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Resource Profile: AllergyIntolerance - Mappings

Active as of 2025-03-31

Mappings for the AllergyIntolerance resource profile.

Mappings for Veterans Health Information Systems Technology and Architecture (VistA) ()

AllergyIntolerance
AllergyIntolerance
identifier
identifier (va-IEN)
system	233-1: fixed value = http://va.gov/identifiers/$Sta3n/120.8	generated from mapParameter line 1
value	233: source value based on PATIENT ALLERGIES - IEN (120.8-.001)
identifier (va-CDW)
system	1610-1: fixed value = http://va.gov/identifiers/CDWSID/cdwwork.allergy.allergy	generated from mapParameter line 1
value	1610: source value based on CDW.cdwwork.allergy.allergy.AllergySID	Source is AllergySID from Allergy Table in CDW
clinicalStatus	536: terminologyMaps using VF_allergyActive on PATIENT ALLERGIES - ENTERED IN ERROR (120.8-22)	confirm CHAPI
verificationStatus	535: terminologyMaps using VF_allergyVerificationStatus on PATIENT ALLERGIES - VERIFIED (120.8-19), 537: terminologyMaps using VF_allergyEnteredInError on PATIENT ALLERGIES - ENTERED IN ERROR (120.8-22)	,
type	531: terminologyMaps using VF_allergyMechanism on PATIENT ALLERGIES - MECHANISM (120.8-17)
category	556: terminologyMaps using VF_allergySubstanceCategory on PATIENT ALLERGIES - ALLERGY TYPE (120.8-3.1)
code	246: source value based on PATIENT ALLERGIES - GMR ALLERGY (120.8-1), 1505: source value based on PATIENT ALLERGIES - DRUG INGREDIENTS (120.8-2)	, CHAPI to rxn code; looking into
text	245: source value based on PATIENT ALLERGIES - REACTANT (120.8-.02)	text only
patient	248: reference based on PATIENT ALLERGIES - PATIENT (120.8-.01)	Source is MVIPersonFullICN from SMVIPerson Table
recordedDate	1224: source value based on PATIENT ALLERGIES - ORIGINATION DATE/TIME (120.8-4)	Lighthouse exposes this source object as RecordedDate FHIR field
recorder	251: reference based on PATIENT ALLERGIES - ORIGINATOR (120.8-5)
note
author[x] (authorString)	1503: source value based on PATIENT ALLERGIES - COMMENTS > COMMENTS - USER ENTERING (120.8-26 > 120.826-1)
time	1502: source value based on PATIENT ALLERGIES - COMMENTS > COMMENTS - DATE/TIME COMMENT ENTERED (120.8-26 > 120.826-.01)
text	1504: source value based on PATIENT ALLERGIES - COMMENTS > COMMENTS - COMMENTS (120.8-26 > 120.826-2)
reaction
manifestation	252: source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - REACTION > SIGN/SYMPTOMS (120.8-10 > 120.81-.01 > 120.83-)
coding
system	252-1: fixed value = urn:oid:2.16.840.1.113883.6.233	generated from mapParameter line 1
code	252-2: source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - REACTION > SIGN/SYMPTOMS - VUID (120.8-10 > 120.81-.01 > 120.83-99.99)	generated from mapParameter line 2
display	252-3: source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - REACTION > SIGN/SYMPTOMS - NAME (120.8-10 > 120.81-.01 > 120.83-.01)	generated from mapParameter line 3
text	252-4: source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - REACTION > SIGN/SYMPTOMS - NAME (120.8-10 > 120.81-.01 > 120.83-.01)	generated from mapParameter line 4
onset	1652: source value based on PATIENT ALLERGIES - REACTIONS > REACTIONS - DATE ENTERED (120.8-10 > 120.81-3) if 6 OBSERVED/HISTORICAL = O
severity	557: terminologyMaps using VF_allergySeverity on ADVERSE REACTION REPORTING - SEVERITY (120.85-14.5)	This Data is not in CDW Assess for CHAPI via VPR

Mappings for Clinical Data Warehouse (CDW) ()

AllergyIntolerance
AllergyIntolerance
identifier
identifier (va-IEN)
identifier (va-CDW)
system	1610-1: fixed value from undefined
value	1610: source value from CDW.cdwwork.allergy.allergy.AllergySID
clinicalStatus	Allergy.Allergy.EnteredInErrorFlag
verificationStatus	Allergy.Allergy.VerifiedFlag, Allergy.Allergy.EnteredInErrorFlag
type	Allergy.Allergy.Mechanism
category	Allergy.Allergy.AllergyType
code
text	Allergy.Allergy.AllergicReactant
patient	Allergy.AllergicReaction.PatientIEN,Allergy.Allergy.PatientIEN,Allergy.AllergyComment.PatientIEN,Allergy.AllergyDrugClass.PatientIEN,Allergy.AllergyDrugIngredient.PatientIEN
recordedDate	Allergy.AllergicReaction.OriginationDateTime,Allergy.Allergy.OriginationDateTime,Allergy.AllergyComment.OriginationDateTime,Allergy.AllergyDrugClass.OriginationDateTime,Allergy.AllergyDrugIngredient.OriginationDateTime
recorder	Allergy.Allergy.OriginatingStaffIEN
note
author[x] (authorString)	Allergy.AllergyComment.EnteringStaffIEN
time	Allergy.AllergyComment.CommentEnteredDateTime
reaction
onset	Allergy.AllergicReaction.EnteredDateTime

