R6 Ballot (3rd Draft) FHIR CI-Build

This page is part of the FHIR Specification v6.0.0-ballot3: Release 6 Ballot (3rd Draft) (see Ballot Notes ). The current version is 5.0.0 . For a full list Continuous Integration Build of available versions, see FHIR (will be incorrect/inconsistent at times).
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11.1.8 Resource MedicationRequest - Mappings

Maturity Level : N/A
Responsible Owner: Pharmacy icon Work Group Standards Status : Informative Security Category : Patient Compartments : Encounter , Group , Patient , Practitioner

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 V2 Mapping

RIM Mapping

Mapping to NCPDP SCRIPT 10.6

V3 Pharmacy Dispense RMIM

Mappings for the MedicationRequest resource (see Mappings to Other Standards for further information & status).

11.1.8.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews icon )

MedicationRequest clinical.medication
    identifier FiveWs.identifier
    status FiveWs.status
    intent FiveWs.class
    category FiveWs.class
    priority FiveWs.grade
    medication FiveWs.what[x]
    subject FiveWs.subject[x] FiveWs.subject
    encounter FiveWs.context
    supportingInformation FiveWs.context
    authoredOn FiveWs.recorded
    requester FiveWs.author
    performer FiveWs.actor
    recorder FiveWs.who
    reason FiveWs.why[x]
        dispenser FiveWs.who

11.1.8.2 Workflow Pattern ( http://hl7.org/fhir/workflow icon )

MedicationRequest Request
    identifier Request.identifier
    basedOn Request.basedOn
    priorPrescription Request.replaces
    groupIdentifier Request.groupIdentifier
    status Request.status
    statusReason Request.statusReason
    intent Request.intent
    priority Request.priority
    medication Request.code
    subject Request.subject
    encounter Request.encounter
    supportingInformation Request.supportingInfo
    authoredOn Request.authoredOn
    requester Request.requester
    performerType Request.performerType
    performer Request.performer
    reason Request.reason
    insurance Request.insurance
    note Request.note
    eventHistory Request.relevantHistory

11.1.8.3 HL7 V2 Mapping ( http://hl7.org/v2 icon )

The mappings provided in this tab are indicative of how HL7 v2 fields relate to HL7 FHIR attributes in this resource, but is not complete and without critical HL7 v2 context. The HL7 v2-FHIR Implementation guide, located here icon, provides additional guidance on transforming an HL7 v2 message to FHIR resources for FHIR R4 and FHIR R6.
MedicationRequest
    identifier ORC-2-Placer Order Number / ORC-3-Filler Order Number
    basedOn
    priorPrescription
    groupIdentifier
    status
    statusReason
    statusChanged
    intent
    category
    priority
    doNotPerform
    medication RXE-2-Give Code / RXO-1 Requested Give Code / RXC-2 Component Code
    subject PID-3 Patient ID List
    informationSource
    encounter PV1-19 Visit Number
    supportingInformation
    authoredOn RXE-32 Original Order Date/Time / ORC-9-Date Time of Transaction
    requester
    reported     isRecordOfRequest
    performerType
    performer
    device
    recorder
    reason ORC-16 Order Control Code Reason /RXE-27 Give Indication/RXO-20-Indication / RXD-21 Indication / RXG-22 Indication / RXA-19 Indication
    courseOfTherapyType
    insurance
    note
    renderedDosageInstruction
    effectiveDosePeriod     effectiveTiming[x]
    dosageInstruction
    dispenseRequest
        initialFill
            quantity
            duration
        dispenseInterval
        validityPeriod
        numberOfRepeatsAllowed RXE-12 Number of Refills
        quantity RXD-4 Actual Dispense Amount / RXD-5.1 Actual Dispense Units.code / RXD-5.3 Actual Dispense Units.name of coding system
        expectedSupplyDuration
        dispenser
        dispenserInstruction
        doseAdministrationAid
        destination RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
    substitution
        allowed[x] RXO-9 Allow Substitutions / RXE-9 Substitution Status
        reason RXE-9 Substition status
    eventHistory

