HL7 FHIR Implementation Guide Dossier Farmaceutico, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/dossier-pharma/ and changes regularly. See the Directory of published versions
Mappings for the MedicationAdministration-it-dossierPharma resource profile.
| MedicationAdministrationDossierPharma |
| MedicationAdministration | Entity. Role, or Act, SubstanceAdministration |
| text | Act.text? |
| contained | N/A |
| extension | N/A |
| modifierExtension | N/A |
| identifier | .id |
| instantiates | .outboundRelationship[typeCode=DEFN].target[classCode=unspecified] |
| partOf | .outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN] |
| status | .statusCode |
| statusReason | .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason not given"].value |
| category | .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value |
| medication[x] | .participation[typeCode=CSM].role[classCode=ADMM] |
| medication[x] (medicationReference) | .participation[typeCode=CSM].role[classCode=ADMM] |
| medication[x] (medicationCodeableConcept) | .participation[typeCode=CSM].role[classCode=ADMM] |
| id | n/a |
| extension | n/a |
| coding | union(., ./translation) |
| id | n/a |
| extension | n/a |
| system | ./codeSystem |
| version | ./codeSystemVersion |
| code | ./code |
| display | CV.displayName |
| userSelected | CD.codingRationale |
| coding (ATC) | union(., ./translation) |
| coding (AIC) | union(., ./translation) |
| coding (gruppoEquivalenza) | union(., ./translation) |
| coding (eccezioni) | union(., ./translation) |
| text | ./originalText[mediaType/code="text/plain"]/data |
| subject | .participation[typeCode=SBJ].role[classCode=PAT] |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| id | n/a |
| extension | n/a |
| use | Role.code or implied by context |
| type | Role.code or implied by context |
| system | II.root or Role.id.root |
| value | II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
| period | Role.effectiveTime or implied by context |
| assigner | II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
| display | N/A |
| context | .inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"] |
| supportingInformation | .outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)] |
| effective[x] | .effectiveTime |
| effective[x] (effectivePeriod) | .effectiveTime |
| id | n/a |
| extension | n/a |
| start | ./low |
| end | ./high |
| performer | .participation[typeCode=PRF] |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| function | participation[typeCode=PRF].functionCode |
| actor | .role |
| reasonCode | .reasonCode |
| reasonReference | .outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use ASSERTION"].value |
| request | InFullfillmentOf->SubstanceAdministration |
| device | device->Access OR device->AssignedDevice |
| note | .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value |
| dosage | component->SubstanceAdministrationEvent |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| text | .text |
| site | .approachSiteCode |
| route | .routeCode |
| method | .methodCode |
| dose | .doseQuantity |
| rate[x] | .rateQuantity |
| eventHistory | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN] |
| MedicationAdministrationDossierPharma |
| MedicationAdministration | |
| status | RXA-20-Completion Status |
| statusReason | RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason |
| medication[x] | RXA-5-Administered Code |
| medication[x] (medicationReference) | RXA-5-Administered Code |
| medication[x] (medicationCodeableConcept) | RXA-5-Administered Code |
| coding | C*E.1-8, C*E.10-22 |
| system | C*E.3 |
| version | C*E.7 |
| code | C*E.1 |
| display | C*E.2 - but note this is not well followed |
| userSelected | Sometimes implied by being first |
| coding (ATC) | C*E.1-8, C*E.10-22 |
| coding (AIC) | C*E.1-8, C*E.10-22 |
| coding (gruppoEquivalenza) | C*E.1-8, C*E.10-22 |
| coding (eccezioni) | C*E.1-8, C*E.10-22 |
| text | C*E.9. But note many systems use C*E.2 for this |
| subject | PID-3-Patient ID List |
| identifier | |
| use | N/A |
| type | CX.5 |
| system | CX.4 / EI-2-4 |
| value | CX.1 / EI.1 |
| period | CX.7 + CX.8 |
| assigner | CX.4 / (CX.4,CX.9,CX.10) |
| context | PV1-19-Visit Number |
| effective[x] | RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration |
| effective[x] (effectivePeriod) | RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration |
| start | DR.1 |
| end | DR.2 |
| performer | RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated) |
| reasonCode | RXE-27 Give Indication |
| request | ORC-2-Placer Order Number / ORC-3-Filler Order Number |
| device | PRT-10 Participation Device / RXR-3 Administrative Device |
| dosage | |
| site | RXR-2 Administration Site / RXR-6 Administration Site Modifier |
| route | RXR-1-Route |
| method | RXR-4-Administration Method |
| dose | RXA-6 Administered Amount / RXA-7 Administered Units |
| rate[x] | RXA-12-Administered Per (Time Unit) |
