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

• Content
• Detailed Descriptions
• Mappings
• JSON
• History

Resource Profile: ConditionProblem - Mappings

Active as of 2025-03-31

Mappings for the ConditionProblem resource profile.

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

ConditionProblem
Condition
identifier
system	345-1: fixed value = http://va.gov/identifiers/$Sta3n/9000011	generated from mapParameter line 1
value	345: source value based on PROBLEM - IEN (9000011-.001)
clinicalStatus	349: fixed value = #resolved when PROBLEM - DATE RESOLVED (9000011-1.07) if Not Null, 605: terminologyMaps using VF_problemStatus on PROBLEM - STATUS (9000011-.12)	dependency on 605? ,
verificationStatus	611: terminologyMaps using VF_problemVerificationStatus on PROBLEM - CONDITION (9000011-1.02)
category (us-core)	1607: fixed value = http://terminology.hl7.org/CodeSystem/condition-category#problem-list-item
code
coding
system	366-1: fixed value = http://snomed.info/sct	generated from mapParameter line 1
code	366: source value based on PROBLEM - SNOMED CT CONCEPT CODE (9000011-80001)
coding (va-icd)	365: source value based on PROBLEM - DIAGNOSIS > ICD DIAGNOSIS (9000011-.01 > 80-)
system	365-1: fixed value = urn:see-termmap-in-mapParameter	generated from mapParameter line 1
code	365-2: source value based on PROBLEM - DIAGNOSIS > ICD DIAGNOSIS - CODE NUMBER (9000011-.01 > 80-.01)	generated from mapParameter line 2
text	957: source value based on PROBLEM - PROVIDER NARRATIVE (9000011-.05)
subject	367: reference based on PROBLEM - PATIENT NAME > PATIENT/IHS - NAME (9000011-.02 > 9000001-.01)
onset[x] (onsetDateTime)	369: source value based on PROBLEM - DATE OF ONSET (9000011-.13)
abatement[x] (abatementDateTime)	1761: source value based on PROBLEM - DATE RESOLVED (9000011-1.07)
recordedDate	371: source value based on PROBLEM - DATE ENTERED (9000011-.08)
recorder	373: source value based on PROBLEM - RECORDING PROVIDER (9000011-1.04)

Mappings for Clinical Data Warehouse (CDW) ()

ConditionProblem
Condition
clinicalStatus	Outpat.ProblemList.ResolvedDateTime, Outpat.ProblemList.ActiveFlag
verificationStatus	Outpat.ProblemList.ProblemListCondition
code
coding
code	Outpat.ProblemList.SNOMEDCTConceptCode
coding (va-icd)	Outpat.ProblemList.ICDIEN
code	Outpat.ProblemList.ICDIEN Dim.ICD10.ICD10Code,Dim.ICD9.ICD9Code
text	Outpat.ProblemList.ProviderNarrativeIEN
subject	Outpat.ProblemList.PatientIEN
onset[x] (onsetDateTime)	Outpat.ProblemList.OnsetDateTime
abatement[x] (abatementDateTime)	Outpat.ProblemList.ResolvedDateTime
recordedDate	Outpat.ProblemList.EnteredDateTime
recorder	Outpat.ProblemList.RecordingProviderIEN

Mappings for Summary Document Architecure (SDA) ()

ConditionProblem
Condition
clinicalStatus	Problem.Extension[ProblemExtension].ToTime, Problem.Extension[ProblemExtension].Status
verificationStatus	Problem.Extension[ProblemExtension].IsRemoved,Problem.Extension[ProblemExtension].IsVerified,Problem.Extension[ProblemExtension].Removed
code
coding
code	Problem.Extension[ProblemExtension].Problem
text	Problem.Extension[ProblemExtension].ProblemDetails
onset[x] (onsetDateTime)	Problem.Extension[ProblemExtension].FromTime,Problem.Extension[ProblemExtension].OnsetDate
abatement[x] (abatementDateTime)	Problem.Extension[ProblemExtension].ToTime
recordedDate	Problem.EnteredOn

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

ConditionProblem
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)

ConditionProblem
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|
category (sdoh)	< 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)

ConditionProblem
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
category (sdoh)	'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
coding (va-icd)	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)

ConditionProblem
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
category (sdoh)	.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
coding (va-icd)	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)

ConditionProblem
Condition
identifier	FiveWs.identifier
clinicalStatus	FiveWs.status
verificationStatus	FiveWs.status
category	FiveWs.class
category (us-core)	FiveWs.class
category (sdoh)	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)

ConditionProblem
Condition
verificationStatus	408729009
severity	246112005
code	246090004
bodySite	363698007