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Resource Profile: ConditionEncounterDiagnosis - Mappings

Active as of 2025-03-31

Mappings for the ConditionEncounterDiagnosis resource profile.

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

ConditionEncounterDiagnosis
Condition
identifier
system	346-1: fixed value = http://va.gov/identifiers/$Sta3n/9000010.07	generated from mapParameter line 1
value	346: source value based on V POV - IEN (9000010.07-.001)
clinicalStatus	350: exclude value if Null, 604: terminologyMaps using VF_encounterProblemStatus on V POV - MODIFIER (9000010.07-.06)	should this be active or null? ,
verificationStatus	606: terminologyMaps using VF_encounterProblemVerificationStatus on V POV - MODIFIER (9000010.07-.06)
category (us-core)	1608: fixed value = http://terminology.hl7.org/CodeSystem/condition-category#encounter-diagnosis
code
coding
system	1613-1: fixed value = urn:see-termmap-in-mapParameter	generated from mapParameter line 1
code	1613: source value based on V POV - POV > ICD DIAGNOSIS - CODE NUMBER (9000010.07-.01 > 80-.01)
subject	1611: reference based on V POV - PATIENT NAME > PATIENT/IHS - NAME (9000010.07-.02 > 9000001-.01)	We have patient resource; unclear why name is repeated
encounter	368: source value based on V POV - VISIT (9000010.07-.03)
onset[x] (onsetDateTime)	370: source value based on V POV - DATE OF INJURY (9000010.07-.13)
abatement[x] (abatementDateTime)	1766: target not supported	abatementDate is must support
recordedDate	372: source value based on V POV - VISIT > VISIT - VISIT/ADMIT DATE&TIME (9000010.07-.03 > 9000010-.01)	Added the sub file and field
recorder	1833: reference based on V POV - ENCOUNTER PROVIDER (9000010.07-1204)

Mappings for Clinical Data Warehouse (CDW) ()

ConditionEncounterDiagnosis
Condition
clinicalStatus	Outpat.VDiagnosis.Modifier,Outpat.WorkloadVDiagnosis.Modifier
verificationStatus	Outpat.VDiagnosis.Modifier,Outpat.WorkloadVDiagnosis.Modifier
code
coding
code	Outpat.VDiagnosis.ICDIEN,Outpat.WorkloadVDiagnosis.ICDIEN Dim.ICD10.ICD10Code,Dim.ICD9.ICD9Code
subject	Outpat.VDiagnosis.PatientIEN,Outpat.WorkloadVDiagnosis.PatientIEN
encounter	Outpat.VDiagnosis.VisitDateTime,Outpat.VDiagnosis.VisitIEN,Outpat.WorkloadVDiagnosis.VisitDateTime,Outpat.WorkloadVDiagnosis.VisitIEN
onset[x] (onsetDateTime)	Outpat.VDiagnosis.InjuryDateTime,Outpat.WorkloadVDiagnosis.InjuryDateTime
recordedDate	Outpat.VDiagnosis.VisitDateTime,Outpat.VDiagnosis.VisitIEN,Outpat.WorkloadVDiagnosis.VisitDateTime,Outpat.WorkloadVDiagnosis.VisitIEN Immun.ImmunizationContraRefusalEvent.VisitDateTime,Outpat.Visit.VisitDateTime,Outpat.VisitLogic.VisitDateTime,Outpat.Workload.VisitDateTime
recorder	Outpat.VDiagnosis.EncounterProviderIEN,Outpat.WorkloadVDiagnosis.EncounterProviderIEN

Mappings for Summary Document Architecure (SDA) ()

