CH EMED EPR
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CH EMED EPR, published by CARA. 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/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

Resource Profile: CHEMEDEPRMedicationDispense - Mappings

Draft as of 2025-09-18

Mappings for the ch-emed-epr-medicationdispense resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternRIM MappingFiveWs Pattern MappingV3 Pharmacy Dispense RMIMHL7 v2 Mappingdoco
.. MedicationDispense
Event
Supply[moodCode=EVN]
... id
... meta
.... id
n/a
.... extension
.... versionId
.... lastUpdated
.... source
.... profile
.... security
.... tag
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:treatmentReason
N/A
.... extension:prescription
.... extension:pharmaceuticalAdvice
.... extension:treatmentPlan
... modifierExtension
... identifier
Event.identifier
.id
FiveWs.identifier
CombinedMedicationDispense.id
.... id
n/a
.... extension
n/a
.... use
Role.code or implied by context
N/A
.... type
Role.code or implied by context
CX.5
.... system
II.root or Role.id.root
CX.4 / EI-2-4
.... value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
CX.1 / EI.1
.... period
Role.effectiveTime or implied by context
CX.7 + CX.8
.... assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
... partOf
Event.partOf
  • .outboundRelationship[typeCode=COMP]/target[classCode=PROC
  • moodCode=EVN]
... status
Event.status
.statusCode
FiveWs.status
CombinedMedicationDispense.SupplyEvent.statusCode
... statusReason[x]
Event.statusReason
  • .outboundRelationship[typeCode=RSON]/target[classCode=OBS
  • moodCode=EVN
  • code="not done reason"].value
... category
  • .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • moodCode=EVN
  • code="type of medication dispense"].value
... Slices for medication[x]
Event.code
.participation[typeCode=PRD].role
FiveWs.what[x]
CombinedMedicationRequest.component1.AdministrationRequest.consumable
RXD-2-Dispense/Give Code
.... medication[x]:medicationReference
Event.code
.participation[typeCode=PRD].role
FiveWs.what[x]
CombinedMedicationRequest.component1.AdministrationRequest.consumable
RXD-2-Dispense/Give Code
... subject
Event.subject
.participation[typeCode=SBJ].role[classCode=PAT]
FiveWs.subject
PID-3-Patient ID List
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... context
Event.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)]
FiveWs.context
... performer
Event.performer
.participation[typeCode=PRF]
.... id
n/a
.... extension
n/a
.... modifierExtension
.... function
participation[typeCode=PRF].functionCode
.... actor
Event.performer.actor
.role
..... id
n/a
..... extension
n/a
..... reference
N/A
..... type
N/A
..... identifier
.identifier
..... display
N/A
... location
.participation[typeCode=LOC].role
... authorizingPrescription
Event.basedOn
.outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
CombinedMedicationDispense.inFulfillmentOf
ORC-2 Placer Order Number
... type
.code
CombinedMedicationDispense.SupplyEvent.code
RXD-33-Dispense Type
... quantity
.quantity
CombinedMedicationDispense.SupplyEvent.quantity
RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
... daysSupply
effectiveUseTime
  • 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
... whenPrepared
type=IVL_TS].low
CombinedMedicationDispense.SupplyEvent.effectiveTime
RXD-3-Date/Time Dispensed
... whenHandedOver
Event.occurrence[x]
type=IVL_TS].high
CombinedMedicationDispense.SupplyEvent.effectiveTime
RXD-3-Date/Time Dispensed
... destination
.participation[typeCode=DST].role
CombinedMedicationDispense.SupplyEvent.destination
RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
... receiver
.participation[typeCode=RCV].role
CombinedMedicationDispense.SupplyEvent.receiver
... note
Event.note
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ACT
  • moodCode=EVN]
RXD-9 Dispense Notes
.... id
n/a
.... extension
.... author[x]
Act.participant[typeCode=AUT].role
N/A
.... time
Act.effectiveTime
N/A
.... text
Act.text
N/A
... Slices for dosageInstruction
  • .outboundRelationship[typeCode=COMP].target[classCode=SBADM
  • moodCode=INT]
.... dosageInstruction:baseEntry
  • .outboundRelationship[typeCode=COMP].target[classCode=SBADM
  • moodCode=INT]
.... dosageInstruction:additionalEntry
  • .outboundRelationship[typeCode=COMP].target[classCode=SBADM
  • moodCode=INT]
... substitution
  • .outboundRelationship[typeCode=COMP].target[classCode=SUBST
  • moodCode=EVN]
CombinedMedicationDispense.substitutionMade
.... id
n/a
.... extension
n/a
.... modifierExtension
.... wasSubstituted
.actionNegationInd
.... type
.code
CombinedMedicationDispense.substitutionMade.code
RXO-9-Allow Substitutions / RXE-9-Substitution Status
..... id
n/a
..... extension
n/a
..... coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
..... text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
.... reason
.reasonCode
CombinedMedicationDispense.substitutionMade.reasonCode
.... responsibleParty
.participation[typeCode=PFM].role[classCode=ASSIGN]
CombinedMedicationDispense.substitutionMade.ResponsibleParty
... detectedIssue
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT
  • moodCode=EVN].value
... eventHistory
  • .inboundRelationship(typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN]

doco Documentation for this format