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 2.0.0-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: CHEMEDEPRMedicationDispenseList - Mappings

Draft as of 2024-12-20

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

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

CHEMEDEPRMedicationDispenseList
MedicationDispenseEvent
   identifierEvent.identifier
   partOfEvent.partOf
   statusEvent.status
   statusReason[x]Event.statusReason
   medication[x]Event.code
   medication[x] (medicationReference)Event.code
   subjectEvent.subject
   contextEvent.context
   performerEvent.performer
      actorEvent.performer.actor
   authorizingPrescriptionEvent.basedOn
   whenHandedOverEvent.occurrence[x]
   noteEvent.note

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

CHEMEDEPRMedicationDispenseList
MedicationDispenseEntity. Role, or Act, Supply[moodCode=EVN]
   meta
      idn/a
   textAct.text?
   containedN/A
   extension
   extension (treatmentReason)n/a, N/A
   extension (prescription)
   extension (pharmaceuticalAdvice)
   extension (treatmentPlan)
   extension (parentDocument)
   extension (authorDocument)n/a, N/A
      idn/a
      urlN/A
      value[x]N/A
      value[x] (valueReference)N/A
         idn/a
         extensionn/a
         referenceN/A
         typeN/A
         identifier.identifier
         displayN/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
   partOf.outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]
   status.statusCode
   statusReason[x].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
   medication[x].participation[typeCode=PRD].role
   medication[x] (medicationReference).participation[typeCode=PRD].role
   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)]
   performer.participation[typeCode=PRF]
      idn/a
      extensionn/a
      functionparticipation[typeCode=PRF].functionCode
      actor.role
         idn/a
         extensionn/a
         referenceN/A
         typeN/A
         identifier.identifier
         displayN/A
   location.participation[typeCode=LOC].role
   authorizingPrescription.outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
   type.code
   quantityn/a, PQ, IVL<PQ>, MO, CO, depending on the values
   daysSupplyn/a, PQ, IVL<PQ>, MO, CO, depending on the values
   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]
      idn/a
      author[x]Act.participant[typeCode=AUT].role
      timeAct.effectiveTime
      textAct.text
   dosageInstructionn/a, .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
   dosageInstruction (baseEntry)n/a, .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
   dosageInstruction (additionalEntry)n/a, .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
   substitution.outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]
      idn/a
      extensionn/a
      wasSubstituted.actionNegationInd
      type.code
         idn/a
         extensionn/a
         codingunion(., ./translation)
         text./originalText[mediaType/code="text/plain"]/data
      reason.reasonCode
      responsibleParty.participation[typeCode=PFM].role[classCode=ASSIGN]
   detectedIssue.inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value
   eventHistory.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

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

CHEMEDEPRMedicationDispenseList
MedicationDispense
   identifierFiveWs.identifier
   statusFiveWs.status
   medication[x]FiveWs.what[x]
   medication[x] (medicationReference)FiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   supportingInformationFiveWs.context

Mappings for V3 Pharmacy Dispense RMIM (http://www.hl7.org/v3/PORX_RM020070UV)

CHEMEDEPRMedicationDispenseList
MedicationDispense
   identifierCombinedMedicationDispense.id
   statusCombinedMedicationDispense.SupplyEvent.statusCode
   medication[x]CombinedMedicationRequest.component1.AdministrationRequest.consumable
   medication[x] (medicationReference)CombinedMedicationRequest.component1.AdministrationRequest.consumable
   authorizingPrescriptionCombinedMedicationDispense.inFulfillmentOf
   typeCombinedMedicationDispense.SupplyEvent.code
   whenPreparedCombinedMedicationDispense.SupplyEvent.effectiveTime
   whenHandedOverCombinedMedicationDispense.SupplyEvent.effectiveTime
   destinationCombinedMedicationDispense.SupplyEvent.destination
   receiverCombinedMedicationDispense.SupplyEvent.receiver
   substitutionCombinedMedicationDispense.substitutionMade
      typeCombinedMedicationDispense.substitutionMade.code
      reasonCombinedMedicationDispense.substitutionMade.reasonCode
      responsiblePartyCombinedMedicationDispense.substitutionMade.ResponsibleParty

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

CHEMEDEPRMedicationDispenseList
MedicationDispense
   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)
   medication[x]RXD-2-Dispense/Give Code
   medication[x] (medicationReference)RXD-2-Dispense/Give Code
   subjectPID-3-Patient ID List
   authorizingPrescriptionORC-2 Placer Order Number
   typeRXD-33-Dispense Type
   quantitySN (see also Range) or CQ
   daysSupplySN (see also Range) or CQ
   whenPreparedRXD-3-Date/Time Dispensed
   whenHandedOverRXD-3-Date/Time Dispensed
   destinationRXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
   noteRXD-9 Dispense Notes
      author[x]N/A
      timeN/A
      textN/A
   substitution
      typeRXO-9-Allow Substitutions / RXE-9-Substitution Status
         codingC*E.1-8, C*E.10-22
         textC*E.9. But note many systems use C*E.2 for this