US Veterans Health Administration FHIR Map Set Implementation Guide
1.8.0 - 250901
US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.8.0 See the Directory of published versions
Active as of 2025-09-02 |
Mappings for the EncounterInpatientEncounter 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.
key | status | direction | source | mapApproach | mapCase | FHIR Path | subPath | mapValue | mapParameter | mapComment | FHIR URL | Ver |
---|---|---|---|---|---|---|---|---|---|---|---|
427 | team-approved | V2F | PTF - NUMBER (45-.001) | source value | Encounter.identifier[va-IEN] | .value | .system= http://va.gov/identifiers/$Sta3n/45 .type.text = "IEN" |
removed use=IFN typo and split of class to new mapset row | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||
1601 | for review | V2F | fixed value | Encounter.class | http://terminology.hl7.org/CodeSystem/v3-ActCode#IMP | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||||
428 | team-approved | V2F | PTF - INTERNAL ADMISSION # (45-2.1) | source value | Encounter.identifier[va-IA] | .value | .system=http://va.gov/identifiers/$Sta3n/45-2.1 .type.text = "Internal Admission #" |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
433 | team-approved | V2F | PTF - ADMISSION DATE (45-2) | fixed value | null or > now | Encounter.status | #planned | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
434 | team-approved | V2F | PTF - ADMISSION DATE (45-2) | fixed value | not null, < now, field 70 null | Encounter.status | #in-progress | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
435 | team-approved | V2F | PTF - DISCHARGE DATE (45-70) | fixed value | not null | Encounter.status | #finished | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
441 | team-approved | V2F | PTF - PATIENT (45-.01) | reference | Encounter.subject | /Patient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||||
442 | team-approved | V2F | PTF - PROVIDER (45-79.1) | reference | Encounter.participant | .individual | /Practitioner | .type.coding = http://terminology.hl7.org/CodeSystem/v3-ParticipationType#PPRF | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||
445 | team-approved | V2F | PTF - ADMISSION DATE (45-2) | source value | Encounter.period | .start | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||||
446 | team-approved | V2F | PTF - DISCHARGE DATE (45-70) | source value | Encounter.period | .end | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||||
448 | team-approved | V2F | PTF - PRINCIPAL DIAGNOSIS (45-79) | source value | Encounter.reasonCode[va-principle].coding | .code | .system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)}) | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
1723 | for review | V2F | reference | Encounter.diagnosis | .condition | Condition | .rank=1 | This points to the Condition identified at #956 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||
449 | team-approved | V2F | PTF - SECONDARY DIAGNOSIS 1-24 > ICD DIAGNOSIS - CODE NUMBER (45-79.* > 80-.01) | source value | Encounter.reasonCode[va-secondary].coding | .code | .system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)}) | *) 79.16-79.19,79.201,79.21-79.24,79.241-79.249,79.2491,79.24911-79.24915 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||
450 | team-approved | V2F | PTF - PROCEDURE 1-5 > ICD OPERATION/PROCEDURE - CODE NUMBER (45-45.01+to+45.05 > 80.1-.01) | source value | Encounter.reasonCode[va-procedure].coding | .code | .system=http://www.cms.gov/Medicare/Coding/ICD10 | 45.01-45.05 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||
453 | team-approved | V2F | PTF - SOURCE OF ADMISSION > SOURCE OF ADMISSION - PTF CODE (45-20 > 45.1-.01) | source value | Encounter.hospitalization.admitSource.coding | .code | .system = http://va.gov/terminology/vistaDefinedTerms/45.1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
955 | team-approved | V2F | PTF - SOURCE OF ADMISSION > SOURCE OF ADMISSION - PTF CODE (45-20 > 45.1-.01) | terminologyMaps | Encounter.hospitalization.admitSource.coding | VF_SourceOfAdmission | preferred binding | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
454 | team-approved | V2F | PTF - TRANSFERRING FACILITY (45-21.1) | source value | Encounter.hospitalization.origin | .display | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||||
455 | team-approved | V2F | PTF - RECEIVING FACILITY (45-76.1) | source value | Encounter.hospitalization.destination | .display | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||||
456 | team-approved | V2F | PTF - PLACE OF DISPOSITION (45-75) | source value | Encounter.hospitalization.dischargeDisposition.coding | .code | .system = http://va.gov/terminology/vistaDefinedTerms/45.6 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
460 | team-approved | V2F | PTF - WARD AT DISCHARGE > WARD LOCATION - HOSPITAL LOCATION FILE POINTER (45-2.2 > 42-44) | reference | Encounter.location[va-ward].location | /Location | computed 45-2.2 is in CDW ; DIM WardLocation.SID 104.302 indirect pointer | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
461 | team-approved | V2F | PTF - FACILITY (45-3) | reference | Encounter.location[va-facility].location | /Location | This is the Sta3n | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | |||
1600 | for review | V2F | PTF - FACILITY (45-3) | reference | Encounter.serviceProvider | /Organization | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||||
