QI-Core Implementation Guide: STU Ballot (v3.3.0 for FHIR 4.0.0)

Quality Improvement Core Framework (v3.3.0: STU 4 Ballot 1). The current version is 3.2.0 based on FHIR R4. See the Directory of published versions

D.4.1.4 StructureDefinition: qicore-medication - Mappings

Mappings for the StructureDefinition-qicore-medication Profile.

Mappings for Mapping to Quality Improvement Domain Analysis Model (http://hl7.org/qidam)

QICoreMedication
Medication
   ingredient
      isActiveNot in QIDAM, but added because it was determined to be important for drug-allergy checking. For example, if the patient is allergic to Depakote (a trade name, and includes blue dye as an inactive ingredient), then when patient is prescribed warfarin, it shoots out a drug-allergy alert because warfarin also contains blue dye. Providers hate this. We recently overcame this problem by having the drug-allergy alert interaction settings only check for allergies to active ingredients.

Mappings for Argonaut-DQ-DSTU2 (http://unknown.org/Argonaut-DQ-DSTU2)

QICoreMedication
MedicationMedication
   codeMedication.code

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

QICoreMedication
MedicationNewRx/MedicationPrescribed -or- RxFill/MedicationDispensed -or- RxHistoryResponse/MedicationDispensed -or- RxHistoryResponse/MedicationPrescribed
   codecoding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription
   manufacturerno mapping
   formcoding.code = //element(*,DrugCodedType)/FormCode coding.system = //element(*,DrugCodedType)/FormSourceCode
   ingredient
      item[x]coding.code = //element(*,MedicationType)/DrugCoded/ProductCode coding.system = //element(*,MedicationType)/DrugCoded/ProductCodeQualifier coding.display = //element(*,MedicationType)/DrugDescription
      strength//element(*,DrugCodedType)/Strength
   batchno mapping
      lotNumberno mapping
      expirationDateno mapping

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

QICoreMedication
MedicationEntity. Role, or Act
   textAct.text?
   containedN/A
   extensionN/A
   modifierExtensionN/A
   identifier.id
   code.code
   status.statusCode
   manufacturer.player.scopingRole[typeCode=MANU].scoper
   form.formCode
   amount.quantity
   ingredient.scopesRole[typeCode=INGR]
      idn/a
      extensionn/a
      modifierExtensionN/A
      item[x].player
      isActiveNA
      strength.quantity
   batch.player[classCode=CONT]
      idn/a
      extensionn/a
      modifierExtensionN/A
      lotNumber.id
      expirationDateparticipation[typeCode=CSM].role[classCode=INST].scopedRole.scoper[classCode=MMAT].expirationTime

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

QICoreMedication
Medication
   identifierFiveWs.identifier
   codeFiveWs.class
   manufacturerFiveWs.actor

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

QICoreMedication
Medication
   codeRXO-1.1-Requested Give Code.code / RXE-2.1-Give Code.code / RXD-2.1-Dispense/Give Code.code / RXG-4.1-Give Code.code /RXA-5.1-Administered Code.code / RXC-2.1 Component Code
   manufacturerRXD-20-Substance Manufacturer Name / RXG-21-Substance Manufacturer Name / RXA-17-Substance Manufacturer Name
   formRXO-5-Requested Dosage Form / RXE-6-Give Dosage Form / RXD-6-Actual Dosage Form / RXG-8-Give Dosage Form / RXA-8-Administered Dosage Form
   ingredient
      item[x]RXC-2-Component Code if medication: RXO-1-Requested Give Code / RXE-2-Give Code / RXD-2-Dispense/Give Code / RXG-4-Give Code / RXA-5-Administered Code
      strengthRXC-3-Component Amount & RXC-4-Component Units if medication: RXO-2-Requested Give Amount - Minimum & RXO-4-Requested Give Units / RXO-3-Requested Give Amount - Maximum & RXO-4-Requested Give Units / RXO-11-Requested Dispense Amount & RXO-12-Requested Dispense Units / RXE-3-Give Amount - Minimum & RXE-5-Give Units / RXE-4-Give Amount - Maximum & RXE-5-Give Units / RXE-10-Dispense Amount & RXE-10-Dispense Units
   batch
      lotNumberRXA-15 Substance Lot Number / RXG-19 Substance Lot Number
      expirationDateRXA-16 Substance Expiration Date / RXG-20 Substance Expiration Date