LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide, published by Ministry of Health, Sri Lanka. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lk-gov-health-hiu/lk-nehr-fhir-ips/ and changes regularly. See the Directory of published versions
Mappings for the medication-request resource profile.
MedicationRequests |
MedicationRequest | Message/Body/NewRx |
identifier | Message/Header/PrescriberOrderNumber |
identifier (RequestID) | Message/Header/PrescriberOrderNumber |
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 |
medication[x] (medicationCodeableConcept) | 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 |
MedicationRequests |
MedicationRequest | Entity. Role, or Act, CombinedMedicationRequest |
text | Act.text? |
contained | N/A |
extension | N/A |
modifierExtension | N/A |
identifier | .id |
identifier (RequestID) | .id |
id | n/a |
extension | n/a |
use | Role.code or implied by context |
type | Role.code or implied by context |
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 |
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 |
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 |
medication[x] (medicationCodeableConcept) | consumable.administrableMedication |
subject | .participation[typeCode=AUT].role |
id | n/a |
extension | n/a |
reference | N/A |
type | N/A |
identifier | .identifier |
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] |
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 |
id | n/a |
extension | n/a |
modifierExtension | N/A |
event | QLIST<TS> |
repeat | Implies PIVL or EIVL |
id | n/a |
extension | n/a |
bounds[x] | IVL(TS) used in a QSI |
count | PIVL.count |
countMax | PIVL.count |
duration | PIVL.phase |
durationMax | PIVL.phase |
durationUnit | PIVL.phase.unit |
frequency | PIVL.phase |
frequencyMax | PIVL.phase |
period | PIVL.phase |
periodMax | PIVL.phase |
periodUnit | PIVL.phase.unit |
dayOfWeek | n/a |
timeOfDay | n/a |
when | EIVL.event |
offset | EIVL.offset |
code | QSC.code |
asNeeded[x] | .outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept |
site | .approachSiteCode |
route | n/a, CD |
method | .doseQuantity |
doseAndRate | |
id | n/a |
extension | n/a |
dose[x] | .doseQuantity |
dose[x] (doseQuantity) | n/a, PQ, IVL<PQ>, MO, CO, depending on the values |
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 |
id | n/a |
extension | n/a |
extension (data-absent-reason) | ANY.nullFlavor |
start | ./low |
end | ./high |
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] |
MedicationRequests |
MedicationRequest | |
identifier | ORC-2-Placer Order Number / ORC-3-Filler Order Number |
identifier (RequestID) | ORC-2-Placer Order Number / ORC-3-Filler Order Number |
use | N/A |
type | CX.5 |
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 |
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) |
medication[x] | RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code |
medication[x] (medicationCodeableConcept) | RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code |
subject | PID-3-Patient ID List |
encounter | PV1-19-Visit Number |
authoredOn | RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction |
reasonCode | ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication |
dosageInstruction | |
sequence | TQ1-1 |
text | RXO-6; RXE-21 |
additionalInstruction | RXO-7 |
patientInstruction | RXO-7 |
asNeeded[x] | TQ1-9 |
site | RXR-2 |
route | CE/CNE/CWE |
method | RXR-4 |
doseAndRate | TQ1-2 |
type | RXO-21; RXE-23 |
dose[x] | RXO-2, RXE-3 |
dose[x] (doseQuantity) | SN (see also Range) or CQ |
rate[x] | RXE22, RXE23, RXE-24 |
maxDosePerPeriod | RXO-23, RXE-19 |
dispenseRequest | |
validityPeriod | |
start | DR.1 |
end | DR.2 |
numberOfRepeatsAllowed | RXE-12-Number of Refills |
quantity | RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system |
substitution | |
allowed[x] | RXO-9-Allow Substitutions / RXE-9-Substitution Status |
reason | RXE-9 Substition status |