HL7.FHIR.UV.CDISC-MAPPING\Concomitant Medications

This page is part of the CDISC Mapping FHIR IG (v1.0.0: STU 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Concomitant Medications

The fact a patient is taking or has been exposed to a medication can be expressed in a number of ways in FHIR, with some conveying a greater degree of certainty and/or detail about exactly what was taken and when. Mappings are provided for all of these resources.

MedicationStatement - captures information about a drug that the patient is believed to be taking. This is generally 'summary' information and may span multiple orders. It can also be used for non-prescribed medications. In some cases, it will also assert medications not taken.
MedicationRequest - captures drug orders and prescriptions (though it can also contain recommendations and plans). Not all ordered drugs are actually taken (or taken as ordered)
MedicationDispense - captures information about a drug that was supplied to or for a patient. It also conveys the instructions for administering the supplied medication. The existence of a dispense gives confidence that the medication was actually received, but again, not dispensed are actually taken (or taken according to instructions)
MedicationAdministration - captures information about a specific administration of a particular drug at a specific time. These records generally only exist for in-patient administrations, though in principle they could be captured for community administrations, either by a healthcare professional or even by the patient themselves. These records are highly specific and are the most likely to reflect what the patient actually received.
Immunization - captures information about a specific administration of a vaccine. Like MedicationAdministration, these records are highly specific and are the most likely to reflect what the patient actually received.

Note that the same resources are used when dealing with study drugs as with concomitant drugs, so when converting data from FHIR, data will need to be filtered to differentiate between the two.

CM Mappings

Guidance on interpreting the tables can be found here.

