US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701
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Active as of 2025-06-20 |
Mappings for the LabObservationMicrobiologyObservation 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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1450 | for review | V2F | MICROBIOLOGY - DATE/TIME SPECIMEN TAKEN (63.05-.01) | source value | Observation.effectiveDateTime | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||||
1454 | for review | V2F | MICROBIOLOGY - COMMENT ON SPECIMEN (63.05-.99) | source value | Observation.note | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||||
1659 | for review | V2F | MICROBIOLOGY - MICROBIOLOGY ACCESSION (63.05-.06) | reference | Observation.specimen | Specimen | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | ||||
1476 | for review | V2F | MICROBIOLOGY - IEN (63.05-.001) | source value | Observation.identifier | .value | .system = http://va.gov/identifiers/$Sta3n/63.05 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-lab | 5.0.1 | |||
1480 | for review | V2F | MICROBIOLOGY - ORDERED TEST > ORDERED TEST - LAB TEST ORDERED > LABORATORY TEST - SITE/SPECIMEN > SITE/SPECIMEN - LOINC CODE > LAB LOINC (63.05-.35 > 63.5-13 > 60-100 > 60.01-95.3 > 95.3-) | source value | Not NULL | 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 | |||
1484 | for review | V2F | MICROBIOLOGY - DATE REPORT COMPLETED (63.05-.03) | source value | Observation.issued | 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 | Workflow Pattern | SNOMED CT Concept Domain Binding | HL7 v2 Mapping | RIM Mapping | FiveWs Pattern Mapping | SNOMED CT Attribute Binding![]() |
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Event |
< 363787002 |Observable entity| |
OBX |
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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 |
1) OBR-3 + OBX-3 + OBX-4 or 2) OBR-3 + OBR-4 + OBX-3 + OBX-4 or 2) some other way to uniquely ID the OBR/ORC + OBX-3 + OBX-4. |
id |
FiveWs.identifier |
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n/a |
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n/a |
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N/A |
Role.code or implied by context |
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CX.5 |
Role.code or implied by context |
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CX.4 / EI-2-4 |
II.root or Role.id.root |
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CX.1 / EI.1 |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
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CX.7 + CX.8 |
Role.effectiveTime or implied by context |
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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.basedOn |
ORC |
.inboundRelationship[typeCode=COMP].source[moodCode=EVN] |
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Event.partOf |
Varies by domain |
.outboundRelationship[typeCode=FLFS].target |
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Event.status |
< 445584004 |Report by finality status| |
OBX-11 |
status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise" |
FiveWs.status |
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FiveWs.class |
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FiveWs.class |
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Event.code |
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
116680003 |Is 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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C*E.3 |
./codeSystem |
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C*E.7 |
./codeSystemVersion |
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C*E.1 |
./code |
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C*E.2 - but note this is not well followed |
CV.displayName |
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Sometimes implied by being first |
CD.codingRationale |
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C*E.9. But note many systems use C*E.2 for this |
./originalText[mediaType/code="text/plain"]/data |
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Event.subject |
PID-3 |
participation[typeCode=RTGT] |
FiveWs.subject |
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OBX-3 |
participation[typeCode=SBJ] |
FiveWs.subject |
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Event.context |
PV1 |
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FiveWs.context |
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Event.occurrence[x] |
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effectiveTime |
FiveWs.done[x] |
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Event.occurrence[x] |
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effectiveTime |
FiveWs.done[x] |
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participation[typeCode=AUT].time |
FiveWs.recorded |
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Event.performer.actor |
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participation[typeCode=PRF] |
FiveWs.actor |
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< 441742003 |Evaluation finding| |
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value |
363714003 |Interprets| | ||
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N/A |
value.nullFlavor |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
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subjectOf.observationEvent[code="annotation"].value |
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< 123037004 |Body structure| |
OBX-20 |
targetSiteCode |
718497002 |Inherent location| | ||
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OBX-17 |
methodCode |
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< 123038009 |Specimen| |
SPM segment |
participation[typeCode=SPC].specimen |
704319004 |Inherent in| | ||
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< 49062001 |Device| |
OBX-17 / PRT -10 |
participation[typeCode=DEV] |
424226004 |Using device| | ||
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OBX.7 |
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n/a |
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n/a |
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N/A |
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OBX-7 |
IVL_PQ.low |
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OBX-7 |
IVL_PQ.high |
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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| |
OBX-10 |
interpretationCode |
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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| |
OBX-10 |
interpretationCode |
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outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value |
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OBX-7 |
ST |
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Relationships established by OBX-4 usage |
outBoundRelationship |
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Relationships established by OBX-4 usage |
.targetObservation |
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containment by OBX-4? |
outBoundRelationship[typeCode=COMP] |
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n/a |
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n/a |
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N/A |
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< 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
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363714003 |Interprets| < 441742003 |Evaluation finding| |
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value |
363714003 |Interprets| | ||
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N/A |
value.nullFlavor |
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< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
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OBX.7 |
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