1616 | for review | V2F | INPATIENT CPT CODE - CPT CODE > CPT (46-.01 > 81-) | source value | Encounter.type | .coding.system=http://www.ama-assn.org/go/cpt .coding.code = {CPT CODE (.01)} .coding.display = {SHORT NAME (2)} .text = {SHORT NAME (2)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 | ||||
1800 | for review | V2F | target not supported | Encounter.participant.period | http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter | 5.0.1 |
No Mappings Found
No Mappings Found
Name | Workflow Pattern | RIM Mapping | FiveWs Pattern Mapping | HL7 v2 Mapping![]() |
---|---|---|---|---|
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Event |
Encounter[@moodCode='EVN'] |
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Act.text? |
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N/A |
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N/A |
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N/A |
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Event.identifier |
.id |
FiveWs.identifier |
PV1-19 |
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n/a |
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n/a |
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Role.code or implied by context |
N/A | ||
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Role.code or implied by context |
CX.5 | ||
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II.root or Role.id.root |
CX.4 / EI-2-4 | ||
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
CX.1 / EI.1 | ||
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Role.effectiveTime or implied by context |
CX.7 + CX.8 | ||
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II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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Event.identifier |
.id |
FiveWs.identifier |
PV1-19 |
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n/a |
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n/a |
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Role.code or implied by context |
N/A | ||
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Role.code or implied by context |
CX.5 | ||
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n/a |
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n/a |
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|
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | ||
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II.root or Role.id.root |
CX.4 / EI-2-4 | ||
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
CX.1 / EI.1 | ||
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Role.effectiveTime or implied by context |
CX.7 + CX.8 | ||
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II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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Event.identifier |
.id |
FiveWs.identifier |
PV1-19 |
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n/a |
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n/a |
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Role.code or implied by context |
N/A | ||
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Role.code or implied by context |
CX.5 | ||
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n/a |
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n/a |
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|
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | ||
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II.root or Role.id.root |
CX.4 / EI-2-4 | ||
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
CX.1 / EI.1 | ||
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Role.effectiveTime or implied by context |
CX.7 + CX.8 | ||
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II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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Event.status |
.statusCode |
FiveWs.status |
|
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n/a |
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n/a |
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n/a |
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N/A |
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n/a |
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n/a |
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.inboundRelationship[typeCode=SUBJ].source[classCode=LIST].code |
FiveWs.class |
PV1-2 | |
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n/a |
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n/a |
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n/a |
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N/A |
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n/a |
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n/a |
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Event.code |
.code |
FiveWs.class |
PV1-4 / PV1-18 |
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n/a |
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n/a |
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|
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n/a |
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n/a |
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./codeSystem |
C*E.3 | ||
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./codeSystemVersion |
C*E.7 | ||
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./code |
C*E.1 | ||
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CV.displayName |
C*E.2 - but note this is not well followed | ||
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CD.codingRationale |
