US Veterans Health Administration FHIR Map Set Implementation Guide
1.9.0 - 251001
US Veterans Health Administration FHIR Map Set Implementation Guide
1.9.0 - 251001
US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.9.0 See the Directory of published versions
| Active as of 2025-09-30 |
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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) | fixed value | not 1 (YES) | AllergyIntolerance.clinicalStatus | http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical#active | 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) | fixed value | 1 (YES) | AllergyIntolerance.verificationStatus | http://terminology.hl7.org/CodeSystem/allergyintolerance-verification#entered-in-error | 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 | {.03>120.8} | 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 | ||||
| 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 | Veterans Health Information Systems Technology and Architecture (VistA) | Clinical Data Warehouse (CDW) | Summary Document Architecure (SDA) | Virtual Patient Record XML (VPR) |
|---|---|---|---|---|
  AllergyIntolerance |
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  id |
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 meta |
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| implicitRules |
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| language |
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| text |
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| contained |
||||
 extension |
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 modifierExtension |
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  Slices for identifier |
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   identifier:va-IEN |
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  id |
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| extension |
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| use |
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| type |
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| system |
fixed value = http://va.gov/identifiers/$Sta3n/120.8 mapParameter line 1 |
|||
| value |
source value based on PATIENT ALLERGIES - IEN (120.8-.001) |
|||
| period |
||||
  assigner |
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 identifier:va-CDW |
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 id |
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| extension |
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| use |
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| type |
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| system |
fixed value = http://va.gov/identifiers/CDWSID/cdwwork.allergy.allergy mapParameter line 1 |
fixed value from undefined |
||
| value |
source value based on CDW.cdwwork.allergy.allergy.AllergySID Source is AllergySID from Allergy Table in CDW |
source value from CDW.cdwwork.allergy.allergy.AllergySID |
||
| period |
||||
| assigner |
||||
| clinicalStatus |
fixed value = http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical#active when PATIENT ALLERGIES - ENTERED IN ERROR (120.8-22) if not 1 (YES) confirm CHAPI |
Allergy.Allergy.EnteredInErrorFlag |
Allergy.Status |
reaction.removed |
| verificationStatus |
fixed value = http://terminology.hl7.org/CodeSystem/allergyintolerance-verification#entered-in-error when PATIENT ALLERGIES - ENTERED IN ERROR (120.8-22) if 1 (YES) |
Allergy.Allergy.EnteredInErrorFlag |
Allergy.Status |
reaction.removed |
| type |
terminologyMaps using VF_allergyMechanism on PATIENT ALLERGIES - MECHANISM (120.8-17) |
Allergy.Allergy.Mechanism |
Allergy.Extension[AllergyExtension].Mechanism |
reaction.mechanism |
| category |
terminologyMaps using VF_allergySubstanceCategory on PATIENT ALLERGIES - ALLERGY TYPE (120.8-3.1) |
Allergy.Allergy.AllergyType |
Allergy.AllergyCategory |
reaction.type |
| criticality |
||||
| code |
source value based on PATIENT ALLERGIES - GMR ALLERGY (120.8-1) |
Allergy.Allergy
Allergy.Extension[AllergyExtension].OriginalCode |
reaction.localCode
reaction.vuid (>50.605-99.99) | |
| id |
||||
| extension |
||||
| coding |
||||
 text |
source value based on PATIENT ALLERGIES - REACTANT (120.8-.02) text only |
Allergy.Allergy.AllergicReactant |
Allergy.FreeTextAllergy |
