US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401
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Active as of 2025-03-31 |
Mappings for the MedicationDispensePartial resource profile.
Scroll down for the Raw FHIR, CDW & SDA mappings (if any).
Note that the CDW and SDA mappings are derived from a look-up based on the VistA source mappings in CDW and VPR SDA.
key | status | direction | source | mapApproach | mapCase | FHIR Path | subPath | mapValue | mapParameter | mapComment | FHIR URL | Ver |
---|---|---|---|---|---|---|---|---|---|---|---|
1710 | for review | V2F | fixed value | MedicationDispense.type | http://terminology.hl7.org/CodeSystem/v3-ActCode#PF | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||||
1713 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - MAIL/WINDOW (52-60 > 52.2-.02) | source value | MedicationDispense.destination | .display | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
1565 | for review | V2F | PRESCRIPTION - PLACER ORDER # (52-39.3) | reference | MedicationDispense.authorizingPrescription | /MedicationRequestOutpatient | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
828 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - DAYS SUPPLY (52-60 > 52.2-.041) | source value | MedicationDispense.daysSupply | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||||
837 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - MAIL/WINDOW (52-60 > 52.2-.02) | source value | MedicationDispense.destination | .display | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
1571 | for review | V2F | PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2) | source value | MedicationDispense.dosageInstruction | .doseAndRate.doseQuantity.unit | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
1576 | for review | V2F | PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2) | terminologyMaps | MedicationDispense.dosageInstruction | .doseAndRate.doseQuantity.code | VF_DoseUnits | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
1570 | for review | V2F | PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - DOSAGE ORDERED (52-113 > 52.0113-.01) | source value | number | MedicationDispense.dosageInstruction | .doseAndRate.doseQuantity.value | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
1569 | for review | V2F | PRESCRIPTION - PATIENT INSTRUCTIONS (52-114) | source value | MedicationDispense.dosageInstruction | .patientInstruction | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
1568 | for review | V2F | PRESCRIPTION - SIG (52-10) | source value | MedicationDispense.dosageInstruction | .text | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
1573 | for review | V2F | PRESCRIPTION - DRUG > DRUG - PSNDF VA PRODUCT NAME ENTRY (52-6 > 50-22) | source value | MedicationDispense.medicationCodeableConcept.coding | .code | .system = urn:oid:2.16.840.1.113883.6.233 | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
1573-1 | for review | V2F | fixed value | MedicationDispense.medicationCodeableConcept.coding | .system | urn:oid:2.16.840.1.113883.6.233 | generated from mapParameter line 1 | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
1572 | for review | V2F | PRESCRIPTION - DRUG > DRUG - GENERIC NAME (52-6 > 50-.01) | source value | MedicationDispense.medicationCodeableConcept | .text | This may not be necessary; we have the product. | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
1566 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - QTY (52-60 > 52.2-.04) | source value | MedicationDispense.quantity | .value | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
1577 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - RELEASED DATE/TIME (52-60 > 52.2-8) | fixed value | not null | MedicationDispense.status | #completed | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
1578 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - RELEASED DATE/TIME (52-60 > 52.2-8) | fixed value | null | MedicationDispense.status | #in-progress | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
1563 | for review | V2F | PRESCRIPTION - PATIENT (52-2) | reference | MedicationDispense.subject | /Patient | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
834 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - RELEASED DATE/TIME (52-60 > 52.2-8) | source value | MedicationDispense.whenPrepared | see original fill note | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
1714 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - DIVISION > OUTPATIENT SITE - DEFAULT ERX CLINIC (52-60 > 52.2-.09 > 59-10) | reference | MedicationDispense.location | /Location | not Clinic (written) but Division (filled) | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
1717 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - REMARKS (52-60 > 52.2-.03) | source value | MedicationDispense.note | .text | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
1729 | for review | V2F | PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - PHARMACIST NAME (52-60 > 52.2-.05) | reference | MedicationDispense.performer.actor | /Practitioner | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
2216 | for review | V2F | fixed value | MedicationDispense.category | http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category#outpatient | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 |
MedicationDispensePartial | ||
MedicationDispense | ||
status | 1577: fixed value = #completed when PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - RELEASED DATE/TIME (52-60 > 52.2-8) if not null, 1578: fixed value = #in-progress when PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - RELEASED DATE/TIME (52-60 > 52.2-8) if null | , |
category | 2216: fixed value = http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category#outpatient | |
medication[x] | ||
medication[x] (medicationCodeableConcept) | ||
coding | ||
system | 1573-1: fixed value = urn:oid:2.16.840.1.113883.6.233 | generated from mapParameter line 1 |
code | 1573: source value based on PRESCRIPTION - DRUG > DRUG - PSNDF VA PRODUCT NAME ENTRY (52-6 > 50-22) | |
text | 1572: source value based on PRESCRIPTION - DRUG > DRUG - GENERIC NAME (52-6 > 50-.01) | This may not be necessary; we have the product. |
subject | 1563: reference based on PRESCRIPTION - PATIENT (52-2) | |
performer | ||
actor | 1729: reference based on PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - PHARMACIST NAME (52-60 > 52.2-.05) | |
location | 1714: reference based on PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - DIVISION > OUTPATIENT SITE - DEFAULT ERX CLINIC (52-60 > 52.2-.09 > 59-10) | not Clinic (written) but Division (filled) |
authorizingPrescription | 1565: reference based on PRESCRIPTION - PLACER ORDER # (52-39.3) | |
type | 1710: fixed value = http://terminology.hl7.org/CodeSystem/v3-ActCode#PF | |
quantity | ||
value | 1566: source value based on PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - QTY (52-60 > 52.2-.04) | |
daysSupply | 828: source value based on PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - DAYS SUPPLY (52-60 > 52.2-.041) | |
whenPrepared | 834: source value based on PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - RELEASED DATE/TIME (52-60 > 52.2-8) | see original fill note |
destination | ||
display | 1713: source value based on PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - MAIL/WINDOW (52-60 > 52.2-.02), 837: source value based on PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - MAIL/WINDOW (52-60 > 52.2-.02) | , |
note | ||
text | 1717: source value based on PRESCRIPTION - PARTIAL DATE > PARTIAL DATE - REMARKS (52-60 > 52.2-.03) | |
dosageInstruction | ||
text | 1568: source value based on PRESCRIPTION - SIG (52-10) | |
patientInstruction | 1569: source value based on PRESCRIPTION - PATIENT INSTRUCTIONS (52-114) | |
doseAndRate | ||
dose[x] | ||
dose[x] (doseQuantity) | ||
value | 1570: source value based on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - DOSAGE ORDERED (52-113 > 52.0113-.01) if number | |
unit | 1571: source value based on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2) | |
code | 1576: terminologyMaps using VF_DoseUnits on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2) |
MedicationDispensePartial | ||
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 |
MedicationDispensePartial | ||
MedicationDispense | ||
status | Medication.Fills | |
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 | |
performer | ||
actor | Medication.Fills | |
location | Medication.Fills | |
authorizingPrescription | Medication.ExternalId,Medication.PlacerId | |
quantity | ||
value | Medication.Fills | |
daysSupply | Medication.Fills | |
whenPrepared | Medication.Fills | |
destination | ||
display | Medication.Fills | |
note | ||
text | Medication.Fills | |
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 |
MedicationDispensePartial | ||
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 |
MedicationDispensePartial | ||
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] |
MedicationDispensePartial | ||
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 |
MedicationDispensePartial | ||
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 |
MedicationDispensePartial | ||
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 |