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: LabObservationChemhemtoxriaserSpecimen - Mappings

Active as of 2025-09-30

Mappings for the LabObservationChemhemtoxriaserSpecimen 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: Lab Observation: Chem, hem, tox, ria, ser (Source)Use Case: Lab Observation: Chem, hem, tox, ria, ser (Source)PATIENT (2)63LABORATORY REFERENCELABORATORY TEST (60)100SITE/SPECIMENTOPOGRAPHY (61).01NAMELAB DATA (63).01LRDFNCHEM, HEM, TOX, RIA, SER, etc. (63.04).001IEN.01DATE/TIME SPECIMEN TAKEN.03ORDERED TEST.04VERIFY PERSON.05SPECIMEN TYPE.06ACCESSION.112ACCESSIONING INSTITUTION.35ORDERED TEST.99COMMENT2+through+862testnamesORDERED TEST (63.07)3CPRS ORDER #10DISPOSITION13LAB TEST ORDEREDCOMMENT (63.041).01COMMENTSITE/SPECIMEN (60.01)1REFERENCE LOW2REFERENCE HIGH6UNITS95.3LOINC CODELAB LOINC (95.3).01CODE1COMPONENT[not NULL]

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. - SPECIMEN TYPE > TOPOGRAPHY - NAME (63.04-.05 > 61-.01) source value Specimen.type.text Topography is used for the specimen in chemistry per Pam 8/27/2025. Updated the map so that the correct data is pulled. http://hl7.org/fhir/StructureDefinition/Specimen | 4.0.1

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)Virtual Patient Record XML (VPR)doco
.. Specimen
... id
... meta
... implicitRules
... text
... contained
... extension
... modifierExtension
... identifier
... accessionIdentifier
  • source value based on CHEM
  • HEM
  • TOX
  • RIA
  • SER
  • etc. - ACCESSION (63.04-.06)
Chem.LabChem.ShortAccessionNumber Chem.PatientLabChem.ShortAccessionNumber
LabOrder.Extension[ResultExtension].GroupName
panel.groupName accession.groupName accession.name (>68-.01) lab.groupName
... status
... type
.... id
.... extension
.... coding
.... text
  • source value based on CHEM
  • HEM
  • TOX
  • RIA
  • SER
  • etc. - SPECIMEN TYPE > TOPOGRAPHY - NAME (63.04-.05 > 61-.01)
Topography is used for the specimen in chemistry per Pam 8/27/2025. Updated the map so that the correct data is pulled.
Chem.LabChem.TopographyIEN Chem.PatientLabChem.TopographyIEN Dim.CollectionSample.DefaultTopography Dim.Topography.Topography
panel.sample (>61-.01) panel.specimen (>61-2) panel.specimen (>61-.01) accession.sample (>61-.01) accession.specimen (>61-2) accession.specimen (>61-.01) lab.sample (>61-.01) lab.specimen (>61-2) lab.specimen (>61-.01)
... subject
... receivedTime
... parent
... request
... collection
.... id
.... extension
.... modifierExtension
.... collector
.... collected[x]
.... duration
.... quantity
.... method
.... bodySite
.... fastingStatus[x]
... processing
.... id
.... extension
.... modifierExtension
.... description
.... procedure
.... additive
.... time[x]
... container
.... id
.... extension
.... modifierExtension
.... identifier
.... description
.... type
.... capacity
.... specimenQuantity
.... additive[x]
... condition
... note

doco Documentation for this format