Mappings for Summary Document Architecure (SDA) ()

AllergyIntolerance
AllergyIntolerance
clinicalStatus	Allergy.Status
verificationStatus	Allergy.Certainty, Allergy.Status
type	Allergy.Extension[AllergyExtension].Mechanism
category	Allergy.AllergyCategory
code	Allergy.Allergy,Allergy.Extension[AllergyExtension].OriginalCode, Allergy.Extension[AllergyExtension].DrugProducts
text	Allergy.FreeTextAllergy
recorder	Allergy.EnteredBy
note
author[x] (authorString)	Allergy.Comments,Allergy.InactiveComments,Allergy.Extension[AllergyExtension].Comments Allergy.Comment[VA.Comment].EnteredBy
time	Allergy.Comments,Allergy.InactiveComments,Allergy.Extension[AllergyExtension].Comments
text	Allergy.Comments,Allergy.InactiveComments,Allergy.Extension[AllergyExtension].Comments Allergy.Comment[VA.Comment].CommentText
reaction
manifestation	Allergy.Reaction,Allergy.Extension[AllergyExtension].Reactions
coding
code	Allergy.Reaction,Allergy.Extension[AllergyExtension].Reactions
display	Allergy.Reaction,Allergy.Extension[AllergyExtension].Reactions
text	Allergy.Reaction,Allergy.Extension[AllergyExtension].Reactions
onset	Allergy.Reaction,Allergy.Extension[AllergyExtension].Reactions Allergy.Reaction.Extension,Allergy.Extension[ReactionExtension].EnteredOn
severity	Allergy.Severity,Allergy.AllergyObservation[VA.AllergyObservation].Severity

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

AllergyIntolerance
AllergyIntolerance	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	id
identifier (va-IEN)	id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
identifier (va-CDW)	id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
clinicalStatus	Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
verificationStatus	Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
type	code
category	value < IntoleranceValue (Agent)
criticality	inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]
code	substance/product: .participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType] negated/excluded substance/product: .participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType] positive or negated/excluded condition/situation: Observation.code=ASSERTION; Observation.value
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
patient	.participation[typeCode=SBJ].role[classCode=PAT]
encounter	.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
onset[x]	effectiveTime.low
recordedDate	.participation[typeCode=AUT].time
recorder	.participation[typeCode=AUT].role
asserter	.participation[typeCode=INF].role
lastOccurrence	outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)].effectiveTime
note	subjectOf.observationEvent[code="annotation"].value
id	n/a
extension	n/a
author[x]	Act.participant[typeCode=AUT].role
author[x] (authorString)	Act.participant[typeCode=AUT].role
time	Act.effectiveTime
text	Act.text
reaction	outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]
id	n/a
extension	n/a
modifierExtension	N/A
substance	outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].participation[typeCode=CSM].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType]
manifestation	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
description	text
onset	effectiveTime.low
severity	inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code=SEV, value <= SeverityObservation (Severity Level)]
exposureRoute	outBoundRelationship[typeCode=SAS].target[classCode=SBADM, code <= ExposureCode].routeCode
note	subjectOf.observationEvent[code="annotation"].value

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

AllergyIntolerance
AllergyIntolerance
identifier	FiveWs.identifier
identifier (va-IEN)	FiveWs.identifier
identifier (va-CDW)	FiveWs.identifier
clinicalStatus	FiveWs.status
verificationStatus	FiveWs.status
type	FiveWs.class
category	FiveWs.class
criticality	FiveWs.grade
code	FiveWs.what[x]
patient	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
onset[x]	FiveWs.init
recordedDate	FiveWs.recorded
recorder	FiveWs.author
asserter	FiveWs.source

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

AllergyIntolerance
AllergyIntolerance
identifier	IAM-7
identifier (va-IEN)	IAM-7
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
identifier (va-CDW)	IAM-7
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
type	IAM-9
category	AL1-2
criticality	AL1-4
code	AL1-3 / IAM-3
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
patient	(PID-3)
recordedDate	IAM-13
asserter	IAM-14 (if patient) / IAM-18 (if practitioner)
note
author[x]	N/A
author[x] (authorString)	N/A
time	N/A
text	N/A
reaction
manifestation	AL1-5
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
onset	AL1-6