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11.1.7 11.1.8 Resource MedicationRequest - Mappings

Pharmacy Work Group

Maturity Level : N/A

Standards Status : Informative

Security Category : Patient

Compartments : Encounter , Patient , Practitioner

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

11.1.7.1 11.1.8.1 FiveWs Pattern Mapping ( http://hl7.org/fhir/fivews )

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

11.1.7.2 11.1.8.2 Workflow Pattern ( http://hl7.org/fhir/workflow )

MedicationRequest	Request
identifier	Request.identifier
status	Request.status
statusReason	Request.statusReason
intent	Request.intent
priority	Request.priority
medication[x]	Request.code
subject	Request.subject
encounter	Request.context
supportingInformation	Request.supportingInfo
authoredOn	Request.authoredOn
requester	Request.requester
performer	Request.performer
performerType	Request.performerType
reasonCode	Request.reasonCode
reasonReference	Request.reasonReference
instantiatesCanonical	Request.instantiates
basedOn	Request.basedOn
groupIdentifier	Request.groupIdentifier
insurance	Request.insurance
note	Request.note
dosageInstruction	Request.occurrence[x]
priorPrescription	Request.replaces
eventHistory	Request.relevantHistory

11.1.7.3 11.1.8.3 HL7 v2 Mapping ( http://hl7.org/v2 )

MedicationRequest
identifier	ORC-2-Placer Order Number / ORC-3-Filler Order Number
status
statusReason
intent
category
priority
doNotPerform
reported[x]
medication[x]	RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
subject	PID-3-Patient ID List
encounter	PV1-19-Visit Number
supportingInformation
authoredOn	RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction
requester
performer
performerType
recorder
reasonCode	ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication
reasonReference
instantiatesCanonical
instantiatesUri
basedOn
groupIdentifier
courseOfTherapyType
insurance
note
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
performer
substitution
allowed[x]	RXO-9-Allow Substitutions / RXE-9-Substitution Status
reason	RXE-9 Substition status
priorPrescription
detectedIssue
eventHistory

11.1.7.4 11.1.8.4 RIM Mapping ( http://hl7.org/v3 )

MedicationRequest	CombinedMedicationRequest
identifier	.id
status	.statusCode
statusReason	.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
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
reported[x]	.participation[typeCode=INF].role
medication[x]	consumable.administrableMedication
subject	.participation[typeCode=AUT].role
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
performer	.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
performerType	.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
recorder	.participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
reasonCode	reason.observation.reasonCode
reasonReference	reason.observation[code=ASSERTION].value
instantiatesCanonical	.outboundRelationship[typeCode=DEFN].target
instantiatesUri	.outboundRelationship[typeCode=DEFN].target
basedOn	.outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
groupIdentifier	.outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id
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
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
performer	.outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
substitution	subjectOf.substitutionPersmission
allowed[x]	code
reason	reasonCode
priorPrescription	.outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]
detectedIssue	.inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value
eventHistory	.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

11.1.7.5 11.1.8.5 Mapping to NCPDP SCRIPT 10.6 ( http://ncpdp.org/SCRIPT10_6 )

MedicationRequest	Message/Body/NewRx
identifier	Message/Header/PrescriberOrderNumber
status	no mapping
statusReason
intent
category	Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
priority
doNotPerform
reported[x]
medication[x]	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)
encounter	no mapping
supportingInformation
authoredOn	Message/Body/NewRx/MedicationPrescribed/WrittenDate
requester
performer
performerType
recorder
reasonCode	Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value
reasonReference	no mapping
instantiatesCanonical
instantiatesUri
basedOn
groupIdentifier
courseOfTherapyType
insurance
note	Message/Body/NewRx/MedicationPrescribed/Note
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
performer
substitution	specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
allowed[x]	specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
reason	not mapped
priorPrescription	not mapped
detectedIssue
eventHistory