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

Draft as of 2025-06-13

Mappings for the VAERSAdverseEvent 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: VAERS (Source)Use Case: VAERS (Source)ADERS (0)00_Pt_ICN_FullADERS (2)22_ptDOBADERS (3)33_ptSexADERS (17)1.117_Vac1_TypeBrand1.217_Vac1_Mfgr1.317_Vac1_Lot1.417_Vac1_Route1.517_Vac1_Site1.617_Vac1_DoseInSeries2.117_Vac2_TypeBrand2.217_Vac2_Mfgr2.317_Vac2_Lot2.417_Vac2_Route2.517_Vac2_Site2.617_Vac2_DoseInSeries3.117_Vac3_TypeBrand3.217_Vac3_Mfgr3.317_Vac3_Lot3.417_Vac3_Route3.517_Vac3_Site3.617_Vac3_DoseInSeries4.117_Vac4_TypeBrand4.217_Vac4_Mfgr4.317_Vac4_Lot4.417_Vac4_Route4.517_Vac4_Site4.617_Vac4_DoseInSeriesADERS (18)1818_VAE_DescADERS (21)121_VAE_Outcome_DrVisit221_VAE_Outcome_ErED321_HospStay421_ProlongHospStay521_LTI621_Dis721_Death7.121_DeathDt821_CA_BD921_NOAADERS (22)1.122_PVac1_TypeBrand1.222_PVac1_Mfgr1.322_PVac1_Lot1.422_PVac1_Route1.522_PVac1_Site1.622_PVac1_DoseInSeries1.722_PVac1_Date2.122_PVac2_TypeBrand2.222_PVac2_Mfgr2.322_PVac2_Lot2.422_PVac2_Route2.522_PVac2_Site2.622_PVac2_DoseInSeries2.722_PVac2_Date3.122_PVac3_TypeBrand3.222_PVac3_Mfgr3.322_PVac3_Lot3.422_PVac3_Route3.522_PVac3_Site3.622_PVac3_DoseInSeries3.722_PVac3_Date4.122_PVac4_TypeBrand4.222_PVac4_Mfgr4.322_PVac4_Lot4.422_PVac4_Route4.522_PVac4_Site4.622_PVac4_DoseInSeries4.722_PVac4_DateADERS (24)124_PtRace_AIAN224_PtRace_Asian324_PtRace_BlkAM424_PtRace_NH_OPI524_PtRace_White624_PtRace_Unk724_PtRace_OtherADERS (25)125_PtEthnicity_HispLat225_PtEthnicity_NHL325_PtEthnicity_Unk425_PtEthnicity_Other

Cross Mappings

FHIR Path VistA CDW SDA VPR
AdverseEvent.subject 0      
AdverseEvent.event.coding 18      
AdverseEvent.event.text 18      
AdverseEvent.outcome.coding[va-outcome1] 21-1      
AdverseEvent.outcome.coding[va-outcome2] 21-2      
AdverseEvent.outcome.coding[va-outcome3] 21-3      
AdverseEvent.outcome.coding[va-outcome8] 21-4      
AdverseEvent.outcome.coding[va-outcome9] 21-5      
AdverseEvent.outcome.coding[va-outcome10] 21-6      
AdverseEvent.outcome.coding[va-outcome13] 21-7      
AdverseEvent.outcome.coding[va-outcome11] 21-8      
AdverseEvent.outcome.coding[va-outcome12] 21-9      

