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: DiagnosticReportNoteCytopathologyDiagnosticReport - Mappings

Active as of 2025-09-30

Mappings for the DiagnosticReportNoteCytopathologyDiagnosticReport 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: Diagnostic Report Note: Cytopathology (Source)Use Case: Diagnostic Report Note: Cytopathology (Source)PATIENT (2)63LABORATORY REFERENCELAB DATA (63).01LRDFNORDER (100).01<69.03-12ORDER # < TEST - PCE VISIT #TIU DOCUMENT (8925).01DOCUMENT TYPE2REPORT TEXTCYTOPATHOLOGY (63.09).01DATE/TIME SPECIMEN TAKEN.012SPECIMEN.02PATHOLOGIST/CYTOTECHNOLOGIST.03DATE REPORT COMPLETED.06CYTOPATH ACC #.13RELEASED BY.16TIU REFERENCE DATE/TIME - CY.345RELEASING SITE.35ORDERED TEST1.4CYTOPATHOLOGY DIAGNOSIS2005IMAGEORDERED TEST (63.51).001IEN3CPRS ORDER #10DISPOSITIONTIU REFERENCE DATE/TIME (63.47)1CY - TIU ENTRY POINTER - CYTIU DOCUMENT DEFINITION (8925.1).01NAME1501VHA ENTERPRISE STANDARD TITLETIU VHA ENTERPRISE STANDARD TITLE (8926.1)2CODING SYSTEMCODING SYSTEM (8926.12).02CODECODE (8926.121).01CODEORDERED TEST (63.53)3CPRS ORDER #SPECIMEN (63.902).01SPECIMEN

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1603 for review V2F CYTOPATHOLOGY - ORDERED TEST > ORDERED TEST - IEN (63.09-.35 > 63.51-.001) source value DiagnosticReport.identifier .value .system = http://va.gov/identifiers/$Sta3n/63.51 http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1688 for review V2F CYTOPATHOLOGY - ORDERED TEST > ORDERED TEST - CPRS ORDER # (63.09-.35 > 63.51-3) reference DiagnosticReport.basedOn http://hl7.org/fhir/StructureDefinition/ServiceRequest http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1815 for review V2F CYTOPATHOLOGY - TIU REFERENCE DATE/TIME - CY > TIU REFERENCE DATE/TIME - CY - TIU ENTRY POINTER - CY > TIU DOCUMENT - DOCUMENT TYPE > TIU DOCUMENT DEFINITION - NAME (63.09-.16 > 63.47-1 > 8925-.01 > 8925.1-.01) source value DiagnosticReport.code .text Per KBS discussion, this value should be Local Title + Specimen.type.text. The local title is this map row; Specimen.type.text is key 1695. http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1816 for review V2F fixed value DiagnosticReport.code http://loinc.org#26438-2 "Cytology studies (set)" http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1817 for review V2F CYTOPATHOLOGY - TIU REFERENCE DATE/TIME - CY > TIU REFERENCE DATE/TIME - CY - TIU ENTRY POINTER - CY > TIU DOCUMENT - DOCUMENT TYPE > TIU DOCUMENT DEFINITION - VHA ENTERPRISE STANDARD TITLE > TIU VHA ENTERPRISE STANDARD TITLE - CODING SYSTEM > CODING SYSTEM - CODE > CODE - CODE (63.09-.16 > 63.47-1 > 8925-.01 > 8925.1-1501 > 8926.1-2 > 8926.12-.02 > 8926.121-.01) source value DiagnosticReport.code.coding .code .system=http://loinc.org Made inactive but reactivated; after reviewing discussion with KBST from 4/25/2024 this should be included with the fixed value as it's the "standardized title" in TIU. See LEAF 90. Include if not null and include in addition to the fixed .code value. http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1418 for review V2F CYTOPATHOLOGY - ORDERED TEST > ORDERED TEST - DISPOSITION (63.09-.35 > 63.51-10) terminologyMaps DiagnosticReport.status VF_DiagnosticReportLabStatus US Core 5 has new constraints: if status is partial, preliminary, final, ammended, corrected or appended effective[x] and issued are required http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
2210 for review V2F fixed value DiagnosticReport.category http://loinc.org#LP7839-6 "Pathology" http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
2214 for review V2F PATIENT - LABORATORY REFERENCE > LAB DATA - LRDFN (2-63 > 63-.01) reference DiagnosticReport.subject /Patient http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
