MedicationRequest Mappings
- MedicationRequest: workflow=Request; script10.6=Message/Body/NewRx; rim=CombinedMedicationRequest; w5=clinical.medication
- MedicationRequest.identifier: workflow=Request.identifier; script10.6=Message/Header/PrescriberOrderNumber; w5=FiveWs.identifier; v2=ORC-2-Placer Order Number / ORC-3-Filler Order Number; rim=.id
- MedicationRequest.basedOn: workflow=Request.basedOn; rim=.outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
- MedicationRequest.priorPrescription: workflow=Request.replaces; script10.6=not mapped; rim=.outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]
- MedicationRequest.groupIdentifier: workflow=Request.groupIdentifier; rim=.outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id
- MedicationRequest.status: workflow=Request.status; script10.6=no mapping; w5=FiveWs.status; rim=.statusCode
- MedicationRequest.statusReason: workflow=Request.statusReason; rim=.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
- MedicationRequest.statusChanged: rim=subjectOf Observation[code = statusChange].value = date
- MedicationRequest.intent: workflow=Request.intent; w5=FiveWs.class; rim=.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
- MedicationRequest.category: script10.6=Message/Body/NewRx/MedicationPrescribed/Directions
or
Message/Body/NewRx/MedicationPrescribed/StructuredSIG; w5=FiveWs.class; rim=.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
- MedicationRequest.priority: workflow=Request.priority; w5=FiveWs.grade; rim=.priorityCode
- MedicationRequest.doNotPerform: rim=SubstanceAdministration.actionNegationInd
- MedicationRequest.medication: workflow=Request.code; script10.6=Message/Body/NewRx/MedicationPrescribed
Medication.code.coding.code = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCode
Medication.code.coding.system = Message/Body/NewRx/MedicationPrescribed/DrugCoded/ProductCodeQualifier
Medication.code.coding.display = Message/Body/NewRx/MedicationPrescribed/DrugDescription; w5=FiveWs.what[x]; v2=RXE-2-Give Code / RXO-1 Requested Give Code / RXC-2 Component Code; rim=consumable.administrableMedication
- MedicationRequest.subject: workflow=Request.subject; script10.6=Message/Body/NewRx/Patient
(need detail to link to specific patient … Patient.Identification in SCRIPT); w5=FiveWs.subject; v2=PID-3 Patient ID List; rim=.participation[typeCode=AUT].role
- MedicationRequest.informationSource: rim=.participation[typeCode=INF].role[classCode=PAT, or codes for Practitioner or Related Person or Practitioner Role or Organization
- MedicationRequest.encounter: workflow=Request.encounter; script10.6=no mapping; w5=FiveWs.context; v2=PV1-19 Visit Number; rim=.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
- MedicationRequest.supportingInformation: workflow=Request.supportingInfo; w5=FiveWs.context; rim=.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)]
- MedicationRequest.authoredOn: workflow=Request.authoredOn; script10.6=Message/Body/NewRx/MedicationPrescribed/WrittenDate; w5=FiveWs.recorded; v2=RXE-32 Original Order Date/Time / ORC-9-Date Time of Transaction; rim=author.time
- MedicationRequest.requester: workflow=Request.requester; w5=FiveWs.author; rim=.participation[typeCode=AUT].role
- MedicationRequest.isRecordOfRequest: rim=.participation[typeCode=INF].role
- MedicationRequest.performerType: workflow=Request.performerType; rim=.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
- MedicationRequest.performer: workflow=Request.performer; w5=FiveWs.actor; rim=.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
- MedicationRequest.device: rim=.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
- MedicationRequest.recorder: w5=FiveWs.who; rim=.participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
- MedicationRequest.reason: workflow=Request.reason; script10.6=Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value; w5=FiveWs.why[x]; v2=ORC-16 Order Control Code Reason /RXE-27 Give Indication/RXO-20-Indication / RXD-21 Indication / RXG-22 Indication / RXA-19 Indication; rim=reason.observation.reasonCode | reason.observation[code=ASSERTION].value
- MedicationRequest.courseOfTherapyType: rim=Act.code where classCode = LIST and moodCode = EVN
- MedicationRequest.insurance: workflow=Request.insurance; rim=.outboundRelationship[typeCode=COVBY].target
- MedicationRequest.note: workflow=Request.note; script10.6=Message/Body/NewRx/MedicationPrescribed/Note; rim=.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
- MedicationRequest.effectiveTiming[x]: rim=substanceAdministration.effectiveTime
- MedicationRequest.dosageInstruction: rim=see dosageInstruction mapping
- MedicationRequest.dispenseRequest: script10.6=Message/Body/NewRx/MedicationPrescribed/ExpirationDate; rim=component.supplyEvent
- MedicationRequest.dispenseRequest.initialFill: rim=SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply
- MedicationRequest.dispenseRequest.initialFill.quantity: rim=Supply.quantity[moodCode=RQO]
- MedicationRequest.dispenseRequest.initialFill.duration: rim=Supply.effectivetime[moodCode=RQO]
- MedicationRequest.dispenseRequest.dispenseInterval: rim=Supply.effectivetime[moodCode=RQO]
- MedicationRequest.dispenseRequest.validityPeriod: script10.6=Message/Body/NewRx/MedicationPrescribed/Refills; rim=effectiveTime
- MedicationRequest.dispenseRequest.numberOfRepeatsAllowed: script10.6=Message/Body/NewRx/MedicationPrescribed/Quantity; v2=RXE-12 Number of Refills; rim=repeatNumber
- MedicationRequest.dispenseRequest.quantity: script10.6=Message/Body/NewRx/MedicationPrescribed/DaysSupply; v2=RXD-4 Actual Dispense Amount / RXD-5.1 Actual Dispense Units.code / RXD-5.3 Actual Dispense Units.name of coding system; rim=quantity
- MedicationRequest.dispenseRequest.expectedSupplyDuration: script10.6=Message/Body/NewRx/MedicationPrescribed/Substitutions; rim=expectedUseTime
- MedicationRequest.dispenseRequest.dispenser: w5=FiveWs.who; rim=.outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
- MedicationRequest.dispenseRequest.dispenserInstruction: rim=Supply.text
- MedicationRequest.dispenseRequest.doseAdministrationAid: rim=Supply.administerableMedication.product.asContent.container.code
- MedicationRequest.dispenseRequest.destination: v2=RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address; rx-dispense-rmim=CombinedMedicationDispense.SupplyEvent.destination
- MedicationRequest.substitution: script10.6=specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions; rim=subjectOf.substitutionPermission
- MedicationRequest.substitution.allowed[x]: script10.6=specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions; v2=RXO-9 Allow Substitutions / RXE-9 Substitution Status; rim=code
- MedicationRequest.substitution.reason: script10.6=not mapped; v2=RXE-9 Substition status; rim=reasonCode
- MedicationRequest.eventHistory: workflow=Request.relevantHistory; rim=.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]