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 ProcedureRadiology 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
1506 | for review | V2F | REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - EXAM STATUS > EXAMINATION STATUS - STATUS (70.02-50 > 70.03-3 > 72-.01) | terminologyMaps | Procedure.status | VF_RadiologyProcedureStatus | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
1507 | for review | V2F | REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - REASON FOR CANCELLATION > RAD/NUC MED REASON - REASON (70.02-50 > 70.03-3.5 > 75.2-.01) | source value | Procedure.statusReason | .text | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
1508 | for review | V2F | REGISTERED EXAMS - TYPE OF IMAGING > IMAGING TYPE - TYPE OF IMAGING (70.02-2 > 79.2-.01) | source value | Procedure.category | .text | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
1509 | for review | V2F | REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - PROCEDURE > RAD/NUC MED PROCEDURES - CPT CODE > CPT (70.02-50 > 70.03-2 > 71-9 > 81-) | source value | Procedure.code.coding | .system = "http://www.ama-assn.org/go/cpt" .code = {CPT CODE(.01)} .display = {SHORT NAME(2)} |
http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
1509-1 | for review | V2F | fixed value | Procedure.code.coding | .system | http://www.ama-assn.org/go/cpt | generated from mapParameter line 1 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
1509-2 | for review | V2F | REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - PROCEDURE > RAD/NUC MED PROCEDURES - CPT CODE > CPT - CPT CODE (70.02-50 > 70.03-2 > 71-9 > 81-.01) | source value | Procedure.code.coding | .code | generated from mapParameter line 2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
1509-3 | for review | V2F | REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - PROCEDURE > RAD/NUC MED PROCEDURES - CPT CODE > CPT - SHORT NAME (70.02-50 > 70.03-2 > 71-9 > 81-2) | source value | Procedure.code.coding | .display | generated from mapParameter line 3 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
1510 | for review | V2F | RAD/NUC MED PATIENT - NAME (70-.01) | reference | 70-2 > 70.02 | Procedure.subject | /Patient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | |||
1511 | for review | V2F | REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - VISIT (70.02-50 > 70.03-27) | reference | Procedure.encounter | /EncounterOutpatient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
1512 | for review | V2F | REGISTERED EXAMS - EXAM DATE (70.02-.01) | source value | Procedure.performedDateTime | required if the status is 'completed' or 'in-progress' | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
1513 | for review | V2F | REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - PRIMARY INTERPRETING STAFF (70.02-50 > 70.03-15) | reference | Procedure.performer.actor | /Practitioner | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 | ||||
1514 | for review | V2F | REGISTERED EXAMS - IMAGING LOCATION > IMAGING LOCATIONS - LOCATION (70.02-4 > 79.1-.01) | reference | Procedure.location | /Location | http://hl7.org/fhir/us/core/StructureDefinition/us-core-procedure | 5.0.1 |
ProcedureRadiology | ||
Procedure | ||
status | 1506: terminologyMaps using VF_RadiologyProcedureStatus on REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - EXAM STATUS > EXAMINATION STATUS - STATUS (70.02-50 > 70.03-3 > 72-.01) | |
statusReason | ||
text | 1507: source value based on REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - REASON FOR CANCELLATION > RAD/NUC MED REASON - REASON (70.02-50 > 70.03-3.5 > 75.2-.01) | |
category | ||
text | 1508: source value based on REGISTERED EXAMS - TYPE OF IMAGING > IMAGING TYPE - TYPE OF IMAGING (70.02-2 > 79.2-.01) | |
code | ||
