Implementation Guide (Release 1.2.0)

US_Meds, published by HL7 International - Pharmacy Work Group. This is not an authorized publication; it is the continuous build for version 1.2.0). This version is based on the current content of https://github.com/HL7/FHIR-ONC-Meds/ and changes regularly. See the Directory of published versions

Mappings for the StructureDefinition-medicationadministration Profile.

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

MedicationAdministrationProfile
MedicationAdministrationEvent
   identifierEvent.identifier
   instantiatesEvent.instantiates
   partOfEvent.partOf
   statusEvent.status
   statusReasonEvent.statusReason
   medication[x]Event.code
   subjectEvent.subject
   contextEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer
      functionEvent.performer.function
      actorEvent.performer.actor
   reasonCodeEvent.reasonCode
   reasonReferenceEvent.reasonReference
   requestEvent.basedOn
   noteEvent.note

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

MedicationAdministrationProfile
MedicationAdministrationEntity. Role, or Act, SubstanceAdministration
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   instantiates.outboundRelationship[typeCode=DEFN].target[classCode=unspecified]
   partOf.outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]
   status.statusCode
   statusReason.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason not given"].value
   category.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
   medication[x].participation[typeCode=CSM].role[classCode=ADMM]
   subject.participation[typeCode=SBJ].role[classCode=PAT]
   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)]
   effective[x].effectiveTime
   performer.participation[typeCode=PRF]
      idn/a
      extensionn/a
      modifierExtensionN/A
      functionparticipation[typeCode=PRF].functionCode
      actor.role
   reasonCode.reasonCode
   reasonReference.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use ASSERTION"].value
   requestInFullfillmentOf->SubstanceAdministration
   devicedevice->Access OR device->AssignedDevice
   note.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
   dosagecomponent->SubstanceAdministrationEvent
      idn/a
      extensionn/a
      modifierExtensionN/A
      text.text
      site.approachSiteCode
      route.routeCode
      method.methodCode
      dose.doseQuantity
      rate[x].rateQuantity
   eventHistory.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

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

MedicationAdministrationProfile
MedicationAdministration
   identifierFiveWs.identifier
   statusFiveWs.status
   medication[x]FiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   contextFiveWs.context
   supportingInformationFiveWs.context
   effective[x]FiveWs.done[x]
   performerFiveWs.actor
   reasonReferenceFiveWs.why[x]

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

MedicationAdministrationProfile
MedicationAdministration
   statusRXA-20-Completion Status
   statusReasonRXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason
   medication[x]RXA-5-Administered Code
   subjectPID-3-Patient ID List
   contextPV1-19-Visit Number
   effective[x]RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
   performerRXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)
   reasonCodeRXE-27 Give Indication
   requestORC-2-Placer Order Number / ORC-3-Filler Order Number
   devicePRT-10 Participation Device / RXR-3 Administrative Device
   dosage
      siteRXR-2 Administration Site / RXR-6 Administration Site Modifier
      routeRXR-1-Route
      methodRXR-4-Administration Method
      doseRXA-6 Administered Amount / RXA-7 Administered Units
      rate[x]RXA-12-Administered Per (Time Unit)

Mappings for W3C PROV (http://www.w3.org/ns/prov)

MedicationAdministrationProfile
MedicationAdministration
   reasonReferenceno mapping