Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions
Mappings for the MedicationRequest resource profile.
| MedicationRequest |
| MedicationRequest | Message/Body/NewRx |
| status | no mapping |
| category | Message/Body/NewRx/MedicationPrescribed/Directions
or
Message/Body/NewRx/MedicationPrescribed/StructuredSIG |
| medication[x] | 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 |
| subject | Message/Body/NewRx/Patient
(need detail to link to specific patient … Patient.Identification in SCRIPT) |
| encounter | no mapping |
| authoredOn | Message/Body/NewRx/MedicationPrescribed/WrittenDate |
| reasonCode | Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value |
| reasonReference | no mapping |
| note | Message/Body/NewRx/MedicationPrescribed/Note |
| dispenseRequest | Message/Body/NewRx/MedicationPrescribed/ExpirationDate |
| validityPeriod | Message/Body/NewRx/MedicationPrescribed/Refills |
| numberOfRepeatsAllowed | Message/Body/NewRx/MedicationPrescribed/Quantity |
| quantity | Message/Body/NewRx/MedicationPrescribed/DaysSupply |
| expectedSupplyDuration | Message/Body/NewRx/MedicationPrescribed/Substitutions |
| substitution | specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions |
| allowed[x] | specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions |
| reason | not mapped |
| priorPrescription | not mapped |
| MedicationRequest |
| MedicationRequest | Entity. Role, or Act, CombinedMedicationRequest |
| text | Act.text? |
| contained | N/A |
| modifierExtension | N/A |
| identifier | n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] |
| status | .statusCode |
| statusReason | .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde |
| intent | .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere) |
| category | .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value |
| priority | .priorityCode |
| doNotPerform | SubstanceAdministration.actionNegationInd |
| reported[x] | .participation[typeCode=INF].role |
| medication[x] | consumable.administrableMedication |
| subject | .participation[typeCode=AUT].role |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] |
| display | N/A |
| encounter | .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)] |
| authoredOn | author.time |
| requester | .participation[typeCode=AUT].role |
| performer | .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | n/a, II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] |
| display | N/A |
| performerType | .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code |
| recorder | .participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType) |
| reasonCode | reason.observation.reasonCode |
| reasonReference | reason.observation[code=ASSERTION].value |
| instantiatesCanonical | .outboundRelationship[typeCode=DEFN].target |
| instantiatesUri | .outboundRelationship[typeCode=DEFN].target |
| basedOn | .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP] |
| groupIdentifier | .outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id |
| courseOfTherapyType | Act.code where classCode = LIST and moodCode = EVN |
| insurance | .outboundRelationship[typeCode=COVBY].target |
| note | .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value |
| dosageInstruction | see dosageInstruction mapping |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| sequence | .text |
| text | .text |
| additionalInstruction | .text |
| patientInstruction | .text |
| timing | .effectiveTime |
| asNeeded[x] | .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept |
| site | .approachSiteCode |
| route | .routeCode |
| method | .doseQuantity |
| doseAndRate | |
| id | n/a |
| extension | n/a |
| dose[x] | .doseQuantity |
| rate[x] | .rateQuantity |
| maxDosePerPeriod | .maxDoseQuantity |
| maxDosePerAdministration | not supported |
| maxDosePerLifetime | not supported |
| dispenseRequest | 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 | effectiveTime |
| numberOfRepeatsAllowed | repeatNumber |
| quantity | quantity |
| expectedSupplyDuration | expectedUseTime |
| performer | .outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
| substitution | subjectOf.substitutionPersmission |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| allowed[x] | code |
| reason | reasonCode |
| priorPrescription | .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO] |
| detectedIssue | .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value |
| eventHistory | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN] |