coding | 1509: source value based on REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - PROCEDURE > RAD/NUC MED PROCEDURES - CPT CODE > CPT (70.02-50 > 70.03-2 > 71-9 > 81-) | |
system | 1509-1: fixed value = http://www.ama-assn.org/go/cpt | generated from mapParameter line 1 |
code | 1509-2: source value based on REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - PROCEDURE > RAD/NUC MED PROCEDURES - CPT CODE > CPT - CPT CODE (70.02-50 > 70.03-2 > 71-9 > 81-.01) | generated from mapParameter line 2 |
display | 1509-3: source value based on REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - PROCEDURE > RAD/NUC MED PROCEDURES - CPT CODE > CPT - SHORT NAME (70.02-50 > 70.03-2 > 71-9 > 81-2) | generated from mapParameter line 3 |
subject | 1510: reference based on RAD/NUC MED PATIENT - NAME (70-.01) if 70-2 > 70.02 | |
encounter | 1511: reference based on REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - VISIT (70.02-50 > 70.03-27) | |
performed[x] (performedDateTime) | 1512: source value based on REGISTERED EXAMS - EXAM DATE (70.02-.01) | required if the status is 'completed' or 'in-progress' |
performer | ||
actor | 1513: reference based on REGISTERED EXAMS - EXAMINATIONS > EXAMINATIONS - PRIMARY INTERPRETING STAFF (70.02-50 > 70.03-15) | |
location | 1514: reference based on REGISTERED EXAMS - IMAGING LOCATION > IMAGING LOCATIONS - LOCATION (70.02-4 > 79.1-.01) |
ProcedureRadiology | ||
Procedure | ||
category | ||
text | Rad.RadiologyRegisteredExam.ImagingTypeIEN Dim.ImagingType.ImagingType | |
subject | Patient.RadiologyPatient.PatientIEN,Rad.RadiologyExam.PatientIEN,Rad.RadiologyExamActivityLog.PatientIEN,Rad.RadiologyExamContrastMedia.PatientIEN,Rad.RadiologyExamCPTModifier.PatientIEN,Rad.RadiologyExamMedication.PatientIEN,Rad.RadiologyExamSecondaryDiagnosticCode.PatientIEN,Rad.RadiologyExamStatusList.PatientIEN,Rad.RadiologyFilmRegistry.PatientIEN,Rad.RadiologyRegisteredExam.PatientIEN | |
encounter | Rad.RadiologyExam.VisitIEN | |
performed[x] (performedDateTime) | Rad.RadiologyExam.ExamDateTime,Rad.RadiologyExamActivityLog.ExamDateTime,Rad.RadiologyExamContrastMedia.ExamDateTime,Rad.RadiologyExamCPTModifier.ExamDateTime,Rad.RadiologyExamMedication.ExamDateTime,Rad.RadiologyExamSecondaryDiagnosticCode.ExamDateTime,Rad.RadiologyExamStatusList.ExamDateTime,Rad.RadiologyExamTechnologist.ExamDateTime,Rad.RadiologyRegisteredExam.ExamDateTime | |
performer | ||
actor | Rad.RadiologyExam.PrimaryInterpretingStaffIEN | |
location | Rad.RadiologyRegisteredExam.RadiologyLocationIEN Dim.RadiologyLocation.LocationIEN |
ProcedureRadiology | ||
Procedure | ||
performed[x] (performedDateTime) | RadOrder.Result.FromTime | |
location | RadOrder.Result.EnteredAt,RadOrder.Result.PerformedAt |
ProcedureRadiology | ||
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 |
ProcedureRadiology | ||
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 | |
id | n/a | |
extension | n/a | |
coding | union(., ./translation) | |
text | ./originalText[mediaType/code="text/plain"]/data | |
category | .outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code | |
id | n/a | |
extension | n/a | |
coding | union(., ./translation) | |
text | ./originalText[mediaType/code="text/plain"]/data | |
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 | |
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 | |
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] |
ProcedureRadiology | ||
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] |
ProcedureRadiology | ||
Procedure | ||
identifier | Some combination of ORC-2 / ORC-3 / OBR-2 / OBR-3 / IPC-1 / IPC-2 / IPC-3 / IPC-4 | |
statusReason | ||
coding | C*E.1-8, C*E.10-22 | |
text | C*E.9. But note many systems use C*E.2 for this | |
category | ||
coding | C*E.1-8, C*E.10-22 | |
text | C*E.9. But note many systems use C*E.2 for this | |
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 | |
bodySite | OBX-20 | |
note | NTE |