US Veterans Health Administration FHIR Map Set Implementation Guide
1.9.0 - 251001 United States of America flag

US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.9.0 See the Directory of published versions

Resource Profile: VitalSignsBP - Mappings

Active as of 2025-09-30

Mappings for the VitalSignsBP 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.

Mapping Sources

Use Case: Vital Signs: BP (Source)Use Case: Vital Signs: BP (Source)GMRV VITAL MEASUREMENT (120.5).001IEN.01DATE/TIME VITALS TAKEN.02PATIENT.03VITAL TYPE.04DATE/TIME VITALS ENTERED.05HOSPITAL LOCATION1.2RATE4REASON ENTERED IN ERROR5QUALIFIERGMRV VITAL QUALIFIER (120.52)99.99VUIDGMRV VITAL TYPE (120.51)99.99VUID

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1805 for review V2F GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) terminologyMaps Observation.component[va-cuff-size] .valueCodeableConcept VF_VitalsCuffSize .code = http://loinc.org#8358-4 "Blood pressure device cuff size" http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure | 5.0.1
666 for review V2F GMRV VITAL MEASUREMENT - RATE (120.5-1.2) transform VUID = 4500634 Observation.component[systolic] .valueQuantity.value Split_rate_value.Systolic() .valueQuantity.code = #mm[Hg]
.valueQuantity.unit = mm[Hg]
.code = http://loinc.org#8480-6		 Value needs to be parsed from VistA http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure | 5.0.1
667 for review V2F GMRV VITAL MEASUREMENT - RATE (120.5-1.2) transform VUID = 4500634 Observation.component[diastolic] .valueQuantity.value Split_rate_value.Diastolic() .valueQuantity.code = #mm[Hg]
.valueQuantity.unit = mm[Hg]
.code = http://loinc.org#8462-4		 Value needs to be parsed from VistA http://hl7.org/fhir/us/core/StructureDefinition/us-core-blood-pressure | 5.0.1
652 for review V2F GMRV VITAL MEASUREMENT - DATE/TIME VITALS ENTERED (120.5-.04) source value Observation.issued http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
1653 for review V2F GMRV VITAL MEASUREMENT - HOSPITAL LOCATION (120.5-.05) reference Observation.performer /Organization http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
655 for review V2F GMRV VITAL MEASUREMENT - REASON ENTERED IN ERROR (120.5-4) fixed value null Observation.status #final http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
656 for review V2F GMRV VITAL MEASUREMENT - REASON ENTERED IN ERROR (120.5-4) fixed value not null Observation.status #entered-in-error http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
657 for review V2F GMRV VITAL MEASUREMENT - DATE/TIME VITALS TAKEN (120.5-.01) source value Observation.effectiveDateTime http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
658 for review V2F fixed value Observation.category[VSCat] http://terminology.hl7.org/CodeSystem/observation-category#vital-signs http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
659 for review V2F GMRV VITAL MEASUREMENT - PATIENT (120.5-.02) reference Observation.subject /Patient http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
660 for review V2F GMRV VITAL MEASUREMENT - IEN (120.5-.001) source value Observation.identifier .value .system = http://va.gov/identifiers/$Sta3n/120.5 http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
661 for review V2F GMRV VITAL MEASUREMENT - VITAL TYPE > GMRV VITAL TYPE - VUID (120.5-.03 > 120.51-99.99) terminologyMaps Observation.code .coding VF_VitalsCodes Pulse Oximetry has 2 code values per US Core http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
662 for review V2F GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) terminologyMaps Observation.bodySite VF_VitalsBodySite http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
663 for review V2F GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) terminologyMaps Observation.extension[http://hl7.org/fhir/StructureDefinition/observation-deviceCode].valueCodeableConcept VF_VitalsMeasurementDevice http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
867 for review V2F GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) terminologyMaps Observation.method VF_VitalsMethod http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
1802 for review V2F GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) terminologyMaps Observation.component[va-pre-condition] .valueCodeableConcept VF_VitalsPrecondition .code = http://loinc.org#104158-1 "Associated precondition - Reported" http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
1803 for review V2F GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) terminologyMaps Observation.component[va-pre-condition-device] .valueCodeableConcept VF_VitalsQualifyingDevice .code = http://loinc.org#104158-1 "Associated precondition - Reported" http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
1804 for review V2F GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99) terminologyMaps Observation.extension[http://hl7.org/fhir/StructureDefinition/observation-bodyPosition] .valueCodeableConcept VF_VitalsBodyPosition http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
664 for review V2F GMRV VITAL MEASUREMENT - RATE (120.5-1.2) source value VUID not = 4500634 Observation.valueQuantity .value http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1
665 for review V2F GMRV VITAL MEASUREMENT - VITAL TYPE (120.5-.03) transform Observation.valueQuantity .code VF_VitalsUnits VPR may transform http://hl7.org/fhir/us/core/StructureDefinition/us-core-vital-signs | 5.0.1

