CHMED Implementation Guide, published by IG eMediplan. This guide is not an authorized publication; it is the continuous build for version 3.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ahdis/chmed/ and changes regularly. See the Directory of published versions

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Resource Profile: CHMEDMedicationRequestPre - Mappings

Active as of 2024-04-24

Mappings for the chmed-pre-medicationrequest resource profile.

Mappings for eMediplan (https://emediplan.ch/wp-content/uploads/2023/09/20230815_eMediplan_ChMed23A_1.0-AND-eMediplan_ChMed23A_Posology_1.0.pdf)

CHMEDMedicationRequestPre
MedicationRequest	Medicament
extension (exts)	Extension, exts -> Extension
extension (sic)	Medicament.sic, sic
medication[x] (medicationReference)	id with idType
subject	Patient
reasonCode
text	rsn
dosageInstruction	pos -> Posology
additionalInstruction	Posology.relMeal
patientInstruction	appInstr
timing
repeat
bounds[x]
bounds[x] (boundsPeriod)
start	dtFrom
end	dtTo
when	Posology.po -> PosologyDetail
asNeeded[x] (asNeededBoolean)	Posology.inRes
route	roa
method	moa
doseAndRate
dose[x]	unit
dosageInstruction (baseEntry)	Posology
dosageInstruction (additionalEntry)	Posology
dispenseRequest	reps -> Repetition object
validityPeriod	Repetition object: Duration / NumberAndDuration
numberOfRepeatsAllowed	Repetition object: Number / NumberAndDuration
quantity	nbPack
substitution
allowed[x] (allowedCodeableConcept)	sub

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

CHMEDMedicationRequestPre
MedicationRequest	Request
identifier	Request.identifier
status	Request.status
statusReason	Request.statusReason
intent	Request.intent
priority	Request.priority
medication[x]	Request.code
medication[x] (medicationReference)	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

Mappings for Mapping to NCPDP SCRIPT 10.6 (http://ncpdp.org/SCRIPT10_6)

CHMEDMedicationRequestPre
MedicationRequest	Message/Body/NewRx
identifier	Message/Header/PrescriberOrderNumber
status	no mapping
category	Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
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
medication[x] (medicationReference)	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
authoredOn	Message/Body/NewRx/MedicationPrescribed/WrittenDate
reasonCode	Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value
reasonReference	no mapping
note	Message/Body/NewRx/MedicationPrescribed/Note
dispenseRequest	Message/Body/NewRx/MedicationPrescribed/ExpirationDate
validityPeriod	Message/Body/NewRx/MedicationPrescribed/Refills
numberOfRepeatsAllowed	Message/Body/NewRx/MedicationPrescribed/Quantity
quantity	Message/Body/NewRx/MedicationPrescribed/DaysSupply
expectedSupplyDuration	Message/Body/NewRx/MedicationPrescribed/Substitutions
substitution	specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
allowed[x]	specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
allowed[x] (allowedCodeableConcept)	specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
reason	not mapped
priorPrescription	not mapped

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

CHMEDMedicationRequestPre
MedicationRequest	Entity. Role, or Act, CombinedMedicationRequest
text	Act.text?
contained	N/A
modifierExtension	N/A
identifier	.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
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
medication[x] (medicationReference)	consumable.administrableMedication
subject	.participation[typeCode=AUT].role
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
display	N/A
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
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
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
id	n/a
extension	n/a
modifierExtension	N/A
sequence	.text
text	.text
additionalInstruction	.text
patientInstruction	.text
timing	.effectiveTime
id	n/a
extension	n/a
modifierExtension	N/A
event	QLIST<TS>
repeat	Implies PIVL or EIVL
id	n/a
extension	n/a
bounds[x]	IVL(TS) used in a QSI
bounds[x] (boundsPeriod)	IVL(TS) used in a QSI
id	n/a
extension	n/a
start	./low
end	./high
count	PIVL.count
countMax	PIVL.count
duration	PIVL.phase
durationMax	PIVL.phase
durationUnit	PIVL.phase.unit
frequency	PIVL.phase
frequencyMax	PIVL.phase
period	PIVL.phase
periodMax	PIVL.phase
periodUnit	PIVL.phase.unit
dayOfWeek	n/a
timeOfDay	n/a
when	EIVL.event
offset	EIVL.offset
code	QSC.code
asNeeded[x]	.outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept
asNeeded[x] (asNeededBoolean)	.outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept
site	.approachSiteCode
route	.routeCode
method	.doseQuantity
doseAndRate
id	n/a
extension	n/a
dose[x]	.doseQuantity
rate[x]	.rateQuantity
maxDosePerPeriod	.maxDoseQuantity
maxDosePerAdministration	not supported
maxDosePerLifetime	not supported
dosageInstruction (baseEntry)	n/a, .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
dosageInstruction (additionalEntry)	n/a, .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
dispenseRequest	component.supplyEvent
id	n/a
extension	n/a
modifierExtension	N/A
initialFill	SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply
id	n/a
extension	n/a
modifierExtension	N/A
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
id	n/a
extension	n/a
modifierExtension	N/A
allowed[x]	code
allowed[x] (allowedCodeableConcept)	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]

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

CHMEDMedicationRequestPre
MedicationRequest
identifier	FiveWs.identifier
status	FiveWs.status
intent	FiveWs.class
category	FiveWs.class
priority	FiveWs.grade
medication[x]	FiveWs.what[x]
medication[x] (medicationReference)	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
reasonCode	FiveWs.why[x]
reasonReference	FiveWs.why[x]
dispenseRequest
performer	FiveWs.who

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

CHMEDMedicationRequestPre
MedicationRequest
identifier	ORC-2-Placer Order Number / ORC-3-Filler Order Number
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)
medication[x]	RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
medication[x] (medicationReference)	RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
subject	PID-3-Patient ID List
encounter	PV1-19-Visit Number
authoredOn	RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction
reasonCode	ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
dosageInstruction
sequence	TQ1-1
text	RXO-6; RXE-21
additionalInstruction	RXO-7
patientInstruction	RXO-7
timing
repeat
bounds[x]
bounds[x] (boundsPeriod)
start	DR.1
end	DR.2
asNeeded[x]	TQ1-9
asNeeded[x] (asNeededBoolean)	TQ1-9
site	RXR-2
route	RXR-1
method	RXR-4
doseAndRate	TQ1-2
type	RXO-21; RXE-23
dose[x]	RXO-2, RXE-3
rate[x]	RXE22, RXE23, RXE-24
maxDosePerPeriod	RXO-23, RXE-19
dispenseRequest
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
substitution
allowed[x]	RXO-9-Allow Substitutions / RXE-9-Substitution Status
allowed[x] (allowedCodeableConcept)	RXO-9-Allow Substitutions / RXE-9-Substitution Status
reason	RXE-9 Substition status