SIL HIE Implementation Guide
0.1.0 - sil-hie-active

SIL HIE Implementation Guide, published by Kathurima Kimathi. 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/savannahghi/hie-fhir-ig-profile/ and changes regularly. See the Directory of published versions

Resource Profile: HIEMedicationDispense - Mappings

Active as of 2026-10-20

Mappings for the medicationdispense resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternRIM MappingFiveWs Pattern MappingV3 Pharmacy Dispense RMIMHL7 v2 Mappingdoco
MedicationDispense
Event
Supply[moodCode=EVN]
clinical.medication
MedicationDispense / id
MedicationDispense / meta
MedicationDispense / implicitRules
MedicationDispense / language
MedicationDispense / text
Act.text?
MedicationDispense / contained
N/A
MedicationDispense / extension
N/A
MedicationDispense / modifierExtension
N/A
MedicationDispense / identifier
Event.identifier
.id
FiveWs.identifier
CombinedMedicationDispense.id
MedicationDispense / identifier / id
n/a
MedicationDispense / identifier / extension
n/a
MedicationDispense / identifier / use
Role.code or implied by context
N/A
MedicationDispense / identifier / type
Role.code or implied by context
CX.5
MedicationDispense / identifier / system
II.root or Role.id.root
CX.4 / EI-2-4
MedicationDispense / identifier / value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
CX.1 / EI.1
MedicationDispense / identifier / period
Role.effectiveTime or implied by context
CX.7 + CX.8
MedicationDispense / identifier / assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
MedicationDispense / partOf
Event.partOf
  • .outboundRelationship[typeCode=COMP]/target[classCode=PROC
  • moodCode=EVN]
MedicationDispense / status
Event.status
.statusCode
FiveWs.status
CombinedMedicationDispense.SupplyEvent.statusCode
MedicationDispense / Slices for statusReason[x]
Event.statusReason
  • .outboundRelationship[typeCode=RSON]/target[classCode=OBS
  • moodCode=EVN
  • code="not done reason"].value
MedicationDispense / Slices for statusReason[x] / statusReason[x]:statusReasonCodeableConcept
Event.statusReason
  • .outboundRelationship[typeCode=RSON]/target[classCode=OBS
  • moodCode=EVN
  • code="not done reason"].value
MedicationDispense / Slices for statusReason[x] / statusReason[x]:statusReasonReference
Event.statusReason
  • .outboundRelationship[typeCode=RSON]/target[classCode=OBS
  • moodCode=EVN
  • code="not done reason"].value
MedicationDispense / category
  • .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • moodCode=EVN
  • code="type of medication dispense"].value
MedicationDispense / Slices for medication[x]
Event.code
.participation[typeCode=PRD].role
FiveWs.what[x]
CombinedMedicationRequest.component1.AdministrationRequest.consumable
RXD-2-Dispense/Give Code
MedicationDispense / Slices for medication[x] / medication[x]:medicationCodeableConcept
Event.code
.participation[typeCode=PRD].role
FiveWs.what[x]
CombinedMedicationRequest.component1.AdministrationRequest.consumable
RXD-2-Dispense/Give Code
MedicationDispense / Slices for medication[x] / medication[x]:medicationReference
Event.code
.participation[typeCode=PRD].role
FiveWs.what[x]
CombinedMedicationRequest.component1.AdministrationRequest.consumable
RXD-2-Dispense/Give Code
MedicationDispense / subject
Event.subject
.participation[typeCode=SBJ].role[classCode=PAT]
FiveWs.subject
PID-3-Patient ID List
MedicationDispense / context
Event.context
  • .inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN
  • code="type of encounter or episode"]
MedicationDispense / 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)]
FiveWs.context
MedicationDispense / performer
Event.performer
.participation[typeCode=PRF]
MedicationDispense / performer / id
n/a
MedicationDispense / performer / extension
n/a
MedicationDispense / performer / modifierExtension
N/A
MedicationDispense / performer / function
participation[typeCode=PRF].functionCode
MedicationDispense / performer / actor
Event.performer.actor
.role
MedicationDispense / location
.participation[typeCode=LOC].role
MedicationDispense / authorizingPrescription
Event.basedOn
.outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
CombinedMedicationDispense.inFulfillmentOf
ORC-2 Placer Order Number
MedicationDispense / type
.code
CombinedMedicationDispense.SupplyEvent.code
RXD-33-Dispense Type
MedicationDispense / quantity
.quantity
CombinedMedicationDispense.SupplyEvent.quantity
RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
MedicationDispense / daysSupply
effectiveUseTime
  • 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
MedicationDispense / whenPrepared
type=IVL_TS].low
CombinedMedicationDispense.SupplyEvent.effectiveTime
RXD-3-Date/Time Dispensed
MedicationDispense / whenHandedOver
Event.occurrence[x]
type=IVL_TS].high
CombinedMedicationDispense.SupplyEvent.effectiveTime
RXD-3-Date/Time Dispensed
MedicationDispense / destination
.participation[typeCode=DST].role
CombinedMedicationDispense.SupplyEvent.destination
RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
MedicationDispense / receiver
.participation[typeCode=RCV].role
CombinedMedicationDispense.SupplyEvent.receiver
MedicationDispense / note
Event.note
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ACT
  • moodCode=EVN]
RXD-9 Dispense Notes
MedicationDispense / dosageInstruction
  • .outboundRelationship[typeCode=COMP].target[classCode=SBADM
  • moodCode=INT]
MedicationDispense / substitution
  • .outboundRelationship[typeCode=COMP].target[classCode=SUBST
  • moodCode=EVN]
CombinedMedicationDispense.substitutionMade
MedicationDispense / substitution / id
n/a
MedicationDispense / substitution / extension
n/a
MedicationDispense / substitution / modifierExtension
N/A
MedicationDispense / substitution / wasSubstituted
.actionNegationInd
MedicationDispense / substitution / type
.code
CombinedMedicationDispense.substitutionMade.code
RXO-9-Allow Substitutions / RXE-9-Substitution Status
MedicationDispense / substitution / reason
.reasonCode
CombinedMedicationDispense.substitutionMade.reasonCode
MedicationDispense / substitution / responsibleParty
.participation[typeCode=PFM].role[classCode=ASSIGN]
CombinedMedicationDispense.substitutionMade.ResponsibleParty
MedicationDispense / detectedIssue
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT
  • moodCode=EVN].value
MedicationDispense / eventHistory
  • .inboundRelationship(typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN]

doco Documentation for this format