CDISC Lookup view
FHIR mapping view

CDISC	FHIR map (or gap)	Comment
Study Identifier	STUDYID Core: HR Type: Char	STUDYID Core: Req Type: Char	ResearchStudy.identifier 0..* Identifier	ResearchSubject.where(subject=(MedicationStatement.subject\|MedicationRequest.subject\|MedicationDispense.subject\|MedicationAdministration.subject\|Immunizations.patient)).study.resolve().partOf.resolve().identifier MedicationStatement.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier MedicationRequest.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier MedicationDispense.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier MedicationAdministration.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier Immunization.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier	Mapping is based on presumption that research subject will be tied to site-specific ResearchStudy, which will then be part of overall ResearchStudy. The path using the extension will only exist if the system maintaining the MedicationStatement/Request/Dispense/Administration or Immunization is aware of its relevance to the Study. ResearchStudy links to Patient. Observation links to Patient. If the patients are the same, that establishes the linkage. There's also an extension that allows direct linkage to a 'study' from any resource - if the source system has actually established such a linkage.
Study Site Identifier	SITEID Core: HR Type: Char	DM.SITEID Core: Req Type: Char	ResearchStudy.site 0..* Reference	ResearchSubject.where(subject=(MedicationStatement.subject\|MedicationRequest.subject\|MedicationDispense.subject\|MedicationAdministration.subject\|Immunizations.patient)).study.resolve().identifier MedicationStatement.extension(workflow-researchstudy).valueReference.resolve().identifier MedicationRequest.extension(workflow-researchstudy).valueReference.resolve().identifier MedicationDispense.extension(workflow-researchstudy).valueReference.resolve().identifier MedicationAdministration.extension(workflow-researchstudy).valueReference.resolve().identifier Immunization.extension(workflow-researchstudy).valueReference.resolve().identifier	Mapping is based on presumption that research subject will be tied to site-specific ResearchStudy, which will then be part of overall ResearchStudy. The path using the extension will only exist if the system maintaining the MedicationStatement/Request/Dispense/Administration or Immunization is aware of its relevance to the Study.
Subject Identifier for the Study	SUBJID Core: HR Type: Char	DM.SUBJID Core: Req Type: Char	ResearchSubject.identifier 0..* Identifier	ResearchSubject.where(individual=(MedicationStatement.subject\|MedicationRequest.subject\|MedicationDispense.subject\|MedicationAdministration.subject\|Immunizations.patient).identifier	Study subject is found by finding the StudySubject that corresponds to the same Patient and ResearchStudy as the focal resource. No standard way to decide which subject identifier to use
Category for Medication	CMCAT Core: O Type: Char	CMCAT Core: Perm Type: Char	MedicationStatement.category 0..1 CodeableConcept Binding: MedicationStatementCategory preferred	MedicationStatement.category	In FHIR, a medication can be categorized in multiple ways and to the granularity desired. When converting from FHIR to CDASH, systems will need to look at the FHIR categories (and potentially other information) to determine how best to populate CMCAT and CMSCAT based on the study-designed categories (unless they've pre-arranged with the EHR to ensure it captures the same codes). A standard extension will need to be used if multiple categories are specified. There can be a wide variety of categories covering different axes of categorization. As well, the binding in the HL7 specifications 'example', which means that there are no constraints on what can be used.
MedicationRequest.category 0..* CodeableConcept Binding: MedicationRequestCategory example	MedicationRequest.category
MedicationDispense.category 0..1 CodeableConcept Binding: MedicationDispenseCategory preferred	MedicationDispense.category
MedicationAdministration.category 0..1 CodeableConcept Binding: MedicationAdministrationCategory preferred	MedicationAdministration.category
Subcategory for Medication	CMSCAT Core: O Type: Char	CMSCAT Core: Perm Type: Char	MedicationStatement.category 0..1 CodeableConcept Binding: MedicationStatementCategory preferred	MedicationStatement.category	In FHIR, a medication can be categorized in multiple ways and to the granularity desired. When converting from FHIR to CDASH, systems will need to look at the FHIR categories (and potentially other information) to determine how best to populate CMCAT and CMSCAT based on the study-designed categories (unless they've pre-arranged with the EHR to ensure it captures the same codes). A standard extension will need to be used if multiple categories are specified. There can be a wide variety of categories covering different axes of categorization. As well, the binding in the HL7 specifications 'example', which means that there are no constraints on what can be used.
MedicationRequest.category 0..* CodeableConcept Binding: MedicationRequestCategory example	MedicationRequest.category
MedicationDispense.category 0..1 CodeableConcept Binding: MedicationDispenseCategory preferred	MedicationDispense.category
MedicationAdministration.category 0..1 CodeableConcept Binding: MedicationAdministrationCategory preferred	MedicationAdministration.category
Any Concomitant Medications Taken	CMYN Core: O Type: Char		This would be determined by dates within the protocol. What constitutes a 'concomitant' drug is study-specific and would need to be evaluated on a study level. FHIR would not normally store that information. However an extension on ResearchSubject could be utilized or could be captured in a Questionnaire.
CM Sponsor-Defined Identifier	CMSPID Core: O Type: Char	CMSPID Core: Perm Type: Char	MedicationStatement.identifier 0..* Identifier	MedicationStatement.identifier
MedicationRequest.identifier 0..* Identifier	MedicationRequest.identifier
MedicationDispense.identifier 0..* Identifier	MedicationDispense.identifier
MedicationAdministration.identifier 0..* Identifier	MedicationAdministration.identifier
Immunization.identifier 0..* Identifier	Immunization.identifier
Reported Name of Drug, Med, or Therapy	CMTRT Core: HR Type: Char	CMTRT Core: Req Type: Char	MedicationStatement.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationStatement.medication.medicationCodeableConcept
MedicationStatement.medicationReference 1..1 Reference Binding: MedicationCode example	MedicationStatement.medication.medicationReference.resolve().code
MedicationRequest.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationRequest.medication.medicationCodeableConcept
MedicationRequest.medicationReference 1..1 Reference Binding: MedicationCode example	MedicationRequest.medication.medicationReference.resolve().code
MedicationDispense.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationDispense.medication.medicationCodeableConcept
MedicationDispense.medicationReference 1..1 Reference Binding: MedicationCode example	MedicationDispense.medication.medicationReference.resolve().code
MedicationAdministration.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationAdministration.medication.medicationCodeableConcept
MedicationAdministration.medicationReference 1..1 Reference Binding: MedicationCode example	MedicationAdministration.medication.medicationReference.resolve().code
Immunization.vaccineCode 1..1 CodeableConcept Binding: VaccineCode example	Immunization.vaccineCode
CM Pre-Specified	CMPRESP Core: O Type: Char	CMPRESP Core: Perm Type: Char	Would not expect to receive from the site.
CM Occurrence	CMOCCUR Core: O Type: Char	CMOCCUR Core: Perm Type: Char	MedicationStatement.status 1..1 code Binding: MedicationStatementStatus required	MedicationStatement.status	In general, medication records won't exist unless the patient is taking the medication, though there is an ability to say a medication isn't currently being taken or shouldn't be taken
MedicationRequest.doNotPerform 0..1 boolean	MedicationRequest.doNotPerform=true
MedicationRequest.status 1..1 code Binding: MedicationRequestStatus required	MedicationRequest.status IN {'entered-in-error'\|'cancelled'\|'stopped'}
MedicationDispense.status 1..1 code Binding: MedicationDispenseStatus required	MedicationRequest.status IN {entered-in-error'\|'cancelled'\|'stopped'}
MedicationAdministration.status 1..1 code Binding: MedicationAdministrationStatus required	MedicationAdministration.status
Immunization.status 1..1 code Binding: ImmunizationStatus required	Immunization.status IN {'completed'\|'entered-in-error'}
Concomitant Meds Active Ingredients	CMINGRD Core: O Type: Char		Medication.ingredient 0..* BackboneElement	MedicationStatement.medicationReference.resolve().ingredient.where(isActive)
Medication.ingredient 0..* BackboneElement	MedicationRequest.medicationReference.resolve().ingredient.where(isActive)
Medication.ingredient 0..* BackboneElement	MedicationDispense.medicationReference.resolve().ingredient.where(isActive)
Medication.ingredient 0..* BackboneElement	MedicationAdministration.medicationReference.resolve().ingredient.where(isActive)
Medication.ingredient 0..* BackboneElement	Immunization.medicationReference.resolve().ingredient.where(isActive)
CM Indication	CMINDC Core: R/C Type: Char	CMINDC Core: Perm Type: Char	MedicationStatement.reasonCode 0..* CodeableConcept Binding: MedicationReason example	MedicationStatement.reasonCode
MedicationRequest.reasonCode 0..* CodeableConcept Binding: MedicationRequestReason example	MedicationRequest.reasonCode
MedicationAdministration.reasonCode 0..* CodeableConcept Binding: MedicationAdministrationReason example	MedicationAdministration.reasonCode
Immunization.reasonCode 0..* CodeableConcept Binding: ImmunizationReason example	Immunization.reasonCode
Related Adverse Event ID	CMAENO Core: O Type: Char		AdverseEvent.identifier 0..1 Identifier	AdverseEvent.where(suspectEntity.instanceReference=[some medication id]).identifier	This could match on AdverseEvent by code. (Note that the AdverseEvent points to the medication record, not the reverse
Related Medical History Event ID	CMMHNO Core: O Type: Char		Condition.identifier 0..* Identifier	MedicationStatement.reasonReference.resolve().identifier
Condition.identifier 0..* Identifier	MedicationRequest.reasonReference.resolve().identifier
Condition.identifier 0..* Identifier	MedicationAdministration.reasonReference.resolve().identifier
Immunization.identifier 0..* Identifier	Immunization.reasonReference.resolve().identifier
CM Dose per Administration	CMDOSE Core: O Type: Num	CMDOSE Core: Perm Type: Num	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.doseAndRate.doseQuantity
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.doseAndRate.doseQuantity
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.doseAndRate.doseQuantity
MedicationAdministration.dosage.dose 0..1 Quantity	MedicationAdministration.dosage.dose
Immunization.doseQuantity 0..1 Quantity	Immunization.doseQuantity
Concomitant Meds Dose Description	CMDSTXT Core: O Type: Char	CMDOSTXT Core: Perm Type: Char CMDOSE Core: Perm Type: Num	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.text\|MedicationStatement.dosage.maxDosePerPeriod.of	Requires combining multiple repetitions together
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.text
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.text
MedicationAdministration.dosage.text 0..1 string	MedicationAdministration.dosage.text
CM Total Daily Dose	CMDOSTOT Core: O Type: Num	CMDOSTOT Core: Perm Type: Num	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.maxDosePerPeriod	If Total Daily Dose is required by the sponsor, it may require collection of the drug dose and frequency to derive the CM Total Daily Dose.
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.dosage.maxDosePerPeriod
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.dosage.maxDosePerPeriod
Immunization.doseQuantity 0..1 Quantity	Immunization.doseQuantity
CM Dose Units	CMDOSU Core: R/C Type: Char	CMDOSU Core: Perm Type: Char	MedicationStatement.dosage 0..* Dosage	MedicationStatement.doseAndRate.doseQuantity.unit
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.maxDosePerPeriod.code
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.maxDosePerPeriod.code
CM Dose Form	CMDOSFRM Core: O Type: Char	CMDOSFRM Core: Perm Type: Char	Medication.form 0..1 CodeableConcept Binding: MedicationForm example	MedicationStatement.medicationReference.resolve().form
Medication.form 0..1 CodeableConcept Binding: MedicationForm example	MedicationRequest.medicationReference.resolve().form
Medication.form 0..1 CodeableConcept Binding: MedicationForm example	MedicationDispense.medicationReference.resolve().form
CM Dosing Frequency per Interval	CMDOSFRQ Core: O Type: Char	CMDOSFRQ Core: Perm Type: Char	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.timing.frequency
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.frequencey
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.frequency
CM Route of Administration	CMROUTE Core: R/C Type: Char	CMROUTE Core: Perm Type: Char	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.route
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.route
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.route
MedicationAdministration.dosage.route 0..1 CodeableConcept Binding: RouteOfAdministration example	MedicationAdministration.dosage.route
Immunization.route 0..1 CodeableConcept Binding: ImmunizationRoute example	Immunization.route
Concomitant Meds Start Date	CMSTDAT Core: R/C Type: Char	CMSTDTC Core: Perm Type: Char values: ISO 8601	MedicationStatement.effectiveDateTime 0..1 dateTime	MedicationStatement.effectiveDateTime	Start includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble
MedicationStatement.effectivePeriod 0..1 Period	MedicationStatement.effectivePeriod.start
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.start
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.start
Immunization.occurrenceDateTime 1..1 dateTime	Immunization.occurrenceDateTime
Immunization.occurrenceString 1..1 string	Immunization.occurrenceString
Concomitant Meds Start Time	CMSTTIM Core: R/C Type: Char	CMSTDTC Core: Perm Type: Char values: ISO 8601	MedicationStatement.effectiveDateTime 0..1 dateTime	MedicationStatement.effectiveDateTime	Start includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble
MedicationStatement.effectivePeriod 0..1 Period	MedicationStatement.effectivePeriod.start
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.start
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.start
Immunization.occurrenceDateTime 1..1 dateTime	Immunization.occurrenceDateTime
Immunization.occurrenceString 1..1 string	Immunization.occurrenceString
Concomitant Meds End Date	CMENDAT Core: R/C Type: Char	CMSTDTC Core: Perm Type: Char values: ISO 8601	MedicationStatement.effectiveDateTime 0..1 dateTime	MedicationStatement.effectiveDateTime	End includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble
MedicationStatement.effectivePeriod 0..1 Period	MedicationStatement.effectivePeriod.end
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.end
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.end
Immunization.occurrenceDateTime 1..1 dateTime	Immunization.occurrenceDateTime
Immunization.occurrenceString 1..1 string	Immunization.occurrenceString
Concomitant Meds End Time	CMENTIM Core: R/C Type: Char	CMENDTC Core: Perm Type: Char values: ISO 8601	MedicationStatement.effectiveDateTime 0..1 dateTime	MedicationStatement.effectiveDateTime	End includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble
MedicationStatement.effectivePeriod 0..1 Period	MedicationStatement.effectivePeriod.end
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.end
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.end
Immunization.occurrenceDateTime 1..1 dateTime	Immunization.occurrenceDateTime
Immunization.occurrenceString 1..1 string	Immunization.occurrenceString
Prior Concomitant Meds	CMPRIOR Core: O Type: Char	CMSTRF Core: Perm Type: Char CMSTRTPT Core: Perm Type: Char	This would need to be an extension added to the study extension on the medication resource - normally it is not captured except in the context of a study (and would be a study-specific assertion)
Ongoing Concomitant Meds	CMONGO Core: R/C Type: Char	CMENRF Core: Perm Type: Char CMENRTPT Core: Perm Type: Char	This would need to be an extension added to the study extension on the medication resource - normally it is not captured except in the context of a study (and would be a study-specific assertion)
Standardized Medication Name	CMDECOD Core: O Type: Char	CMDECOD Core: Perm Type: Char	MedicationStatement.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code	We would not expect to receive these from the site.
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code
MedicationRequest.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
MedicationDispense.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
MedicationAdministration.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Immunization.vaccineCode 1..1 CodeableConcept Binding: VaccineCode example	Immunization.vaccineCode
CM Medication Class	CMCLAS Core: O Type: Char	CMCLAS Core: Perm Type: Char	MedicationStatement.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code	These can be provided as alternate codings, however typically encoding is performed by the sponsor and we would not expect to receive these from the site.
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code
MedicationRequest.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
MedicationDispense.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
MedicationAdministration.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Immunization.vaccineCode 1..1 CodeableConcept Binding: VaccineCode example	Immunization.vaccineCode
CM Medication Class Code	CMCLASCD Core: O Type: Num	CMCLASCD Core: Perm Type: Char	MedicationStatement.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code	These can be provided as alternate codings, however typically encoding is performed by the sponsor and we would not expect to receive these from the site.
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code
MedicationRequest.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
MedicationDispense.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
MedicationAdministration.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Immunization.vaccineCode 1..1 CodeableConcept Binding: VaccineCode example	Immunization.vaccineCode
ATC Level 1 Description	CMATC1 Core: O Type: Char	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site.
ATC Level 1 Code	CMATC1CD Core: O Type: Num	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code
ATC Level 2 Description	CMATC2 Core: O Type: Char	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site.
ATC Level 2 Code	CMATC2CD Core: O Type: Num	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code
ATC Level 3 Description	CMATC3 Core: O Type: Char	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site.
ATC Level 3 Code	CMATC3CD Core: O Type: Num	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code
ATC Level 4 Description	CMATC4 Core: O Type: Char	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site.
ATC Level 4 Code	CMATC4CD Core: O Type: Num	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code
ATC Level 5 Description	CMATC5 Core: O Type: Char	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site.
ATC Level 5 Code	CMATC5CD Core: O Type: Num	SUPPCM.QVAL	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code

