US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401
US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401
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| Active as of 2025-03-31 |
Mappings for the ProcedureOutpatient 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.
| key | status | direction | source | mapApproach | mapCase | FHIR Path | subPath | mapValue | mapParameter | mapComment | FHIR URL | Ver |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1299 | for review | V2F | V CPT - PATIENT NAME > PATIENT/IHS - NAME (9000010.18-.02 > 9000001-.01) | reference | Procedure.subject | /Patient | is reference to file #2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1300 | for review | V2F | V CPT - VISIT (9000010.18-.03) | reference | Procedure.encounter | /EncounterOutpatient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1301 | for review | V2F | V CPT - PROVIDER NARRATIVE > PROVIDER NARRATIVE - NARRATIVE (9000010.18-.04 > 9999999.27-.01) | source value | Procedure.code | .text | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1302 | for review | V2F | V CPT - DIAGNOSIS > ICD DIAGNOSIS (9000010.18-.05 > 80-) | source value | Procedure.reasonCode | [0] | .coding.system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)} .coding.code = {CODE NUMBER(.01)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1302-1 | for review | V2F | fixed value | Procedure.reasonCode | .coding.system | urn:see-termmap-in-mapParameter | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1302-2 | for review | V2F | V CPT - DIAGNOSIS > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.05 > 80-.01) | source value | Procedure.reasonCode | .coding.code | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1303 | for review | V2F | V CPT - DIAGNOSIS 2 > ICD DIAGNOSIS (9000010.18-.09 > 80-) | source value | Procedure.reasonCode | [1] | .coding.system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)} .coding.code = {CODE NUMBER(.01)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1303-1 | for review | V2F | fixed value | Procedure.reasonCode | .coding.system | urn:see-termmap-in-mapParameter | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1303-2 | for review | V2F | V CPT - DIAGNOSIS 2 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.09 > 80-.01) | source value | Procedure.reasonCode | .coding.code | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1304 | for review | V2F | V CPT - DIAGNOSIS 3 > ICD DIAGNOSIS (9000010.18-.1 > 80-) | source value | Procedure.reasonCode | [2] | .coding.system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)} .coding.code = {CODE NUMBER(.01)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1304-1 | for review | V2F | fixed value | Procedure.reasonCode | .coding.system | urn:see-termmap-in-mapParameter | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1304-2 | for review | V2F | V CPT - DIAGNOSIS 3 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.1 > 80-.01) | source value | Procedure.reasonCode | .coding.code | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1305 | for review | V2F | V CPT - DIAGNOSIS 4 > ICD DIAGNOSIS (9000010.18-.11 > 80-) | source value | Procedure.reasonCode | [3] | .coding.system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)} .coding.code = {CODE NUMBER(.01)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1305-1 | for review | V2F | fixed value | Procedure.reasonCode | .coding.system | urn:see-termmap-in-mapParameter | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1305-2 | for review | V2F | V CPT - DIAGNOSIS 4 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.11 > 80-.01) | source value | Procedure.reasonCode | .coding.code | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1306 | for review | V2F | V CPT - DIAGNOSIS 5 > ICD DIAGNOSIS (9000010.18-.12 > 80-) | source value | Procedure.reasonCode | [4] | .coding.system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)} .coding.code = {CODE NUMBER(.01)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1306-1 | for review | V2F | fixed value | Procedure.reasonCode | .coding.system | urn:see-termmap-in-mapParameter | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1306-2 | for review | V2F | V CPT - DIAGNOSIS 5 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.12 > 80-.01) | source value | Procedure.reasonCode | .coding.code | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1307 | for review | V2F | V CPT - DIAGNOSIS 6 > ICD DIAGNOSIS (9000010.18-.13 > 80-) | source value | Procedure.reasonCode | [5] | .coding.system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)} .coding.code = {CODE NUMBER(.01)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1307-1 | for review | V2F | fixed value | Procedure.reasonCode | .coding.system | urn:see-termmap-in-mapParameter | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1307-2 | for review | V2F | V CPT - DIAGNOSIS 6 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.13 > 80-.01) | source value | Procedure.reasonCode | .coding.code | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1308 | for review | V2F | V CPT - DIAGNOSIS 7 > ICD DIAGNOSIS (9000010.18-.14 > 80-) | source value | Procedure.reasonCode | [6] | .coding.system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)} .coding.code = {CODE NUMBER(.01)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1308-1 | for review | V2F | fixed value | Procedure.reasonCode | .coding.system | urn:see-termmap-in-mapParameter | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1308-2 | for review | V2F | V CPT - DIAGNOSIS 7 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.14 > 80-.01) | source value | Procedure.reasonCode | .coding.code | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1309 | for review | V2F | V CPT - DIAGNOSIS 8 > ICD DIAGNOSIS (9000010.18-.15 > 80-) | source value | Procedure.reasonCode | [7] | .coding.system=termmap({VF_ICDCodingSystems,CODING SYSTEM(1.1)} .coding.code = {CODE NUMBER(.01)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1309-1 | for review | V2F | fixed value | Procedure.reasonCode | .coding.system | urn:see-termmap-in-mapParameter | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1309-2 | for review | V2F | V CPT - DIAGNOSIS 8 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.15 > 80-.01) | source value | Procedure.reasonCode | .coding.code | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1310 | for review | V2F | V CPT - EVENT DATE AND TIME (9000010.18-1201) | source value | Procedure.performedDateTime | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||||
| 1311 | for review | V2F | V CPT - ENCOUNTER PROVIDER (9000010.18-1204) | reference | Procedure.performer.actor | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||||
| 1312 | for review | V2F | V CPT - COMMENTS (9000010.18-81101) | source value | Procedure.note | .text | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1314 | for review | V2F | fixed value | Procedure.category | http://snomed.info/sct#371883000 "Outpatient procedure (procedure)" | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||||
| 1413 | for review | V2F | V CPT - CPT > CPT (9000010.18-.01 > 81-) | source value | Procedure.code.coding | .code = {CPT CODE(.01)} .display = {SHORT NAME(2)} .system = "http://www.ama-assn.org/go/cpt" |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
| 1413-1 | for review | V2F | V CPT - CPT > CPT - CPT CODE (9000010.18-.01 > 81-.01) | source value | Procedure.code.coding | .code | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1413-2 | for review | V2F | V CPT - CPT > CPT - SHORT NAME (9000010.18-.01 > 81-2) | source value | Procedure.code.coding | .display | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1413-3 | for review | V2F | fixed value | Procedure.code.coding | .system | http://www.ama-assn.org/go/cpt | generated from mapParameter line 3 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
| 1539 | for review | V2F | fixed value | Procedure.status | #completed | From the description of the file these look like completed procedures. Check with Jay. | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 |
| ProcedureOutpatient | ||
| Procedure | ||
| status | 1539: fixed value = #completed | From the description of the file these look like completed procedures. Check with Jay. |
| category | 1314: fixed value = http://snomed.info/sct#371883000 "Outpatient procedure (procedure)" | |
| code | ||
