This page is part of the Da Vinci Payer Data Exchange (v0.1.0: STU 1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

3-6-19 US Core Medication

Section Guide:

Implementation... - Actors - Exchange Interactions - Data Payloads - Interaction Methods - Interaction and Payload Matrix - Data Mapping

3-6-1 US Core Patient 3-6-2 Coverage 3-6-3 US Core Encounter 3-6-4 US Core Location 3-6-5 MedicationDispense 3-6-6 US Core Practitioner 3-6-7 US Core Procedure 3-6-8 US Core Condition

3-6-9 US Core AllergyIntolerance 3-6-10 US Core Immunization 3-6-11 US Core DiagnosticReport 3-6-12 US Core Observation 3-6-13 US Core DocumentReference 3-6-14 US Core PractitionerRole 3-6-15 US Core Device 3-6-16 US Core Organization

3-6-17 US Core CarePlan 3-6-18 US Core CareTeam 3-6-19 US Core Medication 3-6-20 US Core MedicationRequest 3-6-21 US Core MedicationStatement 3-6-22 US Core Goal Profile

Where a Health Plan has access to Medication information they SHALL make the information available using the US Core Medication resource.

The essential fields to be provided in the Medication resource are:

R4 Hierarchical Name	R4 Name	Card.	Type
Medication	Medication	0..*
Medication.id	id	0..1	id
Medication.code	code	1..1	CodeableConcept
Medication.ingredient	ingredient	0..*	BackboneElement
Medication.ingredient.item[x]	item[x]	1..1	CodeableConcept, Reference(Substance	Medication)

3-6-19-1 Example Medication Resource

An example mapping of a Medication is shown below:

{
  "resourceType": "Medication",
  "id": "med0311",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">
Generated Narrative with Details
id: med0311
contained: 
code: Prednisone 5mg tablet (Product) (Details : {SNOMED CT code '373994007' = 'Prednisone 5mg tablet', given as 'Prednisone 5mg tablet (Product)'})
form: Tablet dose form (qualifier value) (Details : {SNOMED CT code '385055001' = 'Tablet', given as 'Tablet dose form (qualifier value)'})
Ingredients
-
Item[x]
Strength
*
id: sub03; Prednisone (substance) (Details : {SNOMED CT code '116602009' = 'Prednisone', given as 'Prednisone (substance)'})
5 mg (Details: UCUM code mg = 'mg')/1 TAB (Details: http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm code TAB = 'Tablet')
</div>"
  },
  "contained": [
    {
      "resourceType": "Substance",
      "id": "sub03",
      "code": {
        "coding": [
          {
            "system": "http://snomed.info/sct",
            "code": "116602009",
            "display": "Prednisone (substance)"
          }
        ]
      }
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "373994007",
        "display": "Prednisone 5mg tablet (Product)"
      }
    ]
  },
  "form": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "385055001",
        "display": "Tablet dose form (qualifier value)"
      }
    ]
  },
  "ingredient": [
    {
      "itemReference": {
        "reference": "#sub03"
      },
      "strength": {
        "numerator": {
          "value": 5,
          "system": "http://unitsofmeasure.org",
          "code": "mg"
        },
        "denominator": {
          "value": 1,
          "system": "http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm",
          "code": "TAB"
        }
      }
    }
  ]
}

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