reaction.name |
| patient |
reference based on PATIENT ALLERGIES - PATIENT (120.8-.01) Source is MVIPersonFullICN from SMVIPerson Table |
Allergy.AllergicReaction.PatientIEN
Allergy.Allergy.PatientIEN
Allergy.AllergyComment.PatientIEN
Allergy.AllergyDrugClass.PatientIEN
Allergy.AllergyDrugIngredient.PatientIEN |
reaction.drugClass [m]
reaction.drugIngredient [m]
reaction.reaction [m] | |
| encounter |
||||
 onset[x] |
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| recordedDate |
source value based on PATIENT ALLERGIES - ORIGINATION DATE/TIME (120.8-4) Lighthouse exposes this source object as RecordedDate FHIR field |
Allergy.AllergicReaction.OriginationDateTime
Allergy.Allergy.OriginationDateTime
Allergy.AllergyComment.OriginationDateTime
Allergy.AllergyDrugClass.OriginationDateTime
Allergy.AllergyDrugIngredient.OriginationDateTime |
reaction.entered | |
| recorder |
reference based on PATIENT ALLERGIES - ORIGINATOR (120.8-5) |
Allergy.Allergy.OriginatingStaffIEN |
Allergy.EnteredBy |
|
| asserter |
||||
| lastOccurrence |
||||
| note |
||||
| id |
||||
| extension |
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| Slices for author[x] |
||||
 author[x]:authorString |
source value based on PATIENT ALLERGIES - COMMENTS > COMMENTS - USER ENTERING (120.8-26 > 120.826-1) |
Allergy.AllergyComment.EnteringStaffIEN |
Allergy.Comments
Allergy.InactiveComments
Allergy.Extension[AllergyExtension].Comments
Allergy.Comment[VA.Comment].EnteredBy |
|
| time |
source value based on PATIENT ALLERGIES - COMMENTS > COMMENTS - DATE/TIME COMMENT ENTERED (120.8-26 > 120.826-.01) |
Allergy.AllergyComment.CommentEnteredDateTime |
Allergy.Comments
Allergy.InactiveComments
Allergy.Extension[AllergyExtension].Comments |
|
| text |
source value based on PATIENT ALLERGIES - COMMENTS > COMMENTS - COMMENTS (120.8-26 > 120.826-2) |
Allergy.Comments
Allergy.InactiveComments
Allergy.Extension[AllergyExtension].Comments
Allergy.Comment[VA.Comment].CommentText |
||
 reaction |
||||
| id |
||||
| extension |
||||
| modifierExtension |
||||
| substance |
||||
| manifestation |
source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - REACTION > SIGN/SYMPTOMS (120.8-10 > 120.81-.01 > 120.83-) |
Allergy.Reaction
Allergy.Extension[AllergyExtension].Reactions |
reaction.reaction [m] (>120.83-.01)
reaction.reaction [m] (>120.83-99.99) | |
| id |
||||
| extension |
||||
| coding |
||||
| id |
||||
| extension |
||||
| system |
fixed value = urn:oid:2.16.840.1.113883.6.233 mapParameter line 1 |
|||
| version |
||||
| code |
source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - REACTION > SIGN/SYMPTOMS - VUID (120.8-10 > 120.81-.01 > 120.83-99.99) mapParameter line 2 |
Allergy.Reaction
Allergy.Extension[AllergyExtension].Reactions |
reaction.reaction [m] (>120.83-.01)
reaction.reaction [m] (>120.83-99.99) | |
| display |
source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - REACTION > SIGN/SYMPTOMS - NAME (120.8-10 > 120.81-.01 > 120.83-.01) mapParameter line 3 |
Allergy.Reaction
Allergy.Extension[AllergyExtension].Reactions |
reaction.reaction [m] (>120.83-.01)
reaction.reaction [m] (>120.83-99.99) | |
| userSelected |
||||
| text |
source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - REACTION > SIGN/SYMPTOMS - NAME (120.8-10 > 120.81-.01 > 120.83-.01) mapParameter line 4 |
Allergy.Reaction
Allergy.Extension[AllergyExtension].Reactions |
reaction.reaction [m] (>120.83-.01)
reaction.reaction [m] (>120.83-99.99) | |
| description |
||||
| onset |
source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - DATE ENTERED (120.8-10 > 120.81-3) if 6 OBSERVED/HISTORICAL = O |
Allergy.AllergicReaction.EnteredDateTime |
Allergy.Reaction
Allergy.Extension[AllergyExtension].Reactions
Allergy.Reaction.Extension
Allergy.Extension[ReactionExtension].EnteredOn |
reaction.reaction [m] (>120.83-.01)
reaction.reaction [m] (>120.83-99.99) |
| severity |
terminologyMaps using VF_allergySeverity on ADVERSE REACTION REPORTING - SEVERITY (120.85-14.5) if {.03>120.8} This Data is not in CDW Assess for CHAPI via VPR |
Allergy.Severity
Allergy.AllergyObservation[VA.AllergyObservation].Severity |
reaction.severity | |
| exposureRoute |
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| note |
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| Documentation for this format | ||||