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Resource Profile: PR_MedicationAdministration - Mappings

Draft as of 2023-12-13

Mappings for the medication-administration resource profile.

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

PR_MedicationAdministration
MedicationAdministrationEvent
   identifierEvent.identifier
   instantiatesEvent.instantiates
   partOfEvent.partOf
   statusEvent.status
   statusReasonEvent.statusReason
   medication[x]Event.code
   medication[x] (medicationReference)Event.code
   medication[x] (medicationCodeableConcept)Event.code
   subjectEvent.subject
   contextEvent.context
   effective[x]Event.occurrence[x]
   effective[x] (effectiveDateTime)Event.occurrence[x]
   effective[x] (effectivePeriod)Event.occurrence[x]
   performerEvent.performer
      functionEvent.performer.function
      actorEvent.performer.actor
   reasonCodeEvent.reasonCode
   reasonReferenceEvent.reasonReference
   requestEvent.basedOn
   noteEvent.note

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

PR_MedicationAdministration
MedicationAdministrationEntity. Role, or Act, SubstanceAdministration
   meta
      idn/a
      extensionn/a
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   instantiates.outboundRelationship[typeCode=DEFN].target[classCode=unspecified]
   partOf.outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]
   status.statusCode
   statusReason.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason not given"].value
   category.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
   medication[x].participation[typeCode=CSM].role[classCode=ADMM]
   medication[x] (medicationReference).participation[typeCode=CSM].role[classCode=ADMM]
   medication[x] (medicationCodeableConcept).participation[typeCode=CSM].role[classCode=ADMM]
      idn/a
      extensionn/a
      codingunion(., ./translation)
      coding (Pharmazentralnummer)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (atcClassDe)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      coding (atcClassEn)union(., ./translation)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
      text./originalText[mediaType/code="text/plain"]/data
   subject.participation[typeCode=SBJ].role[classCode=PAT]
   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)]
   effective[x].effectiveTime
   effective[x] (effectiveDateTime).effectiveTime
   effective[x] (effectivePeriod).effectiveTime
   performer.participation[typeCode=PRF]
      idn/a
      extensionn/a
      modifierExtensionN/A
      functionparticipation[typeCode=PRF].functionCode
      actor.role
   reasonCode.reasonCode
   reasonReference.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use ASSERTION"].value
   requestInFullfillmentOf->SubstanceAdministration
   devicedevice->Access OR device->AssignedDevice
   note.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
   dosagecomponent->SubstanceAdministrationEvent
      idn/a
      extensionn/a
      modifierExtensionN/A
      text.text
      site.approachSiteCode
         idn/a
         extensionn/a
         codingunion(., ./translation)
         coding (SNOMED)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      route.routeCode
         idn/a
         extensionn/a
         codingunion(., ./translation)
         coding (EDQM)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         coding (SNOMED)union(., ./translation)
            idn/a
            extensionn/a
            system./codeSystem
            version./codeSystemVersion
            code./code
            displayCV.displayName
            userSelectedCD.codingRationale
         text./originalText[mediaType/code="text/plain"]/data
      method.methodCode
      dose.doseQuantity
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
      rate[x].rateQuantity
      rate[x] (rateRatio).rateQuantity
         idn/a
         extensionn/a
         numerator.numerator
            idn/a
            extensionn/a
            valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
            comparatorIVL properties
            unitPQ.unit
            systemCO.codeSystem, PQ.translation.codeSystem
            codePQ.code, MO.currency, PQ.translation.code
         denominator.denominator
            idn/a
            extensionn/a
            valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
            comparatorIVL properties
            unitPQ.unit
            systemCO.codeSystem, PQ.translation.codeSystem
            codePQ.code, MO.currency, PQ.translation.code
      rate[x] (rateQuantity)n/a, PQ, IVL<PQ>, MO, CO, depending on the values
         idn/a
         extensionn/a
         valuePQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
         unitPQ.unit
         systemCO.codeSystem, PQ.translation.codeSystem
         codePQ.code, MO.currency, PQ.translation.code
   eventHistory.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

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

PR_MedicationAdministration
MedicationAdministration
   identifierFiveWs.identifier
   statusFiveWs.status
   medication[x]FiveWs.what[x]
   medication[x] (medicationReference)FiveWs.what[x]
   medication[x] (medicationCodeableConcept)FiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   contextFiveWs.context
   supportingInformationFiveWs.context
   effective[x]FiveWs.done[x]
   effective[x] (effectiveDateTime)FiveWs.done[x]
   effective[x] (effectivePeriod)FiveWs.done[x]
   performerFiveWs.actor
   reasonReferenceFiveWs.why[x]

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

PR_MedicationAdministration
MedicationAdministration
   statusRXA-20-Completion Status
   statusReasonRXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason
   medication[x]RXA-5-Administered Code
   medication[x] (medicationReference)RXA-5-Administered Code
   medication[x] (medicationCodeableConcept)RXA-5-Administered Code
      codingC*E.1-8, C*E.10-22
      coding (Pharmazentralnummer)C*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
      coding (atcClassDe)C*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
      coding (atcClassEn)C*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
   subjectPID-3-Patient ID List
   contextPV1-19-Visit Number
   effective[x]RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
   effective[x] (effectiveDateTime)RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
   effective[x] (effectivePeriod)RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
   performerRXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)
   reasonCodeRXE-27 Give Indication
   requestORC-2-Placer Order Number / ORC-3-Filler Order Number
   devicePRT-10 Participation Device / RXR-3 Administrative Device
   dosage
      siteRXR-2 Administration Site / RXR-6 Administration Site Modifier
         codingC*E.1-8, C*E.10-22
         coding (SNOMED)C*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
      routeRXR-1-Route
         codingC*E.1-8, C*E.10-22
         coding (EDQM)C*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
         coding (SNOMED)C*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
      methodRXR-4-Administration Method
      doseRXA-6 Administered Amount / RXA-7 Administered Units
         valueSN.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
      rate[x]RXA-12-Administered Per (Time Unit)
      rate[x] (rateRatio)RXA-12-Administered Per (Time Unit)
         numerator
            valueSN.2 / CQ - N/A
            comparatorSN.1 / CQ.1
            unit(see OBX.6 etc.) / CQ.2
            system(see OBX.6 etc.) / CQ.2
            code(see OBX.6 etc.) / CQ.2
         denominator
            valueSN.2 / CQ - N/A
            comparatorSN.1 / CQ.1
            unit(see OBX.6 etc.) / CQ.2
            system(see OBX.6 etc.) / CQ.2
            code(see OBX.6 etc.) / CQ.2
      rate[x] (rateQuantity)SN (see also Range) or CQ
         valueSN.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

Mappings for W3C PROV (http://www.w3.org/ns/prov)

PR_MedicationAdministration
MedicationAdministration
   reasonReferenceno mapping