US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701
Publication Build: This will be filled in by the publication tooling
Active as of 2025-06-20 |
Mappings for the SmokingStatusObservation 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 |
---|---|---|---|---|---|---|---|---|---|---|---|
1241 | for review | V2F | V HEALTH FACTORS - IEN (9000010.23-.001) | source value | Observation.identifier | .value | .system = http://va.gov/identifiers/$Sta3n/9000010.23 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | |||
1242 | for review | V2F | fixed value | Observation.status | #final | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | |||||
1243 | for review | V2F | fixed value | Observation.category[SocialHistory] | http://terminology.hl7.org/CodeSystem/observation-category#social-history | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | |||||
1244 | for review | V2F | V HEALTH FACTORS - HEALTH FACTOR > HEALTH FACTORS - CATEGORY (9000010.23-.01 > 9999999.64-.03) | fixed value | TOBACCO [C] | Observation.code | http://loinc.org#72166-2 | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | |||
1862 | for review | V2F | V HEALTH FACTORS - HEALTH FACTOR > HEALTH FACTORS - CATEGORY (9000010.23-.01 > 9999999.64-.03) | exclude record | Not TOBACCO [C] | Observation.code | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | ||||
1245 | for review | V2F | V HEALTH FACTORS - PATIENT NAME > PATIENT/IHS - NAME (9000010.23-.02 > 9000001-.01) | reference | Observation.subject | /Patient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | ||||
1246 | for review | V2F | V HEALTH FACTORS - VISIT (9000010.23-.03) | reference | Observation.encounter | /EncounterOutpatient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | ||||
1247 | for review | V2F | V HEALTH FACTORS - EVENT DATE AND TIME (9000010.23-1201) | source value | Observation.effectiveDateTime | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | |||||
1248 | for review | V2F | V HEALTH FACTORS - ENCOUNTER PROVIDER (9000010.23-1204) | reference | Observation.performer | /Practitioner | Only encounter provider is in CDW, so ordering provider was not included at this time. If ordering provider needs to be included in the future, will need to determine a way to distinguish ordering provider from encounter provider in the practitioner resource. | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | |||
1249 | for review | V2F | V HEALTH FACTORS - HEALTH FACTOR > HEALTH FACTORS - FACTOR (9000010.23-.01 > 9999999.64-.01) | terminologyMaps | Observation.valueCodeableConcept | VF_SmokingStatus | .text = {FACTOR (.01)} | If duplicates occur, the latest instance only should be sent. | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 5.0.1 | ||
1250 | for review | V2F | V HEALTH FACTORS - COMMENTS (9000010.23-81101) | source value | Observation.note | .text | http://hl7.org/fhir/us/core/StructureDefinition/us-core-smokingstatus | 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![]() |
---|---|---|---|---|---|---|
![]() ![]() |
Event |
< 363787002 |Observable entity| |
OBX |
|
||
![]() ![]() ![]() |
||||||
![]() ![]() ![]() |
||||||
![]() ![]() ![]() |
||||||
![]() ![]() ![]() |
||||||
![]() ![]() ![]() |
Act.text? |
|||||
![]() ![]() ![]() |
N/A |
|||||
![]() ![]() ![]() |
N/A |
|||||
![]() ![]() ![]() |
N/A |
|||||
![]() ![]() ![]() |
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 |
||
![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() |
N/A |
Role.code or implied by context |
||||
![]() ![]() ![]() ![]() |
CX.5 |
Role.code or implied by context |
||||
![]() ![]() ![]() ![]() |
CX.4 / EI-2-4 |
II.root or Role.id.root |
||||
![]() ![]() ![]() ![]() |
CX.1 / EI.1 |
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
||||
![]() ![]() ![]() ![]() |
CX.7 + CX.8 |
