minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.1.0 - STU 2.1 United States of America flag

This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v2.1.0: STU 2) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CancerRelatedMedicationRequest - Mappings

Active as of 2023-03-21

Mappings for the mcode-cancer-related-medication-request resource profile.

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

CancerRelatedMedicationRequest
MedicationRequestRequest
   identifierRequest.identifier
   statusRequest.status
   statusReasonRequest.statusReason
   intentRequest.intent
   priorityRequest.priority
   medication[x]Request.code
   subjectRequest.subject
   encounterRequest.context
   supportingInformationRequest.supportingInfo
   authoredOnRequest.authoredOn
   requesterRequest.requester
   performerRequest.performer
   performerTypeRequest.performerType
   reasonCodeRequest.reasonCode
   reasonReferenceRequest.reasonReference
   instantiatesCanonicalRequest.instantiates
   basedOnRequest.basedOn
   groupIdentifierRequest.groupIdentifier
   insuranceRequest.insurance
   noteRequest.note
   dosageInstructionRequest.occurrence[x]
   priorPrescriptionRequest.replaces
   eventHistoryRequest.relevantHistory

Mappings for Mapping to NCPDP SCRIPT 10.6 (http://ncpdp.org/SCRIPT10_6)

CancerRelatedMedicationRequest
MedicationRequestMessage/Body/NewRx
   identifierMessage/Header/PrescriberOrderNumber
   statusno mapping
   categoryMessage/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
   subjectMessage/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT)
   encounterno mapping
   authoredOnMessage/Body/NewRx/MedicationPrescribed/WrittenDate
   reasonCodeMessage/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value
   reasonReferenceno mapping
   noteMessage/Body/NewRx/MedicationPrescribed/Note
   dispenseRequestMessage/Body/NewRx/MedicationPrescribed/ExpirationDate
      validityPeriodMessage/Body/NewRx/MedicationPrescribed/Refills
      numberOfRepeatsAllowedMessage/Body/NewRx/MedicationPrescribed/Quantity
      quantityMessage/Body/NewRx/MedicationPrescribed/DaysSupply
      expectedSupplyDurationMessage/Body/NewRx/MedicationPrescribed/Substitutions
   substitutionspecific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
      allowed[x]specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
      reasonnot mapped
   priorPrescriptionnot mapped

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

CancerRelatedMedicationRequest
MedicationRequestEntity. Role, or Act, CombinedMedicationRequest
   textAct.text?
   containedN/A
   modifierExtensionN/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
   priority.priorityCode
   doNotPerformSubstanceAdministration.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)]
   authoredOnauthor.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)
   reasonCodereason.observation.reasonCode
   reasonReferencereason.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
   courseOfTherapyTypeAct.code where classCode = LIST and moodCode = EVN
   insurance.outboundRelationship[typeCode=COVBY].target
   note.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
   dosageInstructionsee dosageInstruction mapping
      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
   dispenseRequestcomponent.supplyEvent
      idn/a
      extensionn/a
      modifierExtensionN/A
      initialFillSubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply
         idn/a
         extensionn/a
         modifierExtensionN/A
         quantitySupply.quantity[moodCode=RQO]
         durationSupply.effectivetime[moodCode=RQO]
      dispenseIntervalSupply.effectivetime[moodCode=RQO]
      validityPeriodeffectiveTime
      numberOfRepeatsAllowedrepeatNumber
      quantityquantity
      expectedSupplyDurationexpectedUseTime
      performer.outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
   substitutionsubjectOf.substitutionPersmission
      idn/a
      extensionn/a
      modifierExtensionN/A
      allowed[x]code
      reasonreasonCode
   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]

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

CancerRelatedMedicationRequest
MedicationRequest
   identifierFiveWs.identifier
   statusFiveWs.status
   intentFiveWs.class
   categoryFiveWs.class
   priorityFiveWs.grade
   medication[x]FiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   supportingInformationFiveWs.context
   authoredOnFiveWs.recorded
   requesterFiveWs.author
   performerFiveWs.actor
   recorderFiveWs.who
   reasonCodeFiveWs.why[x]
   reasonReferenceFiveWs.why[x]
   dispenseRequest
      performerFiveWs.who

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

CancerRelatedMedicationRequest
MedicationRequest
   identifierORC-2-Placer Order Number / ORC-3-Filler Order Number
   medication[x]RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
   subjectPID-3-Patient ID List
   encounterPV1-19-Visit Number
   authoredOnRXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction
   reasonCodeORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication
   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
   dispenseRequest
      numberOfRepeatsAllowedRXE-12-Number of Refills
      quantityRXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
   substitution
      allowed[x]RXO-9-Allow Substitutions / RXE-9-Substitution Status
      reasonRXE-9 Substition status