Sometimes implied by being first | ||
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | ||
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Event.code |
n/a |
PV1-10 | |
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.priorityCode |
FiveWs.grade |
PV2-25 | |
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Event.subject |
.participation[typeCode=SBJ]/role[classCode=PAT] |
FiveWs.subject |
PID-3 |
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Event.context |
n/a |
FiveWs.context |
|
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Event.basedOn |
.reason.ClinicalDocument |
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Event.performer |
.participation[typeCode=PFM] |
ROL | |
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n/a |
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n/a |
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N/A |
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Event.performer.function |
.functionCode |
ROL-3 (or maybe PRT-4) | |
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n/a |
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n/a |
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|
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | ||
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.time |
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Event.performer.actor |
.role |
FiveWs.who |
ROL-4 |
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Event.basedOn |
|
SCH-1 / SCH-2 | |
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Event.occurrence[x] |
.effectiveTime (low & high) |
FiveWs.done[x] |
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n/a |
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n/a |
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./low |
DR.1 | ||
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./high |
DR.2 | ||
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Event.occurrence[x] |
.lengthOfStayQuantity |
(PV1-45 less PV1-44) iff ( (PV1-44 not empty) and (PV1-45 not empty) ); units in minutes | |
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Event.reasonCode |
.reasonCode |
FiveWs.why[x] |
PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations ) |
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Event.reasonCode |
.reasonCode |
FiveWs.why[x] |
PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations ) |
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n/a |
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n/a |
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n/a |
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n/a |
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./codeSystem |
C*E.3 | ||
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./codeSystemVersion |
C*E.7 | ||
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./code |
C*E.1 | ||
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CV.displayName |
C*E.2 - but note this is not well followed | ||
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CD.codingRationale |
Sometimes implied by being first | ||
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | ||
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Event.reasonCode |
.reasonCode |
FiveWs.why[x] |
PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations ) |
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n/a |
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n/a |
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n/a |
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n/a |
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./codeSystem |
C*E.3 | ||
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./codeSystemVersion |
C*E.7 | ||
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./code |
C*E.1 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
CV.displayName |
C*E.2 - but note this is not well followed | ||
![]() ![]() ![]() ![]() ![]() ![]() |
CD.codingRationale |
Sometimes implied by being first | ||
![]() ![]() ![]() ![]() ![]() |
./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | ||
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Event.reasonCode |
.reasonCode |
FiveWs.why[x] |
PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations ) |
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n/a |
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n/a |
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n/a |
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n/a |
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./codeSystem |
C*E.3 | ||
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./codeSystemVersion |
C*E.7 | ||
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./code |
C*E.1 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
CV.displayName |
C*E.2 - but note this is not well followed | ||
![]() ![]() ![]() ![]() ![]() ![]() |
CD.codingRationale |
Sometimes implied by being first | ||
![]() ![]() ![]() ![]() ![]() |
./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | ||
![]() ![]() ![]() |
Event.reasonCode |
.reasonCode |
FiveWs.why[x] |
PV2-3 is nominally constrained to inpatient admissions; HL7 v2 makes no vocabulary suggestions for PV2-3; would not expect PV2 segment or PV2-3 to be in use in all implementations ) |
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.outboundRelationship[typeCode=RSON] |
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n/a |
