US Veterans Health Administration FHIR Map Set Implementation Guide
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US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.8.0 See the Directory of published versions

Resource Profile: ConditionEncounterDiagnosis - Mappings

Active as of 2025-09-02

Mappings for the ConditionEncounterDiagnosis 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: Condition: Encounter Diagnosis (Source)Use Case: Condition: Encounter Diagnosis (Source)ICD DIAGNOSIS (80).01CODE NUMBERPATIENT/IHS (9000001).01NAMEVISIT (9000010).01VISIT/ADMIT DATE&TIMEV POV (9000010.07).001IEN.01POV.02PATIENT NAME.03VISIT.06MODIFIER.13DATE OF INJURY1204ENCOUNTER PROVIDER

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1608 team-approved V2F fixed value Condition.category[us-core] http://terminology.hl7.org/CodeSystem/condition-category#encounter-diagnosis http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
346 team-approved V2F V POV - IEN (9000010.07-.001) source value Condition.identifier .value .system = http://va.gov/identifiers/$Sta3n/9000010.07 http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
350 team-approved V2F V POV - MODIFIER (9000010.07-.06) exclude value Null Condition.clinicalStatus should this be active or null? http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
1613 for review V2F V POV - POV > ICD DIAGNOSIS - CODE NUMBER (9000010.07-.01 > 80-.01) source value Condition.code.coding .code .system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)} http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
1611 for review V2F V POV - PATIENT NAME > PATIENT/IHS - NAME (9000010.07-.02 > 9000001-.01) reference Condition.subject /Patient We have patient resource; unclear why name is repeated http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
368 team-approved V2F V POV - VISIT (9000010.07-.03) source value Condition.encounter http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
370 team-approved V2F V POV - DATE OF INJURY (9000010.07-.13) source value Condition.onsetDateTime http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
372 team-approved V2F V POV - VISIT > VISIT - VISIT/ADMIT DATE&TIME (9000010.07-.03 > 9000010-.01) source value Condition.recordedDate Added the sub file and field http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
604 team-approved V2F V POV - MODIFIER (9000010.07-.06) terminologyMaps Condition.clinicalStatus VF_encounterProblemStatus http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
606 team-approved V2F V POV - MODIFIER (9000010.07-.06) terminologyMaps Condition.verificationStatus VF_encounterProblemVerificationStatus http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-encounter-diagnosis | 5.0.1
1766 for review V2F target not supported Condition.abatementDateTime abatementDate is must support http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
1833 for review V2F V POV - ENCOUNTER PROVIDER (9000010.07-1204) reference Condition.recorder /Practitioner http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternSNOMED CT Concept Domain BindingHL7 v2 MappingRIM MappingFiveWs Pattern MappingSNOMED CT Attribute Bindingdoco
.. Condition
Event
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|)
PPR message
  • Observation[classCode=OBS
  • moodCode=EVN
  • code=ASSERTION
  • value<Diagnosis]
... id
... meta
... implicitRules
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:assertedDate
... modifierExtension
N/A
... identifier
Event.identifier
.id
FiveWs.identifier
.... id
n/a
.... extension
n/a
.... use
N/A
Role.code or implied by context
.... type
CX.5
Role.code or implied by context
.... system
CX.4 / EI-2-4
II.root or Role.id.root
.... value
CX.1 / EI.1
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
.... period
CX.7 + CX.8
Role.effectiveTime or implied by context
.... assigner
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
... clinicalStatus
Event.status
< 303105007 |Disease phases|
PRB-14
  • Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • code="clinicalStatus"
  • moodCode=EVN].value
FiveWs.status
... verificationStatus
Event.status
< 410514004 |Finding context value|
PRB-13
  • Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • code="verificationStatus"
  • moodCode=EVN].value
FiveWs.status
408729009
... Slices for category
< 404684003 |Clinical finding|
'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
.code
FiveWs.class
.... category:us-core
< 404684003 |Clinical finding|
'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
.code
FiveWs.class
... severity
< 272141005 |Severities|
PRB-26 / ABS-3
  • Can be pre/post-coordinated into value. Or ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="severity"].value
FiveWs.grade
246112005
... code
Event.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|
PRB-3
.value
FiveWs.what[x]
246090004
.... id
n/a
.... extension
n/a
.... coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... id
n/a
..... extension
n/a
..... system
C*E.3
./codeSystem
..... version
C*E.7
./codeSystemVersion
..... code
C*E.1
./code
..... display
C*E.2 - but note this is not well followed
CV.displayName
..... userSelected
Sometimes implied by being first
CD.codingRationale
.... text
C*E.9. But note many systems use C*E.2 for this
./originalText[mediaType/code="text/plain"]/data
... bodySite
< 442083009 |Anatomical or acquired body structure|
.targetBodySiteCode
363698007
... subject
Event.subject
PID-3
.participation[typeCode=SBJ].role[classCode=PAT]
FiveWs.subject
... encounter
Event.context
PV1-19 (+PV1-54)
  • .inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
FiveWs.context
... Slices for onset[x]
Event.occurrence[x]
PRB-16
  • .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="age at onset"].value
FiveWs.init
.... onset[x]:onsetDateTime
Event.occurrence[x]
PRB-16
  • .effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="age at onset"].value
FiveWs.init
... Slices for 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
FiveWs.done[x]
.... 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
FiveWs.done[x]
... recordedDate
REL-11
.participation[typeCode=AUT].time
FiveWs.recorded
... recorder
.participation[typeCode=AUT].role
FiveWs.author
... asserter
REL-7.1 identifier + REL-7.12 type code
.participation[typeCode=INF].role
FiveWs.source
... stage
  • ./inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="stage/grade"]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... summary
< 254291000 |Staging and scales|
PRB-14
.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
Event.reasonCode
< 404684003 |Clinical finding|
[code="diagnosis"].value
FiveWs.why[x]
.... detail
.self
FiveWs.why[x]
... note
Event.note
NTE child of PRB
  • .inboundRelationship[typeCode=SUBJ].source[classCode=OBS
  • moodCode=EVN
  • code="annotation"].value

doco Documentation for this format