This page is part of the FHIR Specification (v4.0.1: R4 (v4.3.0: R4B - Mixed Normative and STU ) in it's permanent home (it will always be available at this URL). ). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R4B R4 R3 R2

• Content
• Examples
• Detailed Descriptions
• Mappings
• Profiles & Extensions
• R3 Conversions

11.3.8 11.3.9 Resource MedicationDispense - Mappings

Pharmacy Work Group

Maturity Level : N/A

Standards Status : Informative

Security Category : Patient

Compartments : Patient , Practitioner

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

11.3.8.1 11.3.9.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews )

MedicationDispense
identifier	FiveWs.identifier
status	FiveWs.status
medication[x]	FiveWs.what[x]
subject	FiveWs.subject[x]
supportingInformation	FiveWs.context

11.3.8.2 11.3.9.2 Workflow Pattern ( http://hl7.org/fhir/workflow )

MedicationDispense	Event
identifier	Event.identifier
partOf	Event.partOf
status	Event.status
statusReason[x]	Event.statusReason
medication[x]	Event.code
subject	Event.subject
context	Event.context
performer	Event.performer
actor	Event.performer.actor
authorizingPrescription	Event.basedOn
whenHandedOver	Event.occurrence[x]
note	Event.note

11.3.8.3 11.3.9.3 HL7 v2 Mapping ( http://hl7.org/v2 )

MedicationDispense
identifier
partOf
status
statusReason[x]
category
medication[x]	RXD-2-Dispense/Give Code
subject	PID-3-Patient ID List
context
supportingInformation
performer
function
actor
location
authorizingPrescription	ORC-2 Placer Order Number
type	RXD-33-Dispense Type
quantity	RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
daysSupply	TQ1.6 Timing/Quantity Segment Service Duration. Prior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component. This is a formatted string, first character for the time unit (e.g., D=days), followed by the value. For example, “D14” represents “14 days supply” From v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration. This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^ For backwards compatibility, ORC.7 was permitted through v2.6. Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6
whenPrepared	RXD-3-Date/Time Dispensed
whenHandedOver	RXD-3-Date/Time Dispensed
destination	RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
receiver
note	RXD-9 Dispense Notes
dosageInstruction
substitution
wasSubstituted
type	RXO-9-Allow Substitutions / RXE-9-Substitution Status
reason
responsibleParty
detectedIssue
eventHistory

11.3.8.4 11.3.9.4 RIM Mapping ( http://hl7.org/v3 )

MedicationDispense	Supply[moodCode=EVN]
identifier	.id
partOf	.outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]
status	.statusCode
statusReason[x]	.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="not done reason"].value
category	.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication dispense"].value
medication[x]	.participation[typeCode=PRD].role
subject	.participation[typeCode=SBJ].role[classCode=PAT]
context	.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)]
performer	.participation[typeCode=PRF]
function	participation[typeCode=PRF].functionCode
actor	.role
location	.participation[typeCode=LOC].role
authorizingPrescription	.outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
type	.code
quantity	.quantity
daysSupply	effectiveUseTime
whenPrepared	.effectiveTime[xmi:type=IVL_TS].low
whenHandedOver	.effectiveTime[xmi:type=IVL_TS].high
destination	.participation[typeCode=DST].role
receiver	.participation[typeCode=RCV].role
note	.inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]
dosageInstruction	.outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
substitution	.outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]
wasSubstituted	.actionNegationInd
type	.code
reason	.reasonCode
responsibleParty	.participation[typeCode=PFM].role[classCode=ASSIGN]
detectedIssue	.inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value
eventHistory	.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

11.3.8.5 11.3.9.5 V3 Pharmacy Dispense RMIM ( http://www.hl7.org/v3/PORX_RM020070UV )

MedicationDispense
identifier	CombinedMedicationDispense.id
partOf
status	CombinedMedicationDispense.SupplyEvent.statusCode
statusReason[x]
category
medication[x]	CombinedMedicationRequest.component1.AdministrationRequest.consumable
subject
context
supportingInformation
performer
function
actor
location
authorizingPrescription	CombinedMedicationDispense.inFulfillmentOf
type	CombinedMedicationDispense.SupplyEvent.code
quantity	CombinedMedicationDispense.SupplyEvent.quantity
daysSupply
whenPrepared	CombinedMedicationDispense.SupplyEvent.effectiveTime
whenHandedOver	CombinedMedicationDispense.SupplyEvent.effectiveTime
destination	CombinedMedicationDispense.SupplyEvent.destination
receiver	CombinedMedicationDispense.SupplyEvent.receiver
note
dosageInstruction
substitution	CombinedMedicationDispense.substitutionMade
wasSubstituted
type	CombinedMedicationDispense.substitutionMade.code
reason	CombinedMedicationDispense.substitutionMade.reasonCode
responsibleParty	CombinedMedicationDispense.substitutionMade.ResponsibleParty
detectedIssue
eventHistory