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: USQualityCoreMedicationNotRequested - Mappings

Active as of 2026-05-15

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

#### Mappings to Structures in this Implementation Guide

No Mappings Found

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | Mapping to NCPDP SCRIPT 10.6 | RIM Mapping | FiveWs Pattern Mapping | HL7 v2 Mapping
--- | --- | --- | --- | --- | ---
MedicationRequest | Request | Message/Body/NewRx | CombinedMedicationRequest |  |
id |  |  |  |  |
meta |  |  |  |  |
implicitRules |  |  |  |  |
language |  |  |  |  |
text |  |  | Act.text? |  |
contained |  |  | N/A |  |
extension |  |  | N/A |  |
modifierExtension |  |  | N/A |  |
identifier | Request.identifier | Message/Header/PrescriberOrderNumber | .id | FiveWs.identifier | ORC-2-Placer Order Number / ORC-3-Filler Order Number
status | Request.status | no mapping | .statusCode | FiveWs.status |
statusReason | Request.statusReason |  | .inboundRelationship[typeCode=SUBJ].source[classCode=CACT moodCode=EVN].reasonCOde |  |
intent | Request.intent |  | .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere) | FiveWs.class |
Slices for category |  | Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG | .inboundRelationship[typeCode=COMP].source[classCode=OBS moodCode=EVN code="type of medication usage"].value | FiveWs.class |
category:us-core |  | Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG | .inboundRelationship[typeCode=COMP].source[classCode=OBS moodCode=EVN code="type of medication usage"].value | FiveWs.class |
priority | Request.priority |  | .priorityCode | FiveWs.grade |
doNotPerform |  |  | SubstanceAdministration.actionNegationInd |  |
reported[x] |  |  | .participation[typeCode=INF].role |  |
medication[x] | Request.code | Message/Body/NewRx/MedicationPrescribed Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription | consumable.administrableMedication | FiveWs.what[x] | RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
id |  |  | n/a |  |
Slices for extension |  |  | n/a |  |
extension:notDoneValueSet |  |  | CD.valueSet/CD.valueSetVersion |  | CWE.
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
subject | Request.subject | Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT) | .participation[typeCode=AUT].role | FiveWs.subject | PID-3-Patient ID List
encounter | Request.context | no mapping | .inboundRelationship[typeCode=COMP].source[classCode=ENC moodCode=EVN code="type of encounter or episode"] | FiveWs.context | PV1-19-Visit Number
supportingInformation | Request.supportingInfo |  | .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 |
authoredOn | Request.authoredOn | Message/Body/NewRx/MedicationPrescribed/WrittenDate | author.time | FiveWs.recorded | RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction
requester | Request.requester |  | .participation[typeCode=AUT].role | FiveWs.author |
performer | Request.performer |  | .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] | FiveWs.actor |
performerType | Request.performerType |  | .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code |  |
recorder |  |  | .participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType) | FiveWs.who |
reasonCode | Request.reasonCode | Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value | reason.observation.reasonCode | FiveWs.why[x] | ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication
reasonReference | Request.reasonReference | no mapping | reason.observation[code=ASSERTION].value | FiveWs.why[x] |
instantiatesCanonical | Request.instantiates |  | .outboundRelationship[typeCode=DEFN].target |  |
instantiatesUri |  |  | .outboundRelationship[typeCode=DEFN].target |  |
basedOn | Request.basedOn |  | .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS moodCode=RQO orPLAN or PRP] |  |
groupIdentifier | Request.groupIdentifier |  | .outboundRelationship(typeCode=COMP].target[classCode=SBADM moodCode=INT].id |  |
courseOfTherapyType |  |  | Act.code where classCode = LIST and moodCode = EVN |  |
insurance | Request.insurance |  | .outboundRelationship[typeCode=COVBY].target |  |
note | Request.note | Message/Body/NewRx/MedicationPrescribed/Note | .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS moodCode=EVN code="annotation"].value |  |
dosageInstruction | Request.occurrence[x] |  | see dosageInstruction mapping |  |
id |  |  | n/a |  |
extension |  |  | n/a |  |
modifierExtension |  |  | N/A |  |
sequence |  |  | .text |  | TQ1-1
text |  |  | .text |  | RXO-6; RXE-21
additionalInstruction |  |  | .text |  | RXO-7
patientInstruction |  |  | .text |  | RXO-7
timing |  |  | .effectiveTime |  |
asNeeded[x] |  |  | .outboundRelationship[typeCode=PRCN].target[classCode=OBS moodCode=EVN code="as needed"].value=boolean or codable concept |  | TQ1-9
site |  |  | .approachSiteCode |  | RXR-2
route |  |  | .routeCode |  | RXR-1
method |  |  | .doseQuantity |  | RXR-4
doseAndRate |  |  |  |  | TQ1-2
id |  |  | n/a |  |
extension |  |  | n/a |  |
type |  |  |  |  | RXO-21; RXE-23
dose[x] |  |  | .doseQuantity |  | RXO-2 RXE-3
rate[x] |  |  | .rateQuantity |  | RXE22 RXE23 RXE-24
maxDosePerPeriod |  |  | .maxDoseQuantity |  | RXO-23 RXE-19
maxDosePerAdministration |  |  | not supported |  |
maxDosePerLifetime |  |  | not supported |  |
dispenseRequest |  | Message/Body/NewRx/MedicationPrescribed/ExpirationDate | component.supplyEvent |  |
id |  |  | n/a |  |
extension |  |  | n/a |  |
modifierExtension |  |  | N/A |  |
initialFill |  |  | SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply |  |
id |  |  | n/a |  |
extension |  |  | n/a |  |
modifierExtension |  |  | N/A |  |
quantity |  |  | Supply.quantity[moodCode=RQO] |  |
duration |  |  | Supply.effectivetime[moodCode=RQO] |  |
dispenseInterval |  |  | Supply.effectivetime[moodCode=RQO] |  |
validityPeriod |  | Message/Body/NewRx/MedicationPrescribed/Refills | effectiveTime |  |
numberOfRepeatsAllowed |  | Message/Body/NewRx/MedicationPrescribed/Quantity | repeatNumber |  | RXE-12-Number of Refills
quantity |  | Message/Body/NewRx/MedicationPrescribed/DaysSupply | quantity |  | RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
expectedSupplyDuration |  | Message/Body/NewRx/MedicationPrescribed/Substitutions | expectedUseTime |  |
performer |  |  | .outboundRelationship[typeCode=COMP].target[classCode=SPLY moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] | FiveWs.who |
substitution |  | specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions | subjectOf.substitutionPersmission |  |
id |  |  | n/a |  |
extension |  |  | n/a |  |
modifierExtension |  |  | N/A |  |
allowed[x] |  | specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions | code |  | RXO-9-Allow Substitutions / RXE-9-Substitution Status
reason |  | not mapped | reasonCode |  | RXE-9 Substition status
priorPrescription | Request.replaces | not mapped | .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM moodCode=RQO] |  |
detectedIssue |  |  | .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT moodCode=EVN].value |  |
eventHistory | Request.relevantHistory |  | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT moodCode=EVN] |  |
Documentation for this format