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: DiagnosticReportNoteElectronMicroscopyDiagnosticReport - Mappings

Active as of 2025-09-30

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

NameVeterans Health Information Systems Technology and Architecture (VistA)Clinical Data Warehouse (CDW)Summary Document Architecure (SDA)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/63.52
mapParameter line 1
.... value
source value based on EM - ORDERED TEST > ORDERED TEST - IEN (63.02-.35 > 63.52-.001)
.... period
.... assigner
... basedOn
reference based on EM - ORDERED TEST > ORDERED TEST - CPRS ORDER # (63.02-.35 > 63.52-3)
Pathology.EMOrderedTest.CPRSOrderIEN Pathology.EMOrderedTest.CPRSOrderSID
Event.basedOn
... status
terminologyMaps using VF_DiagnosticReportLabStatus on EM - ORDERED TEST > ORDERED TEST - DISPOSITION (63.02-.35 > 63.52-10)
US Core 5 has new constraints: if status is partial, preliminary, final, ammended, corrected or appended effective[x] and issued are required
Pathology.EMOrderedTest.DispositionLabCodeIEN Pathology.EMOrderedTest.DispositionLabCodeSID
Event.status
... Slices for category
fixed value = http://loinc.org#LP7839-6 "Pathology"
.... category:us-core
... code
fixed value = http://loinc.org#50668-3 "Microscopic observation in Specimen by Electron microscopy Narrative"
Event.code
.... id
.... extension
.... coding
..... id
..... extension
..... system
fixed value = http://loinc.org
mapParameter line 1
..... version
..... code
source value based on 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)
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 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)
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.
... 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 EM - ORDERED TEST > ORDERED TEST - CPRS ORDER # > ORDER - ORDER # < TEST - PCE VISIT # (63.02-.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 EM - DATE/TIME SPECIMEN TAKEN (63.02-.01)
Pathology.ElectronMicroscopy.SpecimenTakenDateTime Pathology.EMComment.SpecimenTakenDateTime Pathology.EMDelayedComment.SpecimenTakenDateTime Pathology.EMDiagnosis.SpecimenTakenDateTime Pathology.EMGrossDescription.SpecimenTakenDateTime Pathology.EMMicroscopicExam.SpecimenTakenDateTime Pathology.EMOperativeFinding.SpecimenTakenDateTime Pathology.EMOrderedTest.SpecimenTakenDateTime Pathology.EMOrganTissueDisease.SpecimenTakenDateTime Pathology.EMOrganTissueEtiology.SpecimenTakenDateTime Pathology.EMOrganTissueFunction.SpecimenTakenDateTime Pathology.EMOrganTissueMorphology.SpecimenTakenDateTime Pathology.EMOrganTissueProcedure.SpecimenTakenDateTime Pathology.EMPostOpDiagnosis.SpecimenTakenDateTime Pathology.EMPreOpDiagnosis.SpecimenTakenDateTime Pathology.EMSpecimen.SpecimenTakenDateTime Pathology.EMSpecimenEPON.SpecimenTakenDateTime Pathology.EMSpecimenEPONProcedure.SpecimenTakenDateTime Pathology.EMSupplement.SpecimenTakenDateTime Pathology.EMSupplementDescript.SpecimenTakenDateTime Pathology.EMTIUReference.SpecimenTakenDateTime
Event.occurrence[x]
... issued
source value based on EM - DATE REPORT COMPLETED (63.02-.03)
Pathology.ElectronMicroscopy.ReportCompleteDateTime
... Slices for performer
Event.performer.actor
.... performer:va-by
reference based on EM - RELEASED BY (63.02-.13)
Pathology.ElectronMicroscopy.ReleasedByStaffIEN Pathology.ElectronMicroscopy.ReleasedByStaffSID
Event.performer.actor
.... performer:va-at
reference based on EM - RELEASING SITE (63.02-.345)
Pathology.ElectronMicroscopy.ReleasingInstitutionIEN Pathology.ElectronMicroscopy.ReleasingInstitutionSID
Event.performer.actor
... resultsInterpreter
reference based on EM - PATHOLOGIST (63.02-.02)
Pathology.ElectronMicroscopy.PathologistStaffIEN Pathology.ElectronMicroscopy.PathologistStaffSID
Event.performer.actor
... specimen
reference based on EM - EM ACC # (63.02-.06)
Pathology.ElectronMicroscopy.ElectronMicroscopyAccession
... result
... imagingStudy
... media
.... id
.... extension
.... modifierExtension
.... comment
.... link
reference based on EM - IMAGE (63.02-2005)
More information about the image may be available if stakeholders identify requirements.
... conclusion
source value based on EM - EM DIAGNOSIS (63.02-1.4)
Vista field is word processing so CodeableConcept cannot be used
... conclusionCode
... presentedForm
.... id
.... extension
.... contentType
.... language
.... data
source value based on 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)
HDR may be used to get the report
.... url
.... size
.... hash
.... title
.... creation

doco Documentation for this format