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Resource Profile: VitalSigns - Mappings

Active as of 2025-03-31

Mappings for the VitalSigns resource profile.

Mappings for Veterans Health Information Systems Technology and Architecture (VistA) ()

VitalSigns
Observation
extension
extension (observation-deviceCode)
value[x]	663: terminologyMaps using VF_VitalsMeasurementDevice on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
extension (observation-bodyPosition)
value[x]	1804: terminologyMaps using VF_VitalsBodyPosition on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
identifier
system	660-1: fixed value = http://va.gov/identifiers/$Sta3n/120.5	generated from mapParameter line 1
value	660: source value based on GMRV VITAL MEASUREMENT - IEN (120.5-.001)
status	655: fixed value = #final when GMRV VITAL MEASUREMENT - REASON ENTERED IN ERROR (120.5-4) if null, 656: fixed value = #entered-in-error when GMRV VITAL MEASUREMENT - REASON ENTERED IN ERROR (120.5-4) if not null	,
category (VSCat)	658: fixed value = http://terminology.hl7.org/CodeSystem/observation-category#vital-signs
code
coding	661: terminologyMaps using VF_VitalsCodes on GMRV VITAL MEASUREMENT - VITAL TYPE > GMRV VITAL TYPE - VUID (120.5-.03 > 120.51-99.99)	Pulse Oximetry has 2 code values per US Core
subject	659: reference based on GMRV VITAL MEASUREMENT - PATIENT (120.5-.02)
effective[x] (effectiveDateTime)	657: source value based on GMRV VITAL MEASUREMENT - DATE/TIME VITALS TAKEN (120.5-.01)
issued	652: source value based on GMRV VITAL MEASUREMENT - DATE/TIME VITALS ENTERED (120.5-.04)
performer	1653: reference based on GMRV VITAL MEASUREMENT - HOSPITAL LOCATION (120.5-.05)
value[x]
value[x] (valueQuantity)
value	664: source value based on GMRV VITAL MEASUREMENT - RATE (120.5-1.2) if VUID not = 4500634
code	665: transform using VF_VitalsUnits on GMRV VITAL MEASUREMENT - VITAL TYPE (120.5-.03)	VPR may transform
bodySite	662: terminologyMaps using VF_VitalsBodySite on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
method	867: terminologyMaps using VF_VitalsMethod on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
component
component (va-pre-condition)
code	1802-1: fixed value = http://loinc.org#104158-1 "Associated precondition - Reported"	generated from mapParameter line 1
value[x] (valueCodeableConcept)	1802: terminologyMaps using VF_VitalsPrecondition on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
component (va-pre-condition-device)
code	1803-1: fixed value = http://loinc.org#104158-1 "Associated precondition - Reported"	generated from mapParameter line 1
value[x] (valueCodeableConcept)	1803: terminologyMaps using VF_VitalsQualifyingDevice on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)

Mappings for Clinical Data Warehouse (CDW) ()

VitalSigns
Observation
code
coding	Vital.VitalSign.VitalTypeIEN Dim.VitalType.VUID
subject	Vital.VitalSign.PatientIEN
effective[x] (effectiveDateTime)	Vital.VitalSign.VitalSignTakenDateTime,Vital.VitalSignQualifier.VitalSignTakenDateTime
issued	Vital.VitalSign.VitalSignEnteredDateTime
performer	Vital.VitalSign.LocationIEN
value[x]
value[x] (valueQuantity)
value	Vital.VitalSign.Diastolic,Vital.VitalSign.Systolic,Vital.VitalSign.VitalResult,Vital.VitalSign.VitalResultNumeric
code	Vital.VitalSign.VitalTypeIEN

Mappings for Summary Document Architecure (SDA) ()

VitalSigns
Observation
extension
extension (observation-deviceCode)
value[x]	Observation.ObservationMethods
extension (observation-bodyPosition)
value[x]	Observation.ObservationMethods
status	Observation.Extension[ObservationExtension].Removed
code
coding	Observation.ObservationCode,Observation.Extension[ObservationExtension].BMI
effective[x] (effectiveDateTime)	Observation.ObservationCode[Observation].Description,Observation.ObservationMethods[ObservationMethod].Description
performer	Observation.EnteredAt,Observation.Extension[ObservationExtension].Location
value[x]
value[x] (valueQuantity)
value	Observation.ObservationValue,Observation.Extension[ObservationExtension].BMI
code	Observation.ObservationCode,Observation.Extension[ObservationExtension].BMI
bodySite	Observation.ObservationMethods
method	Observation.ObservationMethods
component
component (va-pre-condition)
value[x] (valueCodeableConcept)	Observation.ObservationMethods
component (va-pre-condition-device)
value[x] (valueCodeableConcept)	Observation.ObservationMethods

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

VitalSigns
Observation	Event
identifier	Event.identifier
basedOn	Event.basedOn
partOf	Event.partOf
status	Event.status
code	Event.code
subject	Event.subject
encounter	Event.context
effective[x]	Event.occurrence[x]
effective[x] (effectiveDateTime)	Event.occurrence[x]
performer	Event.performer.actor

Mappings for SNOMED CT Concept Domain Binding (http://snomed.info/conceptdomain)

VitalSigns
Observation	< 363787002 |Observable entity|
status	< 445584004 |Report by finality status|
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	< 441742003 |Evaluation finding|
value[x] (valueQuantity)	< 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
bodySite	< 123037004 |Body structure|
specimen	< 123038009 |Specimen|
device	< 49062001 |Device|
referenceRange
type	< 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|
appliesTo	< 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|
component
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (va-pre-condition)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
value[x] (valueCodeableConcept)	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|
component (va-pre-condition-device)
code	< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
value[x]	363714003 |Interprets| < 441742003 |Evaluation finding|
value[x] (valueCodeableConcept)	363714003 |Interprets| < 441742003 |Evaluation finding|
interpretation	< 260245000 |Findings values|

