臺灣中醫實作指引, published by 衛生福利部國家中醫藥研究所. 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/nricmig/Nricm_TWCMIG/ and changes regularly. See the Directory of published versions
Mappings for the medicationrequest-twcm resource profile.
| Name | Workflow Pattern | Mapping to NCPDP SCRIPT 10.6 | RIM Mapping | FiveWs Pattern Mapping | HL7 v2 Mapping |
 MedicationRequest |
Request |
Message/Body/NewRx |
CombinedMedicationRequest |
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  MedicationRequest / id |
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  MedicationRequest / meta |
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  MedicationRequest / implicitRules |
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  MedicationRequest / language |
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  MedicationRequest / text |
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Act.text? |
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  MedicationRequest / contained |
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N/A |
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  MedicationRequest / Slices for extension |
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   MedicationRequest / Slices for extension / extension:packageNumber |
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  MedicationRequest / modifierExtension |
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N/A |
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  MedicationRequest / identifier |
Request.identifier |
Message/Header/PrescriberOrderNumber |
.id |
FiveWs.identifier |
ORC-2-Placer Order Number / ORC-3-Filler Order Number |
  MedicationRequest / status |
Request.status |
no mapping |
.statusCode |
FiveWs.status |
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  MedicationRequest / statusReason |
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CD |
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CE/CNE/CWE |
  MedicationRequest / intent |
Request.intent |
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.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere) |
FiveWs.class |
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  MedicationRequest / category |
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CD |
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CE/CNE/CWE |
  MedicationRequest / priority |
Request.priority |
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.priorityCode |
FiveWs.grade |
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  MedicationRequest / doNotPerform |
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SubstanceAdministration.actionNegationInd |
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  MedicationRequest / reported[x] |
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.participation[typeCode=INF].role |
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  MedicationRequest / Slices for 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 |
   MedicationRequest / Slices for medication[x] / medication[x]:medicationReference |
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 |
   MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept |
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CD |
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CE/CNE/CWE |
    MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / id |
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n/a |
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    MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / extension |
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    MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / Slices for coding |
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CV |
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CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
    MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / Slices for coding |
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     MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / Slices for coding / coding:fda-medication-tw |
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CV |
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CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
     MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / Slices for coding / coding:nhi-medication-tw |
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CV |
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CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
     MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / Slices for coding / coding:nhi-medication-ch-herb-tw |
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CV |
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CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
     MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / Slices for coding / coding:rxnorm-medication-us-core |
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CV |
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CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
     MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / Slices for coding / coding:atc-medication-code |
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CV |
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CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
     MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / Slices for coding / coding:snomedct-medication-codes |
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CV |
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CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
    MedicationRequest / Slices for medication[x] / medication[x]:medicationCodeableConcept / text |
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./originalText[mediaType/code="text/plain"]/data |
|
C*E.9. But note many systems use C*E.2 for this |
  MedicationRequest / 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 |
  MedicationRequest / 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 |
  MedicationRequest / 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 |
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  MedicationRequest / authoredOn |
Request.authoredOn |
Message/Body/NewRx/MedicationPrescribed/WrittenDate |
author.time |
FiveWs.recorded |
RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction |
  MedicationRequest / requester |
Request.requester |
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.participation[typeCode=AUT].role |
FiveWs.author |
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  MedicationRequest / performer |
Request.performer |
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.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
FiveWs.actor |
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  MedicationRequest / performerType |
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CD |
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CE/CNE/CWE |
  MedicationRequest / recorder |
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.participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType) |
FiveWs.who |
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  MedicationRequest / 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 |
  MedicationRequest / reasonReference |
Request.reasonReference |
no mapping |
reason.observation[code=ASSERTION].value |
FiveWs.why[x] |
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  MedicationRequest / instantiatesCanonical |
Request.instantiates |
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.outboundRelationship[typeCode=DEFN].target |
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  MedicationRequest / instantiatesUri |
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.outboundRelationship[typeCode=DEFN].target |
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  MedicationRequest / basedOn |
Request.basedOn |
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- .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS
- moodCode=RQO orPLAN or PRP]
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  MedicationRequest / groupIdentifier |
Request.groupIdentifier |
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- .outboundRelationship(typeCode=COMP].target[classCode=SBADM
- moodCode=INT].id
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  MedicationRequest / courseOfTherapyType |
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CD |
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CE/CNE/CWE |
  MedicationRequest / insurance |
Request.insurance |
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.outboundRelationship[typeCode=COVBY].target |
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  MedicationRequest / note |
Request.note |
Message/Body/NewRx/MedicationPrescribed/Note |
- .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS
- moodCode=EVN
- code="annotation"].value
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  MedicationRequest / dosageInstruction |
Request.occurrence[x] |
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see dosageInstruction mapping |
