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 MedicationRequest-it-dossierPharma resource profile.
| MedicationRequestItDossierPharma |
| MedicationRequest | Message/Body/NewRx |
| identifier | Message/Header/PrescriberOrderNumber |
| status | no mapping |
| category | Message/Body/NewRx/MedicationPrescribed/Directionsor Message/Body/NewRx/MedicationPrescribed/StructuredSIG |
| medication[x] | Message/Body/NewRx/MedicationPrescribedMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifierMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription |
| medication[x] (medicationReference) | Message/Body/NewRx/MedicationPrescribedMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifierMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription |
| medication[x] (medicationCodeableConcept) | Message/Body/NewRx/MedicationPrescribedMedication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeMedication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifierMedication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription |
| subject | Message/Body/NewRx/Patient(need detail to link to specific patient … Patient.Identification in SCRIPT) |
| encounter | no mapping |
| authoredOn | Message/Body/NewRx/MedicationPrescribed/WrittenDate |
| reasonCode | Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value |
| reasonReference | no mapping |
| note | Message/Body/NewRx/MedicationPrescribed/Note |
| dispenseRequest | Message/Body/NewRx/MedicationPrescribed/ExpirationDate |
| validityPeriod | Message/Body/NewRx/MedicationPrescribed/Refills |
| numberOfRepeatsAllowed | Message/Body/NewRx/MedicationPrescribed/Quantity |
| quantity | Message/Body/NewRx/MedicationPrescribed/DaysSupply |
| expectedSupplyDuration | Message/Body/NewRx/MedicationPrescribed/Substitutions |
| substitution | specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions |
| allowed[x] | specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions |
| allowed[x] (allowedCodeableConcept) | specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions |
| reason | not mapped |
| priorPrescription | not mapped |
| MedicationRequestItDossierPharma |
| MedicationRequest | Entity. Role, or Act, CombinedMedicationRequest |
| text | Act.text? |
| contained | N/A |
| extension | |
| extension (medicoTitolare) | |
| id | n/a |
| url | N/A |
| value[x] | N/A |
| modifierExtension | N/A |
| identifier | .id |
| status | .statusCode |
| statusReason | .inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde |
| intent | .moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere) |
| category | .inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value |
| priority | .priorityCode |
| doNotPerform | SubstanceAdministration.actionNegationInd |
| reported[x] | .participation[typeCode=INF].role |
| medication[x] | consumable.administrableMedication |
| medication[x] (medicationReference) | consumable.administrableMedication |
| medication[x] (medicationCodeableConcept) | consumable.administrableMedication |
| 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=AUT].role |
| 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 |
| encounter | .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)] |
| authoredOn | author.time |
| requester | .participation[typeCode=AUT].role |
| id | n/a |
| extension | n/a |
| reference | N/A |
| type | N/A |
| identifier | .identifier |
| display | N/A |
| performer | .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
| performerType | .participation[typeCode=PRF].role[scoper.determinerCode=KIND].code |
| recorder | .participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType) |
| reasonCode | reason.observation.reasonCode |
| 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 (notaAIFA) | union(., ./translation) |
| coding (codiceDiagnosi) | union(., ./translation) |
| text | ./originalText[mediaType/code="text/plain"]/data |
| reasonReference | reason.observation[code=ASSERTION].value |
| instantiatesCanonical | .outboundRelationship[typeCode=DEFN].target |
| instantiatesUri | .outboundRelationship[typeCode=DEFN].target |
| basedOn | .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP] |
| groupIdentifier | .outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id |
| 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 |
| courseOfTherapyType | Act.code where classCode = LIST and moodCode = EVN |
| insurance | .outboundRelationship[typeCode=COVBY].target |
| note | .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value |
| dosageInstruction | see dosageInstruction mapping |
| dispenseRequest | component.supplyEvent |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| initialFill | SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| quantity | Supply.quantity[moodCode=RQO] |
| duration | Supply.effectivetime[moodCode=RQO] |
| dispenseInterval | Supply.effectivetime[moodCode=RQO] |
| validityPeriod | effectiveTime |
| numberOfRepeatsAllowed | repeatNumber |
| quantity | quantity |
| expectedSupplyDuration | expectedUseTime |
| performer | .outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
| substitution | subjectOf.substitutionPersmission |
| id | n/a |
| extension | n/a |
| modifierExtension | N/A |
| allowed[x] | code |
| allowed[x] (allowedCodeableConcept) | code |
| reason | reasonCode |
| priorPrescription | .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO] |
| detectedIssue | .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value |
| eventHistory | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN] |
| MedicationRequestItDossierPharma |
| MedicationRequest | |
| identifier | ORC-2-Placer Order Number / ORC-3-Filler Order Number |
| medication[x] | RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code |
| medication[x] (medicationReference) | RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code |
| medication[x] (medicationCodeableConcept) | RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component 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) |
| encounter | PV1-19-Visit Number |
| authoredOn | RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction |
| reasonCode | ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication |
| 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 (notaAIFA) | C*E.1-8, C*E.10-22 |
| coding (codiceDiagnosi) | C*E.1-8, C*E.10-22 |
| text | C*E.9. But note many systems use C*E.2 for this |
| groupIdentifier | |
| 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) |
| dispenseRequest | |
| numberOfRepeatsAllowed | RXE-12-Number of Refills |
| quantity | RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system |
| substitution | |
| allowed[x] | RXO-9-Allow Substitutions / RXE-9-Substitution Status |
| allowed[x] (allowedCodeableConcept) | RXO-9-Allow Substitutions / RXE-9-Substitution Status |
| reason | RXE-9 Substition status |