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameVeterans Health Information Systems Technology and Architecture (VistA)Clinical Data Warehouse (CDW)Summary Document Architecure (SDA)Virtual Patient Record XML (VPR)Workflow PatternSNOMED CT Concept Domain BindingSNOMED CT Attribute Bindingdoco
.. Observation
Event
< 363787002 |Observable entity|
... id
... meta
... implicitRules
... language
... text
... contained
... Slices for extension
.... extension:observation-deviceCode
..... id
..... extension
..... url
..... value[x]
terminologyMaps using VF_VitalsMeasurementDevice on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
Observation.ObservationMethods
.... extension:observation-bodyPosition
..... id
..... extension
..... url
..... value[x]
terminologyMaps using VF_VitalsBodyPosition on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
Observation.ObservationMethods
... modifierExtension
... identifier
Event.identifier
.... id
.... extension
.... use
.... type
.... system
fixed value = http://va.gov/identifiers/$Sta3n/120.5
mapParameter line 1
.... value
source value based on GMRV VITAL MEASUREMENT - IEN (120.5-.001)
.... period
.... assigner
... basedOn
Event.basedOn
... partOf
Event.partOf
... status
fixed value = #entered-in-error when GMRV VITAL MEASUREMENT - REASON ENTERED IN ERROR (120.5-4) if not null
Observation.Extension[ObservationExtension].Removed
vital.removed [m]
Event.status
< 445584004 |Report by finality status|
... Slices for category
.... category:VSCat
fixed value = http://terminology.hl7.org/CodeSystem/observation-category#vital-signs
..... id
..... extension
..... coding
...... id
...... extension
...... system
...... version
...... code
...... display
...... userSelected
..... text
... code
Event.code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
116680003 |Is a|
.... id
.... extension
.... coding
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
Vital.VitalSign.VitalTypeIEN Dim.VitalType.VUID
Observation.ObservationCode Observation.Extension[ObservationExtension].BMI
vital.vuid (>120.51-99.99) vital.name (>120.51-.01)
.... text
... subject
reference based on GMRV VITAL MEASUREMENT - PATIENT (120.5-.02)
Vital.VitalSign.PatientIEN
Event.subject
... focus
... encounter
Event.context
... Slices for effective[x]
Event.occurrence[x]
.... effective[x]:effectiveDateTime
source value based on GMRV VITAL MEASUREMENT - DATE/TIME VITALS TAKEN (120.5-.01)
Vital.VitalSign.VitalSignTakenDateTime Vital.VitalSignQualifier.VitalSignTakenDateTime
Observation.ObservationCode[Observation].Description Observation.ObservationMethods[ObservationMethod].Description
vital.taken
Event.occurrence[x]
... issued
source value based on GMRV VITAL MEASUREMENT - DATE/TIME VITALS ENTERED (120.5-.04)
Vital.VitalSign.VitalSignEnteredDateTime
vital.entered
... performer
reference based on GMRV VITAL MEASUREMENT - HOSPITAL LOCATION (120.5-.05)
Vital.VitalSign.LocationIEN
Observation.EnteredAt Observation.Extension[ObservationExtension].Location
vital.facility (>44-3) vital.facility (>44-.07) vital.location (>44-.01)
Event.performer.actor
... Slices for value[x]
< 441742003 |Evaluation finding|
363714003 |Interprets|
.... value[x]:valueQuantity
< 441742003 |Evaluation finding|
363714003 |Interprets|
..... id
..... extension
..... value
source value based on GMRV VITAL MEASUREMENT - RATE (120.5-1.2) if VUID not = 4500634
Vital.VitalSign.Diastolic Vital.VitalSign.Systolic Vital.VitalSign.VitalResult Vital.VitalSign.VitalResultNumeric
Observation.ObservationValue Observation.Extension[ObservationExtension].BMI
vital.value vital.units vital.metricvalue vital.metricUnits vital.bmi
..... comparator
..... unit
..... system
..... code
transform using VF_VitalsUnits on GMRV VITAL MEASUREMENT - VITAL TYPE (120.5-.03)
VPR may transform
Vital.VitalSign.VitalTypeIEN
Observation.ObservationCode Observation.Extension[ObservationExtension].BMI
vital.vuid (>120.51-99.99) vital.name (>120.51-.01)
... dataAbsentReason
... interpretation
< 260245000 |Findings values|
363713009 |Has interpretation|
... note
... bodySite
terminologyMaps using VF_VitalsBodySite on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
Observation.ObservationMethods
< 123037004 |Body structure|
718497002 |Inherent location|
... method
terminologyMaps using VF_VitalsMethod on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
Observation.ObservationMethods
... specimen
< 123038009 |Specimen|
704319004 |Inherent in|
... device
< 49062001 |Device|
424226004 |Using device|
... referenceRange
.... id