CDISC

FHIR map (or gap)

Comment

Label

CDASH

SDTM

Element

FHIRPath

Study Identifier

STUDYID
Core: HR
Type: Char

STUDYID
Core: Req
Type: Char

ResearchStudy.identifier
0..* Identifier

ResearchSubject.where(subject=(MedicationStatement.subject|MedicationRequest.subject|MedicationDispense.subject|MedicationAdministration.subject|Immunizations.patient)).study.resolve().partOf.resolve().identifier

MedicationStatement.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

MedicationRequest.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

MedicationDispense.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

MedicationAdministration.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

Immunization.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

Mapping is based on presumption that research subject will be tied to site-specific ResearchStudy, which will then be part of overall ResearchStudy.

The path using the extension will only exist if the system maintaining the MedicationStatement/Request/Dispense/Administration or Immunization is aware of its relevance to the Study. ResearchStudy links to Patient. Observation links to Patient. If the patients are the same, that establishes the linkage. There's also an extension that allows direct linkage to a 'study' from any resource - if the source system has actually established such a linkage.

Study Site Identifier

SITEID
Core: HR
Type: Char

DM.SITEID
Core: Req
Type: Char

ResearchStudy.site
0..* Reference

ResearchSubject.where(subject=(MedicationStatement.subject|MedicationRequest.subject|MedicationDispense.subject|MedicationAdministration.subject|Immunizations.patient)).study.resolve().identifier

MedicationStatement.extension(workflow-researchstudy).valueReference.resolve().identifier

MedicationRequest.extension(workflow-researchstudy).valueReference.resolve().identifier

MedicationDispense.extension(workflow-researchstudy).valueReference.resolve().identifier

MedicationAdministration.extension(workflow-researchstudy).valueReference.resolve().identifier

Immunization.extension(workflow-researchstudy).valueReference.resolve().identifier

Subject Identifier for the Study

SUBJID
Core: HR
Type: Char

DM.SUBJID
Core: Req
Type: Char

ResearchSubject.identifier
0..* Identifier

ResearchSubject.where(individual=(MedicationStatement.subject|MedicationRequest.subject|MedicationDispense.subject|MedicationAdministration.subject|Immunizations.patient).identifier

Study subject is found by finding the StudySubject that corresponds to the same Patient and ResearchStudy as the focal resource.

No standard way to decide which subject identifier to use

Category for Medication

CMCAT
Core: O
Type: Char

CMCAT
Core: Perm
Type: Char

MedicationStatement.category
0..1 CodeableConcept
Binding: MedicationStatementCategory preferred

MedicationStatement.category

In FHIR, a medication can be categorized in multiple ways and to the granularity desired. When converting from FHIR to CDASH, systems will need to look at the FHIR categories (and potentially other information) to determine how best to populate CMCAT and CMSCAT based on the study-designed categories (unless they've pre-arranged with the EHR to ensure it captures the same codes).

A standard extension will need to be used if multiple categories are specified. There can be a wide variety of categories covering different axes of categorization. As well, the binding in the HL7 specifications 'example', which means that there are no constraints on what can be used.

MedicationRequest.category
0..* CodeableConcept
Binding: MedicationRequestCategory example

MedicationRequest.category

MedicationDispense.category
0..1 CodeableConcept
Binding: MedicationDispenseCategory preferred

MedicationDispense.category

MedicationAdministration.category
0..1 CodeableConcept
Binding: MedicationAdministrationCategory preferred

MedicationAdministration.category

Subcategory for Medication

CMSCAT
Core: O
Type: Char

CMSCAT
Core: Perm
Type: Char

MedicationStatement.category
0..1 CodeableConcept
Binding: MedicationStatementCategory preferred

MedicationStatement.category

MedicationRequest.category
0..* CodeableConcept
Binding: MedicationRequestCategory example

MedicationRequest.category

MedicationDispense.category
0..1 CodeableConcept
Binding: MedicationDispenseCategory preferred

MedicationDispense.category

MedicationAdministration.category
0..1 CodeableConcept
Binding: MedicationAdministrationCategory preferred

MedicationAdministration.category

Any Concomitant Medications Taken

CMYN
Core: O
Type: Char

This would be determined by dates within the protocol.

What constitutes a 'concomitant' drug is study-specific and would need to be evaluated on a study level. FHIR would not normally store that information. However an extension on ResearchSubject could be utilized or could be captured in a Questionnaire.

CM Sponsor-Defined Identifier

CMSPID
Core: O
Type: Char

CMSPID
Core: Perm
Type: Char

MedicationStatement.identifier
0..* Identifier

MedicationStatement.identifier

MedicationRequest.identifier
0..* Identifier

MedicationRequest.identifier

MedicationDispense.identifier
0..* Identifier

MedicationDispense.identifier

MedicationAdministration.identifier
0..* Identifier

MedicationAdministration.identifier

Immunization.identifier
0..* Identifier

Immunization.identifier

Reported Name of Drug, Med, or Therapy

CMTRT
Core: HR
Type: Char

CMTRT
Core: Req
Type: Char

MedicationStatement.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationStatement.medication.medicationCodeableConcept

MedicationStatement.medicationReference
1..1 Reference
Binding: MedicationCode example

MedicationStatement.medication.medicationReference.resolve().code

MedicationRequest.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationRequest.medication.medicationCodeableConcept

MedicationRequest.medicationReference
1..1 Reference
Binding: MedicationCode example

MedicationRequest.medication.medicationReference.resolve().code

MedicationDispense.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationDispense.medication.medicationCodeableConcept

MedicationDispense.medicationReference
1..1 Reference
Binding: MedicationCode example

MedicationDispense.medication.medicationReference.resolve().code

MedicationAdministration.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationAdministration.medication.medicationCodeableConcept

MedicationAdministration.medicationReference
1..1 Reference
Binding: MedicationCode example

MedicationAdministration.medication.medicationReference.resolve().code

Immunization.vaccineCode
1..1 CodeableConcept
Binding: VaccineCode example

Immunization.vaccineCode

CM Pre-Specified

CMPRESP
Core: O
Type: Char

CMPRESP
Core: Perm
Type: Char

Would not expect to receive from the site.

CM Occurrence

CMOCCUR
Core: O
Type: Char

CMOCCUR
Core: Perm
Type: Char

MedicationStatement.status
1..1 code
Binding: MedicationStatementStatus required

MedicationStatement.status

In general, medication records won't exist unless the patient is taking the medication, though there is an ability to say a medication isn't currently being taken or shouldn't be taken

MedicationRequest.doNotPerform
0..1 boolean

MedicationRequest.doNotPerform=true

MedicationRequest.status
1..1 code
Binding: MedicationRequestStatus required

MedicationRequest.status IN {'entered-in-error'|'cancelled'|'stopped'}

MedicationDispense.status
1..1 code
Binding: MedicationDispenseStatus required

MedicationRequest.status IN {entered-in-error'|'cancelled'|'stopped'}

MedicationAdministration.status
1..1 code
Binding: MedicationAdministrationStatus required

MedicationAdministration.status

Immunization.status
1..1 code
Binding: ImmunizationStatus required

Immunization.status IN {'completed'|'entered-in-error'}

Concomitant Meds Active Ingredients

CMINGRD
Core: O
Type: Char

Medication.ingredient
0..* BackboneElement

MedicationStatement.medicationReference.resolve().ingredient.where(isActive)

Medication.ingredient
0..* BackboneElement

MedicationRequest.medicationReference.resolve().ingredient.where(isActive)

Medication.ingredient
0..* BackboneElement

MedicationDispense.medicationReference.resolve().ingredient.where(isActive)

Medication.ingredient
0..* BackboneElement

MedicationAdministration.medicationReference.resolve().ingredient.where(isActive)

Medication.ingredient
0..* BackboneElement

Immunization.medicationReference.resolve().ingredient.where(isActive)

CM Indication

CMINDC
Core: R/C
Type: Char

CMINDC
Core: Perm
Type: Char

MedicationStatement.reasonCode
0..* CodeableConcept
Binding: MedicationReason example

MedicationStatement.reasonCode

MedicationRequest.reasonCode
0..* CodeableConcept
Binding: MedicationRequestReason example

