R4MedicationRequestElementMapToR5 - Extensions for Using Data Elements from FHIR R4 in FHIR R5 v0.1.0

Extensions for Using Data Elements from FHIR R4 in FHIR R5 - Downloaded Version null See the Directory of published versions

ConceptMap: R4MedicationRequestElementMapToR5

Official URL: http://hl7.org/fhir/uv/xver/ConceptMap/R4-MedicationRequest-element-map-to-R5				Version: 0.1.0
Standards status: Trial-use		Maturity Level: 0	Computable Name: R4MedicationRequestElementMapToR5

This ConceptMap represents cross-version mappings for elements from a FHIR R4 MedicationRequest to FHIR R5.

Mapping from http://hl7.org/fhir/4.0 to http://hl7.org/fhir/5.0

Group 1 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1 to MedicationRequestversion: 5.0.0)

Source Code

Relationship

Target Code

Comment

MedicationRequest.meta (meta)

is equivalent to

MedicationRequest.meta

Element `MedicationRequest.meta` is mapped to FHIR R5 element `MedicationRequest.meta` as `Equivalent`.

MedicationRequest.implicitRules (implicitRules)

is equivalent to

MedicationRequest.implicitRules

Element `MedicationRequest.implicitRules` is mapped to FHIR R5 element `MedicationRequest.implicitRules` as `Equivalent`. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

MedicationRequest.language (language)

is equivalent to

MedicationRequest.language

Element `MedicationRequest.language` is mapped to FHIR R5 element `MedicationRequest.language` as `Equivalent`. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

MedicationRequest.text (text)

is equivalent to

MedicationRequest.text

Element `MedicationRequest.text` is mapped to FHIR R5 element `MedicationRequest.text` as `Equivalent`. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

MedicationRequest.contained (contained)

is equivalent to

MedicationRequest.contained

Element `MedicationRequest.contained` is mapped to FHIR R5 element `MedicationRequest.contained` as `Equivalent`. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

MedicationRequest.identifier (identifier)

is equivalent to

MedicationRequest.identifier

Element `MedicationRequest.identifier` is mapped to FHIR R5 element `MedicationRequest.identifier` as `Equivalent`. This is a business identifier, not a resource identifier.

MedicationRequest.status (status)

is broader than

MedicationRequest.status

Element `MedicationRequest.status` is mapped to FHIR R5 element `MedicationRequest.status` as `RelatedTo`. The mappings for `MedicationRequest.status` do not allow expression of the necessary codes, per the bindings on the source and target. The target context `MedicationRequest.status` is a modifier element, so this extension does not need to be defined as a modifier. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

MedicationRequest.statusReason (statusReason)

is equivalent to

MedicationRequest.statusReason

Element `MedicationRequest.statusReason` is mapped to FHIR R5 element `MedicationRequest.statusReason` as `Equivalent`. This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here.

MedicationRequest.intent (intent)

is equivalent to

MedicationRequest.intent

Element `MedicationRequest.intent` is mapped to FHIR R5 element `MedicationRequest.intent` as `Equivalent`. It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable.

MedicationRequest.category (category)

is equivalent to

MedicationRequest.category

Element `MedicationRequest.category` is mapped to FHIR R5 element `MedicationRequest.category` as `Equivalent`. The category can be used to include where the medication is expected to be consumed or other types of requests.

MedicationRequest.priority (priority)

is equivalent to

MedicationRequest.priority

Element `MedicationRequest.priority` is mapped to FHIR R5 element `MedicationRequest.priority` as `Equivalent`.

MedicationRequest.doNotPerform (doNotPerform)

is equivalent to

MedicationRequest.doNotPerform

Element `MedicationRequest.doNotPerform` is mapped to FHIR R5 element `MedicationRequest.doNotPerform` as `Equivalent`. If do not perform is not specified, the request is a positive request e.g. "do perform".

MedicationRequest.reported[x] (reported[x])

is broader than

MedicationRequest.reported

Element `MedicationRequest.reported[x]` is mapped to FHIR R5 element `MedicationRequest.reported` as `SourceIsBroaderThanTarget`. The mappings for `MedicationRequest.reported[x]` do not cover the following types: Reference.

MedicationRequest.medication[x] (medication[x])

is narrower than

MedicationRequest.medication

Element `MedicationRequest.medication[x]` is mapped to FHIR R5 element `MedicationRequest.medication` as `SourceIsNarrowerThanTarget`. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource.

MedicationRequest.subject (subject)

is equivalent to

MedicationRequest.subject

Element `MedicationRequest.subject` is mapped to FHIR R5 element `MedicationRequest.subject` as `Equivalent`. The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified.

MedicationRequest.encounter (encounter)

is equivalent to

MedicationRequest.encounter

Element `MedicationRequest.encounter` is mapped to FHIR R5 element `MedicationRequest.encounter` as `Equivalent`. This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension.