.... extension
.... modifierExtension
.... low
.... high
.... 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|
.... age
.... text
... hasMember
... derivedFrom
... Slices for component
.... component:All Slices
..... id
..... extension
..... modifierExtension
..... code
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
..... dataAbsentReason
..... interpretation
< 260245000 |Findings values|
363713009 |Has interpretation|
..... referenceRange
.... component:systolic
..... id
..... extension
..... modifierExtension
..... code
fixed value = http://loinc.org#8480-6 if VUID = 4500634
mapParameter line 3
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
...... id
...... extension
...... value
transform using Split_rate_value.Systolic() on GMRV VITAL MEASUREMENT - RATE (120.5-1.2) if VUID = 4500634
Value needs to be parsed from VistA
Vital.VitalSign.Diastolic Vital.VitalSign.Systolic Vital.VitalSign.VitalResult Vital.VitalSign.VitalResultNumeric
Observation.ObservationValue Observation.Extension[ObservationExtension].BMI
vital.value vital.units vital.metricvalue vital.metricUnits vital.bmi
...... comparator
...... unit
fixed value = mm[Hg] if VUID = 4500634
mapParameter line 2
...... system
...... code
fixed value = #mm[Hg] if VUID = 4500634
mapParameter line 1
..... dataAbsentReason
..... interpretation
< 260245000 |Findings values|
363713009 |Has interpretation|
..... referenceRange
.... component:diastolic
..... id
..... extension
..... modifierExtension
..... code
fixed value = http://loinc.org#8462-4 if VUID = 4500634
mapParameter line 3
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
..... value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
...... id
...... extension
...... value
transform using Split_rate_value.Diastolic() on GMRV VITAL MEASUREMENT - RATE (120.5-1.2) if VUID = 4500634
Value needs to be parsed from VistA
Vital.VitalSign.Diastolic Vital.VitalSign.Systolic Vital.VitalSign.VitalResult Vital.VitalSign.VitalResultNumeric
Observation.ObservationValue Observation.Extension[ObservationExtension].BMI
vital.value vital.units vital.metricvalue vital.metricUnits vital.bmi
...... comparator
...... unit
fixed value = mm[Hg] if VUID = 4500634
mapParameter line 2
...... system
...... code
fixed value = #mm[Hg] if VUID = 4500634
mapParameter line 1
..... dataAbsentReason
..... interpretation
< 260245000 |Findings values|
363713009 |Has interpretation|
..... referenceRange
.... component:va-cuff-size
..... id
..... extension
..... modifierExtension
..... code
fixed value = http://loinc.org#8358-4 "Blood pressure device cuff size"
mapParameter line 1
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
..... Slices for value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
...... value[x]:valueCodeableConcept
terminologyMaps using VF_VitalsCuffSize on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
Observation.ObservationMethods
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
..... dataAbsentReason
..... interpretation
< 260245000 |Findings values|
363713009 |Has interpretation|
..... referenceRange
.... component:va-pre-condition
..... id
..... extension
..... modifierExtension
..... code
fixed value = http://loinc.org#104158-1 "Associated precondition - Reported"
mapParameter line 1
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
..... Slices for value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
...... value[x]:valueCodeableConcept
terminologyMaps using VF_VitalsPrecondition on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
Observation.ObservationMethods
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
..... dataAbsentReason
..... interpretation
< 260245000 |Findings values|
363713009 |Has interpretation|
..... referenceRange
.... component:va-pre-condition-device
..... id
..... extension
..... modifierExtension
..... code
fixed value = http://loinc.org#104158-1 "Associated precondition - Reported"
mapParameter line 1
< 363787002 |Observable entity| OR < 386053000 |Evaluation procedure|
..... Slices for value[x]
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
...... value[x]:valueCodeableConcept
terminologyMaps using VF_VitalsQualifyingDevice on GMRV VITAL MEASUREMENT - QUALIFIER > GMRV VITAL QUALIFIER - VUID (120.5-5 > 120.52-99.99)
Observation.ObservationMethods
363714003 |Interprets| < 441742003 |Evaluation finding|
363714003 |Interprets|
..... dataAbsentReason
..... interpretation
< 260245000 |Findings values|
363713009 |Has interpretation|
..... referenceRange

doco Documentation for this format