| version | ./codeSystemVersion | |
| code | ./code | |
| display | CV.displayName | |
| userSelected | CD.codingRationale | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| subject | .participation[typeCode=SBJ].role | |
| encounter | .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] | |
| performed[x] | .effectiveTime | |
| performed[x] (performedDateTime) | .effectiveTime | |
| performed[x] (performedPeriod) | .effectiveTime | |
| id | n/a | |
| extension | n/a | |
| start | ./low | |
| end | ./high | |
| recorder | .participation[typeCode=AUT].role | |
| asserter | .participation[typeCode=INF].role | |
| performer | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p0) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p1) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p2) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p3) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p4) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p5) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p6) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p7) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p8) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p9) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p10) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p11) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p12) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| performer (va-p13) | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| actor | .role | |
| onBehalfOf | .scoper | |
| location | .participation[typeCode=LOC].role[classCode=SDLOC] | |
| reasonCode | .reasonCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| reasonReference | .reasonCode | |
| bodySite | .targetSiteCode | |
| outcome | .outboundRelationship[typeCode=OUT].target.text | |
| report | .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN] | |
| complication | .outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| complicationDetail | .outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value | |
| followUp | .outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code | |
| note | .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value | |
| focalDevice | .participation[typeCode=DEV].role[classCode=MANU] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| action | .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="procedure device action"].value=:procedure device action codes | |
| manipulated | .participation[typeCode=DEV].role[classCode=SDLOC] | |
| usedReference | .participation[typeCode=DEV].role[classCode=MANU] or .participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance) | |
| usedCode | participation[typeCode=Dev].role[classCode=MANU] | |
| ProcedureSurgeryProcedure | ||
| Procedure | ||
| identifier | FiveWs.identifier | |
| status | FiveWs.status | |
| category | FiveWs.class | |
| code | FiveWs.what[x] | |
| subject | FiveWs.subject[x], FiveWs.subject | |
| encounter | FiveWs.context | |
| performed[x] | FiveWs.done[x] | |
| performed[x] (performedDateTime) | FiveWs.done[x] | |
| performed[x] (performedPeriod) | FiveWs.done[x] | |
| recorder | FiveWs.author | |
| asserter | FiveWs.source | |
| performer | ||
| actor | FiveWs.actor | |
| performer (va-p0) | ||
| actor | FiveWs.actor | |
| performer (va-p1) | ||
| actor | FiveWs.actor | |
| performer (va-p2) | ||
| actor | FiveWs.actor | |
| performer (va-p3) | ||
| actor | FiveWs.actor | |
| performer (va-p4) | ||
| actor | FiveWs.actor | |
| performer (va-p5) | ||
| actor | FiveWs.actor | |
| performer (va-p6) | ||
| actor | FiveWs.actor | |
| performer (va-p7) | ||
| actor | FiveWs.actor | |
| performer (va-p8) | ||
| actor | FiveWs.actor | |
| performer (va-p9) | ||
| actor | FiveWs.actor | |
| performer (va-p10) | ||
| actor | FiveWs.actor | |
| performer (va-p11) | ||
| actor | FiveWs.actor | |
| performer (va-p12) | ||
| actor | FiveWs.actor | |
| performer (va-p13) | ||
| actor | FiveWs.actor | |
| location | FiveWs.where[x] | |
| reasonCode | FiveWs.why[x] | |
| reasonReference | FiveWs.why[x] | |
| ProcedureSurgeryProcedure | ||
| Procedure | ||
| identifier | Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4 | |
| category | ||
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| code | OBR-44/OBR-45 | |
| coding | C*E.1-8, C*E.10-22 | |
| system | C*E.3 | |
| version | C*E.7 | |
| code | C*E.1 | |
| display | C*E.2 - but note this is not well followed | |
| userSelected | Sometimes implied by being first | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| subject | PID-3 | |
| encounter | PV1-19 | |
| performed[x] | OBR-7 | |
| performed[x] (performedDateTime) | OBR-7 | |
| performed[x] (performedPeriod) | OBR-7 | |
| start | DR.1 | |
| end | DR.2 | |
| performer | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| actor | ORC-19/PRT-5 | |
| performer (va-p0) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p1) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p2) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p3) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p4) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p5) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p6) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p7) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p8) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p9) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p10) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p11) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p12) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| performer (va-p13) | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| actor | ORC-19/PRT-5 | |
| reasonCode | ||
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| bodySite | OBX-20 | |
| complication | ||
| coding | C*E.1-8, C*E.10-22 | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| note | NTE | |