US Veterans Health Administration FHIR Map Set Implementation Guide
1.9.0 - 251001
US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.9.0 See the Directory of published versions
Active as of 2025-09-30 |
Mappings for the LabObservationChemhemtoxriaserObservation 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 |
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845 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - DATE/TIME SPECIMEN TAKEN (63.04-.01) | source value | Observation.effectiveDateTime | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||||
846 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - COMMENT > COMMENT - COMMENT (63.04-.99 > 63.041-.01) | source value | Observation.note | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||||
847 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - ACCESSIONING INSTITUTION (63.04-.112) | reference | Observation.performer[va-at] | /Organization | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||||
1676 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - VERIFY PERSON (63.04-.04) | reference | Observation.performer[va-by] | /Practitioner | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||||
1656 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - ACCESSION (63.04-.06) | reference | Observation.specimen | Specimen | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||||
850 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST > ORDERED TEST - LAB TEST ORDERED > LABORATORY TEST - SITE/SPECIMEN > SITE/SPECIMEN - REFERENCE HIGH (63.04-.35 > 63.07-13 > 60-100 > 60.01-2) | source value | Observation.referenceRange | .high | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||||
854 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST > ORDERED TEST - LAB TEST ORDERED > LABORATORY TEST - SITE/SPECIMEN > SITE/SPECIMEN - REFERENCE LOW (63.04-.35 > 63.07-13 > 60-100 > 60.01-1) | source value | Observation.referenceRange | .low | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||||
851 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - IEN (63.04-.001) | source value | Observation.identifier | .value | .system = http://va.gov/identifiers/$Sta3n/63.04 | Changed from .id to .identifier, added subPath, removed id_generator from mapValue, added .system, and changed from transform to source value | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||
852 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - testnames (63.04-2+through+862) | terminologyMaps | Observation.interpretation | VF_LabInterpretation | Service compares value to reference and infers flag | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||
853 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST > ORDERED TEST - LAB TEST ORDERED > LABORATORY TEST - SITE/SPECIMEN > SITE/SPECIMEN - LOINC CODE > LAB LOINC (63.04-.35 > 63.07-13 > 60-100 > 60.01-95.3 > 95.3-) | source value | Observation.code.coding | .system = "http://loinc.org" .code = {CODE (.01)} .display = {COMPONENT (1)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||||
858 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - DATE REPORT COMPLETED (63.04-.03) | source value | Observation.issued | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||||
860 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST > ORDERED TEST - DISPOSITION (63.04-.35 > 63.07-10) | terminologyMaps | not NULL | Observation.status | VF_LabObservationStatus | Available in interface, use this first for status | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||
2234 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST (63.04-.03) | fixed value | not NULL and 63.07-10 is not available | Observation.status | #completed | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||
2235 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST (63.04-.03) | fixed value | NULL and 63.07-10 is not available | Observation.status | #preliminary | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||
857 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - testnames (63.04-2+through+862) | source value | Observation.valueQuantity | .value | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||||
864 | for review | V2F | CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST > ORDERED TEST - LAB TEST ORDERED > LABORATORY TEST - SITE/SPECIMEN > SITE/SPECIMEN - UNITS (63.04-.35 > 63.07-13 > 60-100 > 60.01-6) | source value | Observation.valueQuantity | .unit | Use CTTDM map "VistA Lab Chem Units to UCUM" to convert VistA text units to UCUM, where possible | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||
843 | for review | V2F | fixed value | Observation.category[Laboratory] | http://terminology.hl7.org/CodeSystem/observation-category#laboratory | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||||
844 | for review | V2F | PATIENT - LABORATORY REFERENCE > LAB DATA - LRDFN (2-63 > 63-.01) | reference | Observation.subject | /Patient | Pointer from PATIENT (2) | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 |
No Mappings Found
No Mappings Found