MedicationRequest.reasonCode

MedicationAdministration.reasonCode
0..* CodeableConcept
Binding: MedicationAdministrationReason example

MedicationAdministration.reasonCode

Immunization.reasonCode
0..* CodeableConcept
Binding: ImmunizationReason example

Immunization.reasonCode

Related Adverse Event ID

CMAENO
Core: O
Type: Char

AdverseEvent.identifier
0..1 Identifier

AdverseEvent.where(suspectEntity.instanceReference=[some medication id]).identifier

This could match on AdverseEvent by code. (Note that the AdverseEvent points to the medication record, not the reverse

Related Medical History Event ID

CMMHNO
Core: O
Type: Char

Condition.identifier
0..* Identifier

MedicationStatement.reasonReference.resolve().identifier

Condition.identifier
0..* Identifier

MedicationRequest.reasonReference.resolve().identifier

Condition.identifier
0..* Identifier

MedicationAdministration.reasonReference.resolve().identifier

Immunization.identifier
0..* Identifier

Immunization.reasonReference.resolve().identifier

CM Dose per Administration

CMDOSE
Core: O
Type: Num

CMDOSE
Core: Perm
Type: Num

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.doseAndRate.doseQuantity

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.doseAndRate.doseQuantity

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.doseAndRate.doseQuantity

MedicationAdministration.dosage.dose
0..1 Quantity

MedicationAdministration.dosage.dose

Immunization.doseQuantity
0..1 Quantity

Immunization.doseQuantity

Concomitant Meds Dose Description

CMDSTXT
Core: O
Type: Char

CMDOSTXT
Core: Perm
Type: Char CMDOSE
Core: Perm
Type: Num

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.text|MedicationStatement.dosage.maxDosePerPeriod.of

Requires combining multiple repetitions together

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.text

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.text

MedicationAdministration.dosage.text
0..1 string

MedicationAdministration.dosage.text

CM Total Daily Dose

CMDOSTOT
Core: O
Type: Num

CMDOSTOT
Core: Perm
Type: Num

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.maxDosePerPeriod

If Total Daily Dose is required by the sponsor, it may require collection of the drug dose and frequency to derive the CM Total Daily Dose.

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.dosage.maxDosePerPeriod

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.dosage.maxDosePerPeriod

Immunization.doseQuantity
0..1 Quantity

Immunization.doseQuantity

CM Dose Units

CMDOSU
Core: R/C
Type: Char

CMDOSU
Core: Perm
Type: Char

MedicationStatement.dosage
0..* Dosage

MedicationStatement.doseAndRate.doseQuantity.unit

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.maxDosePerPeriod.code

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.maxDosePerPeriod.code

CM Dose Form

CMDOSFRM
Core: O
Type: Char

CMDOSFRM
Core: Perm
Type: Char

Medication.form
0..1 CodeableConcept
Binding: MedicationForm example

MedicationStatement.medicationReference.resolve().form

Medication.form
0..1 CodeableConcept
Binding: MedicationForm example

MedicationRequest.medicationReference.resolve().form

Medication.form
0..1 CodeableConcept
Binding: MedicationForm example

MedicationDispense.medicationReference.resolve().form

CM Dosing Frequency per Interval

CMDOSFRQ
Core: O
Type: Char

CMDOSFRQ
Core: Perm
Type: Char

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.timing.frequency

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.frequencey

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.frequency

CM Route of Administration

CMROUTE
Core: R/C
Type: Char

CMROUTE
Core: Perm
Type: Char

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.route

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.route

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.route

MedicationAdministration.dosage.route
0..1 CodeableConcept
Binding: RouteOfAdministration example

MedicationAdministration.dosage.route

Immunization.route
0..1 CodeableConcept
Binding: ImmunizationRoute example

Immunization.route

Concomitant Meds Start Date

CMSTDAT
Core: R/C
Type: Char

CMSTDTC
Core: Perm
Type: Char
values: ISO 8601

MedicationStatement.effectiveDateTime
0..1 dateTime

MedicationStatement.effectiveDateTime

Start includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble

MedicationStatement.effectivePeriod
0..1 Period

MedicationStatement.effectivePeriod.start

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.start

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.start

Immunization.occurrenceDateTime
1..1 dateTime

Immunization.occurrenceDateTime

Immunization.occurrenceString
1..1 string

Immunization.occurrenceString

Concomitant Meds Start Time

CMSTTIM
Core: R/C
Type: Char

CMSTDTC
Core: Perm
Type: Char
values: ISO 8601

MedicationStatement.effectiveDateTime
0..1 dateTime

MedicationStatement.effectiveDateTime

Start includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble

MedicationStatement.effectivePeriod
0..1 Period

MedicationStatement.effectivePeriod.start

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.start

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.start

Immunization.occurrenceDateTime
1..1 dateTime

Immunization.occurrenceDateTime

Immunization.occurrenceString
1..1 string

Immunization.occurrenceString

Concomitant Meds End Date

CMENDAT
Core: R/C
Type: Char

CMSTDTC
Core: Perm
Type: Char
values: ISO 8601

MedicationStatement.effectiveDateTime
0..1 dateTime

MedicationStatement.effectiveDateTime

End includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble

MedicationStatement.effectivePeriod
0..1 Period

MedicationStatement.effectivePeriod.end

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.end

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.end

Immunization.occurrenceDateTime
1..1 dateTime

Immunization.occurrenceDateTime

Immunization.occurrenceString
1..1 string

Immunization.occurrenceString

Concomitant Meds End Time

CMENTIM
Core: R/C
Type: Char

CMENDTC
Core: Perm
Type: Char
values: ISO 8601

MedicationStatement.effectiveDateTime
0..1 dateTime

MedicationStatement.effectiveDateTime

End includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble

MedicationStatement.effectivePeriod
0..1 Period

MedicationStatement.effectivePeriod.end

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.end

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.end

Immunization.occurrenceDateTime
1..1 dateTime

Immunization.occurrenceDateTime

Immunization.occurrenceString
1..1 string

Immunization.occurrenceString

Prior Concomitant Meds

CMPRIOR
Core: O
Type: Char

CMSTRF
Core: Perm
Type: Char CMSTRTPT
Core: Perm
Type: Char

This would need to be an extension added to the study extension on the medication resource - normally it is not captured except in the context of a study (and would be a study-specific assertion)

Ongoing Concomitant Meds

CMONGO
Core: R/C
Type: Char

CMENRF
Core: Perm
Type: Char CMENRTPT
Core: Perm
Type: Char

This would need to be an extension added to the study extension on the medication resource - normally it is not captured except in the context of a study (and would be a study-specific assertion)

Standardized Medication Name

CMDECOD
Core: O
Type: Char

CMDECOD
Core: Perm
Type: Char

MedicationStatement.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

We would not expect to receive these from the site.

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

MedicationRequest.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

MedicationDispense.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

MedicationAdministration.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Immunization.vaccineCode
1..1 CodeableConcept
Binding: VaccineCode example

Immunization.vaccineCode

CM Medication Class

CMCLAS
Core: O
Type: Char

CMCLAS
Core: Perm
Type: Char

MedicationStatement.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

These *can* be provided as alternate codings, however typically encoding is performed by the sponsor and we would not expect to receive these from the site.

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

MedicationRequest.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

MedicationDispense.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

MedicationAdministration.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Immunization.vaccineCode
1..1 CodeableConcept
Binding: VaccineCode example

Immunization.vaccineCode

CM Medication Class Code

CMCLASCD
Core: O
Type: Num

CMCLASCD
Core: Perm
Type: Char

MedicationStatement.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

These *can* be provided as alternate codings, however typically encoding is performed by the sponsor and we would not expect to receive these from the site.

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

MedicationRequest.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

MedicationDispense.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

MedicationAdministration.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Immunization.vaccineCode
1..1 CodeableConcept
Binding: VaccineCode example

Immunization.vaccineCode

ATC Level 1 Description

CMATC1
Core: O
Type: Char

SUPPCM.QVAL

Encoding is performed by the sponsor and we would not expect to receive these from the site.

ATC Level 1 Code

CMATC1CD
Core: O
Type: Num

SUPPCM.QVAL

Encoding is performed by the sponsor and we would not expect to receive these from the site.

All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code

ATC Level 2 Description

CMATC2
Core: O
Type: Char

SUPPCM.QVAL

Encoding is performed by the sponsor and we would not expect to receive these from the site.

ATC Level 2 Code

CMATC2CD
Core: O
Type: Num

SUPPCM.QVAL

ATC Level 3 Description

CMATC3
Core: O
Type: Char

SUPPCM.QVAL

Encoding is performed by the sponsor and we would not expect to receive these from the site.

ATC Level 3 Code

CMATC3CD
Core: O
Type: Num

SUPPCM.QVAL

ATC Level 4 Description

CMATC4
Core: O
Type: Char

SUPPCM.QVAL

Encoding is performed by the sponsor and we would not expect to receive these from the site.

