HL7 FHIR Implementation Guide Dossier Farmaceutico, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/dossier-pharma/ and changes regularly. See the Directory of published versions
Mappings for the MedicationDispense-it-dossierPharma resource profile.
| MedicationDispenseItDossierPharma |
| MedicationDispense | Entity. Role, or Act, Supply[moodCode=EVN] |
| text | Act.text? |
| contained | N/A |
| modifierExtension | N/A |
| identifier | .id |
| 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 |
| medication[x] (medicationCodeableConcept) | .participation[typeCode=PRD].role |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| id | n/a |
| extension | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| coding (ATC) | union(., ./translation) |
| coding (AIC) | union(., ./translation) |
| coding (gruppoEquivalenza) | union(., ./translation) |
| coding (eccezioni) | union(., ./translation) |
| text | ./originalText[mediaType/code="text/plain"]/data |
| subject | .participation[typeCode=SBJ].role[classCode=PAT] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| display | N/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] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| function | participation[typeCode=PRF].functionCode |
| actor | .role |
| performer (CFErogatore) | .participation[typeCode=PRF] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| function | participation[typeCode=PRF].functionCode |
| actor | .role |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| display | N/A |
| location | .participation[typeCode=LOC].role |
| authorizingPrescription | .outboundRelationship[typeCode=FLFS].target[moodCode=RQO] |
| type | .code |
| quantity | .quantity |
| id | n/a |
| extension | n/a |
| value | PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value |
| unit | PQ.unit |
| system | CO.codeSystem, PQ.translation.codeSystem |
| code | PQ.code, MO.currency, PQ.translation.code |
| daysSupply | effectiveUseTime |
| 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] |
| dosageInstruction | .outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT] |
| substitution | .outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| wasSubstituted | .actionNegationInd |
| type | .code |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| id | n/a |
| extension | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| text | ./originalText[mediaType/code="text/plain"]/data |
| reason | .reasonCode |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| id | n/a |
| extension | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| text | ./originalText[mediaType/code="text/plain"]/data |
| 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] |
| MedicationDispenseItDossierPharma |
| MedicationDispense | |
| identifier | CombinedMedicationDispense.id |
| status | CombinedMedicationDispense.SupplyEvent.statusCode |
| medication[x] | CombinedMedicationRequest.component1.AdministrationRequest.consumable |
| medication[x] (medicationReference) | CombinedMedicationRequest.component1.AdministrationRequest.consumable |
| medication[x] (medicationCodeableConcept) | CombinedMedicationRequest.component1.AdministrationRequest.consumable |
| authorizingPrescription | CombinedMedicationDispense.inFulfillmentOf |
| type | CombinedMedicationDispense.SupplyEvent.code |
| quantity | CombinedMedicationDispense.SupplyEvent.quantity |
| whenPrepared | CombinedMedicationDispense.SupplyEvent.effectiveTime |
| whenHandedOver | CombinedMedicationDispense.SupplyEvent.effectiveTime |
| destination | CombinedMedicationDispense.SupplyEvent.destination |
| receiver | CombinedMedicationDispense.SupplyEvent.receiver |
| substitution | CombinedMedicationDispense.substitutionMade |
| type | CombinedMedicationDispense.substitutionMade.code |
| reason | CombinedMedicationDispense.substitutionMade.reasonCode |
| responsibleParty | CombinedMedicationDispense.substitutionMade.ResponsibleParty |
| MedicationDispenseItDossierPharma |
| MedicationDispense | |
| medication[x] | RXD-2-Dispense/Give Code |
| medication[x] (medicationReference) | RXD-2-Dispense/Give Code |
| medication[x] (medicationCodeableConcept) | RXD-2-Dispense/Give Code |
| coding | C*E.1-8, C*E.10-22 |
| system | C*E.3 |
| version | C*E.7 |
| code | C*E.1 |
| display | C*E.2 - but note this is not well followed |
| userSelected | Sometimes implied by being first |
| coding (ATC) | C*E.1-8, C*E.10-22 |
| coding (AIC) | C*E.1-8, C*E.10-22 |
| coding (gruppoEquivalenza) | C*E.1-8, C*E.10-22 |
| coding (eccezioni) | C*E.1-8, C*E.10-22 |
| text | C*E.9. But note many systems use C*E.2 for this |
| subject | PID-3-Patient ID List |
| identifier | |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| performer | |
| actor | |
| performer (CFErogatore) | |
| actor | |
| identifier | |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| authorizingPrescription | ORC-2 Placer Order Number |
| type | RXD-33-Dispense Type |
| quantity | RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system |
| value | SN.2 / CQ - N/A |
| unit | (see OBX.6 etc.) / CQ.2 |
| system | (see OBX.6 etc.) / CQ.2 |
| code | (see OBX.6 etc.) / CQ.2 |
| daysSupply | TQ1.6 Timing/Quantity Segment Service Duration.
Prior to v2.5, ORC.7.3 Common Order Segment / Quantity/Timing / Duration component. This is a formatted string, first character for the time unit (e.g., D=days), followed by the value. For example, “D14” represents “14 days supply”
From v2.5 on, TQ1.6 Timing/Quantity Segment / Service Duration. This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>), thus for days supply, assuming the unit of measure is “days”, the numeric value is TQ1.6.1 (…|14^
For backwards compatibility, ORC.7 was permitted through v2.6. Both forms (field and segment) may be present in v2.5, v2.5.1, and v2.6 |
| whenPrepared | RXD-3-Date/Time Dispensed |
| whenHandedOver | RXD-3-Date/Time Dispensed |
| destination | RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address |
| note | RXD-9 Dispense Notes |
| substitution | |
| type | RXO-9-Allow Substitutions / RXE-9-Substitution Status |
| coding | C*E.1-8, C*E.10-22 |
| system | C*E.3 |
| version | C*E.7 |
| code | C*E.1 |
| display | C*E.2 - but note this is not well followed |
| userSelected | Sometimes implied by being first |
| text | C*E.9. But note many systems use C*E.2 for this |
| reason | |
| coding | C*E.1-8, C*E.10-22 |
| system | C*E.3 |
| version | C*E.7 |
| code | C*E.1 |
| display | C*E.2 - but note this is not well followed |
| userSelected | Sometimes implied by being first |
| text | C*E.9. But note many systems use C*E.2 for this |
