US Veterans Health Administration FHIR Map Set Implementation Guide
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Resource Profile: LabObservationChemhemtoxriaserSpecimen - Mappings

Active as of 2025-03-31

Mappings for the LabObservationChemhemtoxriaserSpecimen resource profile.

Scroll down for the Raw FHIR, CDW & SDA mappings (if any).

Note that the CDW and SDA mappings are derived from a look-up based on the VistA source mappings in CDW and VPR SDA.

Mapping Sources

Use Case: Lab Observation: Chem, hem, tox, ria, ser (Source)PATIENT (2)63LABORATORY REFERENCELABORATORY TEST (60)100SITE/SPECIMENCOLLECTION SAMPLE (62).01NAMELAB DATA (63).01LRDFNCHEM, HEM, TOX, RIA, SER, etc. (63.04).001IEN.01DATE/TIME SPECIMEN TAKEN.03DATE REPORT COMPLETED.04VERIFY PERSON.06ACCESSION.112ACCESSIONING INSTITUTION.35ORDERED TEST.99COMMENT2+through+862testnamesORDERED TEST (63.07)3CPRS ORDER #9COLLECTION SAMPLE10DISPOSITION13LAB TEST ORDEREDCOMMENT (63.041).01COMMENTSITE/SPECIMEN (60.01)1REFERENCE LOW2REFERENCE HIGH6UNITS95.3LOINC CODELAB LOINC (95.3).01CODE1COMPONENT

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
849 for review V2F CHEM, HEM, TOX, RIA, SER, etc. - ACCESSION (63.04-.06) source value Specimen.accessionIdentifier http://hl7.org/fhir/StructureDefinition/Specimen | 4.0.1
859 for review V2F CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST > ORDERED TEST - COLLECTION SAMPLE > COLLECTION SAMPLE - NAME (63.04-.35 > 63.07-9 > 62-.01) source value Specimen.type.text http://hl7.org/fhir/StructureDefinition/Specimen | 4.0.1

Mappings for Veterans Health Information Systems Technology and Architecture (VistA) ()

LabObservationChemhemtoxriaserSpecimen
Specimen
   accessionIdentifier849: source value based on CHEM, HEM, TOX, RIA, SER, etc. - ACCESSION (63.04-.06)
   type
      text859: source value based on CHEM, HEM, TOX, RIA, SER, etc. - ORDERED TEST > ORDERED TEST - COLLECTION SAMPLE > COLLECTION SAMPLE - NAME (63.04-.35 > 63.07-9 > 62-.01)

Mappings for Clinical Data Warehouse (CDW) ()

LabObservationChemhemtoxriaserSpecimen
Specimen
   accessionIdentifierChem.LabChem.ShortAccessionNumber,Chem.PatientLabChem.ShortAccessionNumber

Mappings for Summary Document Architecure (SDA) ()

LabObservationChemhemtoxriaserSpecimen
Specimen
   accessionIdentifierLabOrder.Extension[ResultExtension].GroupName

Mappings for RIM Mapping (http://hl7.org/v3)

LabObservationChemhemtoxriaserSpecimen
SpecimenEntity. Role, or Act, Role[classCode=SPEC]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   accessionIdentifier.participation[typeCode=SBJ].act[classCode=ACSN, moodCode=EVN].id
   statusstatus
   type.code
      idn/a
      extensionn/a
      codingunion(., ./translation)
      text./originalText[mediaType/code="text/plain"]/data
   subject.scoper or .scoper.playsRole
   receivedTime.participation[typeCode=SBJ].act[code=SPCREC, moodCode=EVN].effectiveTime
   parent.scoper (if parent) .player.scopesRole[classCode=SPEC].player (if child)
   requestoutboundRelationship[typeCode=FLFS].target
   collection.participation[typeCode=SBJ].act[classCode=SPECCOLLECT, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      collector.participation[typeCode=PFM].role
      collected[x].effectiveTime
      quantity.participation[typeCode=SBJ].role[classCode=SPEC].player.quantity
      method.methodCode
      bodySite.targetSiteCode
   processing.participation[typeCode=SBJ].act[code=SPCTRT, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      description.text
      procedure.code
      additive.participation[typeCode=CSM].role[classCode=ADTV].code
      time[x].effectiveTime
   container.player.scopingRole[classCode=CONT].scoper
      idn/a
      extensionn/a
      modifierExtensionN/A
      identifier.id
      description.desc
      type.code
      capacity.quantity
      specimenQuantity.playedRole[classCode=CONT].quantity
      additive[x].scopesRole[classCode=ADTV].player
   note.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

LabObservationChemhemtoxriaserSpecimen
Specimen
   identifierFiveWs.identifier
   accessionIdentifierFiveWs.identifier
   statusFiveWs.status
   typeFiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   receivedTimeFiveWs.done[x]
   requestFiveWs.why[x]
   collection
      collectorFiveWs.actor
      collected[x]FiveWs.init
      durationFiveWs.init

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

LabObservationChemhemtoxriaserSpecimen
Specimen
   identifierSPM-2
   accessionIdentifierSPM-30 (v2.7+)
   statusSPM-20
   typeSPM-4 and possibly SPM-5
      codingC*E.1-8, C*E.10-22
      textC*E.9. But note many systems use C*E.2 for this
   receivedTimeSPM-18
   requestORC? OBR-2/3?
   collectionSPM-14
      collectorPRT
      collected[x]SPM-17
      quantitySPM-12
      methodSPM-7
      bodySiteSPM-8 and SPM-9
      fastingStatus[x]OBR-
   processing
      additiveSPM-6
   container
      identifierSAC-3
      typeSPM-27
      capacityone of: SAC 16, SAC17 and SAC 20, or SAC 21 and SAC 20
      specimenQuantitySAC-23 (value) SAC-24 (units
      additive[x]SAC-27
   conditionSPM-24
   noteOBX