ATC Level 4 Code

CMATC4CD
Core: O
Type: Num

SUPPCM.QVAL

ATC Level 5 Description

CMATC5
Core: O
Type: Char

SUPPCM.QVAL

Encoding is performed by the sponsor and we would not expect to receive these from the site.

ATC Level 5 Code

CMATC5CD
Core: O
Type: Num

SUPPCM.QVAL

	FHIR map (or gap)	CDISC	Comment
Study Identifier	ResearchStudy.identifier 0..* Identifier	ResearchSubject.where(subject=(MedicationStatement.subject\|MedicationRequest.subject\|MedicationDispense.subject\|MedicationAdministration.subject\|Immunizations.patient)).study.resolve().partOf.resolve().identifier MedicationStatement.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier MedicationRequest.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier MedicationDispense.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier MedicationAdministration.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier Immunization.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier	STUDYID Core: HR Type: Char	STUDYID Core: Req Type: Char	Mapping is based on presumption that research subject will be tied to site-specific ResearchStudy, which will then be part of overall ResearchStudy. The path using the extension will only exist if the system maintaining the MedicationStatement/Request/Dispense/Administration or Immunization is aware of its relevance to the Study. ResearchStudy links to Patient. Observation links to Patient. If the patients are the same, that establishes the linkage. There's also an extension that allows direct linkage to a 'study' from any resource - if the source system has actually established such a linkage.
Study Site Identifier	ResearchStudy.site 0..* Reference	ResearchSubject.where(subject=(MedicationStatement.subject\|MedicationRequest.subject\|MedicationDispense.subject\|MedicationAdministration.subject\|Immunizations.patient)).study.resolve().identifier MedicationStatement.extension(workflow-researchstudy).valueReference.resolve().identifier MedicationRequest.extension(workflow-researchstudy).valueReference.resolve().identifier MedicationDispense.extension(workflow-researchstudy).valueReference.resolve().identifier MedicationAdministration.extension(workflow-researchstudy).valueReference.resolve().identifier Immunization.extension(workflow-researchstudy).valueReference.resolve().identifier	SITEID Core: HR Type: Char	DM.SITEID Core: Req Type: Char	Mapping is based on presumption that research subject will be tied to site-specific ResearchStudy, which will then be part of overall ResearchStudy. The path using the extension will only exist if the system maintaining the MedicationStatement/Request/Dispense/Administration or Immunization is aware of its relevance to the Study.
Subject Identifier for the Study	ResearchSubject.identifier 0..* Identifier	ResearchSubject.where(individual=(MedicationStatement.subject\|MedicationRequest.subject\|MedicationDispense.subject\|MedicationAdministration.subject\|Immunizations.patient).identifier	SUBJID Core: HR Type: Char	DM.SUBJID Core: Req Type: Char	Study subject is found by finding the StudySubject that corresponds to the same Patient and ResearchStudy as the focal resource. No standard way to decide which subject identifier to use
Category for Medication	MedicationStatement.category 0..1 CodeableConcept Binding: MedicationStatementCategory preferred	MedicationStatement.category	CMCAT Core: O Type: Char	CMCAT Core: Perm Type: Char	In FHIR, a medication can be categorized in multiple ways and to the granularity desired. When converting from FHIR to CDASH, systems will need to look at the FHIR categories (and potentially other information) to determine how best to populate CMCAT and CMSCAT based on the study-designed categories (unless they've pre-arranged with the EHR to ensure it captures the same codes). A standard extension will need to be used if multiple categories are specified. There can be a wide variety of categories covering different axes of categorization. As well, the binding in the HL7 specifications 'example', which means that there are no constraints on what can be used.
MedicationRequest.category 0..* CodeableConcept Binding: MedicationRequestCategory example	MedicationRequest.category
MedicationDispense.category 0..1 CodeableConcept Binding: MedicationDispenseCategory preferred	MedicationDispense.category
MedicationAdministration.category 0..1 CodeableConcept Binding: MedicationAdministrationCategory preferred	MedicationAdministration.category
Subcategory for Medication	MedicationStatement.category 0..1 CodeableConcept Binding: MedicationStatementCategory preferred	MedicationStatement.category	CMSCAT Core: O Type: Char	CMSCAT Core: Perm Type: Char	In FHIR, a medication can be categorized in multiple ways and to the granularity desired. When converting from FHIR to CDASH, systems will need to look at the FHIR categories (and potentially other information) to determine how best to populate CMCAT and CMSCAT based on the study-designed categories (unless they've pre-arranged with the EHR to ensure it captures the same codes). A standard extension will need to be used if multiple categories are specified. There can be a wide variety of categories covering different axes of categorization. As well, the binding in the HL7 specifications 'example', which means that there are no constraints on what can be used.
MedicationRequest.category 0..* CodeableConcept Binding: MedicationRequestCategory example	MedicationRequest.category
MedicationDispense.category 0..1 CodeableConcept Binding: MedicationDispenseCategory preferred	MedicationDispense.category
MedicationAdministration.category 0..1 CodeableConcept Binding: MedicationAdministrationCategory preferred	MedicationAdministration.category
Any Concomitant Medications Taken	This would be determined by dates within the protocol. What constitutes a 'concomitant' drug is study-specific and would need to be evaluated on a study level. FHIR would not normally store that information. However an extension on ResearchSubject could be utilized or could be captured in a Questionnaire.	CMYN Core: O Type: Char
CM Sponsor-Defined Identifier	MedicationStatement.identifier 0..* Identifier	MedicationStatement.identifier	CMSPID Core: O Type: Char	CMSPID Core: Perm Type: Char
MedicationRequest.identifier 0..* Identifier	MedicationRequest.identifier
MedicationDispense.identifier 0..* Identifier	MedicationDispense.identifier
MedicationAdministration.identifier 0..* Identifier	MedicationAdministration.identifier
Immunization.identifier 0..* Identifier	Immunization.identifier
Reported Name of Drug, Med, or Therapy	MedicationStatement.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationStatement.medication.medicationCodeableConcept	CMTRT Core: HR Type: Char	CMTRT Core: Req Type: Char
MedicationStatement.medicationReference 1..1 Reference Binding: MedicationCode example	MedicationStatement.medication.medicationReference.resolve().code
MedicationRequest.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationRequest.medication.medicationCodeableConcept
MedicationRequest.medicationReference 1..1 Reference Binding: MedicationCode example	MedicationRequest.medication.medicationReference.resolve().code
MedicationDispense.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationDispense.medication.medicationCodeableConcept
MedicationDispense.medicationReference 1..1 Reference Binding: MedicationCode example	MedicationDispense.medication.medicationReference.resolve().code
MedicationAdministration.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationAdministration.medication.medicationCodeableConcept
MedicationAdministration.medicationReference 1..1 Reference Binding: MedicationCode example	MedicationAdministration.medication.medicationReference.resolve().code
Immunization.vaccineCode 1..1 CodeableConcept Binding: VaccineCode example	Immunization.vaccineCode
CM Pre-Specified	Would not expect to receive from the site.	CMPRESP Core: O Type: Char	CMPRESP Core: Perm Type: Char
CM Occurrence	MedicationStatement.status 1..1 code Binding: MedicationStatementStatus required	MedicationStatement.status	CMOCCUR Core: O Type: Char	CMOCCUR Core: Perm Type: Char	In general, medication records won't exist unless the patient is taking the medication, though there is an ability to say a medication isn't currently being taken or shouldn't be taken
MedicationRequest.doNotPerform 0..1 boolean	MedicationRequest.doNotPerform=true
MedicationRequest.status 1..1 code Binding: MedicationRequestStatus required	MedicationRequest.status IN {'entered-in-error'\|'cancelled'\|'stopped'}
MedicationDispense.status 1..1 code Binding: MedicationDispenseStatus required	MedicationRequest.status IN {entered-in-error'\|'cancelled'\|'stopped'}
MedicationAdministration.status 1..1 code Binding: MedicationAdministrationStatus required	MedicationAdministration.status
Immunization.status 1..1 code Binding: ImmunizationStatus required	Immunization.status IN {'completed'\|'entered-in-error'}
Concomitant Meds Active Ingredients	Medication.ingredient 0..* BackboneElement	MedicationStatement.medicationReference.resolve().ingredient.where(isActive)	CMINGRD Core: O Type: Char
Medication.ingredient 0..* BackboneElement	MedicationRequest.medicationReference.resolve().ingredient.where(isActive)
Medication.ingredient 0..* BackboneElement	MedicationDispense.medicationReference.resolve().ingredient.where(isActive)
Medication.ingredient 0..* BackboneElement	MedicationAdministration.medicationReference.resolve().ingredient.where(isActive)
Medication.ingredient 0..* BackboneElement	Immunization.medicationReference.resolve().ingredient.where(isActive)
CM Indication	MedicationStatement.reasonCode 0..* CodeableConcept Binding: MedicationReason example	MedicationStatement.reasonCode	CMINDC Core: R/C Type: Char	CMINDC Core: Perm Type: Char
MedicationRequest.reasonCode 0..* CodeableConcept Binding: MedicationRequestReason example	MedicationRequest.reasonCode
MedicationAdministration.reasonCode 0..* CodeableConcept Binding: MedicationAdministrationReason example	MedicationAdministration.reasonCode
Immunization.reasonCode 0..* CodeableConcept Binding: ImmunizationReason example	Immunization.reasonCode
Related Adverse Event ID	AdverseEvent.identifier 0..1 Identifier	AdverseEvent.where(suspectEntity.instanceReference=[some medication id]).identifier	CMAENO Core: O Type: Char		This could match on AdverseEvent by code. (Note that the AdverseEvent points to the medication record, not the reverse
Related Medical History Event ID	Condition.identifier 0..* Identifier	MedicationStatement.reasonReference.resolve().identifier	CMMHNO Core: O Type: Char
