Implementation Guide
25.0.0 - R4 APIs

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Resource Profile: AthenaMedicationRequest - Mappings

Active as of 2022-03-01

Mappings for the athena-medrequest-profile resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameathenaFlowathenaPracticeWorkflow PatternMapping to NCPDP SCRIPT 10.6RIM MappingFiveWs Pattern MappingHL7 v2 Mappingdoco
.. MedicationRequest
FHIRR4_MEDICATIONREQUESTVIEW
FHIRR4_MEDICATIONREQUESTVIEW
Request
Message/Body/NewRx
CombinedMedicationRequest
... id
  • MakeIdWithPrefix(%RESOURCEID%
  • %ID_PREFIX%)
  • MakeIdWithPrefix(%RESOURCEID%
  • %ID_PREFIX%)
... meta
.... id
n/a
.... extension
n/a
.... versionId
.... lastUpdated
%WHENUPDATED%
%WHENUPDATED%
.... source
.... Slices for profile
..... profile:USCoreRequirements
..... 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
%ABBR%
%ABBR%
./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-medicationrequest-extension-rxnorm")
  • MakeRxnormExtensionList(%RXNORM%
  • //www.nlm.nih.gov/research/umls/rxnorm"
  • null
  • //docs.mydata.athenahealth.com/fhir-r4/StructureDefinition/athena-medicationrequest-extension-rxnorm")
.... extension:dispenser
..... id
n/a
..... extension
n/a
..... url
N/A
..... value[x]
  • MakeReference("PRESCRIB"
  • %PHARMBUSID%
  • "Organization"
  • %PHARMACY%)
  • MakeReference("PRESCRIB"
  • %PHARMBUSID%
  • "Organization"
  • %PHARMACY%)
N/A
.... extension:dispenseInstructions
..... id
n/a
..... extension
n/a
..... url
N/A
..... value[x]
ComputeFillsForString(%REFILLS%)
ComputeFillsForString(%REFILLS%)
N/A
.... extension:datewritten
..... id
n/a
..... extension
n/a
..... url
N/A
..... value[x]
%CLINICALDATE%
%CLINICALDATE%
N/A
... modifierExtension
N/A
... identifier
Request.identifier
Message/Header/PrescriberOrderNumber
.id
FiveWs.identifier
ORC-2-Placer Order Number / ORC-3-Filler Order Number
.... id
n/a
.... extension
n/a
.... use
Role.code or implied by context
N/A
.... type
Role.code or implied by context
CX.5
.... system
getSiteIdSystem("PRESCRIB")
getSiteIdSystem("PRESCRIB")
II.root or Role.id.root
CX.4 / EI-2-4
.... value
%PRESCRIPTIONORDERNUMBER%
%PRESCRIPTIONORDERNUMBER%
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
CX.1 / EI.1
.... period
Role.effectiveTime or implied by context
CX.7 + CX.8
.... assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
... status
  • IsActiveOrMapCode(%STOPDATE%
  • "active"
  • %STOPREASON%
  • "PRESCRIBSTATUS")
  • IsActiveOrMapCode(%STOPDATE%
  • "active"
  • %STOPREASON%
  • "PRESCRIBSTATUS")
Request.status
no mapping
.statusCode
FiveWs.status
... statusReason
Request.statusReason
  • .inboundRelationship[typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN].reasonCOde
... intent
  • asCodeType(%INTENT%
  • true)
  • asCodeType(%INTENT%
  • true)
Request.intent
.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
FiveWs.class
... Slices for category
.... category:us-core
  • MakeMedicationRequestCategory("outpatient"
  • //terminology.hl7.org/CodeSystem/medicationrequest-category"
  • "Outpatient")
  • MakeMedicationRequestCategory("outpatient"
  • //terminology.hl7.org/CodeSystem/medicationrequest-category"
  • "Outpatient")
Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
  • .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • moodCode=EVN
  • code="type of medication usage"].value
FiveWs.class
... priority
Request.priority
.priorityCode
FiveWs.grade
... doNotPerform
SubstanceAdministration.actionNegationInd
... reported[x]
  • Equals(%SOURCENAME%
  • %SOURCENAME%
  • "MedicationRequest")
  • Equals(%SOURCENAME%
  • %SOURCENAME%
  • "MedicationRequest")
.participation[typeCode=INF].role
... medication[x]
  • MakeReference("MEDINFO"
  • %DDID%
  • "Medication"
  • %DESCRIPTION%)
  • MakeReference("MEDINFO"
  • %DDID%
  • "Medication"
  • %DESCRIPTION%)
Request.code
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
consumable.administrableMedication
FiveWs.what[x]
RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
... subject
  • MakeReference("PATIENT"
  • %PID%
  • "Patient")
  • MakeReference("PATIENT"
  • %PID%
  • "Patient")
Request.subject
Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT)
.participation[typeCode=AUT].role
FiveWs.subject