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1877 in process A2F ADERS - 0_Pt_ICN_Full (0) reference AdverseEvent .subject Patient .actuality=#actual http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1881 in process A2F ADERS - transform AdverseEvent.date concat(4_VacDate, 4_VacTime) http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1905 in process A2F ADERS - 18_VAE_Desc (18) transform AdverseEvent.event.coding parseCodesFromText() Multiple event codes in coding http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
2217 in process A2F ADERS - 18_VAE_Desc (18) source value AdverseEvent.event.text http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1906 in process A2F ADERS - 21_VAE_Outcome_DrVisit (21-1) fixed value =1 AdverseEvent.outcome.coding[va-outcome1] https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#drvisit "Doctor" http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1907 in process A2F ADERS - 21_VAE_Outcome_ErED (21-2) fixed value =1 AdverseEvent.outcome.coding[va-outcome2] https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#ered "Emergency Room" http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1908 in process A2F ADERS - 21_HospStay (21-3) fixed value =1 AdverseEvent.outcome.coding[va-outcome3] https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#hospitalization "Hospitalization" See Encounter & Location for details http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1913 in process A2F ADERS - 21_ProlongHospStay (21-4) fixed value =1 AdverseEvent.outcome.coding[va-outcome8] https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#hospitalization "Hospitalization" http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1914 in process A2F ADERS - 21_LTI (21-5) fixed value =1 AdverseEvent.outcome.coding[va-outcome9] https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#lti "Life threatening illness" http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1915 in process A2F ADERS - 21_Dis (21-6) fixed value =1 AdverseEvent.outcome.coding[va-outcome10] https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#dis "Disability or permanent damage" http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1916 in process A2F ADERS - 21_Death (21-7) fixed value =1 AdverseEvent.outcome.coding[va-outcome13] https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#death "Death" http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1918 in process A2F ADERS - 21_CA_BD (21-8) fixed value =1 AdverseEvent.outcome.coding[va-outcome11] https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#ca_db "Congenital anomaly or birth defect" http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1919 in process A2F ADERS - 21_NOA (21-9) fixed value =1 AdverseEvent.outcome.coding[va-outcome12] https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#noa "None of the above" http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1
1972 in process A2F reference AdverseEvent.suspectEntity.instance Immunizationvac1 http://hl7.org/fhir/StructureDefinition/AdverseEvent | 4.0.1

Mappings for VA Adverse Drug Event Reporting System (VA ADERS) ()

VAERSAdverseEvent
AdverseEvent
   actuality1877-1: fixed value = #actual

generated from mapParameter line 1

   event
      coding1905: transform using parseCodesFromText() on ADERS - 18_VAE_Desc (18)

Multiple event codes in coding

      text2217: source value based on ADERS - 18_VAE_Desc (18)
   subject1877: reference based on ADERS - 0_Pt_ICN_Full (0)
   date1881: transform using concat(4_VacDate, 4_VacTime)
   outcome
      coding (va-outcome1)1906: fixed value = https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#drvisit "Doctor" when ADERS - 21_VAE_Outcome_DrVisit (21-1) if =1
      coding (va-outcome2)1907: fixed value = https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#ered "Emergency Room" when ADERS - 21_VAE_Outcome_ErED (21-2) if =1
      coding (va-outcome3)1908: fixed value = https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#hospitalization "Hospitalization" when ADERS - 21_HospStay (21-3) if =1

See Encounter & Location for details

      coding (va-outcome8)1913: fixed value = https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#hospitalization "Hospitalization" when ADERS - 21_ProlongHospStay (21-4) if =1
      coding (va-outcome9)1914: fixed value = https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#lti "Life threatening illness" when ADERS - 21_LTI (21-5) if =1
      coding (va-outcome10)1915: fixed value = https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#dis "Disability or permanent damage" when ADERS - 21_Dis (21-6) if =1
      coding (va-outcome13)1916: fixed value = https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#death "Death" when ADERS - 21_Death (21-7) if =1
      coding (va-outcome11)1918: fixed value = https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#ca_db "Congenital anomaly or birth defect" when ADERS - 21_CA_BD (21-8) if =1
      coding (va-outcome12)1919: fixed value = https://www.vaers.hhs.gov/data/datasets.html/Patientoutcomes#noa "None of the above" when ADERS - 21_NOA (21-9) if =1
   suspectEntity
      instance1972: reference

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

VAERSAdverseEvent
AdverseEvent
   actualityFiveWs.class
   categoryFiveWs.class
   eventFiveWs.what[x]
   subjectFiveWs.who
   encounterFiveWs.context
   dateFiveWs.init
   recordedDateFiveWs.recorded
   recorderFiveWs.author

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

VAERSAdverseEvent
AdverseEventEntity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   event
      idn/a
      extensionn/a
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   outcome
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (va-outcome1)union(., ./translation)
      coding (va-outcome2)union(., ./translation)
      coding (va-outcome3)union(., ./translation)
      coding (va-outcome8)union(., ./translation)
      coding (va-outcome9)union(., ./translation)
      coding (va-outcome10)union(., ./translation)
      coding (va-outcome13)union(., ./translation)
      coding (va-outcome11)union(., ./translation)
      coding (va-outcome12)union(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   suspectEntity
      idn/a
      extensionn/a
      modifierExtensionN/A
      causality
         idn/a
         extensionn/a
         modifierExtensionN/A