US Meds Implementation Guide (Release 1)

This page is part of the US-Medication FHIR IG (v1.0.0: STU 1) based on FHIR R3. The current version which supercedes this version is 1.2.0. For a full list of available versions, see the Directory of published versions

D.4.1.4 StructureDefinition: MedicationAdministration Profile - Mappings

Mappings for the StructureDefinition-medicationadministration Profile.

Mappings for Workflow Mapping (http://hl7.org/fhir/STU3/workflow)

MedicationAdministration Profile
MedicationAdministration..Event
   identifier…identifier
   definition…definition
   partOf…part of
   status…status
   medication[x]…code
   subject…subject
   context…context
   effective[x]…occurrence[x]
   performer…performer
      actor….actor
      onBehalfOf….onBehalfOf
   notGiven…notDone
   reasonNotGiven…notDoneReason
   reasonCode…reasonGivenCodeableConcept
   reasonReference…reasonReference
   prescription…basedOn
   note…note

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

MedicationAdministration Profile
MedicationAdministrationEntity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   definition.outboundRelationship[typeCode=DEFN].target[classCode=unspecified]
   partOf.outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]
   status.statusCode
   category.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
   medication[x].participation[typeCode=CSM].role[classCode=ADMM]
   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
   performer.participation[typeCode=PRF]
      idn/a
      extensionn/a
      modifierExtensionN/A
      actor.role
      onBehalfOf.role.scopingOrganization
   notGiven.actionNegationInd
   reasonNotGiven.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason not given"].value
   reasonCode.reasonCode
   reasonReference.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use ASSERTION"].value
   prescriptionInFullfillmentOf->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
      route.routeCode
      method.methodCode
      dose.doseQuantity
      rate[x].rateQuantity
   eventHistory.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Mappings for W5 Mapping (http://hl7.org/fhir/STU3/w5)

MedicationAdministration Profile
MedicationAdministrationclinical.medication
   identifierid
   statusstatus
   medication[x]what
   subjectwho.focus
   contextcontext
   supportingInformationcontext
   effective[x]when.done
   performerwho.actor
   reasonReferencewhy

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

MedicationAdministration Profile
MedicationAdministration
   statusRXA-20-Completion Status
   medication[x]RXA-5-Administered Code
   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
   performerRXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)
   notGivenRXA-20-Completion Status='NA'
   reasonNotGivenRXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason
   reasonCodeRXE-27 Give Indication
   prescriptionORC-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
      routeRXR-1-Route
      methodRXR-4-Administration Method
      doseRXA-6 Administered Amount / RXA-7 Administered Units
      rate[x]RXA-12-Administered Per (Time Unit)

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

MedicationAdministration Profile
MedicationAdministration
   reasonReferenceno mapping