US Veterans Health Administration FHIR Map Set Implementation Guide
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US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.9.0 See the Directory of published versions

Resource Profile: ConditionProblem - Mappings

Active as of 2025-09-30

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

NameVeterans Health Information Systems Technology and Architecture (VistA)Clinical Data Warehouse (CDW)Summary Document Architecure (SDA)Virtual Patient Record XML (VPR)Workflow PatternSNOMED CT Concept Domain BindingSNOMED 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|)
... id
... meta
... implicitRules
... text
... contained
... Slices for extension
.... extension:assertedDate
... modifierExtension
... identifier
Event.identifier
.... id
.... extension
.... use
.... type
.... system
fixed value = http://va.gov/identifiers/$Sta3n/9000011
mapParameter line 1
.... value
source value based on PROBLEM - IEN (9000011-.001)
.... period
.... assigner
... clinicalStatus
terminologyMaps using VF_problemStatus on PROBLEM - STATUS (9000011-.12)
Outpat.ProblemList.ActiveFlag
Problem.Extension[ProblemExtension].Status
problem.status
Event.status
< 303105007 |Disease phases|
... verificationStatus
terminologyMaps using VF_problemVerificationStatus on PROBLEM - CONDITION (9000011-1.02)
Outpat.ProblemList.ProblemListCondition
Problem.Extension[ProblemExtension].IsRemoved Problem.Extension[ProblemExtension].IsVerified Problem.Extension[ProblemExtension].Removed
problem.removed problem.unverified
Event.status
< 410514004 |Finding context value|
408729009
... Slices for category
< 404684003 |Clinical finding|
.... category:us-core
fixed value = http://terminology.hl7.org/CodeSystem/condition-category#problem-list-item
< 404684003 |Clinical finding|
.... category:sdoh
< 404684003 |Clinical finding|
... severity
< 272141005 |Severities|
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|
246090004
.... id
.... extension
.... Slices for coding
..... coding:va-icd
source value based on PROBLEM - DIAGNOSIS > ICD DIAGNOSIS (9000011-.01 > 80-)
Outpat.ProblemList.ICDIEN
problem.icd (>80-.01) problem.icdd (>80-68)
...... id
...... extension
...... system
fixed value = urn:see-termmap-in-mapParameter
mapParameter line 1
...... version
...... code
source value based on PROBLEM - DIAGNOSIS > ICD DIAGNOSIS - CODE NUMBER (9000011-.01 > 80-.01)
mapParameter line 2
Outpat.ProblemList.ICDIEN Dim.ICD10.ICD10Code Dim.ICD9.ICD9Code
problem.icd (>80-.01) problem.icdd (>80-68)
...... display
...... userSelected
..... coding:va-sct
...... id
...... extension
...... system
fixed value = http://snomed.info/sct
mapParameter line 1
...... version
...... code
source value based on PROBLEM - SNOMED CT CONCEPT CODE (9000011-80001)
Outpat.ProblemList.SNOMEDCTConceptCode
Problem.Extension[ProblemExtension].Problem
problem.sctc problem.sctt
...... display
...... userSelected
.... text
source value based on PROBLEM - PROVIDER NARRATIVE (9000011-.05)
Outpat.ProblemList.ProviderNarrativeIEN
Problem.Extension[ProblemExtension].ProblemDetails
problem.name (>9999999.27-.01)
... bodySite
< 442083009 |Anatomical or acquired body structure|
363698007
... subject
reference based on PROBLEM - PATIENT NAME > PATIENT/IHS - NAME (9000011-.02 > 9000001-.01)
Outpat.ProblemList.PatientIEN
Event.subject
... encounter
Event.context
... Slices for onset[x]
Event.occurrence[x]
.... onset[x]:onsetDateTime
source value based on PROBLEM - DATE OF ONSET (9000011-.13)
Outpat.ProblemList.OnsetDateTime
Problem.Extension[ProblemExtension].FromTime Problem.Extension[ProblemExtension].OnsetDate
problem.onset
Event.occurrence[x]
... Slices for abatement[x]
.... abatement[x]:abatementDateTime
source value based on PROBLEM - DATE RESOLVED (9000011-1.07)
Outpat.ProblemList.ResolvedDateTime
Problem.Extension[ProblemExtension].ToTime
problem.resolved
... recordedDate
source value based on PROBLEM - DATE ENTERED (9000011-.08)
Outpat.ProblemList.EnteredDateTime
Problem.EnteredOn
problem.entered
... recorder
source value based on PROBLEM - RECORDING PROVIDER (9000011-1.04)
Outpat.ProblemList.RecordingProviderIEN
... asserter
... stage
.... id
.... extension
.... modifierExtension
.... summary
< 254291000 |Staging and scales|
.... assessment
.... type
... evidence
.... id
.... extension
.... modifierExtension
.... code
Event.reasonCode
< 404684003 |Clinical finding|
.... detail
... note
Event.note

doco Documentation for this format