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

VitalSigns
Observation	OBX
identifier	OBX.21 For OBX segments from systems without OBX-21 support a combination of ORC/OBR and OBX must be negotiated between trading partners to uniquely identify the OBX segment. Depending on how V2 has been implemented each of these may be an option: 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.
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
basedOn	ORC
partOf	Varies by domain
status	OBX-11
category
category (VSCat)
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
code	OBX-3
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3
focus	OBX-3
encounter	PV1
effective[x]	OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
effective[x] (effectiveDateTime)	OBX-14, and/or OBX-19 after v2.4 (depends on who observation made)
issued	OBR.22 (or MSH.7), or perhaps OBX-19 (depends on who observation made)
performer	OBX.15 / (Practitioner) OBX-16, PRT-5:PRT-4='RO' / (Device) OBX-18 , PRT-10:PRT-4='EQUIP' / (Organization) OBX-23, PRT-8:PRT-4='PO'
value[x]	OBX.2, OBX.5, OBX.6
value[x] (valueQuantity)	OBX.2, OBX.5, OBX.6
value	SN.2 / CQ - N/A
comparator	SN.1 / CQ.1
unit	(see OBX.6 etc.) / CQ.2
system	(see OBX.6 etc.) / CQ.2
code	(see OBX.6 etc.) / CQ.2
dataAbsentReason	N/A
interpretation	OBX-8
note	NTE.3 (partner NTE to OBX, or sometimes another (child?) OBX)
bodySite	OBX-20
method	OBX-17
specimen	SPM segment
device	OBX-17 / PRT -10
referenceRange	OBX.7
low	OBX-7
high	OBX-7
type	OBX-10
appliesTo	OBX-10
text	OBX-7
hasMember	Relationships established by OBX-4 usage
derivedFrom	Relationships established by OBX-4 usage
component	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (va-pre-condition)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
value[x] (valueCodeableConcept)	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7
component (va-pre-condition-device)	containment by OBX-4?
code	OBX-3
value[x]	OBX.2, OBX.5, OBX.6
value[x] (valueCodeableConcept)	OBX.2, OBX.5, OBX.6
dataAbsentReason	N/A
interpretation	OBX-8
referenceRange	OBX.7

Mappings for RIM Mapping (http://hl7.org/v3)

VitalSigns
Observation	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
contained	N/A
extension
extension (observation-deviceCode)
id	n/a
url	N/A
value[x]	N/A
extension (observation-bodyPosition)
id	n/a
url	N/A
value[x]	N/A
modifierExtension	N/A
identifier	id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
basedOn	.inboundRelationship[typeCode=COMP].source[moodCode=EVN]
partOf	.outboundRelationship[typeCode=FLFS].target
status	status Amended & Final are differentiated by whether it is the subject of a ControlAct event with a type of "revise"
category	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].code
category (VSCat)	.outboundRelationship[typeCode="COMP].target[classCode="LIST", moodCode="EVN"].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
code	code
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
subject	participation[typeCode=RTGT]
focus	participation[typeCode=SBJ]
encounter	inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN]
effective[x]	effectiveTime
effective[x] (effectiveDateTime)	effectiveTime
issued	participation[typeCode=AUT].time
performer	participation[typeCode=PRF]
value[x]	value
value[x] (valueQuantity)	value
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
comparator	IVL properties
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
note	subjectOf.observationEvent[code="annotation"].value
bodySite	targetSiteCode
method	methodCode
specimen	participation[typeCode=SPC].specimen
device	participation[typeCode=DEV]
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
low	value:IVL_PQ.low
high	value:IVL_PQ.high
type	interpretationCode
appliesTo	interpretationCode
age	outboundRelationship[typeCode=PRCN].targetObservationCriterion[code="age"].value
text	value:ST
hasMember	outBoundRelationship
derivedFrom	.targetObservation
component	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (va-pre-condition)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
value[x] (valueCodeableConcept)	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]
component (va-pre-condition-device)	outBoundRelationship[typeCode=COMP]
id	n/a
extension	n/a
modifierExtension	N/A
code	code
value[x]	value
value[x] (valueCodeableConcept)	value
dataAbsentReason	value.nullFlavor
interpretation	interpretationCode
referenceRange	outboundRelationship[typeCode=REFV]/target[classCode=OBS, moodCode=EVN]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

VitalSigns
Observation
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
category (VSCat)	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
focus	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
effective[x]	FiveWs.done[x]
effective[x] (effectiveDateTime)	FiveWs.done[x]
issued	FiveWs.recorded
performer	FiveWs.actor
component
code	FiveWs.what[x]
component (va-pre-condition)
code	FiveWs.what[x]
component (va-pre-condition-device)
code	FiveWs.what[x]

Mappings for SNOMED CT Attribute Binding (http://snomed.org/attributebinding)

VitalSigns
Observation
code	116680003 |Is a|
value[x]	363714003 |Interprets|
value[x] (valueQuantity)	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
bodySite	718497002 |Inherent location|
specimen	704319004 |Inherent in|
device	424226004 |Using device|
component
value[x]	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (va-pre-condition)
value[x]	363714003 |Interprets|
value[x] (valueCodeableConcept)	363714003 |Interprets|
interpretation	363713009 |Has interpretation|
component (va-pre-condition-device)
value[x]	363714003 |Interprets|
value[x] (valueCodeableConcept)	363714003 |Interprets|
interpretation	363713009 |Has interpretation|