2026 US Quality Core Implementation Guide
0.5.0 - cibuild US

2026 US Quality Core Implementation Guide, published by Office of the National Coordinator for Health Information Technology (ONC). This guide is not an authorized publication; it is the continuous build for version 0.5.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/FHIR/us-quality-core/ and changes regularly. See the Directory of published versions

## Resource Profile: USQualityCoreMedicationAdministration - Mappings

Draft as of 2026-05-15

Mappings for the us-quality-core-medicationadministration resource profile.

#### Mappings to Structures in this Implementation Guide

No Mappings Found

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | RIM Mapping | FiveWs Pattern Mapping | HL7 v2 Mapping | W3C PROV
--- | --- | --- | --- | --- | ---
MedicationAdministration | Event | SubstanceAdministration |  |  |
id |  |  |  |  |
meta |  |  |  |  |
implicitRules |  |  |  |  |
language |  |  |  |  |
text |  | Act.text? |  |  |
contained |  | N/A |  |  |
extension |  | N/A |  |  |
modifierExtension |  | N/A |  |  |
identifier | Event.identifier | .id | FiveWs.identifier |  |
instantiates | Event.instantiates | .outboundRelationship[typeCode=DEFN].target[classCode=unspecified] |  |  |
partOf | Event.partOf | .outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC moodCode=EVN] |  |  |
status | Event.status | .statusCode | FiveWs.status | RXA-20-Completion Status |
statusReason | Event.statusReason | .outboundRelationship[typeCode=RSON]/target[classCode=OBS moodCode=EVN code="reason not given"].value |  | RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason |
category |  | .inboundRelationship[typeCode=COMP].source[classCode=OBS moodCode=EVN code="type of medication usage"].value |  |  |
medication[x] | Event.code | .participation[typeCode=CSM].role[classCode=ADMM] | FiveWs.what[x] | RXA-5-Administered Code |
subject | Event.subject | .participation[typeCode=SBJ].role[classCode=PAT] | FiveWs.subject | PID-3-Patient ID List |
context | Event.context | .inboundRelationship[typeCode=COMP].source[classCode=ENC moodCode=EVN code="type of encounter or episode"] | FiveWs.context | PV1-19-Visit Number |
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 |  |
effective[x] | Event.occurrence[x] | .effectiveTime | FiveWs.done[x] | RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration |
performer | Event.performer | .participation[typeCode=PRF] | FiveWs.actor | PRT-4-Participation='AP' (RXA-10 is deprecated) |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
function | Event.performer.function | participation[typeCode=PRF].functionCode |  |  |
actor | Event.performer.actor | .role |  |  |
reasonCode | Event.reasonCode | .reasonCode |  | RXE-27 Give Indication |
reasonReference | Event.reasonReference | .outboundRelationship[typeCode=RSON]/target[classCode=OBS moodCode=EVN code="reason for use ASSERTION"].value | FiveWs.why[x] |  | no mapping
request | Event.basedOn | InFullfillmentOf->SubstanceAdministration |  | ORC-2-Placer Order Number / ORC-3-Filler Order Number |
device |  | device->Access OR device->AssignedDevice |  | PRT-10 Participation Device / RXR-3 Administrative Device |
note | Event.note | .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS moodCode=EVN code="annotation"].value |  |  |
dosage |  | component->SubstanceAdministrationEvent |  |  |
id |  | n/a |  |  |
extension |  | n/a |  |  |
modifierExtension |  | N/A |  |  |
text |  | .text |  |  |
site |  | .approachSiteCode |  | RXR-2 Administration Site / RXR-6 Administration Site Modifier |
route |  | .routeCode |  | RXR-1-Route |
method |  | .methodCode |  | RXR-4-Administration Method |
dose |  | .doseQuantity |  | RXA-6 Administered Amount / RXA-7 Administered Units |
rate[x] |  | .rateQuantity |  | RXA-12-Administered Per (Time Unit) |
eventHistory |  | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT moodCode=EVN] |  |  |
Documentation for this format