ConditionEncounterDiagnosis
Condition
clinicalStatus	Diagnosis.Diagnosis[CodeTableDetail.Diagnosis].OriginalText
verificationStatus	Diagnosis.Diagnosis[CodeTableDetail.Diagnosis].OriginalText
code
coding
code	Diagnosis.Diagnosis,Diagnosis.Diagnosis[CodeTableDetail.Diagnosis].Code
encounter	Diagnosis.EncounterNumber,Diagnosis.EnteredAt,Diagnosis.EnteredBy,Diagnosis.EnteredOn,Diagnosis.FromTime,Diagnosis.ToTime
onset[x] (onsetDateTime)	Diagnosis.OnsetTime
recordedDate	Diagnosis.EncounterNumber,Diagnosis.EnteredAt,Diagnosis.EnteredBy,Diagnosis.EnteredOn,Diagnosis.FromTime,Diagnosis.ToTime Encounter.ConsultingClinician[CareProvider].Description,Encounter.ConsultingClinician[CareProvider].Name
recorder	Diagnosis.DiagnosingClinician

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

ConditionEncounterDiagnosis
Condition	Event
identifier	Event.identifier
clinicalStatus	Event.status
verificationStatus	Event.status
code	Event.code
subject	Event.subject
encounter	Event.context
onset[x]	Event.occurrence[x]
onset[x] (onsetDateTime)	Event.occurrence[x]
evidence
code	Event.reasonCode
note	Event.note

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

ConditionEncounterDiagnosis
Condition	< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
clinicalStatus	< 303105007 |Disease phases|
verificationStatus	< 410514004 |Finding context value|
category	< 404684003 |Clinical finding|
category (us-core)	< 404684003 |Clinical finding|
severity	< 272141005 |Severities|
code	code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 413350009 |Finding with explicit context| OR < 272379006 |Event|
bodySite	< 442083009 |Anatomical or acquired body structure|
stage
summary	< 254291000 |Staging and scales|
evidence
code	< 404684003 |Clinical finding|

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

ConditionEncounterDiagnosis
Condition	PPR message
identifier
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)
clinicalStatus	PRB-14
verificationStatus	PRB-13
category	'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
category (us-core)	'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
severity	PRB-26 / ABS-3
code	PRB-3
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 (+PV1-54)
onset[x]	PRB-16
onset[x] (onsetDateTime)	PRB-16
recordedDate	REL-11
asserter	REL-7.1 identifier + REL-7.12 type code
stage
summary	PRB-14
note	NTE child of PRB

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

ConditionEncounterDiagnosis
Condition	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
text	Act.text?
contained	N/A
modifierExtension	N/A
identifier	.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
category	.code
category (us-core)	.code
severity	Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="severity"].value
code	.value
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
bodySite	.targetBodySiteCode
subject	.participation[typeCode=SBJ].role[classCode=PAT]
encounter	.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
onset[x]	.effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
onset[x] (onsetDateTime)	.effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
abatement[x]	.effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
abatement[x] (abatementDateTime)	.effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
recordedDate	.participation[typeCode=AUT].time
recorder	.participation[typeCode=AUT].role
asserter	.participation[typeCode=INF].role
stage	./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage/grade"]
id	n/a
extension	n/a
modifierExtension	N/A
summary	.value
assessment	.self
type	./inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="stage type"]
evidence	.outboundRelationship[typeCode=SPRT].target[classCode=OBS, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
code	[code="diagnosis"].value
detail	.self
note	.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

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

ConditionEncounterDiagnosis
Condition
identifier	FiveWs.identifier
clinicalStatus	FiveWs.status
verificationStatus	FiveWs.status
category	FiveWs.class
category (us-core)	FiveWs.class
severity	FiveWs.grade
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
onset[x]	FiveWs.init
onset[x] (onsetDateTime)	FiveWs.init
abatement[x]	FiveWs.done[x]
abatement[x] (abatementDateTime)	FiveWs.done[x]
recordedDate	FiveWs.recorded
recorder	FiveWs.author
asserter	FiveWs.source
evidence
code	FiveWs.why[x]
detail	FiveWs.why[x]

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

ConditionEncounterDiagnosis
Condition
verificationStatus	408729009
severity	246112005
code	246090004
bodySite	363698007