2211 for review V2F CYTOPATHOLOGY - ORDERED TEST > ORDERED TEST - CPRS ORDER # > ORDER - ORDER # < TEST - PCE VISIT # (63.09-.35 > 63.53-3>100-.01<69.03-12) reference DiagnosticReport.encounter /EncounterOutpatient http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1426 for review V2F CYTOPATHOLOGY - DATE/TIME SPECIMEN TAKEN (63.09-.01) source value DiagnosticReport.effectiveDateTime http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1431 for review V2F CYTOPATHOLOGY - DATE REPORT COMPLETED (63.09-.03) source value DiagnosticReport.issued http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1436 for review V2F CYTOPATHOLOGY - RELEASED BY (63.09-.13) reference DiagnosticReport.performer[va-by] /Practitioner http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1684 for review V2F CYTOPATHOLOGY - RELEASING SITE (63.09-.345) reference DiagnosticReport.performer[va-at] /Organization http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1694 for review V2F CYTOPATHOLOGY - PATHOLOGIST/CYTOTECHNOLOGIST (63.09-.02) reference DiagnosticReport.resultsInterpreter /Practitioner http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1692 for review V2F CYTOPATHOLOGY - CYTOPATH ACC # (63.09-.06) reference DiagnosticReport.specimen Specimen http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1440 for review V2F CYTOPATHOLOGY - IMAGE (63.09-2005) reference DiagnosticReport.media.link More information about the image may be available if stakeholders identify requirements. http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1448 for review V2F CYTOPATHOLOGY - CYTOPATHOLOGY DIAGNOSIS (63.09-1.4) source value DiagnosticReport.conclusion Vista field is word processing so CodeableConcept cannot be used http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1719 for review V2F CYTOPATHOLOGY - TIU REFERENCE DATE/TIME - CY > TIU REFERENCE DATE/TIME - CY - TIU ENTRY POINTER - CY > TIU DOCUMENT - REPORT TEXT (63.09-.16 > 63.47-1 > 8925-2) source value DiagnosticReport.presentedForm .data HDR may be used to get the report http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 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 Patterndoco
.. DiagnosticReport
Event
... id
... meta
... implicitRules
... text
... contained
... extension
... modifierExtension
... identifier
Event.identifier
.... id
.... extension
.... use
.... type
.... system
fixed value = http://va.gov/identifiers/$Sta3n/63.51
mapParameter line 1
.... value
source value based on CYTOPATHOLOGY - ORDERED TEST > ORDERED TEST - IEN (63.09-.35 > 63.51-.001)
.... period
.... assigner
... basedOn
reference based on CYTOPATHOLOGY - ORDERED TEST > ORDERED TEST - CPRS ORDER # (63.09-.35 > 63.51-3)
Pathology.CytoOrderedTest.CPRSOrderIEN Pathology.CytoOrderedTest.CPRSOrderSID
Event.basedOn
... status
terminologyMaps using VF_DiagnosticReportLabStatus on CYTOPATHOLOGY - ORDERED TEST > ORDERED TEST - DISPOSITION (63.09-.35 > 63.51-10)
US Core 5 has new constraints: if status is partial, preliminary, final, ammended, corrected or appended effective[x] and issued are required
Pathology.CytoOrderedTest.DispositionLabCodeIEN Pathology.CytoOrderedTest.DispositionLabCodeSID
Event.status
... Slices for category
fixed value = http://loinc.org#LP7839-6 "Pathology"
.... category:us-core
... code
fixed value = http://loinc.org#26438-2 "Cytology studies (set)"
Event.code
.... id
.... extension
.... coding
..... id
..... extension
..... system
fixed value = http://loinc.org
mapParameter line 1
..... version
..... code
source value based on CYTOPATHOLOGY - TIU REFERENCE DATE/TIME - CY > TIU REFERENCE DATE/TIME - CY - TIU ENTRY POINTER - CY > TIU DOCUMENT - DOCUMENT TYPE > TIU DOCUMENT DEFINITION - VHA ENTERPRISE STANDARD TITLE > TIU VHA ENTERPRISE STANDARD TITLE - CODING SYSTEM > CODING SYSTEM - CODE > CODE - CODE (63.09-.16 > 63.47-1 > 8925-.01 > 8925.1-1501 > 8926.1-2 > 8926.12-.02 > 8926.121-.01)
Made inactive but reactivated; after reviewing discussion with KBST from 4/25/2024 this should be included with the fixed value as it's the "standardized title" in TIU. See LEAF 90. Include if not null and include in addition to the fixed .code value.
..... display
..... userSelected
.... text
source value based on CYTOPATHOLOGY - TIU REFERENCE DATE/TIME - CY > TIU REFERENCE DATE/TIME - CY - TIU ENTRY POINTER - CY > TIU DOCUMENT - DOCUMENT TYPE > TIU DOCUMENT DEFINITION - NAME (63.09-.16 > 63.47-1 > 8925-.01 > 8925.1-.01)
Per KBS discussion, this value should be Local Title + Specimen.type.text. The local title is this map row; Specimen.type.text is key 1695.
