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11.3.9 Resource MedicationDispense - Mappings

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

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 V2 Mapping

RIM Mapping

V3 Pharmacy Dispense RMIM

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

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

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

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

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

11.3.9.3 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.
MedicationDispense
    identifier
    basedOn
    partOf
    status
    notPerformedReason
    statusChanged
    category
    medication RXD-2 Dispense/Give Code
    subject PID-3 Patient ID List
    encounter
    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
    fillNumber
    recorded
    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
    doseAdministrationAid
    substitution
        wasSubstituted
        type RXO-9 Allow Substitutions / RXE-9 Substitution Status
        reason
        responsibleParty
    eventHistory

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

MedicationDispense Supply[moodCode=EVN]
    identifier .id
    basedOn .outboundRelationship[typeCode=FLFS].target
    partOf .outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]
    status .statusCode
    statusChanged .subjectOf Observation[code = statusChange].value = date
    category .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication dispense"].value
    medication .participation[typeCode=PRD].role
    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)]
    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
    recorded .MedicationDispense.dataEnterer..time
    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]
    eventHistory .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

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

MedicationDispense
    identifier CombinedMedicationDispense.id
    basedOn
    partOf
    status CombinedMedicationDispense.SupplyEvent.statusCode
    notPerformedReason
    statusChanged
    category
    medication CombinedMedicationRequest.component1.AdministrationRequest.consumable
    subject
    encounter
    supportingInformation
    performer
        function
        actor
    location
    authorizingPrescription CombinedMedicationDispense.inFulfillmentOf
    type CombinedMedicationDispense.SupplyEvent.code
    quantity CombinedMedicationDispense.SupplyEvent.quantity
    daysSupply
    fillNumber
    recorded
    whenPrepared CombinedMedicationDispense.SupplyEvent.effectiveTime
    whenHandedOver CombinedMedicationDispense.SupplyEvent.effectiveTime
    destination CombinedMedicationDispense.SupplyEvent.destination
    receiver CombinedMedicationDispense.SupplyEvent.receiver
    note
    dosageInstruction
    doseAdministrationAid
    substitution CombinedMedicationDispense.substitutionMade
        wasSubstituted
        type CombinedMedicationDispense.substitutionMade.code
        reason CombinedMedicationDispense.substitutionMade.reasonCode
        responsibleParty CombinedMedicationDispense.substitutionMade.ResponsibleParty
    eventHistory