MedicationRequest.supportingInformation (supportingInformation)

is equivalent to

MedicationRequest.supportingInformation

Element `MedicationRequest.supportingInformation` is mapped to FHIR R5 element `MedicationRequest.supportingInformation` as `Equivalent`.

MedicationRequest.authoredOn (authoredOn)

is equivalent to

MedicationRequest.authoredOn

Element `MedicationRequest.authoredOn` is mapped to FHIR R5 element `MedicationRequest.authoredOn` as `Equivalent`.

MedicationRequest.requester (requester)

is equivalent to

MedicationRequest.requester

Element `MedicationRequest.requester` is mapped to FHIR R5 element `MedicationRequest.requester` as `Equivalent`.

MedicationRequest.performer (performer)

is broader than

MedicationRequest.performer

Element `MedicationRequest.performer` is mapped to FHIR R5 element `MedicationRequest.performer` as `RelatedTo`. The standard extension `alternate-reference` has been mapped as the representation of FHIR R4 element `MedicationRequest.performer` with unmapped reference targets: Device.

MedicationRequest.performerType (performerType)

is equivalent to

MedicationRequest.performerType

Element `MedicationRequest.performerType` is mapped to FHIR R5 element `MedicationRequest.performerType` as `Equivalent`. If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available.

MedicationRequest.recorder (recorder)

is equivalent to

MedicationRequest.recorder

Element `MedicationRequest.recorder` is mapped to FHIR R5 element `MedicationRequest.recorder` as `Equivalent`.

MedicationRequest.reasonCode (reasonCode)

is narrower than

MedicationRequest.reason

Element `MedicationRequest.reasonCode` is mapped to FHIR R5 element `MedicationRequest.reason` as `SourceIsNarrowerThanTarget`. This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.

MedicationRequest.reasonReference (reasonReference)

is related to

MedicationRequest.reason

Element `MedicationRequest.reasonReference` is mapped to FHIR R5 element `MedicationRequest.reason` as `RelatedTo`. The mappings for `MedicationRequest.reasonReference` do not cover the following types: Reference. The mappings for `MedicationRequest.reasonReference` do not cover the following types based on type expansion: display, identifier, reference, type. This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.

MedicationRequest.basedOn (basedOn)

is equivalent to

MedicationRequest.basedOn

Element `MedicationRequest.basedOn` is mapped to FHIR R5 element `MedicationRequest.basedOn` as `Equivalent`.

MedicationRequest.groupIdentifier (groupIdentifier)

is equivalent to

MedicationRequest.groupIdentifier

Element `MedicationRequest.groupIdentifier` is mapped to FHIR R5 element `MedicationRequest.groupIdentifier` as `Equivalent`.

MedicationRequest.courseOfTherapyType (courseOfTherapyType)

is equivalent to

MedicationRequest.courseOfTherapyType

Element `MedicationRequest.courseOfTherapyType` is mapped to FHIR R5 element `MedicationRequest.courseOfTherapyType` as `Equivalent`. This attribute should not be confused with the protocol of the medication.

MedicationRequest.insurance (insurance)

is equivalent to

MedicationRequest.insurance

Element `MedicationRequest.insurance` is mapped to FHIR R5 element `MedicationRequest.insurance` as `Equivalent`.

MedicationRequest.note (note)

is equivalent to

MedicationRequest.note

Element `MedicationRequest.note` is mapped to FHIR R5 element `MedicationRequest.note` as `Equivalent`.

MedicationRequest.dosageInstruction (dosageInstruction)

is equivalent to

MedicationRequest.dosageInstruction

Element `MedicationRequest.dosageInstruction` is mapped to FHIR R5 element `MedicationRequest.dosageInstruction` as `Equivalent`. There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.

MedicationRequest.dispenseRequest (dispenseRequest)

is broader than

MedicationRequest.dispenseRequest

Element `MedicationRequest.dispenseRequest` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest` as `Equivalent`.

MedicationRequest.dispenseRequest.initialFill (initialFill)

is broader than

MedicationRequest.dispenseRequest.initialFill

Element `MedicationRequest.dispenseRequest.initialFill` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest.initialFill` as `Equivalent`. If populating this element, either the quantity or the duration must be included.

MedicationRequest.dispenseRequest.initialFill.quantity (quantity)

is equivalent to

MedicationRequest.dispenseRequest.initialFill.quantity

Element `MedicationRequest.dispenseRequest.initialFill.quantity` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest.initialFill.quantity` as `Equivalent`.

MedicationRequest.dispenseRequest.initialFill.duration (duration)

is equivalent to

MedicationRequest.dispenseRequest.initialFill.duration

Element `MedicationRequest.dispenseRequest.initialFill.duration` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest.initialFill.duration` as `Equivalent`.

MedicationRequest.dispenseRequest.dispenseInterval (dispenseInterval)

is equivalent to

MedicationRequest.dispenseRequest.dispenseInterval

Element `MedicationRequest.dispenseRequest.dispenseInterval` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest.dispenseInterval` as `Equivalent`.

