Medication
1.0.0 - STU1

This page is part of the HL7 Belgium FHIR Implementation Guide - Medication profiles (v1.0.0: Trial Use) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: BeMedicationDispense - Mappings

Active as of 2022-05-31 Maturity Level: 1

Mappings for the be-medicationdispense resource profile.

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

BeMedicationDispense
MedicationDispenseEvent
   identifierEvent.identifier
   identifier (DGUID)Event.identifier
   partOfEvent.partOf
   statusEvent.status
   statusReason[x]Event.statusReason
   medication[x]Event.code
   medication[x] (medicationCodeableConcept)Event.code
   medication[x] (medicationReference)Event.code
   subjectEvent.subject
   contextEvent.context
   performerEvent.performer
      actorEvent.performer.actor
   authorizingPrescriptionEvent.basedOn
   whenHandedOverEvent.occurrence[x]
   noteEvent.note

Mappings for RIM Mapping (http://hl7.org/v3)

BeMedicationDispense
MedicationDispenseEntity. Role, or Act, Supply[moodCode=EVN]
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   identifier (DGUID).id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
         idn/a
         extensionn/a
         codingunion(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   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] (medicationCodeableConcept).participation[typeCode=PRD].role
   medication[x] (medicationReference).participation[typeCode=PRD].role
   subject.participation[typeCode=SBJ].role[classCode=PAT]
   context.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
         idn/a
         extensionn/a
         useRole.code or implied by context
         typeRole.code or implied by context
            idn/a
            extensionn/a
            codingunion(., ./translation)
               idn/a
               extensionn/a
               system./codeSystem
               version./codeSystemVersion
               code./code
               displayCV.displayName
               userSelectedCD.codingRationale
            text./originalText[mediaType/code="text/plain"]/data
         systemII.root or Role.id.root
         valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
         periodRole.effectiveTime or implied by context
         assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
      displayN/A
   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]
      idn/a
      extensionn/a
      modifierExtensionN/A
      functionparticipation[typeCode=PRF].functionCode
         idn/a
         extensionn/a
         codingunion(., ./translation)
         text./originalText[mediaType/code="text/plain"]/data
      actor.role
   location.participation[typeCode=LOC].role
   authorizingPrescription.outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
      idn/a
      extensionn/a
      referenceN/A
      typeN/A
      identifier.identifier
      displayN/A
   type.code
   quantity.quantity
   daysSupplyeffectiveUseTime
   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]
      idn/a
      extensionn/a
      modifierExtensionN/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
         idn/a
         extensionn/a
         dose[x].doseQuantity
         rate[x].rateQuantity
      maxDosePerPeriod.maxDoseQuantity
      maxDosePerAdministrationnot supported
      maxDosePerLifetimenot supported
   substitution.outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]
      idn/a
      extensionn/a
      modifierExtensionN/A
      wasSubstituted.actionNegationInd
      type.code
      reason.reasonCode
      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]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

BeMedicationDispense
MedicationDispense
   identifierFiveWs.identifier
   identifier (DGUID)FiveWs.identifier
   statusFiveWs.status
   medication[x]FiveWs.what[x]
   medication[x] (medicationCodeableConcept)FiveWs.what[x]
   medication[x] (medicationReference)FiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   supportingInformationFiveWs.context

Mappings for V3 Pharmacy Dispense RMIM (http://www.hl7.org/v3/PORX_RM020070UV)

BeMedicationDispense
MedicationDispense
   identifierCombinedMedicationDispense.id
   identifier (DGUID)CombinedMedicationDispense.id
   statusCombinedMedicationDispense.SupplyEvent.statusCode
   medication[x]CombinedMedicationRequest.component1.AdministrationRequest.consumable
   medication[x] (medicationCodeableConcept)CombinedMedicationRequest.component1.AdministrationRequest.consumable
   medication[x] (medicationReference)CombinedMedicationRequest.component1.AdministrationRequest.consumable
   authorizingPrescriptionCombinedMedicationDispense.inFulfillmentOf
   typeCombinedMedicationDispense.SupplyEvent.code
   quantityCombinedMedicationDispense.SupplyEvent.quantity
   whenPreparedCombinedMedicationDispense.SupplyEvent.effectiveTime
   whenHandedOverCombinedMedicationDispense.SupplyEvent.effectiveTime
   destinationCombinedMedicationDispense.SupplyEvent.destination
   receiverCombinedMedicationDispense.SupplyEvent.receiver
   substitutionCombinedMedicationDispense.substitutionMade
      typeCombinedMedicationDispense.substitutionMade.code
      reasonCombinedMedicationDispense.substitutionMade.reasonCode
      responsiblePartyCombinedMedicationDispense.substitutionMade.ResponsibleParty

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

BeMedicationDispense
MedicationDispense
   identifier
   identifier (DGUID)
      useN/A
      typeCX.5
         codingC*E.1-8, C*E.10-22
            systemC*E.3
            versionC*E.7
            codeC*E.1
            displayC*E.2 - but note this is not well followed
            userSelectedSometimes implied by being first
         textC*E.9. But note many systems use C*E.2 for this
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   medication[x]RXD-2-Dispense/Give Code
   medication[x] (medicationCodeableConcept)RXD-2-Dispense/Give Code
   medication[x] (medicationReference)RXD-2-Dispense/Give Code
   subjectPID-3-Patient ID List
   context
      identifier
         useN/A
         typeCX.5
            codingC*E.1-8, C*E.10-22
               systemC*E.3
               versionC*E.7
               codeC*E.1
               displayC*E.2 - but note this is not well followed
               userSelectedSometimes implied by being first
            textC*E.9. But note many systems use C*E.2 for this
         systemCX.4 / EI-2-4
         valueCX.1 / EI.1
         periodCX.7 + CX.8
         assignerCX.4 / (CX.4,CX.9,CX.10)
   performer
      function
         codingC*E.1-8, C*E.10-22
         textC*E.9. But note many systems use C*E.2 for this
   authorizingPrescriptionORC-2 Placer Order Number
   typeRXD-33-Dispense Type
   quantityRXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
   daysSupplyTQ1.6 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
   whenPreparedRXD-3-Date/Time Dispensed
   whenHandedOverRXD-3-Date/Time Dispensed
   destinationRXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
   noteRXD-9 Dispense Notes
   dosageInstruction
      sequenceTQ1-1
      textRXO-6; RXE-21
      additionalInstructionRXO-7
      patientInstructionRXO-7
      asNeeded[x]TQ1-9
      siteRXR-2
      routeRXR-1
      methodRXR-4
      doseAndRateTQ1-2
         typeRXO-21; RXE-23
         dose[x]RXO-2, RXE-3
         rate[x]RXE22, RXE23, RXE-24
      maxDosePerPeriodRXO-23, RXE-19
   substitution
      typeRXO-9-Allow Substitutions / RXE-9-Substitution Status