| coding | 1413: source value based on V CPT - CPT > CPT (9000010.18-.01 > 81-) | |
| system | 1413-3: fixed value = http://www.ama-assn.org/go/cpt | generated from mapParameter line 3 |
| code | 1413-1: source value based on V CPT - CPT > CPT - CPT CODE (9000010.18-.01 > 81-.01) | generated from mapParameter line 1 |
| display | 1413-2: source value based on V CPT - CPT > CPT - SHORT NAME (9000010.18-.01 > 81-2) | generated from mapParameter line 2 |
| text | 1301: source value based on V CPT - PROVIDER NARRATIVE > PROVIDER NARRATIVE - NARRATIVE (9000010.18-.04 > 9999999.27-.01) | |
| subject | 1299: reference based on V CPT - PATIENT NAME > PATIENT/IHS - NAME (9000010.18-.02 > 9000001-.01) | is reference to file #2 |
| encounter | 1300: reference based on V CPT - VISIT (9000010.18-.03) | |
| performed[x] (performedDateTime) | 1310: source value based on V CPT - EVENT DATE AND TIME (9000010.18-1201) | |
| performer | ||
| actor | 1311: reference based on V CPT - ENCOUNTER PROVIDER (9000010.18-1204) | |
| reasonCode | 1302: source value based on V CPT - DIAGNOSIS > ICD DIAGNOSIS (9000010.18-.05 > 80-), 1303: source value based on V CPT - DIAGNOSIS 2 > ICD DIAGNOSIS (9000010.18-.09 > 80-), 1304: source value based on V CPT - DIAGNOSIS 3 > ICD DIAGNOSIS (9000010.18-.1 > 80-), 1305: source value based on V CPT - DIAGNOSIS 4 > ICD DIAGNOSIS (9000010.18-.11 > 80-), 1306: source value based on V CPT - DIAGNOSIS 5 > ICD DIAGNOSIS (9000010.18-.12 > 80-), 1307: source value based on V CPT - DIAGNOSIS 6 > ICD DIAGNOSIS (9000010.18-.13 > 80-), 1308: source value based on V CPT - DIAGNOSIS 7 > ICD DIAGNOSIS (9000010.18-.14 > 80-), 1309: source value based on V CPT - DIAGNOSIS 8 > ICD DIAGNOSIS (9000010.18-.15 > 80-) | , , , , , , , |
| coding | ||
| system | 1302-1: fixed value = urn:see-termmap-in-mapParameter, 1303-1: fixed value = urn:see-termmap-in-mapParameter, 1304-1: fixed value = urn:see-termmap-in-mapParameter, 1305-1: fixed value = urn:see-termmap-in-mapParameter, 1306-1: fixed value = urn:see-termmap-in-mapParameter, 1307-1: fixed value = urn:see-termmap-in-mapParameter, 1308-1: fixed value = urn:see-termmap-in-mapParameter, 1309-1: fixed value = urn:see-termmap-in-mapParameter | generated from mapParameter line 1 ,generated from mapParameter line 1 ,generated from mapParameter line 1 ,generated from mapParameter line 1 ,generated from mapParameter line 1 ,generated from mapParameter line 1 ,generated from mapParameter line 1 ,generated from mapParameter line 1 |
| code | 1302-2: source value based on V CPT - DIAGNOSIS > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.05 > 80-.01), 1303-2: source value based on V CPT - DIAGNOSIS 2 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.09 > 80-.01), 1304-2: source value based on V CPT - DIAGNOSIS 3 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.1 > 80-.01), 1305-2: source value based on V CPT - DIAGNOSIS 4 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.11 > 80-.01), 1306-2: source value based on V CPT - DIAGNOSIS 5 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.12 > 80-.01), 1307-2: source value based on V CPT - DIAGNOSIS 6 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.13 > 80-.01), 1308-2: source value based on V CPT - DIAGNOSIS 7 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.14 > 80-.01), 1309-2: source value based on V CPT - DIAGNOSIS 8 > ICD DIAGNOSIS - CODE NUMBER (9000010.18-.15 > 80-.01) | generated from mapParameter line 2 ,generated from mapParameter line 2 ,generated from mapParameter line 2 ,generated from mapParameter line 2 ,generated from mapParameter line 2 ,generated from mapParameter line 2 ,generated from mapParameter line 2 ,generated from mapParameter line 2 |
| note | ||
| text | 1312: source value based on V CPT - COMMENTS (9000010.18-81101) | |
| ProcedureOutpatient | ||
| Procedure | ||
| code | ||
| coding | Outpat.VProcedure.CPTIEN,Outpat.VProcedureCPTModifier.CPTIEN,Outpat.VProcedureDiagnosis.CPTIEN,Outpat.WorkloadVProcedure.CPTIEN,Outpat.WorkloadVProcedureCPTModifier.CPTIEN,Outpat.WorkloadVProcedureDiagnosis.CPTIEN | |
| code | Outpat.VProcedure.CPTIEN,Outpat.VProcedureCPTModifier.CPTIEN,Outpat.VProcedureDiagnosis.CPTIEN,Outpat.WorkloadVProcedure.CPTIEN,Outpat.WorkloadVProcedureCPTModifier.CPTIEN,Outpat.WorkloadVProcedureDiagnosis.CPTIEN Dim.CPT.CPTCode,Dim.CPT.CPTCode | |