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n/a |
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N/A |
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Event.reasonReference |
.outboundRelationship[typeCode=RSON].target |
FiveWs.why[x] |
Resources that would commonly referenced at Encounter.indication would be Condition and/or Procedure. These most closely align with DG1/PRB and PR1 respectively. |
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n/a |
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.outboundRelationship[typeCode=RSON].priority |
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.pertains.A_Account |
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n/a |
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n/a |
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N/A |
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.id |
PV1-5 | ||
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.participation[typeCode=ORG].role |
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n/a |
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n/a |
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N/A |
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N/A |
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.identifier |
|||
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N/A |
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.admissionReferralSourceCode |
PV1-14 | ||
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n/a |
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n/a |
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|
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n/a |
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n/a |
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./codeSystem |
C*E.3 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
./codeSystemVersion |
C*E.7 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
./code |
C*E.1 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
CV.displayName |
C*E.2 - but note this is not well followed | ||
![]() ![]() ![]() ![]() ![]() ![]() |
CD.codingRationale |
Sometimes implied by being first | ||
![]() ![]() ![]() ![]() ![]() |
./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | ||
![]() ![]() ![]() ![]() |
n/a |
PV1-13 | ||
![]() ![]() ![]() ![]() |
|
PV1-38 | ||
![]() ![]() ![]() ![]() |
.specialCourtesiesCode |
PV1-16 | ||
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.specialArrangementCode |
PV1-15 / OBR-30 / OBR-43 | ||
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.participation[typeCode=DST] |
PV1-37 | ||
![]() ![]() ![]() ![]() ![]() |
n/a |
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n/a |
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![]() ![]() ![]() ![]() ![]() |
N/A |
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N/A |
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.identifier |
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N/A |
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.dischargeDispositionCode |
PV1-36 | ||
![]() ![]() ![]() ![]() ![]() |
n/a |
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n/a |
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|
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n/a |
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n/a |
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./codeSystem |
C*E.3 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
./codeSystemVersion |
C*E.7 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
./code |
C*E.1 | ||
![]() ![]() ![]() ![]() ![]() ![]() |
CV.displayName |
C*E.2 - but note this is not well followed | ||
![]() ![]() ![]() ![]() ![]() ![]() |
CD.codingRationale |
Sometimes implied by being first | ||
![]() ![]() ![]() ![]() ![]() |
./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | ||
![]() ![]() ![]() |
.participation[typeCode=LOC] |
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![]() ![]() ![]() ![]() |
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![]() ![]() ![]() ![]() ![]() |
n/a |
|||
![]() ![]() ![]() ![]() ![]() |
n/a |
|||
![]() ![]() ![]() ![]() ![]() |
N/A |
|||
![]() ![]() ![]() ![]() ![]() |
Event.location |
.role |
FiveWs.where[x] |
PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43 |
![]() ![]() ![]() ![]() ![]() |
.role.statusCode |
|||
![]() ![]() ![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() ![]() |
.time |
|||
![]() ![]() ![]() ![]() |
.participation[typeCode=LOC] |
|||
![]() ![]() ![]() ![]() ![]() |
n/a |
|||
![]() ![]() ![]() ![]() ![]() |
n/a |
|||
![]() ![]() ![]() ![]() ![]() |
N/A |
|||
![]() ![]() ![]() ![]() ![]() |
Event.location |
.role |
FiveWs.where[x] |
PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43 |
![]() ![]() ![]() ![]() ![]() |
.role.statusCode |
|||
![]() ![]() ![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() ![]() |
.time |
|||
![]() ![]() ![]() ![]() |
.participation[typeCode=LOC] |
|||
![]() ![]() ![]() ![]() ![]() |
n/a |
|||
![]() ![]() ![]() ![]() ![]() |
n/a |
|||
![]() ![]() ![]() ![]() ![]() |
N/A |
|||
![]() ![]() ![]() ![]() ![]() |
Event.location |
.role |
FiveWs.where[x] |
PV1-3 / PV1-6 / PV1-11 / PV1-42 / PV1-43 |
![]() ![]() ![]() ![]() ![]() |
.role.statusCode |
|||
![]() ![]() ![]() ![]() ![]() |
||||
![]() ![]() ![]() ![]() ![]() |
.time |
|||
![]() ![]() ![]() |
Event.performer.actor |
.particiaption[typeCode=PFM].role |
PL.6 & PL.1 | |
![]() ![]() ![]() |
Event.partOf |
|
||
![]() |