11.1.8.4 RIM Mapping ( http://hl7.org/v3 icon )

MedicationRequest CombinedMedicationRequest
    identifier .id
    basedOn .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
    priorPrescription .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]
    groupIdentifier .outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id
    status .statusCode
    statusReason .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
    statusChanged subjectOf Observation[code = statusChange].value = date
    intent .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
    category .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
    priority .priorityCode
    doNotPerform SubstanceAdministration.actionNegationInd
    medication consumable.administrableMedication
    subject .participation[typeCode=AUT].role
    informationSource .participation[typeCode=INF].role[classCode=PAT, or codes for Practitioner or Related Person or Practitioner Role or Organization
    encounter .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
    supportingInformation .outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]
    authoredOn author.time
    requester .participation[typeCode=AUT].role
    reported     isRecordOfRequest .participation[typeCode=INF].role
    performerType .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
    performer .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
    device .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
    recorder .participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
    reason reason.observation.reasonCode | reason.observation[code=ASSERTION].value
    courseOfTherapyType Act.code where classCode = LIST and moodCode = EVN
    insurance .outboundRelationship[typeCode=COVBY].target
    note .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
    renderedDosageInstruction SubstanceAdministration.text
    effectiveDosePeriod     effectiveTiming[x] substanceAdministration.effectiveTime
    dosageInstruction see dosageInstruction mapping
    dispenseRequest component.supplyEvent
        initialFill SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply
            quantity Supply.quantity[moodCode=RQO]
            duration Supply.effectivetime[moodCode=RQO]
        dispenseInterval Supply.effectivetime[moodCode=RQO]
        validityPeriod effectiveTime
        numberOfRepeatsAllowed repeatNumber
        quantity quantity
        expectedSupplyDuration expectedUseTime
        dispenser .outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
        dispenserInstruction Supply.text
        doseAdministrationAid Supply.administerableMedication.product.asContent.container.code
    substitution subjectOf.substitutionPersmission
        allowed[x] code
        reason reasonCode
    eventHistory .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

11.1.8.5 Mapping to NCPDP SCRIPT 10.6 ( http://ncpdp.org/SCRIPT10_6 icon )

MedicationRequest Message/Body/NewRx
    identifier Message/Header/PrescriberOrderNumber
    basedOn
    priorPrescription not mapped
    groupIdentifier
    status no mapping
    statusReason
    statusChanged
    intent
    category Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
    priority
    doNotPerform
    medication Message/Body/NewRx/MedicationPrescribed Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription
    subject Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT)
    informationSource
    encounter no mapping
    supportingInformation
    authoredOn Message/Body/NewRx/MedicationPrescribed/WrittenDate
    requester
    reported     isRecordOfRequest
    performerType
    performer
    device
    recorder
    reason Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value
    courseOfTherapyType
    insurance
    note Message/Body/NewRx/MedicationPrescribed/Note
    renderedDosageInstruction
    effectiveDosePeriod     effectiveTiming[x]
    dosageInstruction
    dispenseRequest Message/Body/NewRx/MedicationPrescribed/ExpirationDate
        initialFill
            quantity
            duration
        dispenseInterval
        validityPeriod Message/Body/NewRx/MedicationPrescribed/Refills
        numberOfRepeatsAllowed Message/Body/NewRx/MedicationPrescribed/Quantity
        quantity Message/Body/NewRx/MedicationPrescribed/DaysSupply
        expectedSupplyDuration Message/Body/NewRx/MedicationPrescribed/Substitutions
        dispenser
        dispenserInstruction
        doseAdministrationAid
        destination
    substitution specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
        allowed[x] specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
        reason not mapped
    eventHistory

11.1.8.6 V3 Pharmacy Dispense RMIM ( http://www.hl7.org/v3/PORX_RM020070UV icon )

MedicationRequest
    identifier
    basedOn
    priorPrescription
    groupIdentifier
    status
    statusReason
    statusChanged
    intent
    category
    priority
    doNotPerform
    medication
    subject
    informationSource
    encounter
    supportingInformation
    authoredOn
    requester
    isRecordOfRequest
    performerType
    performer
    device
    recorder
    reason
    courseOfTherapyType
    insurance
    note
    renderedDosageInstruction
    effectiveTiming[x]
    dosageInstruction
    dispenseRequest
        initialFill
            quantity
            duration
        dispenseInterval
        validityPeriod
        numberOfRepeatsAllowed
        quantity
        expectedSupplyDuration
        dispenser
        dispenserInstruction
        doseAdministrationAid
        destination CombinedMedicationDispense.SupplyEvent.destination
    substitution
        allowed[x]
        reason
    eventHistory