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11.4.8 Resource MedicationStatement - Mappings

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

Mappings:

FiveWs Pattern Mapping

Workflow Pattern

HL7 V2 Mapping

RIM Mapping

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

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

MedicationStatement clinical.medication
    identifier FiveWs.identifier
    status FiveWs.status
    category FiveWs.class
    medication FiveWs.what[x]
    subject FiveWs.subject
    effective[x] FiveWs.done[x]
    dateAsserted FiveWs.recorded
    author FiveWs.author
    informationSource FiveWs.source
    reason FiveWs.why[x]

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

MedicationStatement Event
    identifier Event.identifier
    status Event.status
    medication Event.code
    subject Event.subject
    encounter Event.encounter
    effective[x] Event.occurrence[x]
    reason Event.reason
    note Event.note

11.4.8.3 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.
MedicationStatement
    identifier
    partOf
    status
    category
    medication
    subject PID-3 Patient ID List
    encounter
    effective[x]
    dateAsserted
    author
    informationSource
    derivedFrom
    reason
    note
    relatedClinicalInformation
    renderedDosageInstruction
    dosage
    adherence
        code
        reason

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

MedicationStatement SubstanceAdministration
    identifier .id
    partOf .outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]
    status .statusCode
    category .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication statement"].value
    medication .participation[typeCode=CSM].role[classCode=ADMM or MANU]
    subject .participation[typeCode=SBJ].role[classCode=PAT]
    encounter .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
    effective[x] .effectiveTime
    dateAsserted .participation[typeCode=AUT].time
    author .participation[typeCode=AUT].role
    informationSource .participation[typeCode=INF].role[classCode=PAT, or codes for Practitioner or Related Person (if PAT is the informer, then syntax for self-reported =true)
    derivedFrom .outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]
    reason .reasonCode
    note .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
    relatedClinicalInformation TBD
    renderedDosageInstruction SubstanceAdministration.text
    dosage refer dosageInstruction mapping
    adherence outboundRelationship[typeCode=PERT].target[classCode=OBV,moodCode=EVN].value[xsi:type=CD]
        code outboundRelationship[typeCode=PERT].target[classCode=OBV,moodCode=EVN].value[xsi:type=CD]
        reason .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCode