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

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Resource Profile: DiagnosticReportNoteElectronMicroscopyDiagnosticReport - Mappings

Active as of 2025-06-20

Mappings for the DiagnosticReportNoteElectronMicroscopyDiagnosticReport 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: Electron Microscopy (Source)Use Case: Diagnostic Report Note: Electron Microscopy (Source)PATIENT (2)63LABORATORY REFERENCELAB DATA (63).01LRDFNORDER (100).01<69.03-12ORDER # < TEST - PCE VISIT #TIU DOCUMENT (8925).01DOCUMENT TYPE2REPORT TEXTEM (63.02).01DATE/TIME SPECIMEN TAKEN.012SPECIMEN.02PATHOLOGIST.03DATE REPORT COMPLETED.06EM ACC #.13RELEASED BY.16TIU REFERENCE DATE/TIME - EM.345RELEASING SITE.35ORDERED TEST1.4EM DIAGNOSIS2005IMAGEORDERED TEST (63.52).001IEN3CPRS ORDER #10DISPOSITIONTIU REFERENCE DATE/TIME (63.49)1EM - TIU ENTRY POINTER - EMTIU 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 (63.202).01SPECIMEN

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1604 for review V2F EM - ORDERED TEST > ORDERED TEST - IEN (63.02-.35 > 63.52-.001) source value DiagnosticReport.identifier .value .system = http://va.gov/identifiers/$Sta3n/63.52 http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1689 for review V2F EM - ORDERED TEST > ORDERED TEST - CPRS ORDER # (63.02-.35 > 63.52-3) reference DiagnosticReport.basedOn http://hl7.org/fhir/StructureDefinition/ServiceRequest http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1812 for review V2F EM - TIU REFERENCE DATE/TIME - EM > TIU REFERENCE DATE/TIME - EM - TIU ENTRY POINTER - EM > TIU DOCUMENT - DOCUMENT TYPE > TIU DOCUMENT DEFINITION - NAME (63.02-.16 > 63.49-1 > 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 1699. http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1813 for review V2F fixed value DiagnosticReport.code http://loinc.org#50668-3 "Microscopic observation in Specimen by Electron microscopy Narrative" http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1814 for review V2F EM - TIU REFERENCE DATE/TIME - EM > TIU REFERENCE DATE/TIME - EM - TIU ENTRY POINTER - EM > TIU DOCUMENT - DOCUMENT TYPE > TIU DOCUMENT DEFINITION - VHA ENTERPRISE STANDARD TITLE > TIU VHA ENTERPRISE STANDARD TITLE - CODING SYSTEM > CODING SYSTEM - CODE > CODE - CODE (63.02-.16 > 63.49-1 > 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
1414 for review V2F EM - ORDERED TEST > ORDERED TEST - DISPOSITION (63.02-.35 > 63.52-10) 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
2208 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
2213 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
2209 for review V2F EM - ORDERED TEST > ORDERED TEST - CPRS ORDER # > ORDER - ORDER # < TEST - PCE VISIT # (63.02-.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
1422 for review V2F EM - DATE/TIME SPECIMEN TAKEN (63.02-.01) source value DiagnosticReport.effectiveDateTime http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1427 for review V2F EM - DATE REPORT COMPLETED (63.02-.03) source value DiagnosticReport.issued http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1432 for review V2F EM - RELEASED BY (63.02-.13) reference DiagnosticReport.performer[va-by] /Practitioner http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1685 for review V2F EM - RELEASING SITE (63.02-.345) reference DiagnosticReport.performer[va-at] /Organization http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1696 for review V2F EM - PATHOLOGIST (63.02-.02) reference DiagnosticReport.resultsInterpreter /Practitioner http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1697 for review V2F EM - EM ACC # (63.02-.06) reference DiagnosticReport.specimen Specimen http://hl7.org/fhir/us/core/StructureDefinition/us-core-diagnosticreport-note | 5.0.1
1438 for review V2F EM - IMAGE (63.02-2005) 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
1441 for review V2F EM - EM DIAGNOSIS (63.02-1.4) 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
1720 for review V2F EM - TIU REFERENCE DATE/TIME - EM > TIU REFERENCE DATE/TIME - EM - TIU ENTRY POINTER - EM > TIU DOCUMENT - REPORT TEXT (63.02-.16 > 63.49-1 > 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

