US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701
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Active as of 2025-06-20 |
Mappings for the AllergyIntolerance 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.
key | status | direction | source | mapApproach | mapCase | FHIR Path | subPath | mapValue | mapParameter | mapComment | FHIR URL | Ver |
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233 | team-approved | V2F | PATIENT ALLERGIES - IEN (120.8-.001) | source value | AllergyIntolerance.identifier[va-IEN] | .value | .system = http://va.gov/identifiers/$Sta3n/120.8 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | |||
1610 | for review | C2F | CDW.cdwwork.allergy.allergy.AllergySID | source value | AllergyIntolerance.identifier[va-CDW] | .value | .system = http://va.gov/identifiers/CDWSID/cdwwork.allergy.allergy | Source is AllergySID from Allergy Table in CDW | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||
245 | team-approved | V2F | PATIENT ALLERGIES - REACTANT (120.8-.02) | source value | AllergyIntolerance.code | .text | text only | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | |||
246 | team-approved | V2F | PATIENT ALLERGIES - GMR ALLERGY (120.8-1) | source value | AllergyIntolerance.code | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | |||||
248 | for review | V2F | PATIENT ALLERGIES - PATIENT (120.8-.01) | reference | AllergyIntolerance.patient | /Patient | Source is MVIPersonFullICN from SMVIPerson Table | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | |||
1224 | team-approved | V2F | PATIENT ALLERGIES - ORIGINATION DATE/TIME (120.8-4) | source value | AllergyIntolerance.recordedDate | Lighthouse exposes this source object as RecordedDate FHIR field | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
251 | team-approved | V2F | PATIENT ALLERGIES - ORIGINATOR (120.8-5) | reference | AllergyIntolerance.recorder | /Practitioner | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
252 | team-approved | V2F | PATIENT ALLERGIES - REACTIONS > REACTIONS - REACTION > SIGN/SYMPTOMS (120.8-10 > 120.81-.01 > 120.83-) | source value | AllergyIntolerance.reaction.manifestation | .coding.system=urn:oid:2.16.840.1.113883.6.233 .coding.code = {VUID (99.99)} .coding.display = {NAME (.01)} .text = {NAME (.01)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
531 | team-approved | V2F | PATIENT ALLERGIES - MECHANISM (120.8-17) | terminologyMaps | AllergyIntolerance.type | VF_allergyMechanism | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
535 | team-approved | V2F | PATIENT ALLERGIES - VERIFIED (120.8-19) | terminologyMaps | AllergyIntolerance.verificationStatus | VF_allergyVerificationStatus | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
536 | for review | V2F | PATIENT ALLERGIES - ENTERED IN ERROR (120.8-22) | terminologyMaps | AllergyIntolerance.clinicalStatus | VF_allergyActive | confirm CHAPI | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | |||
537 | team-approved | V2F | PATIENT ALLERGIES - ENTERED IN ERROR (120.8-22) | terminologyMaps | AllergyIntolerance.verificationStatus | VF_allergyEnteredInError | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
556 | team-approved | V2F | PATIENT ALLERGIES - ALLERGY TYPE (120.8-3.1) | terminologyMaps | AllergyIntolerance.category | VF_allergySubstanceCategory | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
557 | for review | V2F | ADVERSE REACTION REPORTING - SEVERITY (120.85-14.5) | terminologyMaps | AllergyIntolerance.reaction.severity | VF_allergySeverity | This Data is not in CDW Assess for CHAPI via VPR | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | |||
1502 | for review | V2F | PATIENT ALLERGIES - COMMENTS > COMMENTS - DATE/TIME COMMENT ENTERED (120.8-26 > 120.826-.01) | source value | AllergyIntolerance.note | .time | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
1503 | for review | V2F | PATIENT ALLERGIES - COMMENTS > COMMENTS - USER ENTERING (120.8-26 > 120.826-1) | source value | AllergyIntolerance.note | .authorString | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
1504 | for review | V2F | PATIENT ALLERGIES - COMMENTS > COMMENTS - COMMENTS (120.8-26 > 120.826-2) | source value | AllergyIntolerance.note | .text | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
1505 | for review | V2F | PATIENT ALLERGIES - DRUG INGREDIENTS (120.8-2) | source value | AllergyIntolerance.code | CHAPI to rxn code; looking into | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 | ||||
1652 | for review | V2F | PATIENT ALLERGIES - REACTIONS > REACTIONS - DATE ENTERED (120.8-10 > 120.81-3) | source value | 6 OBSERVED/HISTORICAL = O | AllergyIntolerance.reaction.onset | http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance | 5.0.1 |
No Mappings Found
No Mappings Found
Name | RIM Mapping | FiveWs Pattern Mapping | HL7 v2 Mapping![]() |
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Act.text? |
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N/A |
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N/A |
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N/A |
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id |
FiveWs.identifier |
IAM-7 |
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id |
FiveWs.identifier |
IAM-7 |
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n/a |
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n/a |
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Role.code or implied by context |
N/A | |
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Role.code or implied by context |
CX.5 | |
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II.root or Role.id.root |
CX.4 / EI-2-4 | |
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
CX.1 / EI.1 | |
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Role.effectiveTime or implied by context |
CX.7 + CX.8 | |
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II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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id |
FiveWs.identifier |
IAM-7 |
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n/a |
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n/a |
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Role.code or implied by context |
N/A | |
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Role.code or implied by context |
CX.5 | |
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II.root or Role.id.root |
CX.4 / EI-2-4 | |
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
CX.1 / EI.1 | |
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Role.effectiveTime or implied by context |
CX.7 + CX.8 | |
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II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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FiveWs.status |
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FiveWs.status |
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code |
FiveWs.class |
IAM-9 |
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value < IntoleranceValue (Agent) |
FiveWs.class |
AL1-2 |
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FiveWs.grade |
AL1-4 |
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FiveWs.what[x] |
AL1-3 / IAM-3 |
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n/a |
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n/a |
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | |
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.participation[typeCode=SBJ].role[classCode=PAT] |
FiveWs.subject |
(PID-3) |
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FiveWs.context |
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effectiveTime.low |
FiveWs.init |
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.participation[typeCode=AUT].time |
FiveWs.recorded |
IAM-13 |
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.participation[typeCode=AUT].role |
FiveWs.author |
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.participation[typeCode=INF].role |
FiveWs.source |
IAM-14 (if patient) / IAM-18 (if practitioner) |
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subjectOf.observationEvent[code="annotation"].value |
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n/a |
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n/a |
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Act.participant[typeCode=AUT].role |
N/A | |
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Act.participant[typeCode=AUT].role |
N/A | |
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Act.effectiveTime |
N/A | |
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Act.text |
N/A | |
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n/a |
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n/a |
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N/A |
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code |
AL1-5 | |
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n/a |
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n/a |
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n/a |
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n/a |
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./codeSystem |
C*E.3 | |
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./codeSystemVersion |
C*E.7 | |
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./code |
C*E.1 | |
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CV.displayName |
C*E.2 - but note this is not well followed | |
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CD.codingRationale |
Sometimes implied by being first | |
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | |
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text |
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effectiveTime.low |
AL1-6 | |
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subjectOf.observationEvent[code="annotation"].value |
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