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11.2.10 Resource MedicationAdministration - Mappings

Responsible Owner: Pharmacy icon Work GroupStandards Status: InformativeSecurity Category: Patient Compartments: Encounter, Group, Patient

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 V2 Mapping

RIM Mapping

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

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

MedicationAdministration clinical.medication
    identifier FiveWs.identifier
    status FiveWs.status
    medication FiveWs.what[x]
    subject FiveWs.subject
    encounter FiveWs.context
    supportingInformation FiveWs.context
    occurrence[x] FiveWs.done[x]
    recorded FiveWs.recorded
    performer FiveWs.actor

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

MedicationAdministration Event
    identifier Event.identifier
    partOf Event.partOf
    status Event.status
    statusReason Event.statusReason
    medication Event.code
    subject Event.subject
    encounter Event.encounter
    occurrence[x] Event.occurrence[x]
    performer Event.performer
        function Event.performer.function
        actor Event.performer.actor
    reason Event.reason
    request Event.basedOn
    note Event.note

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

The mappings provided in this tab are indicative of how HL7 v2 fields relate to HL7 FHIR attributes in this resource, but is not complete and without critical HL7 v2 context. The HL7 v2-FHIR Implementation guide, located here icon, provides additional guidance on transforming an HL7 v2 message to FHIR resources for FHIR R4 and FHIR R6.
MedicationAdministration
    identifier
    basedOn
    partOf
    status RXA-20 Completion Status
    statusReason RXA-9 Administration Notes / RXA-18 Substance/Treatment Refusal Reason
    category
    medication RXA-5 Administered Code
    subject PID-3 Patient ID List
    encounter PV1-19 Visit Number
    supportingInformation
    occurrence[x] RXA-3 Date/Time Start of Administration / RXA-4 Date/Time End of Administration
    recorded
    isSubPotent
    subPotentReason
    performer RXA-10 Administering Provider / PRT-5 Participation Person: PRT-4 Participation='AP' (RXA-10 is deprecated)
        function
        actor
    reason RXE-27 Give Indication
    request ORC-2 Placer Order Number / 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
        method RXR-4 Administration Method
        dose RXA-6 Administered Amount / RXA-7 Administered Units
        rate[x] RXA-12 Administered Per (Time Unit)
    eventHistory

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

MedicationAdministration SubstanceAdministration
    identifier .id
    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 .participation[typeCode=CSM].role[classCode=ADMM]
    subject .participation[typeCode=SBJ].role[classCode=PAT]
    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)]
    occurrence[x] .effectiveTime
    recorded .participation[typeCode=AUT].time
    performer .participation[typeCode=PRF]
        function participation[typeCode=PRF].functionCode
        actor .role
    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]