US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701 United States of America flag

Publication Build: This will be filled in by the publication tooling

Resource Profile: ConditionProblem - Mappings

Active as of 2025-06-20

Mappings for the ConditionProblem 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: Problem (Source)Use Case: Condition: Problem (Source)ICD DIAGNOSIS (80).01CODE NUMBERPATIENT/IHS (9000001).01NAMEPROBLEM (9000011).001IEN.01DIAGNOSIS.02PATIENT NAME.05PROVIDER NARRATIVE.08DATE ENTERED.12STATUS.13DATE OF ONSET1.02CONDITION1.04RECORDING PROVIDER1.07DATE RESOLVED80001SNOMED CT CONCEPT CODE

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1607 team-approved V2F fixed value Condition.category[us-core] http://terminology.hl7.org/CodeSystem/condition-category#problem-list-item http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
345 team-approved V2F PROBLEM - IEN (9000011-.001) source value Condition.identifier .value .system = http://va.gov/identifiers/$Sta3n/9000011 http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
349 team-approved V2F PROBLEM - DATE RESOLVED (9000011-1.07) fixed value Not Null Condition.clinicalStatus #resolved dependency on 605? http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
365 team-approved V2F PROBLEM - DIAGNOSIS > ICD DIAGNOSIS (9000011-.01 > 80-) source value Condition.code.coding[va-icd] .system=termmap(VF_ICDCodingSystems,{CODING SYSTEM(1.1)})
.code = {CODE NUMBER(.01)}
http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
366 team-approved V2F PROBLEM - SNOMED CT CONCEPT CODE (9000011-80001) source value Condition.code.coding[va-sct] .code .system = http://snomed.info/sct http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
957 team-approved V2F PROBLEM - PROVIDER NARRATIVE (9000011-.05) source value Condition.code .text http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
367 team-approved V2F PROBLEM - PATIENT NAME > PATIENT/IHS - NAME (9000011-.02 > 9000001-.01) reference Condition.subject /Patient http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
369 team-approved V2F PROBLEM - DATE OF ONSET (9000011-.13) source value Condition.onsetDateTime http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
371 team-approved V2F PROBLEM - DATE ENTERED (9000011-.08) source value Condition.recordedDate http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
373 team-approved V2F PROBLEM - RECORDING PROVIDER (9000011-1.04) source value Condition.recorder http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
605 team-approved V2F PROBLEM - STATUS (9000011-.12) terminologyMaps Condition.clinicalStatus VF_problemStatus http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
611 team-approved V2F PROBLEM - CONDITION (9000011-1.02) terminologyMaps Condition.verificationStatus VF_problemVerificationStatus http://hl7.org/fhir/us/core/StructureDefinition/us-core-condition-problems-health-concerns | 5.0.1
1761 for review V2F PROBLEM - DATE RESOLVED (9000011-1.07) source value Condition.abatementDateTime 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
.... category:sdoh
< 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
.... Slices for coding
  • C*E.1-8
  • C*E.10-22
  • union(.
  • ./translation)
..... coding:va-icd
  • 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
..... coding:va-sct
  • 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