| display | Outpat.VProcedure.CPTIEN,Outpat.VProcedureCPTModifier.CPTIEN,Outpat.VProcedureDiagnosis.CPTIEN,Outpat.WorkloadVProcedure.CPTIEN,Outpat.WorkloadVProcedureCPTModifier.CPTIEN,Outpat.WorkloadVProcedureDiagnosis.CPTIEN Dim.CPT.CPTName,Dim.CPT.CPTName | |
| text | Outpat.VProcedure.ProviderNarrativeIEN,Outpat.WorkloadVProcedure.ProviderNarrativeIEN Dim.ProviderNarrative.ProviderNarrative | |
| subject | Outpat.VProcedure.PatientIEN,Outpat.VProcedureCPTModifier.PatientIEN,Outpat.VProcedureDiagnosis.PatientIEN,Outpat.WorkloadVProcedure.PatientIEN,Outpat.WorkloadVProcedureCPTModifier.PatientIEN,Outpat.WorkloadVProcedureDiagnosis.PatientIEN | |
| encounter | Outpat.VProcedure.VisitDateTime,Outpat.VProcedure.VisitIEN,Outpat.VProcedureCPTModifier.VisitDateTime,Outpat.VProcedureCPTModifier.VisitIEN,Outpat.VProcedureDiagnosis.VisitDateTime,Outpat.VProcedureDiagnosis.VisitIEN,Outpat.WorkloadVProcedure.VisitDateTime,Outpat.WorkloadVProcedure.VisitIEN,Outpat.WorkloadVProcedureCPTModifier.VisitDateTime,Outpat.WorkloadVProcedureCPTModifier.VisitIEN,Outpat.WorkloadVProcedureDiagnosis.VisitDateTime,Outpat.WorkloadVProcedureDiagnosis.VisitIEN | |
| performed[x] (performedDateTime) | Outpat.VProcedure.EventDateTime,Outpat.VProcedureDiagnosis.EventDateTime,Outpat.WorkloadVProcedure.EventDateTime,Outpat.WorkloadVProcedureDiagnosis.EventDateTime | |
| performer | ||
| actor | Outpat.VProcedure.EncounterProviderIEN,Outpat.WorkloadVProcedure.EncounterProviderIEN | |
| reasonCode | Outpat.VProcedureDiagnosis.ICDIEN,Outpat.WorkloadVProcedureDiagnosis.ICDIEN | |
| coding | ||
| code | Outpat.VProcedureDiagnosis.ICDIEN,Outpat.WorkloadVProcedureDiagnosis.ICDIEN Dim.ICD10.ICD10Code,Dim.ICD9.ICD9Code, Dim.ICD10.ICD10Code,Dim.ICD9.ICD9Code | |
| note | ||
| text | Outpat.VProcedure.Comments,Outpat.WorkloadVProcedure.Comments | |
| ProcedureOutpatient | ||
| Procedure | ||
| code | ||
| coding | Encounter.Extension[EncounterExtension].Cpt,Encounter.Extension[EncounterExtension].Cpt,Procedure.Procedure,Procedure.Procedure[CodeTableDetail.Procedure].Code | |
| code | Encounter.Extension[EncounterExtension].Cpt,Encounter.Extension[EncounterExtension].Cpt,Procedure.Procedure,Procedure.Procedure[CodeTableDetail.Procedure].Code | |
| display | Encounter.Extension[EncounterExtension].Cpt,Encounter.Extension[EncounterExtension].Cpt,Procedure.Procedure,Procedure.Procedure[CodeTableDetail.Procedure].Code | |
| text | Procedure.Procedure,Procedure.Procedure[CodeTableDetail.Procedure].OriginalText | |
| encounter | Procedure.EncounterNumber,Procedure.EnteredAt,Procedure.EnteredBy,Procedure.EnteredOn,Procedure.Extension[ProcedureExtension].Location | |
| performed[x] (performedDateTime) | Procedure.FromTime,Procedure.ProcedureTime | |
| performer | ||
| actor | Procedure.Clinician | |
| note | ||
| text | Procedure.Extension[ProcedureExtension].Comments | |
| ProcedureOutpatient | ||
| Procedure | Event | |
| identifier | Event.identifier | |
| instantiatesCanonical | Event.instantiatesCanonical | |
| instantiatesUri | Event.instantiatesUri | |
| basedOn | Event.basedOn | |
| partOf | Event.partOf | |
| status | Event.status | |
| statusReason | Event.statusReason | |
| code | Event.code | |
| subject | Event.subject | |
| encounter | Event.context | |
| performed[x] | Event.occurrence[x] | |
| performed[x] (performedDateTime) | Event.occurrence[x] | |
| performer | Event.performer | |
| function | Event.performer.function | |
| actor | Event.performer.actor | |
| reasonCode | Event.reasonCode | |
| reasonReference | Event.reasonReference | |
| note | Event.note | |
| ProcedureOutpatient | ||
| Procedure | Entity. Role, or Act, Procedure[moodCode=EVN] | |
| text | Act.text? | |
| contained | N/A | |
| extension | N/A | |
| modifierExtension | N/A | |
| identifier | .id | |
| instantiatesCanonical | .outboundRelationship[typeCode=DEFN].target | |
| instantiatesUri | .outboundRelationship[typeCode=DEFN].target | |
| basedOn | .outboundRelationship[typeCode=FLFS].target[classCode=(various e.g. PROC, OBS, PCPR, ACT, moodCode=RQO].code | |
| partOf | .inboundRelationship[typeCode=COMP].source[classCode=SBADM or PROC or OBS, moodCode=EVN] | |
| status | statusCode | |