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   MedicationRequest / dosageInstruction / id |
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n/a |
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   MedicationRequest / dosageInstruction / extension |
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n/a |
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   MedicationRequest / dosageInstruction / modifierExtension |
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N/A |
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   MedicationRequest / dosageInstruction / sequence |
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.text |
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TQ1-1 |
   MedicationRequest / dosageInstruction / text |
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.text |
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RXO-6; RXE-21 |
   MedicationRequest / dosageInstruction / additionalInstruction |
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CD |
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CE/CNE/CWE |
   MedicationRequest / dosageInstruction / patientInstruction |
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.text |
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RXO-7 |
   MedicationRequest / dosageInstruction / timing |
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.effectiveTime |
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    MedicationRequest / dosageInstruction / timing / id |
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n/a |
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    MedicationRequest / dosageInstruction / timing / extension |
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n/a |
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    MedicationRequest / dosageInstruction / timing / modifierExtension |
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N/A |
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    MedicationRequest / dosageInstruction / timing / event |
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QLIST<TS> |
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    MedicationRequest / dosageInstruction / timing / repeat |
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Implies PIVL or EIVL |
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     MedicationRequest / dosageInstruction / timing / repeat / id |
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n/a |
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     MedicationRequest / dosageInstruction / timing / repeat / extension |
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n/a |
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     MedicationRequest / dosageInstruction / timing / repeat / Slices for bounds[x] |
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IVL(TS) used in a QSI |
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      MedicationRequest / dosageInstruction / timing / repeat / Slices for bounds[x] / bounds[x]:boundsPeriod |
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IVL(TS) used in a QSI |
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     MedicationRequest / dosageInstruction / timing / repeat / count |
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PIVL.count |
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     MedicationRequest / dosageInstruction / timing / repeat / countMax |
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PIVL.count |
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     MedicationRequest / dosageInstruction / timing / repeat / duration |
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PIVL.phase |
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     MedicationRequest / dosageInstruction / timing / repeat / durationMax |
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PIVL.phase |
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     MedicationRequest / dosageInstruction / timing / repeat / durationUnit |
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PIVL.phase.unit |
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     MedicationRequest / dosageInstruction / timing / repeat / frequency |
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PIVL.phase |
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     MedicationRequest / dosageInstruction / timing / repeat / frequencyMax |
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PIVL.phase |
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     MedicationRequest / dosageInstruction / timing / repeat / period |
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PIVL.phase |
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     MedicationRequest / dosageInstruction / timing / repeat / periodMax |
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PIVL.phase |
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     MedicationRequest / dosageInstruction / timing / repeat / periodUnit |
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PIVL.phase.unit |
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     MedicationRequest / dosageInstruction / timing / repeat / dayOfWeek |
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n/a |
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     MedicationRequest / dosageInstruction / timing / repeat / timeOfDay |
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n/a |
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     MedicationRequest / dosageInstruction / timing / repeat / when |
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EIVL.event |
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     MedicationRequest / dosageInstruction / timing / repeat / offset |
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EIVL.offset |
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    MedicationRequest / dosageInstruction / timing / code |
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CD |
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CE/CNE/CWE |
     MedicationRequest / dosageInstruction / timing / code / id |
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n/a |
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     MedicationRequest / dosageInstruction / timing / code / extension |
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     MedicationRequest / dosageInstruction / timing / code / coding |
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CV |
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CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
      MedicationRequest / dosageInstruction / timing / code / coding / id |
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n/a |
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      MedicationRequest / dosageInstruction / timing / code / coding / extension |
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      MedicationRequest / dosageInstruction / timing / code / coding / system |
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./codeSystem |
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C*E.3 |
      MedicationRequest / dosageInstruction / timing / code / coding / version |
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./codeSystemVersion |
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C*E.7 |
      MedicationRequest / dosageInstruction / timing / code / coding / code |
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./code |
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C*E.1 |
      MedicationRequest / dosageInstruction / timing / code / coding / display |
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CV.displayName |
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C*E.2 - but note this is not well followed |
      MedicationRequest / dosageInstruction / timing / code / coding / userSelected |
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CD.codingRationale |
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Sometimes implied by being first |
     MedicationRequest / dosageInstruction / timing / code / text |
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./originalText[mediaType/code="text/plain"]/data |
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C*E.9. But note many systems use C*E.2 for this |
   MedicationRequest / dosageInstruction / asNeeded[x] |
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- .outboundRelationship[typeCode=PRCN].target[classCode=OBS
- moodCode=EVN
- code="as needed"].value=boolean or codable concept
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TQ1-9 |
   MedicationRequest / dosageInstruction / site |
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CD |
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CE/CNE/CWE |
   MedicationRequest / dosageInstruction / route |
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CD |
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CE/CNE/CWE |
    MedicationRequest / dosageInstruction / route / id |
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n/a |
