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11.2.9 11.2.10 Resource MedicationAdministration - Mappings

Pharmacy Work Group

Maturity Level : N/A

Standards Status : Informative

Security Category : Patient

Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

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

11.2.9.1 11.2.10.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews )

MedicationAdministration
identifier	FiveWs.identifier
status	FiveWs.status
medication[x]     medication	FiveWs.what[x]
subject	FiveWs.subject[x]
context     encounter	FiveWs.context
supportingInformation	FiveWs.context
effective[x]     occurence[x]	FiveWs.done[x]
performer     recorded	FiveWs.actor FiveWs.recorded
reasonReference     performer	FiveWs.why[x] FiveWs.actor

11.2.9.2 11.2.10.2 Workflow Pattern ( http://hl7.org/fhir/workflow )

MedicationAdministration	Event
identifier	Event.identifier
instantiates Event.instantiates     partOf	Event.partOf
status	Event.status
statusReason	Event.statusReason
medication[x]     medication	Event.code
subject	Event.subject
context     encounter	Event.context Event.encounter
effective[x]     occurence[x]	Event.occurrence[x]
performer	Event.performer
function	Event.performer.function
actor	Event.performer.actor
reasonCode Event.reasonCode     reasonReference     reason	Event.reasonReference Event.reason
request	Event.basedOn
note	Event.note

11.2.9.3 11.2.10.3 HL7 v2 V2 Mapping ( http://hl7.org/v2 )

MedicationAdministration
identifier
instantiates     basedOn
partOf
status	RXA-20-Completion RXA-20 Completion Status
statusReason	RXA-9-Administration RXA-9 Administration Notes / RXA-18 Substance/Treatment Refusal Reason
category
medication[x]     medication	RXA-5-Administered RXA-5 Administered Code
subject	PID-3-Patient PID-3 Patient ID List
context     encounter	PV1-19-Visit PV1-19 Visit Number
supportingInformation
effective[x]     occurence[x]	RXA-3-Date/Time RXA-3 Date/Time Start of Administration / RXA-4-Date/Time RXA-4 Date/Time End of Administration
recorded
isSubPotent
subPotentReason
performer	RXA-10-Administering RXA-10 Administering Provider / PRT-5-Participation PRT-5 Participation Person: PRT-4-Participation='AP' PRT-4 Participation='AP' (RXA-10 is deprecated)
function
actor
reasonCode     reason	RXE-27 Give Indication
reasonReference     request	ORC-2-Placer ORC-2 Placer Order Number / ORC-3-Filler ORC-3 Filler Order Number
device	PRT-10 Participation Device / RXR-3 Administrative Device
note
dosage
text
site	RXR-2 Administration Site / RXR-6 Administration Site Modifier
route	RXR-1-Route RXR-1 Route
method	RXR-4-Administration RXR-4 Administration Method
dose	RXA-6 Administered Amount / RXA-7 Administered Units
rate[x]	RXA-12-Administered RXA-12 Administered Per (Time Unit)
eventHistory

11.2.9.4 11.2.10.4 RIM Mapping ( http://hl7.org/v3 )

.outboundRelationship[typeCode=DEFN].target[classCode=unspecified] .participation[typeCode=PRF] participation[typeCode=PRF].functionCode .role .reasonCode .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use ASSERTION"].value

MedicationAdministration	SubstanceAdministration
identifier	.id
instantiates     basedOn	.outboundRelationship[typeCode=FLFS].target
partOf	.outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]
status	.statusCode
statusReason	.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason not given"].value
category	.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
medication[x]     medication	.participation[typeCode=CSM].role[classCode=ADMM]
subject	.participation[typeCode=SBJ].role[classCode=PAT]
context     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)]
effective[x]     occurence[x]	.effectiveTime
performer     recorded	.participation[typeCode=AUT].time
function     performer	.participation[typeCode=PRF]
actor         function	participation[typeCode=PRF].functionCode
reasonCode         actor	.role
reasonReference     reason	.reasonCode
request	InFullfillmentOf->SubstanceAdministration
device	device->Access OR device->AssignedDevice
note	.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
dosage	component->SubstanceAdministrationEvent
text	.text
site	.approachSiteCode
route	.routeCode
method	.methodCode
dose	.doseQuantity
rate[x]	.rateQuantity
eventHistory	.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

11.2.9.5 W3C PROV ( http://www.w3.org/ns/prov ) The provenance resource is based on known practices in the HL7 implementation space, particularly those found in the v2 EVN segment, the v3 ControlAct Wrapper, the CDA header, and IHE ATNA. The conceptual model underlying the design is the W3C provenance Specification . Though the content and format of the resource is designed to meet specific requirements for FHIR, all the parts of the resource are formally mapped to the PROV-O specification, and FHIR resources can be transformed to their W3C PROV equivalent.