Implementation Guide
25.0.0 - R4 APIs

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Resource Profile: AthenaMedicationDispense - Mappings

Active as of 2023-09-25

Mappings for the athena-meddispense-profile resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameathenaFlowathenaPracticeWorkflow PatternRIM MappingFiveWs Pattern MappingV3 Pharmacy Dispense RMIMHL7 v2 Mappingdoco
.. MedicationDispense
FHIRR4_MEDICATIONDISPENSEVIEW
FHIRR4_MEDICATIONDISPENSEVIEW
Event
Supply[moodCode=EVN]
... id
%RESOURCEID%
%RESOURCEID%
... meta
.... id
n/a
.... extension
n/a
.... versionId
.... lastUpdated
%WHENSIGNED%
%WHENSIGNED%
.... source
.... Slices for profile
..... profile:us-core-medicationdispense
..... profile:athena-medicaiondispense-profile
.... Slices for security
..... security:SENSITIVECHART
CheckSensitive(%SENSITIVECHART%)
CheckSensitive(%SENSITIVECHART%)
..... security:CONFABBR
...... id
n/a
...... extension
n/a
...... system
getSiteCodeSystem("ConfidentialDocument")
getSiteCodeSystem("ConfidentialDocument")
./codeSystem
C*E.3
...... version
./codeSystemVersion
C*E.7
...... code
%CONFABBR%
%CONFABBR%
./code
C*E.1
...... display
CV.displayName
C*E.2 - but note this is not well followed
...... userSelected
CD.codingRationale
Sometimes implied by being first
.... tag
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Event.identifier
.id
FiveWs.identifier
CombinedMedicationDispense.id
... partOf
Event.partOf
  • .outboundRelationship[typeCode=COMP]/target[classCode=PROC
  • moodCode=EVN]
... status
  • MapCode(%FILLSTATUS%
  • "MEDDISPENSESTATUS")
  • MapCode(%FILLSTATUS%
  • "MEDDISPENSESTATUS")
Event.status
.statusCode
FiveWs.status
CombinedMedicationDispense.SupplyEvent.statusCode
... statusReason[x]
  • MakeConcept(%REASON%
  • //docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/medicationdispense-status-reason"
  • %REASONCODEDESCRIPTION%)
  • MakeConcept(%REASON%
  • //docs.mydata.athenahealth.com/fhir-r4/athenaFlex/codesystem/medicationdispense-status-reason"
  • %REASONCODEDESCRIPTION%)
Event.statusReason
  • .outboundRelationship[typeCode=RSON]/target[classCode=OBS
  • moodCode=EVN
  • code="not done reason"].value
... category
  • .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • moodCode=EVN
  • code="type of medication dispense"].value
... medication[x]
  • IfEqual( %PRESCRIBEDDRUG%
  • %DISPENSEDDRUG%).Then(MakeReference("MEDICATE"
  • %DDID%
  • "Medication"
  • %DESCRIPTION%)) | IfNotEqual(%PRESCRIBEDDRUG%
  • %DISPENSEDDRUG%).Then(MakeTextConcept( %DISPENSEDDRUG%))
  • IfEqual( %PRESCRIBEDDRUG%
  • %DISPENSEDDRUG%).Then(MakeReference("MEDICATE"
  • %DDID%
  • "Medication"
  • %DESCRIPTION%)) | IfNotEqual(%PRESCRIBEDDRUG%
  • %DISPENSEDDRUG%).Then(MakeTextConcept( %DISPENSEDDRUG%))
Event.code
.participation[typeCode=PRD].role
FiveWs.what[x]
CombinedMedicationRequest.component1.AdministrationRequest.consumable
RXD-2-Dispense/Give Code
... subject
  • MakeReference("PATIENT"
  • %PID%
  • "Patient")
  • MakeReference("PATIENT"
  • %PID%
  • "Patient")
Event.subject
.participation[typeCode=SBJ].role[classCode=PAT]
FiveWs.subject
PID-3-Patient ID List
... context
Event.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)]
FiveWs.context
... performer
Event.performer
.participation[typeCode=PRF]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... function
participation[typeCode=PRF].functionCode
.... actor
  • MakeReference("USR"
  • %CREATOR%
  • "Practitioner")
  • MakeReference("USR"
  • %CREATOR%
  • "Practitioner")
Event.performer.actor
.role
... location
.participation[typeCode=LOC].role
... authorizingPrescription
  • MakeReference("PRESCRIB"
  • %PTID%
  • "MedicationRequest")
  • MakeReference("PRESCRIB"
  • %PTID%
  • "MedicationRequest")
Event.basedOn
.outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
CombinedMedicationDispense.inFulfillmentOf
ORC-2 Placer Order Number
... type
  • MapConcept(%FILLSTATUS%
  • "MEDDISPENSETYPE")
  • MapConcept(%FILLSTATUS%
  • "MEDDISPENSETYPE")
.code
CombinedMedicationDispense.SupplyEvent.code
RXD-33-Dispense Type
... quantity
%QUANTITY%
%QUANTITY%
.quantity
CombinedMedicationDispense.SupplyEvent.quantity
RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
... daysSupply
effectiveUseTime
  • TQ1.6 Timing/Quantity Segment Service Duration. Prior to v2.5
  • ORC.7.3 Common Order Segment / Quantity/Timing / Duration component. This is a formatted string
  • first character for the time unit (e.g.
  • D=days)
  • followed by the value. For example
  • “D14” represents “14 days supply” From v2.5 on
  • TQ1.6 Timing/Quantity Segment / Service Duration. This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>)
  • thus for days supply
  • assuming the unit of measure is “days”
  • the numeric value is TQ1.6.1 (…|14^ For backwards compatibility
  • ORC.7 was permitted through v2.6. Both forms (field and segment) may be present in v2.5
  • v2.5.1
  • and v2.6
... whenPrepared
type=IVL_TS].low
CombinedMedicationDispense.SupplyEvent.effectiveTime
RXD-3-Date/Time Dispensed
... whenHandedOver
  • IfNotEqual(%FILLSTATUS%
  • "Not Dispensed").Then(%WHENCREATED%)
  • IfNotEqual(%FILLSTATUS%
  • "Not Dispensed").Then(%WHENCREATED%)
Event.occurrence[x]
type=IVL_TS].high
CombinedMedicationDispense.SupplyEvent.effectiveTime
RXD-3-Date/Time Dispensed
... destination
.participation[typeCode=DST].role
CombinedMedicationDispense.SupplyEvent.destination
RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
... receiver
.participation[typeCode=RCV].role
CombinedMedicationDispense.SupplyEvent.receiver
... note
Event.note
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ACT
  • moodCode=EVN]
RXD-9 Dispense Notes
... dosageInstruction
  • .outboundRelationship[typeCode=COMP].target[classCode=SBADM
  • moodCode=INT]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.text
TQ1-1
.... text
%INSTRUCTIONS%
%INSTRUCTIONS%
.text
RXO-6; RXE-21
.... additionalInstruction
.text
RXO-7
.... patientInstruction
.text
RXO-7
.... timing
  • MakeMedicateTiming(%FREQUENCY%
  • %PERIOD%
  • %PERIODUNIT%)
  • MakeMedicateTiming(%FREQUENCY%
  • %PERIOD%
  • %PERIODUNIT%)
.effectiveTime
.... asNeeded[x]
  • .outboundRelationship[typeCode=PRCN].target[classCode=OBS
  • moodCode=EVN
  • code="as needed"].value=boolean or codable concept
TQ1-9
.... site
.approachSiteCode
RXR-2
.... route
.routeCode
RXR-1
.... method
.doseQuantity
RXR-4
.... doseAndRate
TQ1-2
..... id
n/a
..... extension
n/a
..... type
RXO-21; RXE-23
..... dose[x]
  • MakeNonZeroQuantity(%DOSE%
  • %DOSE_UNIT%)
  • MakeNonZeroQuantity(%DOSE%
  • %DOSE_UNIT%)
.doseQuantity
  • RXO-2
  • RXE-3
..... rate[x]
.rateQuantity
  • RXE22
  • RXE23
  • RXE-24
.... maxDosePerPeriod
.maxDoseQuantity
  • RXO-23
  • RXE-19
.... maxDosePerAdministration
not supported
.... maxDosePerLifetime
not supported
... substitution
  • .outboundRelationship[typeCode=COMP].target[classCode=SUBST
  • moodCode=EVN]
CombinedMedicationDispense.substitutionMade
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... wasSubstituted
.actionNegationInd
.... type
.code
CombinedMedicationDispense.substitutionMade.code
RXO-9-Allow Substitutions / RXE-9-Substitution Status
.... reason
.reasonCode
CombinedMedicationDispense.substitutionMade.reasonCode
.... responsibleParty
.participation[typeCode=PFM].role[classCode=ASSIGN]
CombinedMedicationDispense.substitutionMade.ResponsibleParty
... detectedIssue
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT
  • moodCode=EVN].value
... eventHistory
  • .inboundRelationship(typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN]

doco Documentation for this format