... subject
reference based on PATIENT - LABORATORY REFERENCE > LAB DATA - LRDFN (2-63 > 63-.01)
Micro.AntibioticSensitivity.LRDFN Micro.AntibioticSensitivityComment.LRDFN Micro.BacteriologyReports.LRDFN Micro.MicroAntibioticLevel.LRDFN Micro.MicroAudit.LRDFN Micro.Microbiology.LRDFN Micro.MicroOrderedTest.LRDFN Micro.MicroSterilityResults.LRDFN Micro.MycobacteriologyReports.LRDFN Micro.Mycology.LRDFN Micro.MycologyReports.LRDFN Micro.Parasitology.LRDFN Micro.ParasitologyReports.LRDFN Micro.ParasitologyStage.LRDFN Micro.Virology.LRDFN Micro.VirologyReports.LRDFN Pathology.Autopsy.LRDFN Pathology.CytoOrganTissueFunction.StaffIEN SStaff.SMicroOrderedTest.LRDFN
Patient.Extension[PatientExtension].VeteranLrdfn
Event.subject
... encounter
reference based on CYTOPATHOLOGY - ORDERED TEST > ORDERED TEST - CPRS ORDER # > ORDER - ORDER # < TEST - PCE VISIT # (63.09-.35 > 63.53-3>100-.01<69.03-12)
Event.encounter
... Slices for effective[x]
Event.occurrence[x]
.... effective[x]:effectiveDateTime
source value based on CYTOPATHOLOGY - DATE/TIME SPECIMEN TAKEN (63.09-.01)
Pathology.CytoDelayedReportComment.SpecimenTakenDateTime Pathology.CytoDiagnosis.SpecimenTakenDateTime Pathology.CytoGrossDescription.SpecimenTakenDateTime Pathology.CytoMicroscopicExam.SpecimenTakenDateTime Pathology.CytoOpFinding.SpecimenTakenDateTime Pathology.CytoOrderedTest.SpecimenTakenDateTime Pathology.CytoOrganTissueDisease.SpecimenTakenDateTime Pathology.CytoOrganTissueEtiology.SpecimenTakenDateTime Pathology.CytoOrganTissueFunction.SpecimenTakenDateTime Pathology.CytoOrganTissueMorphology.SpecimenTakenDateTime Pathology.CytoOrganTissueProcedure.SpecimenTakenDateTime Pathology.Cytopathology.SpecimenTakenDateTime Pathology.CytoPostOpDiagnosis.SpecimenTakenDateTime Pathology.CytoPreOpDiagnosis.SpecimenTakenDateTime Pathology.CytoReportComment.SpecimenTakenDateTime Pathology.CytoSpecimen.SpecimenTakenDateTime Pathology.CytoStainBlock.SpecimenTakenDateTime Pathology.CytoStainCytospin.SpecimenTakenDateTime Pathology.CytoStainMembrane.SpecimenTakenDateTime Pathology.CytoStainProcedure.SpecimenTakenDateTime Pathology.CytoStainSlide.SpecimenTakenDateTime Pathology.CytoSupplement.SpecimenTakenDateTime Pathology.CytoSupplementDescript.SpecimenTakenDateTime Pathology.CytoTIUReference.SpecimenTakenDateTime
document.encounter document.referenceDateTime
Event.occurrence[x]
... issued
source value based on CYTOPATHOLOGY - DATE REPORT COMPLETED (63.09-.03)
Pathology.Cytopathology.ReportCompletedDateTime
Documents.ToTime
... Slices for performer
Event.performer.actor
.... performer:va-by
reference based on CYTOPATHOLOGY - RELEASED BY (63.09-.13)
Pathology.Cytopathology.ReleasedByStaffIEN Pathology.Cytopathology.ReleasedByStaffSID
Documents.Extension[DocumentExtension].CareProviders
document.clinician [m]
Event.performer.actor
.... performer:va-at
reference based on CYTOPATHOLOGY - RELEASING SITE (63.09-.345)
Pathology.Cytopathology.ReleasingInstitutionIEN Pathology.Cytopathology.ReleasingInstitutionSID
Event.performer.actor
... resultsInterpreter
reference based on CYTOPATHOLOGY - PATHOLOGIST/CYTOTECHNOLOGIST (63.09-.02)
Pathology.Cytopathology.PathologistStaffIEN Pathology.Cytopathology.PathologistStaffSID
Documents.Clinician Documents.EnteredBy
document.clinician [m] (>200-.01) document.clinician [m] (>200-20.2) document.clinician [m] (>200-8932.1)
Event.performer.actor
... specimen
reference based on CYTOPATHOLOGY - CYTOPATH ACC # (63.09-.06)
Pathology.Cytopathology.CytopathAccessionNumber
... result
... imagingStudy
... media
.... id
.... extension
.... modifierExtension
.... comment
.... link
reference based on CYTOPATHOLOGY - IMAGE (63.09-2005)
More information about the image may be available if stakeholders identify requirements.
... conclusion
source value based on CYTOPATHOLOGY - CYTOPATHOLOGY DIAGNOSIS (63.09-1.4)
Vista field is word processing so CodeableConcept cannot be used
... conclusionCode
... presentedForm
.... id
.... extension
.... contentType
.... language
.... data
source value based on CYTOPATHOLOGY - TIU REFERENCE DATE/TIME - CY > TIU REFERENCE DATE/TIME - CY - TIU ENTRY POINTER - CY > TIU DOCUMENT - REPORT TEXT (63.09-.16 > 63.47-1 > 8925-2)
HDR may be used to get the report
.... url
.... size
.... hash
.... title
.... creation

doco Documentation for this format