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Resource Profile: MedicationDispenseOriginal - Mappings

Active as of 2025-03-31

Mappings for the MedicationDispenseOriginal resource profile.

Mappings for Veterans Health Information Systems Technology and Architecture (VistA) ()

MedicationDispenseOriginal
MedicationDispense
status	1541: fixed value = #completed when PRESCRIPTION - RELEASED DATE/TIME (52-31) if not null
category	1668: fixed value = http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category#outpatient
medication[x]
medication[x] (medicationCodeableConcept)
coding
system	1545-1: fixed value = urn:oid:2.16.840.1.113883.6.233	generated from mapParameter line 1
code	1545: source value based on PRESCRIPTION - DRUG > DRUG - PSNDF VA PRODUCT NAME ENTRY (52-6 > 50-22)
text	1544: source value based on PRESCRIPTION - DRUG > DRUG - GENERIC NAME (52-6 > 50-.01)	This may not be necessary; we have the product.
subject	820: reference based on PRESCRIPTION - PATIENT (52-2)
performer
actor	1727: reference based on PRESCRIPTION - PHARMACIST (52-23)
location	1711: reference based on PRESCRIPTION - DIVISION > OUTPATIENT SITE - DEFAULT ERX CLINIC (52-20 > 59-10)	not Clinic (written) but Division (filled)
authorizingPrescription	822: reference based on PRESCRIPTION - PLACER ORDER # (52-39.3)
type	1708: fixed value = http://terminology.hl7.org/CodeSystem/v3-ActCode#FF
quantity
value	823: source value based on PRESCRIPTION - QTY (52-7)
daysSupply	826: source value based on PRESCRIPTION - DAYS SUPPLY (52-8)
whenPrepared	832: source value based on PRESCRIPTION - RELEASED DATE/TIME (52-31)	WHO Per discussion with Pharma: Josh Miller 5/27/22 updated to WP per discussion with Eric Spahn 2/5/24
destination
display	835: source value based on PRESCRIPTION - MAIL/WINDOW/PARK (52-11)
note
text	1716: source value based on PRESCRIPTION - REMARKS (52-12)
dosageInstruction
text	838: source value based on PRESCRIPTION - SIG (52-10)
patientInstruction	839: source value based on PRESCRIPTION - PATIENT INSTRUCTIONS (52-114)
doseAndRate
dose[x]
dose[x] (doseQuantity)
value	840: source value based on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - DOSAGE ORDERED (52-113 > 52.0113-.01) if number
unit	842: source value based on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2)
code	1575: terminologyMaps using VF_DoseUnits on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2)

Mappings for Clinical Data Warehouse (CDW) ()

MedicationDispenseOriginal
MedicationDispense
medication[x]
medication[x] (medicationCodeableConcept)
coding
code	RxOut.RxOutpat.LocalDrugIEN,RxOut.RxOutpat.NationalDrugIEN,RxOut.RxOutpatFill.LocalDrugIEN,RxOut.RxOutpatFill.NationalDrugIEN Dim.LocalDrug.DrugNameWithoutDoseIEN,Dim.LocalDrug.NationalDrugIEN,Dim.LocalDrug.NationalDrugIEN
text	RxOut.RxOutpat.LocalDrugIEN,RxOut.RxOutpat.NationalDrugIEN,RxOut.RxOutpatFill.LocalDrugIEN,RxOut.RxOutpatFill.NationalDrugIEN Dim.LocalDrug.LocalDrugNameWithDose,Dim.LocalDrug.LocalDrugNameWithDose,RxOut.RxOutpatFill.LocalDrugNameWithDose
subject	RxOut.ActivityLog.PatientIEN,RxOut.ActivityLogOtherComments.PatientIEN,RxOut.RxOutpat.PatientIEN,RxOut.RxOutpatExt.PatientIEN,RxOut.RxOutpatExt.PatientSID,RxOut.RxOutpatFill.PatientIEN,RxOut.RxOutpatMedInstructions.PatientIEN,RxOut.RxOutpatSig.PatientIEN
authorizingPrescription	RxOut.RxOutpat.CPRSOrderEntryNumber
dosageInstruction
patientInstruction	RxOut.RxOutpatSig.PatientInstructions
doseAndRate
dose[x]
dose[x] (doseQuantity)
value	RxOut.RxOutpatMedInstructions.DoseOrdered
unit	RxOut.RxOutpatMedInstructions.Unit
code	RxOut.RxOutpatMedInstructions.Unit