Role.effectiveTime or implied by context |
||||
![]() ![]() ![]() ![]() |
|
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
||||
![]() ![]() ![]() |
Event.basedOn |
ORC |
.inboundRelationship[typeCode=COMP].source[moodCode=EVN] |
|||
![]() ![]() ![]() |
Event.partOf |
Varies by domain |
.outboundRelationship[typeCode=FLFS].target |
|||
![]() ![]() ![]() |
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 |
|
![]() ![]() ![]() |
|
FiveWs.class |
||||
![]() ![]() ![]() ![]() |
|
FiveWs.class |
||||
![]() ![]() ![]() |
Event.code |
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
116680003 |Is a| |
![]() ![]() ![]() |
Event.subject |
PID-3 |
participation[typeCode=RTGT] |
FiveWs.subject |
||
![]() ![]() ![]() |
OBX-3 |
participation[typeCode=SBJ] |
FiveWs.subject |
|||
![]() ![]() ![]() |
Event.context |
PV1 |
|
FiveWs.context |
||
![]() ![]() ![]() |
Event.occurrence[x] |
|
effectiveTime |
FiveWs.done[x] |
||
![]() ![]() ![]() ![]() |
Event.occurrence[x] |
|
effectiveTime |
FiveWs.done[x] |
||
![]() ![]() ![]() |
|
participation[typeCode=AUT].time |
FiveWs.recorded |
|||
![]() ![]() ![]() |
Event.performer.actor |
|
participation[typeCode=PRF] |
FiveWs.actor |
||
![]() ![]() ![]() |
< 441742003 |Evaluation finding| |
|
value |
363714003 |Interprets| | ||
![]() ![]() ![]() ![]() |
< 441742003 |Evaluation finding| |
|
value |
363714003 |Interprets| | ||
![]() ![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() ![]() |
|
|
||||
![]() ![]() ![]() ![]() ![]() |
C*E.9. But note many systems use C*E.2 for this |
./originalText[mediaType/code="text/plain"]/data |
||||
![]() ![]() ![]() |
N/A |
value.nullFlavor |
||||
![]() ![]() ![]() |
< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
![]() ![]() ![]() |
|
subjectOf.observationEvent[code="annotation"].value |
||||
![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() |
N/A |
Act.participant[typeCode=AUT].role |
||||
![]() ![]() ![]() ![]() |
N/A |
Act.effectiveTime |
||||
![]() ![]() ![]() ![]() |
N/A |
Act.text |
||||
![]() ![]() ![]() |
< 123037004 |Body structure| |
OBX-20 |
targetSiteCode |
718497002 |Inherent location| | ||
![]() ![]() ![]() |
OBX-17 |
methodCode |
||||
![]() ![]() ![]() |
< 123038009 |Specimen| |
SPM segment |
participation[typeCode=SPC].specimen |
704319004 |Inherent in| | ||
![]() ![]() ![]() |
< 49062001 |Device| |
OBX-17 / PRT -10 |
participation[typeCode=DEV] |
424226004 |Using device| | ||
![]() ![]() ![]() |
OBX.7 |
|
||||
![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() |
N/A |
|||||
![]() ![]() ![]() ![]() |
OBX-7 |
IVL_PQ.low |
||||
![]() ![]() ![]() ![]() |
OBX-7 |
IVL_PQ.high |
||||
![]() ![]() ![]() ![]() |
< 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 |
|||
![]() ![]() ![]() ![]() |
< 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 |
|||
![]() ![]() ![]() ![]() |
outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value |
|||||
![]() ![]() ![]() ![]() |
OBX-7 |
ST |
||||
![]() ![]() ![]() |
Relationships established by OBX-4 usage |
outBoundRelationship |
||||
![]() ![]() ![]() |
Relationships established by OBX-4 usage |
.targetObservation |
||||
![]() ![]() ![]() |
containment by OBX-4? |
outBoundRelationship[typeCode=COMP] |
||||
![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() |
n/a |
|||||
![]() ![]() ![]() ![]() |
N/A |
|||||
![]() ![]() ![]() ![]() |
< 363787002 |Observable entity| OR
< 386053000 |Evaluation procedure| |
OBX-3 |
code |
FiveWs.what[x] |
||
![]() ![]() ![]() ![]() |
363714003 |Interprets| < 441742003 |Evaluation finding| |
|
value |
363714003 |Interprets| | ||
![]() ![]() ![]() ![]() |
N/A |
value.nullFlavor |
||||
![]() ![]() ![]() ![]() |
< 260245000 |Findings values| |
OBX-8 |
interpretationCode |
363713009 |Has interpretation| | ||
![]() ![]() ![]() ![]() |
OBX.7 |
|
||||
![]() |