NameWorkflow PatternHL7 v2 MappingRIM MappingFiveWs Pattern Mappingdoco
.. DiagnosticReport
Event
ORU -> OBR
  • Observation[classCode=OBS
  • moodCode=EVN]
... id
... meta
... implicitRules
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Event.identifier
  • OBR-51/ for globally unique filler ID - OBR-3
  • For non-globally unique filler-id the flller/placer number must be combined with the universal service Id - OBR-2(if present)+OBR-3+OBR-4
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
... basedOn
Event.basedOn
ORC? OBR-2/3?
outboundRelationship[typeCode=FLFS].target
... status
Event.status
1 mapping)
final and amended are distinguished by whether observation is the subject of a ControlAct event of type "revise"
FiveWs.status
... Slices for category
OBR-24
  • inboundRelationship[typeCode=COMP].source[classCode=LIST
  • moodCode=EVN
  • code < LabService].code
FiveWs.class
.... category:us-core
OBR-24
  • inboundRelationship[typeCode=COMP].source[classCode=LIST
  • moodCode=EVN
  • code < LabService].code
FiveWs.class
... code
Event.code
OBR-4 (HL7 v2 doesn't provide an easy way to indicate both the ordered test and the performed panel)
code
FiveWs.what[x]
.... 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
... subject
Event.subject
PID-3 (no HL7 v2 mapping for Group or Device)
participation[typeCode=SBJ]
FiveWs.subject
... encounter
Event.encounter
PV1-19
  • inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN]
FiveWs.context
... Slices for effective[x]
Event.occurrence[x]
OBR-7
effectiveTime
FiveWs.done[x]
.... effective[x]:effectiveDateTime
Event.occurrence[x]
OBR-7
effectiveTime
FiveWs.done[x]
... issued
OBR-22
participation[typeCode=VRF or AUT].time
FiveWs.recorded
... Slices for performer
Event.performer.actor
PRT-8 (where this PRT-4-Participation = "PO")
.participation[typeCode=PRF]
FiveWs.actor
.... performer:va-by
Event.performer.actor
PRT-8 (where this PRT-4-Participation = "PO")
.participation[typeCode=PRF]
FiveWs.actor
.... performer:va-at
Event.performer.actor
PRT-8 (where this PRT-4-Participation = "PO")
.participation[typeCode=PRF]
FiveWs.actor
... resultsInterpreter
Event.performer.actor
  • OBR-32
  • PRT-8 (where this PRT-4-Participation = "PI")
.participation[typeCode=PRF]
FiveWs.actor
... specimen
SPM
participation[typeCode=SBJ]
... result
OBXs
outboundRelationship[typeCode=COMP].target
... imagingStudy
  • outboundRelationship[typeCode=COMP].target[classsCode=DGIMG
  • moodCode=EVN]
... media
OBX?
outboundRelationship[typeCode=COMP].target
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... comment
  • .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • moodCode=EVN
  • code="annotation"].value
.... link
.value.reference
... conclusion
OBX
  • inboundRelationship[typeCode="SPRT"].source[classCode=OBS
  • moodCode=EVN
  • 48767-8].value (type=ST)
... conclusionCode
OBX
  • inboundRelationship[typeCode=SPRT].source[classCode=OBS
  • moodCode=EVN
  • 54531-9].value (type=CD)
... presentedForm
OBX
text (type=ED)
.... id
n/a
.... extension
n/a
.... contentType
ED.2+ED.3/RP.2+RP.3. Note conversion may be needed if old style values are being used
  • ./mediaType
  • ./charset
.... language
./language
.... data
ED.5
./data
.... url
RP.1+RP.2 - if they refer to a URL (see v2.6)
./reference/literal
.... size
N/A (needs data type R3 proposal)
.... hash
:ED/integrityCheckAlgorithm="SHA-1"]
.... title
./title/data
.... creation
N/A (needs data type R3 proposal)

doco Documentation for this format