Condition.identifier 0..* Identifier	MedicationRequest.reasonReference.resolve().identifier
Condition.identifier 0..* Identifier	MedicationAdministration.reasonReference.resolve().identifier
Immunization.identifier 0..* Identifier	Immunization.reasonReference.resolve().identifier
CM Dose per Administration	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.doseAndRate.doseQuantity	CMDOSE Core: O Type: Num	CMDOSE Core: Perm Type: Num
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.doseAndRate.doseQuantity
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.doseAndRate.doseQuantity
MedicationAdministration.dosage.dose 0..1 Quantity	MedicationAdministration.dosage.dose
Immunization.doseQuantity 0..1 Quantity	Immunization.doseQuantity
Concomitant Meds Dose Description	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.text\|MedicationStatement.dosage.maxDosePerPeriod.of	CMDSTXT Core: O Type: Char	CMDOSTXT Core: Perm Type: Char CMDOSE Core: Perm Type: Num	Requires combining multiple repetitions together
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.text
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.text
MedicationAdministration.dosage.text 0..1 string	MedicationAdministration.dosage.text
CM Total Daily Dose	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.maxDosePerPeriod	CMDOSTOT Core: O Type: Num	CMDOSTOT Core: Perm Type: Num	If Total Daily Dose is required by the sponsor, it may require collection of the drug dose and frequency to derive the CM Total Daily Dose.
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.dosage.maxDosePerPeriod
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.dosage.maxDosePerPeriod
Immunization.doseQuantity 0..1 Quantity	Immunization.doseQuantity
CM Dose Units	MedicationStatement.dosage 0..* Dosage	MedicationStatement.doseAndRate.doseQuantity.unit	CMDOSU Core: R/C Type: Char	CMDOSU Core: Perm Type: Char
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.maxDosePerPeriod.code
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.maxDosePerPeriod.code
CM Dose Form	Medication.form 0..1 CodeableConcept Binding: MedicationForm example	MedicationStatement.medicationReference.resolve().form	CMDOSFRM Core: O Type: Char	CMDOSFRM Core: Perm Type: Char
Medication.form 0..1 CodeableConcept Binding: MedicationForm example	MedicationRequest.medicationReference.resolve().form
Medication.form 0..1 CodeableConcept Binding: MedicationForm example	MedicationDispense.medicationReference.resolve().form
CM Dosing Frequency per Interval	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.timing.frequency	CMDOSFRQ Core: O Type: Char	CMDOSFRQ Core: Perm Type: Char
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.frequencey
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.frequency
CM Route of Administration	MedicationStatement.dosage 0..* Dosage	MedicationStatement.dosage.route	CMROUTE Core: R/C Type: Char	CMROUTE Core: Perm Type: Char
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.route
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.route
MedicationAdministration.dosage.route 0..1 CodeableConcept Binding: RouteOfAdministration example	MedicationAdministration.dosage.route
Immunization.route 0..1 CodeableConcept Binding: ImmunizationRoute example	Immunization.route
Concomitant Meds Start Date	MedicationStatement.effectiveDateTime 0..1 dateTime	MedicationStatement.effectiveDateTime	CMSTDAT Core: R/C Type: Char	CMSTDTC Core: Perm Type: Char values: ISO 8601	Start includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble
MedicationStatement.effectivePeriod 0..1 Period	MedicationStatement.effectivePeriod.start
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.start
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.start
Immunization.occurrenceDateTime 1..1 dateTime	Immunization.occurrenceDateTime
Immunization.occurrenceString 1..1 string	Immunization.occurrenceString
Concomitant Meds Start Time	MedicationStatement.effectiveDateTime 0..1 dateTime	MedicationStatement.effectiveDateTime	CMSTTIM Core: R/C Type: Char	CMSTDTC Core: Perm Type: Char values: ISO 8601	Start includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble
MedicationStatement.effectivePeriod 0..1 Period	MedicationStatement.effectivePeriod.start
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.start
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.start
Immunization.occurrenceDateTime 1..1 dateTime	Immunization.occurrenceDateTime
Immunization.occurrenceString 1..1 string	Immunization.occurrenceString
Concomitant Meds End Date	MedicationStatement.effectiveDateTime 0..1 dateTime	MedicationStatement.effectiveDateTime	CMENDAT Core: R/C Type: Char	CMSTDTC Core: Perm Type: Char values: ISO 8601	End includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble
MedicationStatement.effectivePeriod 0..1 Period	MedicationStatement.effectivePeriod.end
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.end
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.end
Immunization.occurrenceDateTime 1..1 dateTime	Immunization.occurrenceDateTime
Immunization.occurrenceString 1..1 string	Immunization.occurrenceString
Concomitant Meds End Time	MedicationStatement.effectiveDateTime 0..1 dateTime	MedicationStatement.effectiveDateTime	CMENTIM Core: R/C Type: Char	CMENDTC Core: Perm Type: Char values: ISO 8601	End includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble
MedicationStatement.effectivePeriod 0..1 Period	MedicationStatement.effectivePeriod.end
MedicationRequest.dosageInstruction 0..* Dosage	MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.end
MedicationDispense.dosageInstruction 0..* Dosage	MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.end
Immunization.occurrenceDateTime 1..1 dateTime	Immunization.occurrenceDateTime
Immunization.occurrenceString 1..1 string	Immunization.occurrenceString
Prior Concomitant Meds	This would need to be an extension added to the study extension on the medication resource - normally it is not captured except in the context of a study (and would be a study-specific assertion)	CMPRIOR Core: O Type: Char	CMSTRF Core: Perm Type: Char CMSTRTPT Core: Perm Type: Char
Ongoing Concomitant Meds	This would need to be an extension added to the study extension on the medication resource - normally it is not captured except in the context of a study (and would be a study-specific assertion)	CMONGO Core: R/C Type: Char	CMENRF Core: Perm Type: Char CMENRTPT Core: Perm Type: Char
Standardized Medication Name	MedicationStatement.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code	CMDECOD Core: O Type: Char	CMDECOD Core: Perm Type: Char	We would not expect to receive these from the site.
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code
MedicationRequest.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
MedicationDispense.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
MedicationAdministration.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Immunization.vaccineCode 1..1 CodeableConcept Binding: VaccineCode example	Immunization.vaccineCode
CM Medication Class	MedicationStatement.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code	CMCLAS Core: O Type: Char	CMCLAS Core: Perm Type: Char	These can be provided as alternate codings, however typically encoding is performed by the sponsor and we would not expect to receive these from the site.
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code
MedicationRequest.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
MedicationDispense.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
MedicationAdministration.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Immunization.vaccineCode 1..1 CodeableConcept Binding: VaccineCode example	Immunization.vaccineCode
CM Medication Class Code	MedicationStatement.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code	CMCLASCD Core: O Type: Num	CMCLASCD Core: Perm Type: Char	These can be provided as alternate codings, however typically encoding is performed by the sponsor and we would not expect to receive these from the site.
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationStatement.medicationCodeableConcept MedicationStatement.medicationReference.resolve().code
MedicationRequest.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationRequest.medicationCodeableConcept MedicationRequest.medicationReference.resolve().code
MedicationDispense.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationDispense.medicationCodeableConcept MedicationDispense.medicationReference.resolve().code
MedicationAdministration.medicationCodeableConcept 1..1 CodeableConcept Binding: MedicationCode example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Medication.code 0..1 CodeableConcept Binding: MedicationFormalRepresentation example	MedicationAdministration.medicationCodeableConcept MedicationAdministration.medicationReference.resolve().code
Immunization.vaccineCode 1..1 CodeableConcept Binding: VaccineCode example	Immunization.vaccineCode
ATC Level 1 Description	Encoding is performed by the sponsor and we would not expect to receive these from the site.	CMATC1 Core: O Type: Char	SUPPCM.QVAL
ATC Level 1 Code	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code	CMATC1CD Core: O Type: Num	SUPPCM.QVAL
ATC Level 2 Description	Encoding is performed by the sponsor and we would not expect to receive these from the site.	CMATC2 Core: O Type: Char	SUPPCM.QVAL
ATC Level 2 Code	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code	CMATC2CD Core: O Type: Num	SUPPCM.QVAL
ATC Level 3 Description	Encoding is performed by the sponsor and we would not expect to receive these from the site.	CMATC3 Core: O Type: Char	SUPPCM.QVAL
ATC Level 3 Code	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code	CMATC3CD Core: O Type: Num	SUPPCM.QVAL
ATC Level 4 Description	Encoding is performed by the sponsor and we would not expect to receive these from the site.	CMATC4 Core: O Type: Char	SUPPCM.QVAL
ATC Level 4 Code	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code	CMATC4CD Core: O Type: Num	SUPPCM.QVAL
ATC Level 5 Description	Encoding is performed by the sponsor and we would not expect to receive these from the site.	CMATC5 Core: O Type: Char	SUPPCM.QVAL
ATC Level 5 Code	Encoding is performed by the sponsor and we would not expect to receive these from the site. All coding levels are found in the same attribute as distinct codings. The granularity is distinguished by the code system or knowledge of the code	CMATC5CD Core: O Type: Num	SUPPCM.QVAL

