CH EMED (R4)
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CH EMED (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-emed/ and changes regularly. See the Directory of published versions

Resource Profile: CHEMEDMedicationAdministration - Mappings

Active as of 2024-11-15

Mappings for the ch-emed-medicationadministration resource profile.

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

CHEMEDMedicationAdministration
MedicationAdministrationEvent
   identifierEvent.identifier
   instantiatesEvent.instantiates
   partOfEvent.partOf
   statusEvent.status
   statusReasonEvent.statusReason
   medication[x]Event.code
   medication[x] (medicationReference)Event.code
   subjectEvent.subject
   contextEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer
      functionEvent.performer.function
      actorEvent.performer.actor
   reasonCodeEvent.reasonCode
   reasonReferenceEvent.reasonReference
   requestEvent.basedOn
   noteEvent.note

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

CHEMEDMedicationAdministration
MedicationAdministrationEntity. Role, or Act, SubstanceAdministration
   textAct.text?
   containedN/A
   modifierExtensionN/A
   identifier.id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   instantiates.outboundRelationship[typeCode=DEFN].target[classCode=unspecified]
   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].participation[typeCode=CSM].role[classCode=ADMM]
   medication[x] (medicationReference).participation[typeCode=CSM].role[classCode=ADMM]
   subject.participation[typeCode=SBJ].role[classCode=PAT]
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   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)]
   effective[x].effectiveTime
   performer.participation[typeCode=PRF]
      idn/a
      extensionn/a
      modifierExtensionN/A
      functionparticipation[typeCode=PRF].functionCode
      actor.role
         idn/a
         extensionn/a
         referenceN/A
         typeN/A
         identifier.identifier
         displayN/A
   reasonCode.reasonCode
   reasonReference.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use ASSERTION"].value
   requestInFullfillmentOf->SubstanceAdministration
   devicedevice->Access OR device->AssignedDevice
   note.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
   dosagecomponent->SubstanceAdministrationEvent
      idn/a
      extensionn/a
      modifierExtensionN/A
      text.text
      site.approachSiteCode
      route.routeCode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      method.methodCode
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      dosen/a, PQ, IVL<PQ>, MO, CO, depending on the values
      rate[x].rateQuantity
   eventHistory.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

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

CHEMEDMedicationAdministration
MedicationAdministration
   identifierFiveWs.identifier
   statusFiveWs.status
   medication[x]FiveWs.what[x]
   medication[x] (medicationReference)FiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   contextFiveWs.context
   supportingInformationFiveWs.context
   effective[x]FiveWs.done[x]
   performerFiveWs.actor
   reasonReferenceFiveWs.why[x]

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

CHEMEDMedicationAdministration
MedicationAdministration
   identifier
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   statusRXA-20-Completion Status
   statusReasonRXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason
   medication[x]RXA-5-Administered Code
   medication[x] (medicationReference)RXA-5-Administered Code
   subjectPID-3-Patient ID List
   contextPV1-19-Visit Number
   effective[x]RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
   performerRXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)
   reasonCodeRXE-27 Give Indication
   requestORC-2-Placer Order Number / ORC-3-Filler Order Number
   devicePRT-10 Participation Device / RXR-3 Administrative Device
   dosage
      siteRXR-2 Administration Site / RXR-6 Administration Site Modifier
      routeRXR-1-Route
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      methodRXR-4-Administration Method
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      doseSN (see also Range) or CQ
      rate[x]RXA-12-Administered Per (Time Unit)

Mappings for W3C PROV (http://www.w3.org/ns/prov)

CHEMEDMedicationAdministration
MedicationAdministration
   reasonReferenceno mapping