This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v4.0.0-ballot: STU4 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 3.0.0. For a full list of available versions, see the Directory of published versions
Mappings for the mcode-cancer-related-medication-request resource profile.
| CancerRelatedMedicationRequest |
| MedicationRequest | Message/Body/NewRx |
| identifier | Message/Header/PrescriberOrderNumber |
| status | no mapping |
| category | Message/Body/NewRx/MedicationPrescribed/Directions
or
Message/Body/NewRx/MedicationPrescribed/StructuredSIG |
| category (us-core) | 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 |
| 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 |
| CancerRelatedMedicationRequest |
| MedicationRequest | Entity. Role, or Act, CombinedMedicationRequest |
| text | Act.text? |
| contained | N/A |
| modifierExtension | N/A |
| identifier | .id |
| 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 |
| category (us-core) | .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 |
| subject | .participation[typeCode=AUT].role |
| 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 |
| 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 | |
| id | n/a |
| extension | n/a |
| dose[x] | .doseQuantity |
| 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 |
| 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] |
|
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