Mappings for Summary Document Architecure (SDA) ()

MedicationDispenseOriginal
MedicationDispense
medication[x]
medication[x] (medicationCodeableConcept)
coding
code	Medication.DrugProduct,Medication.CMOP Medication.DrugProduct.Identifier2,Medication.DrugProduct.ProductName,Medication.Extension[DrugProductExtension].FederalSchedule
text	Medication.DrugProduct,Medication.CMOP Medication.ComponentMeds[DrugProduct].Description,Medication.ComponentMeds[DrugProduct].OriginalText,Medication.DrugProduct.Description,Medication.DrugProduct.OriginalText,Medication.ATCCode.Code,Medication.Generic.Description,Medication.Route.Description,Medication.OrderCategory.Description,Medication.OriginalText,Medication.OriginalText
location	Medication.OutpatientSite
authorizingPrescription	Medication.ExternalId,Medication.PlacerId
quantity
value	Medication.OrderQuantity
daysSupply	Medication.DaysSupply
note
text	Medication.Remarks
dosageInstruction
patientInstruction	Medication.TextInstruction
doseAndRate
dose[x]
dose[x] (doseQuantity)
value	Medication.DosageSteps,Medication.Route,Medication.DoseQuantity,Medication.DoseUoM,Medication.Duration,Medication.Frequency,Medication.TextInstruction,Medication.Conjunction,Medication.Noun,Medication.UnitsPerDose,Medication.Verb
unit	Medication.DosageSteps,Medication.Route,Medication.DoseQuantity,Medication.DoseUoM,Medication.Duration,Medication.Frequency,Medication.TextInstruction,Medication.Conjunction,Medication.Noun,Medication.UnitsPerDose,Medication.Verb
code	Medication.DosageSteps,Medication.Route,Medication.DoseQuantity,Medication.DoseUoM,Medication.Duration,Medication.Frequency,Medication.TextInstruction,Medication.Conjunction,Medication.Noun,Medication.UnitsPerDose,Medication.Verb

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

MedicationDispenseOriginal
MedicationDispense	Event
identifier	Event.identifier
partOf	Event.partOf
status	Event.status
statusReason[x]	Event.statusReason
medication[x]	Event.code
medication[x] (medicationCodeableConcept)	Event.code
subject	Event.subject
context	Event.context
performer	Event.performer
actor	Event.performer.actor
authorizingPrescription	Event.basedOn
whenHandedOver	Event.occurrence[x]
note	Event.note

Mappings for RIM Mapping (http://hl7.org/v3)

MedicationDispenseOriginal
MedicationDispense	Entity. Role, or Act, Supply[moodCode=EVN]
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	.id
partOf	.outboundRelationship[typeCode=COMP]/target[classCode=PROC,moodCode=EVN]
status	.statusCode
statusReason[x]	.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]	.participation[typeCode=PRD].role
medication[x] (medicationCodeableConcept)	.participation[typeCode=PRD].role
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
text	./originalText[mediaType/code="text/plain"]/data
subject	.participation[typeCode=SBJ].role[classCode=PAT]
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)]
performer	.participation[typeCode=PRF]
id	n/a
extension	n/a
modifierExtension	N/A
function	participation[typeCode=PRF].functionCode
actor	.role
location	.participation[typeCode=LOC].role
authorizingPrescription	.outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
type	.code
quantity	.quantity
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
daysSupply	effectiveUseTime
whenPrepared	.effectiveTime[xmi:type=IVL_TS].low
whenHandedOver	.effectiveTime[xmi:type=IVL_TS].high
destination	.participation[typeCode=DST].role
id	n/a
extension	n/a
reference	N/A
type	N/A
identifier	.identifier
display	N/A
receiver	.participation[typeCode=RCV].role
note	.inboundRelationship[typeCode=SUBJ]/source[classCode=ACT,moodCode=EVN]
id	n/a
extension	n/a
author[x]	Act.participant[typeCode=AUT].role
time	Act.effectiveTime
text	Act.text
dosageInstruction	.outboundRelationship[typeCode=COMP].target[classCode=SBADM, moodCode=INT]
id	n/a
extension	n/a
modifierExtension	N/A
sequence	.text
text	.text
additionalInstruction	.text
patientInstruction	.text
timing	.effectiveTime
asNeeded[x]	.outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept
site	.approachSiteCode
route	.routeCode
method	.doseQuantity
doseAndRate
id	n/a
extension	n/a
dose[x]	.doseQuantity
dose[x] (doseQuantity)	.doseQuantity
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
rate[x]	.rateQuantity
maxDosePerPeriod	.maxDoseQuantity
maxDosePerAdministration	not supported
maxDosePerLifetime	not supported
substitution	.outboundRelationship[typeCode=COMP].target[classCode=SUBST, moodCode=EVN]
id	n/a
extension	n/a
modifierExtension	N/A
wasSubstituted	.actionNegationInd
type	.code
reason	.reasonCode
responsibleParty	.participation[typeCode=PFM].role[classCode=ASSIGN]
detectedIssue	.inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value
eventHistory	.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