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    MedicationRequest / dosageInstruction / route / extension |
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    MedicationRequest / dosageInstruction / route / coding |
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CV |
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CE/CNE/CWE subset one of the sets of component 1-3 or 4-6 |
    MedicationRequest / dosageInstruction / route / text |
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./originalText[mediaType/code="text/plain"]/data |
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C*E.9. But note many systems use C*E.2 for this |
   MedicationRequest / dosageInstruction / method |
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CD |
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CE/CNE/CWE |
   MedicationRequest / dosageInstruction / doseAndRate |
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TQ1-2 |
    MedicationRequest / dosageInstruction / doseAndRate / id |
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n/a |
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    MedicationRequest / dosageInstruction / doseAndRate / extension |
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n/a |
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    MedicationRequest / dosageInstruction / doseAndRate / type |
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CD |
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CE/CNE/CWE |
    MedicationRequest / dosageInstruction / doseAndRate / Slices for dose[x] |
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.doseQuantity |
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     MedicationRequest / dosageInstruction / doseAndRate / Slices for dose[x] / dose[x]:doseQuantity |
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.doseQuantity |
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      MedicationRequest / dosageInstruction / doseAndRate / Slices for dose[x] / dose[x]:doseQuantity / id |
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n/a |
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      MedicationRequest / dosageInstruction / doseAndRate / Slices for dose[x] / dose[x]:doseQuantity / extension |
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n/a |
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      MedicationRequest / dosageInstruction / doseAndRate / Slices for dose[x] / dose[x]:doseQuantity / value |
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- PQ.value
- CO.value
- MO.value
- IVL.high or IVL.low depending on the value
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SN.2 / CQ - N/A |
      MedicationRequest / dosageInstruction / doseAndRate / Slices for dose[x] / dose[x]:doseQuantity / comparator |
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IVL properties |
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SN.1 / CQ.1 |
      MedicationRequest / dosageInstruction / doseAndRate / Slices for dose[x] / dose[x]:doseQuantity / unit |
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PQ.unit |
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(see OBX.6 etc.) / CQ.2 |
      MedicationRequest / dosageInstruction / doseAndRate / Slices for dose[x] / dose[x]:doseQuantity / system |
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- CO.codeSystem
- PQ.translation.codeSystem
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(see OBX.6 etc.) / CQ.2 |
      MedicationRequest / dosageInstruction / doseAndRate / Slices for dose[x] / dose[x]:doseQuantity / code |
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- PQ.code
- MO.currency
- PQ.translation.code
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(see OBX.6 etc.) / CQ.2 |
    MedicationRequest / dosageInstruction / doseAndRate / rate[x] |
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.rateQuantity |
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   MedicationRequest / dosageInstruction / maxDosePerPeriod |
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.maxDoseQuantity |
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   MedicationRequest / dosageInstruction / maxDosePerAdministration |
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not supported |
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   MedicationRequest / dosageInstruction / maxDosePerLifetime |
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not supported |
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  MedicationRequest / dispenseRequest |
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Message/Body/NewRx/MedicationPrescribed/ExpirationDate |
component.supplyEvent |
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   MedicationRequest / dispenseRequest / id |
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n/a |
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   MedicationRequest / dispenseRequest / extension |
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n/a |
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   MedicationRequest / dispenseRequest / modifierExtension |
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N/A |
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   MedicationRequest / dispenseRequest / initialFill |
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SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply |
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    MedicationRequest / dispenseRequest / initialFill / id |
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n/a |
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    MedicationRequest / dispenseRequest / initialFill / extension |
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n/a |
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    MedicationRequest / dispenseRequest / initialFill / modifierExtension |
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N/A |
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    MedicationRequest / dispenseRequest / initialFill / quantity |
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Supply.quantity[moodCode=RQO] |
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    MedicationRequest / dispenseRequest / initialFill / duration |
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Supply.effectivetime[moodCode=RQO] |
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   MedicationRequest / dispenseRequest / dispenseInterval |
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Supply.effectivetime[moodCode=RQO] |
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   MedicationRequest / dispenseRequest / validityPeriod |
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Message/Body/NewRx/MedicationPrescribed/Refills |
effectiveTime |
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   MedicationRequest / dispenseRequest / numberOfRepeatsAllowed |
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Message/Body/NewRx/MedicationPrescribed/Quantity |
repeatNumber |
|
RXE-12-Number of Refills |
   MedicationRequest / dispenseRequest / quantity |
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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 |
   MedicationRequest / dispenseRequest / expectedSupplyDuration |
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Message/Body/NewRx/MedicationPrescribed/Substitutions |
expectedUseTime |
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   MedicationRequest / dispenseRequest / performer |
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- .outboundRelationship[typeCode=COMP].target[classCode=SPLY
- moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
|
FiveWs.who |
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  MedicationRequest / substitution |
|
specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions |
subjectOf.substitutionPersmission |
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   MedicationRequest / substitution / id |
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n/a |
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   MedicationRequest / substitution / extension |
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|
n/a |
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   MedicationRequest / substitution / modifierExtension |
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N/A |
|
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   MedicationRequest / substitution / allowed[x] |
|
specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions |
code |
|
RXO-9-Allow Substitutions / RXE-9-Substitution Status |
   MedicationRequest / substitution / reason |
|
|
CD |
|
CE/CNE/CWE |
  MedicationRequest / priorPrescription |
Request.replaces |
not mapped |
- .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM
- moodCode=RQO]
|
|
|
  MedicationRequest / detectedIssue |
|
|
- .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT
- moodCode=EVN].value
|
|
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  MedicationRequest / eventHistory |
Request.relevantHistory |
|
- .inboundRelationship(typeCode=SUBJ].source[classCode=CACT
- moodCode=EVN]
|
|
|
Documentation for this format |