PID-3-Patient ID List
... encounter
  • MakeReference("DOCUMENT"
  • %SDID%
  • "Encounter")
  • MakeReference("DOCUMENT"
  • %SDID%
  • "Encounter")
Request.context
no mapping
  • .inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN
  • code="type of encounter or episode"]
FiveWs.context
PV1-19-Visit Number
... supportingInformation
Request.supportingInfo
  • .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
... authoredOn
%WHENCREATED%
%WHENCREATED%
Request.authoredOn
Message/Body/NewRx/MedicationPrescribed/WrittenDate
author.time
FiveWs.recorded
RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction
... requester
  • MakeReference("USR"
  • %PVID%
  • "Practitioner"
  • true)
  • MakeReference("USR"
  • %PVID%
  • "Practitioner"
  • true)
Request.requester
.participation[typeCode=AUT].role
FiveWs.author
... performer
Request.performer
.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
FiveWs.actor
... performerType
Request.performerType
.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
... recorder
  • MakeReference("PRESCRIB"
  • %CREATOR%
  • %USRID%
  • "Practitioner")
  • MakeReference("PRESCRIB"
  • %CREATOR%
  • %USRID%
  • "Practitioner")
.participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
FiveWs.who
... reasonCode
  • MakeConcept(%PROBCODE%
  • //snomed.info/sct"
  • %PROBDESC%)
  • MakeConcept(%PROBCODE%
  • //snomed.info/sct"
  • %PROBDESC%)
Request.reasonCode
Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value
reason.observation.reasonCode
FiveWs.why[x]
ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication
... reasonReference
  • MakeReference("MEDDX"
  • %PROBID%
  • "Condition")
  • MakeReference("MEDDX"
  • %PROBID%
  • "Condition")
Request.reasonReference
no mapping
reason.observation[code=ASSERTION].value
FiveWs.why[x]
... instantiatesCanonical
Request.instantiates
.outboundRelationship[typeCode=DEFN].target
... instantiatesUri
.outboundRelationship[typeCode=DEFN].target
... basedOn
Request.basedOn
  • .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS
  • moodCode=RQO orPLAN or PRP]
... groupIdentifier
Request.groupIdentifier
  • .outboundRelationship(typeCode=COMP].target[classCode=SBADM
  • moodCode=INT].id
... courseOfTherapyType
Act.code where classCode = LIST and moodCode = EVN
... insurance
Request.insurance
.outboundRelationship[typeCode=COVBY].target
... note
makeAnnotation(%COMMENTS%)
makeAnnotation(%COMMENTS%)
Request.note
Message/Body/NewRx/MedicationPrescribed/Note
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS
  • moodCode=EVN
  • code="annotation"].value
... dosageInstruction
Request.occurrence[x]
see dosageInstruction mapping
.... 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
... dispenseRequest
Message/Body/NewRx/MedicationPrescribed/ExpirationDate
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
Message/Body/NewRx/MedicationPrescribed/Refills
effectiveTime
.... numberOfRepeatsAllowed
%REFILLS%
%REFILLS%
Message/Body/NewRx/MedicationPrescribed/Quantity
repeatNumber
RXE-12-Number of Refills
.... quantity
%QUANTITY%
%QUANTITY%
Message/Body/NewRx/MedicationPrescribed/DaysSupply
quantity
RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
.... expectedSupplyDuration
Message/Body/NewRx/MedicationPrescribed/Substitutions
expectedUseTime
.... performer
  • .outboundRelationship[typeCode=COMP].target[classCode=SPLY
  • moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
FiveWs.who
... substitution
specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
subjectOf.substitutionPersmission
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... allowed[x]
  • MapConcept(%DAW%
  • "MEDSUBSTITUTION")
  • MapConcept(%DAW%
  • "MEDSUBSTITUTION")
specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
code
RXO-9-Allow Substitutions / RXE-9-Substitution Status
.... reason
not mapped
reasonCode
RXE-9 Substition status
... priorPrescription
Request.replaces
not mapped
  • .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM
  • moodCode=RQO]
... detectedIssue
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT
  • moodCode=EVN].value
... eventHistory
Request.relevantHistory
  • .inboundRelationship(typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN]

doco Documentation for this format