Name | Veterans Health Information Systems Technology and Architecture (VistA) | Clinical Data Warehouse (CDW) | Summary Document Architecure (SDA) | Virtual Patient Record XML (VPR) | Workflow Pattern | SNOMED CT Concept Domain Binding | SNOMED CT Attribute Binding![]() |
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Event |
< 363787002 |Observable entity| |
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Event.identifier |
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fixed value = http://va.gov/identifiers/$Sta3n/63.04 mapParameter line 1 |
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Event.basedOn |
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Event.partOf |
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Chem.LabChem.LabChemCompleteDateTime
Chem.LabPanel.LabChemCompleteDateTime
Chem.OrderedLabPanel.LabChemCompleteDateTime
Chem.PatientLabChem.LabChemCompleteDateTime |
LabOrder.Result.ResultStatus
LabOrder.Result.ResultTime
LabOrder.ResultItem[LabResultItem].TestItemStatus |
panel.resulted
panel.status
accession.resulted
accession.status
lab.resulted
lab.status |
Event.status |
< 445584004 |Report by finality status| |
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fixed value = http://terminology.hl7.org/CodeSystem/observation-category#laboratory |
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Event.code |
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure| |
116680003 |Is a| | ||||
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fixed value = http://loinc.org mapParameter line 1 |
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reference based on PATIENT - LABORATORY REFERENCE > LAB DATA - LRDFN (2-63 > 63-.01) Pointer from PATIENT (2) |
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 |
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Event.context |
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Event.occurrence[x] |
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Chem.LabChem.LabChemSpecimenDateTime
Chem.LabPanel.LabChemSpecimenDateTime
Chem.OrderedLabPanel.LabChemSpecimenDateTime
Chem.PatientLabChem.LabChemSpecimenDateTime |
LabOrder.TestItemCode[LabTestItem].Description
LabOrder.PerformedAt[Organization].Description |
panel.collected
accession.collected
accession.test
lab.collected |
Event.occurrence[x] |
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Chem.LabChem.LabChemCompleteDateTime
Chem.LabPanel.LabChemCompleteDateTime
Chem.OrderedLabPanel.LabChemCompleteDateTime
Chem.PatientLabChem.LabChemCompleteDateTime |
LabOrder.Result.ResultStatus
LabOrder.Result.ResultTime
LabOrder.ResultItem[LabResultItem].TestItemStatus |
panel.resulted
panel.status
accession.resulted
accession.status
lab.resulted
lab.status |
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Event.performer.actor |
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Chem.LabChem.AccessionInstitutionIEN
Chem.PatientLabChem.AccessionInstitutionIEN |
LabOrder.Result.EnteredAt |
panel.facility (>4-.01)
panel.facility (>4-99)
accession.facility (>4-.01)
accession.facility (>4-99)
lab.facility (>4-.01)
lab.facility (>4-99) |
Event.performer.actor |
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LabOrder.Result.VerifiedBy |
Event.performer.actor |
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< 441742003 |Evaluation finding| |
363714003 |Interprets| | |||||
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< 441742003 |Evaluation finding| |
363714003 |Interprets| | |||||
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< 260245000 |Findings values| |
363713009 |Has interpretation| | ||||
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Chem.LabPanel.LabPanelComment |
LabOrder.Result.Comments |
panel.comment
accession.comment
lab.comment |
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< 123037004 |Body structure| |
718497002 |Inherent location| | |||||
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Chem.LabChem.ShortAccessionNumber
Chem.PatientLabChem.ShortAccessionNumber |
LabOrder.Extension[ResultExtension].GroupName |
panel.groupName
accession.groupName
accession.name (>68-.01)
lab.groupName |
< 123038009 |Specimen| |
704319004 |Inherent in| | |
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< 49062001 |Device| |
424226004 |Using device| | |||||
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< 260245000 |Findings values| OR
< 365860008 |General clinical state finding|
OR
< 250171008 |Clinical history or observation findings| OR
< 415229000 |Racial group| OR
< 365400002 |Finding of puberty stage| OR
< 443938003 |Procedure carried out on subject| |
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< 260245000 |Findings values| OR
< 365860008 |General clinical state finding|
OR
< 250171008 |Clinical history or observation findings| OR
< 415229000 |Racial group| OR
< 365400002 |Finding of puberty stage| OR
< 443938003 |Procedure carried out on subject| |
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< 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
363714003 |Interprets| | |||||
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< 260245000 |Findings values| |
363713009 |Has interpretation| | |||||
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