| statusReason | .reason.Observation.value | |
| category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code | |
| code | .code | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| id | n/a | |
| extension | n/a | |
| system | ./codeSystem | |
| version | ./codeSystemVersion | |
| code | ./code | |
| display | CV.displayName | |
| userSelected | CD.codingRationale | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| subject | .participation[typeCode=SBJ].role | |
| encounter | .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN] | |
| performed[x] | .effectiveTime | |
| performed[x] (performedDateTime) | .effectiveTime | |
| recorder | .participation[typeCode=AUT].role | |
| asserter | .participation[typeCode=INF].role | |
| performer | .participation[typeCode=PRF] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| function | .functionCode | |
| actor | .role | |
| onBehalfOf | .scoper | |
| location | .participation[typeCode=LOC].role[classCode=SDLOC] | |
| reasonCode | .reasonCode | |
| id | n/a | |
| extension | n/a | |
| coding | union(., ./translation) | |
| id | n/a | |
| extension | n/a | |
| system | ./codeSystem | |
| version | ./codeSystemVersion | |
| code | ./code | |
| display | CV.displayName | |
| userSelected | CD.codingRationale | |
| text | ./originalText[mediaType/code="text/plain"]/data | |
| reasonReference | .reasonCode | |
| bodySite | .targetSiteCode | |
| outcome | .outboundRelationship[typeCode=OUT].target.text | |
| report | .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN] | |
| complication | .outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value | |
| complicationDetail | .outboundRelationship[typeCode=OUTC].target[classCode=OBS, code="complication", moodCode=EVN].value | |
| followUp | .outboundRelationship[typeCode=COMP].target[classCode=ACT, moodCode=INT].code | |
| note | .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value | |
| id | n/a | |
| extension | n/a | |
| author[x] | Act.participant[typeCode=AUT].role | |
| time | Act.effectiveTime | |
| text | Act.text | |
| focalDevice | .participation[typeCode=DEV].role[classCode=MANU] | |
| id | n/a | |
| extension | n/a | |
| modifierExtension | N/A | |
| action | .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="procedure device action"].value=:procedure device action codes | |
| manipulated | .participation[typeCode=DEV].role[classCode=SDLOC] | |
| usedReference | .participation[typeCode=DEV].role[classCode=MANU] or .participation[typeCode=CSM].role[classCode=ADMM] (for Medication or Substance) | |
| usedCode | participation[typeCode=Dev].role[classCode=MANU] | |
| ProcedureOutpatient | ||
| Procedure | ||
| identifier | FiveWs.identifier | |
| status | FiveWs.status | |
| category | FiveWs.class | |
| code | FiveWs.what[x] | |
| subject | FiveWs.subject[x], FiveWs.subject | |
| encounter | FiveWs.context | |
| performed[x] | FiveWs.done[x] | |
| performed[x] (performedDateTime) | FiveWs.done[x] | |
| recorder | FiveWs.author | |
| asserter | FiveWs.source | |
| performer | ||
| actor | FiveWs.actor | |
| location | FiveWs.where[x] | |
| reasonCode | FiveWs.why[x] | |
| reasonReference | FiveWs.why[x] | |
| ProcedureOutpatient | ||
| Procedure | ||
| identifier | Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4 | |
| code | OBR-44/OBR-45 | |
| coding | C*E.1-8, C*E.10-22 | |
| system | C*E.3 | |
| version | C*E.7 | |
| code | C*E.1 | |
| display | C*E.2 - but note this is not well followed | |
| userSelected | Sometimes implied by being first | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| subject | PID-3 | |
| encounter | PV1-19 | |
| performed[x] | OBR-7 | |
| performed[x] (performedDateTime) | OBR-7 | |
| performer | ||
| function | Some combination of STF-18 / PRA-3 / PRT-4 / ROL-3 / ORC-12 / OBR-16 / PV1-7 / PV1-8 / PV1-9 / PV1-17 / OBX-25 | |
| actor | ORC-19/PRT-5 | |
| reasonCode | ||
| coding | C*E.1-8, C*E.10-22 | |
| system | C*E.3 | |
| version | C*E.7 | |
| code | C*E.1 | |
| display | C*E.2 - but note this is not well followed | |
| userSelected | Sometimes implied by being first | |
| text | C*E.9. But note many systems use C*E.2 for this | |
| bodySite | OBX-20 | |
| note | NTE | |
| author[x] | N/A | |
| time | N/A | |
| text | N/A | |