FHIR map (or gap)

CDISC

Comment

Label

Element

FHIRPath

CDASH

SDTM

Study Identifier

ResearchStudy.identifier
0..* Identifier

MedicationStatement.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

MedicationRequest.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

MedicationDispense.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

MedicationAdministration.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

Immunization.extension(workflow-researchstudy).valueReference.resolve().partOf.resolve().identifier

STUDYID
Core: HR
Type: Char

STUDYID
Core: Req
Type: Char

Study Site Identifier

ResearchStudy.site
0..* Reference

ResearchSubject.where(subject=(MedicationStatement.subject|MedicationRequest.subject|MedicationDispense.subject|MedicationAdministration.subject|Immunizations.patient)).study.resolve().identifier

MedicationStatement.extension(workflow-researchstudy).valueReference.resolve().identifier

MedicationRequest.extension(workflow-researchstudy).valueReference.resolve().identifier

MedicationDispense.extension(workflow-researchstudy).valueReference.resolve().identifier

MedicationAdministration.extension(workflow-researchstudy).valueReference.resolve().identifier

Immunization.extension(workflow-researchstudy).valueReference.resolve().identifier

SITEID
Core: HR
Type: Char

DM.SITEID
Core: Req
Type: Char

Subject Identifier for the Study

ResearchSubject.identifier
0..* Identifier

ResearchSubject.where(individual=(MedicationStatement.subject|MedicationRequest.subject|MedicationDispense.subject|MedicationAdministration.subject|Immunizations.patient).identifier

SUBJID
Core: HR
Type: Char

DM.SUBJID
Core: Req
Type: Char

Study subject is found by finding the StudySubject that corresponds to the same Patient and ResearchStudy as the focal resource.

No standard way to decide which subject identifier to use

Category for Medication

MedicationStatement.category
0..1 CodeableConcept
Binding: MedicationStatementCategory preferred

MedicationStatement.category

CMCAT
Core: O
Type: Char

CMCAT
Core: Perm
Type: Char

MedicationRequest.category
0..* CodeableConcept
Binding: MedicationRequestCategory example

MedicationRequest.category

MedicationDispense.category
0..1 CodeableConcept
Binding: MedicationDispenseCategory preferred

MedicationDispense.category

MedicationAdministration.category
0..1 CodeableConcept
Binding: MedicationAdministrationCategory preferred

MedicationAdministration.category

Subcategory for Medication

MedicationStatement.category
0..1 CodeableConcept
Binding: MedicationStatementCategory preferred

MedicationStatement.category

CMSCAT
Core: O
Type: Char

CMSCAT
Core: Perm
Type: Char

MedicationRequest.category
0..* CodeableConcept
Binding: MedicationRequestCategory example

MedicationRequest.category

MedicationDispense.category
0..1 CodeableConcept
Binding: MedicationDispenseCategory preferred

MedicationDispense.category

MedicationAdministration.category
0..1 CodeableConcept
Binding: MedicationAdministrationCategory preferred

MedicationAdministration.category

Any Concomitant Medications Taken

CMYN
Core: O
Type: Char

CM Sponsor-Defined Identifier

MedicationStatement.identifier
0..* Identifier

MedicationStatement.identifier

CMSPID
Core: O
Type: Char

CMSPID
Core: Perm
Type: Char

MedicationRequest.identifier
0..* Identifier

MedicationRequest.identifier

MedicationDispense.identifier
0..* Identifier

MedicationDispense.identifier

MedicationAdministration.identifier
0..* Identifier

MedicationAdministration.identifier

Immunization.identifier
0..* Identifier

Immunization.identifier

Reported Name of Drug, Med, or Therapy

MedicationStatement.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationStatement.medication.medicationCodeableConcept

CMTRT
Core: HR
Type: Char

CMTRT
Core: Req
Type: Char

MedicationStatement.medicationReference
1..1 Reference
Binding: MedicationCode example

MedicationStatement.medication.medicationReference.resolve().code

MedicationRequest.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationRequest.medication.medicationCodeableConcept

MedicationRequest.medicationReference
1..1 Reference
Binding: MedicationCode example

MedicationRequest.medication.medicationReference.resolve().code

MedicationDispense.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationDispense.medication.medicationCodeableConcept

MedicationDispense.medicationReference
1..1 Reference
Binding: MedicationCode example

MedicationDispense.medication.medicationReference.resolve().code

MedicationAdministration.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationAdministration.medication.medicationCodeableConcept

MedicationAdministration.medicationReference
1..1 Reference
Binding: MedicationCode example

MedicationAdministration.medication.medicationReference.resolve().code

Immunization.vaccineCode
1..1 CodeableConcept
Binding: VaccineCode example

Immunization.vaccineCode

CM Pre-Specified

Would not expect to receive from the site.

CMPRESP
Core: O
Type: Char

CMPRESP
Core: Perm
Type: Char

CM Occurrence

MedicationStatement.status
1..1 code
Binding: MedicationStatementStatus required

MedicationStatement.status

CMOCCUR
Core: O
Type: Char

CMOCCUR
Core: Perm
Type: Char

In general, medication records won't exist unless the patient is taking the medication, though there is an ability to say a medication isn't currently being taken or shouldn't be taken

MedicationRequest.doNotPerform
0..1 boolean

MedicationRequest.doNotPerform=true

MedicationRequest.status
1..1 code
Binding: MedicationRequestStatus required

MedicationRequest.status IN {'entered-in-error'|'cancelled'|'stopped'}

MedicationDispense.status
1..1 code
Binding: MedicationDispenseStatus required

MedicationRequest.status IN {entered-in-error'|'cancelled'|'stopped'}

MedicationAdministration.status
1..1 code
Binding: MedicationAdministrationStatus required

MedicationAdministration.status

Immunization.status
1..1 code
Binding: ImmunizationStatus required

Immunization.status IN {'completed'|'entered-in-error'}

Concomitant Meds Active Ingredients

Medication.ingredient
0..* BackboneElement

MedicationStatement.medicationReference.resolve().ingredient.where(isActive)

CMINGRD
Core: O
Type: Char

Medication.ingredient
0..* BackboneElement

MedicationRequest.medicationReference.resolve().ingredient.where(isActive)

Medication.ingredient
0..* BackboneElement

MedicationDispense.medicationReference.resolve().ingredient.where(isActive)

Medication.ingredient
0..* BackboneElement

MedicationAdministration.medicationReference.resolve().ingredient.where(isActive)

Medication.ingredient
0..* BackboneElement

Immunization.medicationReference.resolve().ingredient.where(isActive)

CM Indication

MedicationStatement.reasonCode
0..* CodeableConcept
Binding: MedicationReason example

MedicationStatement.reasonCode

CMINDC
Core: R/C
Type: Char

CMINDC
Core: Perm
Type: Char

MedicationRequest.reasonCode
0..* CodeableConcept
Binding: MedicationRequestReason example

MedicationRequest.reasonCode

MedicationAdministration.reasonCode
0..* CodeableConcept
Binding: MedicationAdministrationReason example

MedicationAdministration.reasonCode

Immunization.reasonCode
0..* CodeableConcept
Binding: ImmunizationReason example

Immunization.reasonCode

Related Adverse Event ID

AdverseEvent.identifier
0..1 Identifier

AdverseEvent.where(suspectEntity.instanceReference=[some medication id]).identifier

CMAENO
Core: O
Type: Char

This could match on AdverseEvent by code. (Note that the AdverseEvent points to the medication record, not the reverse

Related Medical History Event ID

Condition.identifier
0..* Identifier

MedicationStatement.reasonReference.resolve().identifier

CMMHNO
Core: O
Type: Char

Condition.identifier
0..* Identifier

MedicationRequest.reasonReference.resolve().identifier

Condition.identifier
0..* Identifier

MedicationAdministration.reasonReference.resolve().identifier

Immunization.identifier
0..* Identifier

Immunization.reasonReference.resolve().identifier

CM Dose per Administration

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.doseAndRate.doseQuantity

CMDOSE
Core: O
Type: Num

CMDOSE
Core: Perm
Type: Num

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.doseAndRate.doseQuantity

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.doseAndRate.doseQuantity

MedicationAdministration.dosage.dose
0..1 Quantity

MedicationAdministration.dosage.dose

Immunization.doseQuantity
0..1 Quantity

Immunization.doseQuantity

Concomitant Meds Dose Description

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.text|MedicationStatement.dosage.maxDosePerPeriod.of

CMDSTXT
Core: O
Type: Char

CMDOSTXT
Core: Perm
Type: Char CMDOSE
Core: Perm
Type: Num

Requires combining multiple repetitions together

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.text

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.text

MedicationAdministration.dosage.text
0..1 string

MedicationAdministration.dosage.text

CM Total Daily Dose

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.maxDosePerPeriod

CMDOSTOT
Core: O
Type: Num

CMDOSTOT
Core: Perm
Type: Num

If Total Daily Dose is required by the sponsor, it may require collection of the drug dose and frequency to derive the CM Total Daily Dose.