MedicationRequest.dispenseRequest.validityPeriod (validityPeriod)

is equivalent to

MedicationRequest.dispenseRequest.validityPeriod

Element `MedicationRequest.dispenseRequest.validityPeriod` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest.validityPeriod` as `Equivalent`. It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.

MedicationRequest.dispenseRequest.numberOfRepeatsAllowed (numberOfRepeatsAllowed)

is equivalent to

MedicationRequest.dispenseRequest.numberOfRepeatsAllowed

Element `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest.numberOfRepeatsAllowed` as `Equivalent`. If displaying "number of authorized fills", add 1 to this number.

MedicationRequest.dispenseRequest.quantity (quantity)

is equivalent to

MedicationRequest.dispenseRequest.quantity

Element `MedicationRequest.dispenseRequest.quantity` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest.quantity` as `Equivalent`.

MedicationRequest.dispenseRequest.expectedSupplyDuration (expectedSupplyDuration)

is equivalent to

MedicationRequest.dispenseRequest.expectedSupplyDuration

Element `MedicationRequest.dispenseRequest.expectedSupplyDuration` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest.expectedSupplyDuration` as `Equivalent`. In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.

MedicationRequest.dispenseRequest.performer (performer)

is equivalent to

MedicationRequest.dispenseRequest.dispenser

Element `MedicationRequest.dispenseRequest.performer` is mapped to FHIR R5 element `MedicationRequest.dispenseRequest.dispenser` as `Equivalent`.

MedicationRequest.substitution (substitution)

is broader than

MedicationRequest.substitution

Element `MedicationRequest.substitution` is mapped to FHIR R5 element `MedicationRequest.substitution` as `Equivalent`.

MedicationRequest.substitution.allowed[x] (allowed[x])

is equivalent to

MedicationRequest.substitution.allowed[x]

Element `MedicationRequest.substitution.allowed[x]` is mapped to FHIR R5 element `MedicationRequest.substitution.allowed[x]` as `Equivalent`. The target context `MedicationRequest.substitution.allowed[x]` is a choice-type element and cannot directly hold extensions. The context is moved up to parent element `MedicationRequest.substitution`. This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored.

MedicationRequest.substitution.reason (reason)

is equivalent to

MedicationRequest.substitution.reason

Element `MedicationRequest.substitution.reason` is mapped to FHIR R5 element `MedicationRequest.substitution.reason` as `Equivalent`.

MedicationRequest.priorPrescription (priorPrescription)

is equivalent to

MedicationRequest.priorPrescription

Element `MedicationRequest.priorPrescription` is mapped to FHIR R5 element `MedicationRequest.priorPrescription` as `Equivalent`.

MedicationRequest.eventHistory (eventHistory)

is equivalent to

MedicationRequest.eventHistory

Element `MedicationRequest.eventHistory` is mapped to FHIR R5 element `MedicationRequest.eventHistory` as `Equivalent`. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).

Source Code

Relationship

Target Code

Comment

MedicationRequest.status (status)

is equivalent to

Group 3 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1 to R4: Reported rather than primary record additional typesversion: 0.1.0)

Source Code

Relationship

Target Code

Comment

MedicationRequest.reported[x] (reported[x])

is broader than

Extension (R4: Reported rather than primary record additional types)

Group 4 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1 to R4: Condition or observation that supports why the prescription is being written additional typesversion: 0.1.0)

Source Code

Relationship

Target Code

Comment

MedicationRequest.reasonReference (reasonReference)

is broader than

Extension (R4: Condition or observation that supports why the prescription is being written additional types)

Group 5 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1 to R4: Instantiates FHIR protocol or definition (new)version: 0.1.0)

Source Code

Relationship

Target Code

Comment

MedicationRequest.instantiatesCanonical (instantiatesCanonical)

is equivalent to

Extension (R4: Instantiates FHIR protocol or definition (new))

Element `MedicationRequest.instantiatesCanonical` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.instantiatesCanonical` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 6 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1 to R4: Instantiates external protocol or definition (new)version: 0.1.0)

Source Code

Relationship

Target Code

Comment

MedicationRequest.instantiatesUri (instantiatesUri)

is equivalent to

Extension (R4: Instantiates external protocol or definition (new))

Element `MedicationRequest.instantiatesUri` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.instantiatesUri` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element).

Group 7 Mapping from http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1 to R4: Clinical Issue with action (new)version: 0.1.0)

Source Code

Relationship

Target Code

Comment

MedicationRequest.detectedIssue (detectedIssue)

is equivalent to

Extension (R4: Clinical Issue with action (new))

Element `MedicationRequest.detectedIssue` has a context of MedicationRequest based on following the parent source element upwards and mapping to `MedicationRequest`. Element `MedicationRequest.detectedIssue` has no mapping targets in FHIR R5. Typically, this is because the element has been added (is a new element). This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue.