Implementation Guide
25.0.0 - R4 APIs

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Resource Profile: AthenaMedicationAdministration - Mappings

Active as of 2022-03-01

Mappings for the athena-medicationadmin-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 MappingHL7 v2 MappingW3C PROVdoco
.. MedicationAdministration
FHIRR4_MEDICATIONADMINISTRATIONVIEW
FHIRR4_MEDICATIONADMINISTRATIONVIEW
Event
SubstanceAdministration
... id
%MEDADMINGROUPID%
%MEDADMINGROUPID%
... meta
.... id
n/a
.... extension
n/a
.... versionId
%MEDADMINISTRATIONID%
%MEDADMINISTRATIONID%
.... lastUpdated
%DB_UPDATED_DATE%
%DB_UPDATED_DATE%
.... source
.... Slices for profile
..... profile:Athena MedicationRequest 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
MakeChangeTagList(%CHANGE%)
MakeChangeTagList(%CHANGE%)
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:ndc
..... id
n/a
..... extension
n/a
..... url
N/A
..... value[x]
  • MakeConcept(%NDCNUM%
  • //hl7.org/fhir/sid/ndc"
  • null)
  • MakeConcept(%NDCNUM%
  • //hl7.org/fhir/sid/ndc"
  • null)
N/A
.... extension:ddid
..... id
n/a
..... extension
n/a
..... url
N/A
..... value[x]
  • MakeConcept(%DDID%
  • //docs.wolterskluwercdi.com/codesystems/ddid"
  • null)
  • MakeConcept(%DDID%
  • //docs.wolterskluwercdi.com/codesystems/ddid"
  • null)
N/A
.... extension:rxnorm
  • MakeRxnormExtensionList(%RXNORM%
  • //www.nlm.nih.gov/research/umls/rxnorm"
  • null
  • //docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationadmin-extension-rxnorm")
  • MakeRxnormExtensionList(%RXNORM%
  • //www.nlm.nih.gov/research/umls/rxnorm"
  • null
  • //docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationadmin-extension-rxnorm")
... modifierExtension
N/A
... identifier
  • MakeIdentifier("U"
  • getSiteSystem("MedicationAdministrationId")
  • %MEDADMINGROUPID%)
  • MakeIdentifier("U"
  • getSiteSystem("MedicationAdministrationId")
  • %MEDADMINGROUPID%)
Event.identifier
.id
FiveWs.identifier
... instantiates
Event.instantiates
.outboundRelationship[typeCode=DEFN].target[classCode=unspecified]
... partOf
Event.partOf
  • .outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC
  • moodCode=EVN]
... status
  • MapMedAdminStatus(%STOPDATETIME%
  • %INACTIVE%
  • %FILEDINERROR%
  • %REASONREMOVED%
  • "in-progress"
  • "MedicationAdministrationStatus")
  • MapMedAdminStatus(%STOPDATETIME%
  • %INACTIVE%
  • %FILEDINERROR%
  • %REASONREMOVED%
  • "in-progress"
  • "MedicationAdministrationStatus")
Event.status
.statusCode
FiveWs.status
RXA-20-Completion Status
... statusReason
Event.statusReason
  • .outboundRelationship[typeCode=RSON]/target[classCode=OBS
  • moodCode=EVN
  • code="reason not given"].value
RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason
... category
  • .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • moodCode=EVN
  • code="type of medication usage"].value
... medication[x]
  • MakeReference("MEDINFO"
  • %DDID%
  • "Medication"
  • %PRODUCTNAME%)
  • MakeReference("MEDINFO"
  • %DDID%
  • "Medication"
  • %PRODUCTNAME%)
Event.code
.participation[typeCode=CSM].role[classCode=ADMM]
FiveWs.what[x]
RXA-5-Administered 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
  • MakeReference("DOCUMENT"
  • %SDID%
  • "Encounter")
  • MakeReference("DOCUMENT"
  • %SDID%
  • "Encounter")
Event.context
  • .inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN
  • code="type of encounter or episode"]
FiveWs.context
PV1-19-Visit Number
... 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
... effective[x]
  • MakePeriod(%STARTDATETIME%
  • %STOPDATETIME%)
  • MakePeriod(%STARTDATETIME%
  • %STOPDATETIME%)
Event.occurrence[x]
.effectiveTime
FiveWs.done[x]
RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
... performer
Event.performer
.participation[typeCode=PRF]
FiveWs.actor
PRT-4-Participation='AP' (RXA-10 is deprecated)
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... function
Event.performer.function
participation[typeCode=PRF].functionCode
.... actor
  • MakeReference("USR"
  • %ADMINISTEREDBYPVID%
  • "Practitioner")
  • MakeReference("USR"
  • %ADMINISTEREDBYPVID%
  • "Practitioner")
Event.performer.actor
.role
... reasonCode
MakeTextConcept(%PRIMARYDIAGNOSIS%)
MakeTextConcept(%PRIMARYDIAGNOSIS%)
Event.reasonCode
.reasonCode
RXE-27 Give Indication
... reasonReference
Event.reasonReference
  • .outboundRelationship[typeCode=RSON]/target[classCode=OBS
  • moodCode=EVN
  • code="reason for use ASSERTION"].value
FiveWs.why[x]
no mapping
... request
  • MakeReference("MEDADMINREQUEST"
  • %MEDADMINREQUESTID%
  • "MedicationRequest"
  • "MedicationAdministration")
  • MakeReference("MEDADMINREQUEST"
  • %MEDADMINREQUESTID%
  • "MedicationRequest"
  • "MedicationAdministration")
Event.basedOn
InFullfillmentOf->SubstanceAdministration
ORC-2-Placer Order Number / ORC-3-Filler Order Number
... device
device->Access OR device->AssignedDevice
PRT-10 Participation Device / RXR-3 Administrative Device
... note
makeAnnotation(%ADMINCOMMENTS%)
makeAnnotation(%ADMINCOMMENTS%)
Event.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
  • MakeConcept(%SITECODE%
  • //hl7.org/fhir/v3/ActSite"
  • %SITE%)
  • MakeConcept(%SITECODE%
  • //hl7.org/fhir/v3/ActSite"
  • %SITE%)
.approachSiteCode
RXR-2 Administration Site / RXR-6 Administration Site Modifier
.... route
  • MakeConcept(%ROUTECODE%
  • //ncimeta.nci.nih.gov"
  • %ROUTE%)
  • MakeConcept(%ROUTECODE%
  • //ncimeta.nci.nih.gov"
  • %ROUTE%)
.routeCode
RXR-1-Route
.... method
.methodCode
RXR-4-Administration Method
.... dose
  • MakeNonZeroQuantity(%ADMINDOSE%
  • %ADMINUNITS%)
  • MakeNonZeroQuantity(%ADMINDOSE%
  • %ADMINUNITS%)
.doseQuantity
RXA-6 Administered Amount / RXA-7 Administered Units
.... rate[x]
.rateQuantity
RXA-12-Administered Per (Time Unit)
... eventHistory
  • .inboundRelationship(typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN]

doco Documentation for this format