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.dosage.maxDosePerPeriod

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.dosage.maxDosePerPeriod

Immunization.doseQuantity
0..1 Quantity

Immunization.doseQuantity

CM Dose Units

MedicationStatement.dosage
0..* Dosage

MedicationStatement.doseAndRate.doseQuantity.unit

CMDOSU
Core: R/C
Type: Char

CMDOSU
Core: Perm
Type: Char

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.maxDosePerPeriod.code

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.maxDosePerPeriod.code

CM Dose Form

Medication.form
0..1 CodeableConcept
Binding: MedicationForm example

MedicationStatement.medicationReference.resolve().form

CMDOSFRM
Core: O
Type: Char

CMDOSFRM
Core: Perm
Type: Char

Medication.form
0..1 CodeableConcept
Binding: MedicationForm example

MedicationRequest.medicationReference.resolve().form

Medication.form
0..1 CodeableConcept
Binding: MedicationForm example

MedicationDispense.medicationReference.resolve().form

CM Dosing Frequency per Interval

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.timing.frequency

CMDOSFRQ
Core: O
Type: Char

CMDOSFRQ
Core: Perm
Type: Char

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.frequencey

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.frequency

CM Route of Administration

MedicationStatement.dosage
0..* Dosage

MedicationStatement.dosage.route

CMROUTE
Core: R/C
Type: Char

CMROUTE
Core: Perm
Type: Char

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.route

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.route

MedicationAdministration.dosage.route
0..1 CodeableConcept
Binding: RouteOfAdministration example

MedicationAdministration.dosage.route

Immunization.route
0..1 CodeableConcept
Binding: ImmunizationRoute example

Immunization.route

Concomitant Meds Start Date

MedicationStatement.effectiveDateTime
0..1 dateTime

MedicationStatement.effectiveDateTime

CMSTDAT
Core: R/C
Type: Char

CMSTDTC
Core: Perm
Type: Char
values: ISO 8601

Start includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble

MedicationStatement.effectivePeriod
0..1 Period

MedicationStatement.effectivePeriod.start

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.start

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.start

Immunization.occurrenceDateTime
1..1 dateTime

Immunization.occurrenceDateTime

Immunization.occurrenceString
1..1 string

Immunization.occurrenceString

Concomitant Meds Start Time

MedicationStatement.effectiveDateTime
0..1 dateTime

MedicationStatement.effectiveDateTime

CMSTTIM
Core: R/C
Type: Char

CMSTDTC
Core: Perm
Type: Char
values: ISO 8601

Start includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble

MedicationStatement.effectivePeriod
0..1 Period

MedicationStatement.effectivePeriod.start

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.start

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.start

Immunization.occurrenceDateTime
1..1 dateTime

Immunization.occurrenceDateTime

Immunization.occurrenceString
1..1 string

Immunization.occurrenceString

Concomitant Meds End Date

MedicationStatement.effectiveDateTime
0..1 dateTime

MedicationStatement.effectiveDateTime

CMENDAT
Core: R/C
Type: Char

CMSTDTC
Core: Perm
Type: Char
values: ISO 8601

End includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble

MedicationStatement.effectivePeriod
0..1 Period

MedicationStatement.effectivePeriod.end

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.end

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.end

Immunization.occurrenceDateTime
1..1 dateTime

Immunization.occurrenceDateTime

Immunization.occurrenceString
1..1 string

Immunization.occurrenceString

Concomitant Meds End Time

MedicationStatement.effectiveDateTime
0..1 dateTime

MedicationStatement.effectiveDateTime

CMENTIM
Core: R/C
Type: Char

CMENDTC
Core: Perm
Type: Char
values: ISO 8601

End includes both date and time, though time commonly won't be specified. If string is specified, it will have to be parsed and converted to whatever precision is posisble

MedicationStatement.effectivePeriod
0..1 Period

MedicationStatement.effectivePeriod.end

MedicationRequest.dosageInstruction
0..* Dosage

MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod.end

MedicationDispense.dosageInstruction
0..* Dosage

MedicationDispense.dosageInstruction.timing.repeat.boundsPeriod.end

Immunization.occurrenceDateTime
1..1 dateTime

Immunization.occurrenceDateTime

Immunization.occurrenceString
1..1 string

Immunization.occurrenceString

Prior Concomitant Meds

This would need to be an extension added to the study extension on the medication resource - normally it is not captured except in the context of a study (and would be a study-specific assertion)

CMPRIOR
Core: O
Type: Char

CMSTRF
Core: Perm
Type: Char CMSTRTPT
Core: Perm
Type: Char

Ongoing Concomitant Meds

This would need to be an extension added to the study extension on the medication resource - normally it is not captured except in the context of a study (and would be a study-specific assertion)

CMONGO
Core: R/C
Type: Char

CMENRF
Core: Perm
Type: Char CMENRTPT
Core: Perm
Type: Char

Standardized Medication Name

MedicationStatement.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

CMDECOD
Core: O
Type: Char

CMDECOD
Core: Perm
Type: Char

We would not expect to receive these from the site.

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

MedicationRequest.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

MedicationDispense.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

MedicationAdministration.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Immunization.vaccineCode
1..1 CodeableConcept
Binding: VaccineCode example

Immunization.vaccineCode

CM Medication Class

MedicationStatement.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

CMCLAS
Core: O
Type: Char

CMCLAS
Core: Perm
Type: Char

These *can* be provided as alternate codings, however typically encoding is performed by the sponsor and we would not expect to receive these from the site.

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

MedicationRequest.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

MedicationDispense.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

MedicationAdministration.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Immunization.vaccineCode
1..1 CodeableConcept
Binding: VaccineCode example

Immunization.vaccineCode

CM Medication Class Code

MedicationStatement.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

CMCLASCD
Core: O
Type: Num

CMCLASCD
Core: Perm
Type: Char

These *can* be provided as alternate codings, however typically encoding is performed by the sponsor and we would not expect to receive these from the site.

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationStatement.medicationCodeableConcept

MedicationStatement.medicationReference.resolve().code

MedicationRequest.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationRequest.medicationCodeableConcept

MedicationRequest.medicationReference.resolve().code

MedicationDispense.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationDispense.medicationCodeableConcept

MedicationDispense.medicationReference.resolve().code

MedicationAdministration.medicationCodeableConcept
1..1 CodeableConcept
Binding: MedicationCode example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Medication.code
0..1 CodeableConcept
Binding: MedicationFormalRepresentation example

MedicationAdministration.medicationCodeableConcept

MedicationAdministration.medicationReference.resolve().code

Immunization.vaccineCode
1..1 CodeableConcept
Binding: VaccineCode example

Immunization.vaccineCode

ATC Level 1 Description

Encoding is performed by the sponsor and we would not expect to receive these from the site.

CMATC1
Core: O
Type: Char

SUPPCM.QVAL

ATC Level 1 Code

CMATC1CD
Core: O
Type: Num

SUPPCM.QVAL

ATC Level 2 Description

Encoding is performed by the sponsor and we would not expect to receive these from the site.

CMATC2
Core: O
Type: Char

SUPPCM.QVAL

ATC Level 2 Code

CMATC2CD
Core: O
Type: Num

SUPPCM.QVAL

ATC Level 3 Description

Encoding is performed by the sponsor and we would not expect to receive these from the site.

CMATC3
Core: O
Type: Char

SUPPCM.QVAL

ATC Level 3 Code

CMATC3CD
Core: O
Type: Num

SUPPCM.QVAL

ATC Level 4 Description

Encoding is performed by the sponsor and we would not expect to receive these from the site.

CMATC4
Core: O
Type: Char

SUPPCM.QVAL

ATC Level 4 Code

CMATC4CD
Core: O
Type: Num

SUPPCM.QVAL

ATC Level 5 Description

Encoding is performed by the sponsor and we would not expect to receive these from the site.

CMATC5
Core: O
Type: Char

SUPPCM.QVAL

ATC Level 5 Code

CMATC5CD
Core: O
Type: Num

SUPPCM.QVAL