MedicationDispenseOriginal
MedicationDispense
identifier	FiveWs.identifier
status	FiveWs.status
medication[x]	FiveWs.what[x]
medication[x] (medicationCodeableConcept)	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
supportingInformation	FiveWs.context

Mappings for V3 Pharmacy Dispense RMIM (http://www.hl7.org/v3/PORX_RM020070UV)

MedicationDispenseOriginal
MedicationDispense
identifier	CombinedMedicationDispense.id
status	CombinedMedicationDispense.SupplyEvent.statusCode
medication[x]	CombinedMedicationRequest.component1.AdministrationRequest.consumable
medication[x] (medicationCodeableConcept)	CombinedMedicationRequest.component1.AdministrationRequest.consumable
authorizingPrescription	CombinedMedicationDispense.inFulfillmentOf
type	CombinedMedicationDispense.SupplyEvent.code
quantity	CombinedMedicationDispense.SupplyEvent.quantity
whenPrepared	CombinedMedicationDispense.SupplyEvent.effectiveTime
whenHandedOver	CombinedMedicationDispense.SupplyEvent.effectiveTime
destination	CombinedMedicationDispense.SupplyEvent.destination
receiver	CombinedMedicationDispense.SupplyEvent.receiver
substitution	CombinedMedicationDispense.substitutionMade
type	CombinedMedicationDispense.substitutionMade.code
reason	CombinedMedicationDispense.substitutionMade.reasonCode
responsibleParty	CombinedMedicationDispense.substitutionMade.ResponsibleParty

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

MedicationDispenseOriginal
MedicationDispense
medication[x]	RXD-2-Dispense/Give Code
medication[x] (medicationCodeableConcept)	RXD-2-Dispense/Give 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
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3-Patient ID List
authorizingPrescription	ORC-2 Placer Order Number
type	RXD-33-Dispense Type
quantity	RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
value	SN.2 / CQ - N/A
unit	(see OBX.6 etc.) / CQ.2
system	(see OBX.6 etc.) / CQ.2
code	(see OBX.6 etc.) / CQ.2
daysSupply	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	RXD-3-Date/Time Dispensed
whenHandedOver	RXD-3-Date/Time Dispensed
destination	RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
note	RXD-9 Dispense Notes
author[x]	N/A
time	N/A
text	N/A
dosageInstruction
sequence	TQ1-1
text	RXO-6; RXE-21
additionalInstruction	RXO-7
patientInstruction	RXO-7
asNeeded[x]	TQ1-9
site	RXR-2
route	RXR-1
method	RXR-4
doseAndRate	TQ1-2
type	RXO-21; RXE-23
dose[x]	RXO-2, RXE-3
dose[x] (doseQuantity)	RXO-2, RXE-3
value	SN.2 / CQ - N/A
unit	(see OBX.6 etc.) / CQ.2
system	(see OBX.6 etc.) / CQ.2
code	(see OBX.6 etc.) / CQ.2
rate[x]	RXE22, RXE23, RXE-24
maxDosePerPeriod	RXO-23, RXE-19
substitution
type	RXO-9-Allow Substitutions / RXE-9-Substitution Status