MyHealtheVet PHR FHIR API, published by VA Digital Services. This guide is not an authorized publication; it is the continuous build for version 0.3.9-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/department-of-veterans-affairs/mhv-fhir-phr-mapping/ and changes regularly. See the Directory of published versions

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Resource Profile: MHVallergyIntolerance - Mappings

Page standards status: Trial-use

Maturity Level: 4

Mappings for the VA.MHV.PHR.allergyIntolerance resource profile.

Mappings for HDR Allergy to mhv-fhir-phr (intoleranceCondition)

Informative map to available elements in MHV FHIR API

MHVallergyIntolerance
AllergyIntolerance	HDR Allergy	Vista FileMan
extension (observedHistoric)	intoleranceCondition.informationSourceCategory	120.8-6 OBSERVED/HISTORICAL
identifier	intoleranceCondition.recordIdentifer
clinicalStatus	`active` if not entered-in-error	120.8-19 VERIFIED
verificationStatus	would indicate `entered-in-error`	120.8-22 ENTERED IN ERROR
category	~intoleranceCondition.allergyType.code	120.8-3.1 ALLERGY TYPE
code
text	intoleranceCondition.agent.code	120.8-.02 REACTANT
patient	GetPatient(intoleranceCondition.patient)	120.8-.01 PATIENT
recordedDate	~intoleranceCondition.observationTime.literal	120.8-9 HISTORICAL DATE/TIME OF EVENT
recorder
extension (visn)	Organization(intoleranceCondition.facilityIdentifier)
note	intoleranceCondition.commentEvents	120.8-26 COMMENTS
time	~intoleranceCondition.commentEvents.date.literal
text	intoleranceCondition.commentEvents.comment
reaction
manifestation	intoleranceCondition.reaction.reaction	120.8-10 REACTIONS
coding
system	if code is 7 digits, then system is VUID, else use SNOMED-CT system
code	intoleranceCondition.reaction.reaction.code
text	intoleranceCondition.reaction.reaction.displayText

Mappings for eVault-PHR to MHV-PHR (eVaultPHR)

Informative map that includes only the elements available in eVault PHR

MHVallergyIntolerance
AllergyIntolerance	HDR Allergy	eVault
extension (observedHistoric)	intoleranceCondition.informationSourceCategory	Observed/Historical
identifier	intoleranceCondition.recordIdentifer
clinicalStatus	`active` if not entered-in-error
verificationStatus	would indicate `entered-in-error`
category	~intoleranceCondition.allergyType.code	Allergy Type
code
text	intoleranceCondition.agent.code	Allergen
patient	GetPatient(intoleranceCondition.patient)
recordedDate	~intoleranceCondition.observationTime.literal	Date Entered
recorder
extension (visn)	Organization(intoleranceCondition.facilityIdentifier)
note	intoleranceCondition.commentEvents
time	~intoleranceCondition.commentEvents.date.literal
text	intoleranceCondition.commentEvents.comment	Comments
reaction
manifestation	intoleranceCondition.reaction.reaction
text	intoleranceCondition.reaction.reaction.displayText	Reactions

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

MHVallergyIntolerance
AllergyIntolerance	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN]
text	Act.text?
contained	N/A
modifierExtension	N/A
identifier	id
identifier (recordIdentifier)	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
identifier (TOid)	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
clinicalStatus	Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="clinicalStatus", moodCode=EVN].value
verificationStatus	Observation ACT .inboundRelationship[typeCode=COMP].source[classCode=OBS, code="verificationStatus", moodCode=EVN].value
type	code
category	value < IntoleranceValue (Agent)
code	substance/product: .participation[typeCode=CAGNT].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType] negated/excluded substance/product: .participation[typeCode=CAGNT, negationInd=true].role[classCode=ADMM].player[classCode=MAT, determinerCode=KIND, code <= ExposureAgentEntityType] positive or negated/excluded condition/situation: Observation.code=ASSERTION; Observation.value
id	n/a
extension	n/a
text	./originalText[mediaType/code="text/plain"]/data
patient	.participation[typeCode=SBJ].role[classCode=PAT]
recordedDate	.participation[typeCode=AUT].time
recorder	.participation[typeCode=AUT].role
id	n/a
extension	n/a
extension (visn)
id	n/a
url	N/A
value[x]	N/A
reference	N/A
type	N/A
identifier	.identifier
display	N/A
note	subjectOf.observationEvent[code="annotation"].value
id	n/a
extension	n/a
time	Act.effectiveTime
text	Act.text
reaction	outBoundRelationship[typeCode=SUBJ].target[classCode=OBS, moodCode=EVN, code <= CommonClinicalObservationType, value <= ObservationValue (Reaction Type)]
id	n/a
extension	n/a
modifierExtension	N/A
manifestation	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

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

MHVallergyIntolerance
AllergyIntolerance
identifier	FiveWs.identifier
identifier (recordIdentifier)	FiveWs.identifier
identifier (TOid)	FiveWs.identifier
clinicalStatus	FiveWs.status
verificationStatus	FiveWs.status
type	FiveWs.class
category	FiveWs.class
code	FiveWs.what[x]
patient	FiveWs.subject[x], FiveWs.subject
recordedDate	FiveWs.recorded
recorder	FiveWs.author

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

MHVallergyIntolerance
AllergyIntolerance
identifier	IAM-7
identifier (recordIdentifier)	IAM-7
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)
identifier (TOid)	IAM-7
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)
type	IAM-9
category	AL1-2
code	AL1-3 / IAM-3
text	C*E.9. But note many systems use C*E.2 for this
patient	(PID-3)
recordedDate	IAM-13
note
time	N/A
text	N/A
reaction
manifestation	AL1-5
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