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: MHVcondition - Mappings

Page standards status: Trial-use

Maturity Level: 4

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

Mappings for VIA to mhv-fhir-phr (ProblemTO)

Informative map to available elements in MHV FHIR API

MHVcondition
Condition	ProblemTO	Vista FileMan
identifier	{StationNbr} and {ProblemTO.id}
clinicalStatus	ProblemTO.status (Active, Inactive)	9000011-.12 STATUS
verificationStatus	ProblemTO.verified (confirmed, unconfirmed, entered-in-error)	9000011-1.02 CONDITION
category	`problem-list-item`
code
coding	ProblemTO.icd	9000011-.01 DIAGNOSIS
text	ProblemTO.type.name	9000011-.01 DIAGNOSIS
subject	patient	9000011-.02 PATIENT NAME
onset[x]	ProblemTO.onsetDate	9000011-.13 DATE OF ONSET
abatement[x]	ProblemTO.abatementDateTime	9000011-1.07 DATE RESOLVED
recordedDate	ProblemTO.timestamp	9000011-1.09 DATE RECORDED
recorder	GetPractitioner(ProblemTO.observer)	9000011-1.05 RESPONSIBLE PROVIDER
extension (location)	~ProblemTO.facility	9000011-.06 FACILITY
note	ProblemTO.comments	??? 9000011-.05 PROVIDER NARRATIVE

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

Informative map to include only the elements available in eVault PHR

MHVcondition
Condition	ProblemTO	eVault
clinicalStatus	ProblemTO.status (Active, Inactive)	STATUS
category	`problem-list-item`
code
text	ProblemTO.type.name	PROBLEM
subject	patient
recordedDate	ProblemTO.modifiedDate	EVENT_TIME
recorder	GetPractitioner(ProblemTO.observer)	PROVIDER
note	ProblemTO.comments	COMMENTS

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

MHVcondition
Condition	Event
identifier	Event.identifier
identifier (TOid)	Event.identifier
clinicalStatus	Event.status
verificationStatus	Event.status
code	Event.code
subject	Event.subject
onset[x]	Event.occurrence[x]
note	Event.note

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

MHVcondition
Condition	< 243796009 |Situation with explicit context| : 246090004 |Associated finding| = ( ( < 404684003 |Clinical finding| MINUS ( << 420134006 |Propensity to adverse reactions| OR << 473010000 |Hypersensitivity condition| OR << 79899007 |Drug interaction| OR << 69449002 |Drug action| OR << 441742003 |Evaluation finding| OR << 307824009 |Administrative status| OR << 385356007 |Tumor stage finding|)) OR < 272379006 |Event|)
clinicalStatus	< 303105007 |Disease phases|
verificationStatus	< 410514004 |Finding context value|
category	< 404684003 |Clinical finding|
category (us-core)	< 404684003 |Clinical finding|
category (sdoh)	< 404684003 |Clinical finding|
code	code 246090004 |Associated finding| (< 404684003 |Clinical finding| MINUS << 420134006 |Propensity to adverse reactions| MINUS << 473010000 |Hypersensitivity condition| MINUS << 79899007 |Drug interaction| MINUS << 69449002 |Drug action| MINUS << 441742003 |Evaluation finding| MINUS << 307824009 |Administrative status| MINUS << 385356007 |Tumor stage finding|) OR < 413350009 |Finding with explicit context| OR < 272379006 |Event|

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

MHVcondition
Condition	PPR message
identifier
identifier (TOid)
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)
clinicalStatus	PRB-14
verificationStatus	PRB-13
category	'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
category (us-core)	'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
category (sdoh)	'problem' if from PRB-3. 'diagnosis' if from DG1 segment in PV1 message
code	PRB-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
onset[x]	PRB-16
recordedDate	REL-11
note	NTE child of PRB

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

MHVcondition
Condition	Entity. Role, or Act, Observation[classCode=OBS, moodCode=EVN, code=ASSERTION, value<Diagnosis]
text	Act.text?
contained	N/A
modifierExtension	N/A
identifier	.id
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
category	.code
category (us-core)	.code
category (sdoh)	.code
code	.value
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
subject	.participation[typeCode=SBJ].role[classCode=PAT]
onset[x]	.effectiveTime.low or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at onset"].value
abatement[x]	.effectiveTime.high or .inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="age at remission"].value or .inboundRelationship[typeCode=SUBJ]source[classCode=CONC, moodCode=EVN].status=completed
recordedDate	.participation[typeCode=AUT].time
recorder	.participation[typeCode=AUT].role
id	n/a
extension	n/a
extension (location)
id	n/a
url	N/A
value[x]	N/A
reference	N/A
type	N/A
identifier	.identifier
display	N/A
note	.inboundRelationship[typeCode=SUBJ].source[classCode=OBS, moodCode=EVN, code="annotation"].value

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

MHVcondition
Condition
identifier	FiveWs.identifier
identifier (TOid)	FiveWs.identifier
clinicalStatus	FiveWs.status
verificationStatus	FiveWs.status
category	FiveWs.class
category (us-core)	FiveWs.class
category (sdoh)	FiveWs.class
code	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
onset[x]	FiveWs.init
abatement[x]	FiveWs.done[x]
recordedDate	FiveWs.recorded
recorder	FiveWs.author

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

MHVcondition
Condition
verificationStatus	408729009
code	246090004