US Veterans Health Administration FHIR Map Set Implementation Guide
1.9.0 - 251001
US Veterans Health Administration FHIR Map Set Implementation Guide
1.9.0 - 251001
US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.9.0 See the Directory of published versions
| Active as of 2025-09-30 |
Mappings for the MedicationDispenseRefill resource profile.
Scroll down for the Raw FHIR, CDW & SDA mappings (if any).
Note that the CDW, SDA and VPR XML mappings are derived from a look-up based on the VistA source.
| key | status | direction | source | mapApproach | mapCase | FHIR Path | subPath | mapValue | mapParameter | mapComment | FHIR URL | Ver |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1553 | for review | V2F | PRESCRIPTION - RX # (52-.01) | reference | MedicationDispense.authorizingPrescription | /MedicationRequestOutpatient | updated from PLACER ORDER # (CPRS id) | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
| 2215 | 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 | |||||
| 827 | for review | V2F | PRESCRIPTION - REFILL > REFILL - DAYS SUPPLY (52-52 > 52.1-1.1) | source value | MedicationDispense.daysSupply | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||||
| 1712 | for review | V2F | PRESCRIPTION - REFILL > REFILL - MAIL/WINDOW/PARK (52-52 > 52.1-2) | source value | MedicationDispense.destination | .display | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
| 836 | for review | V2F | PRESCRIPTION - REFILL > REFILL - MAIL/WINDOW/PARK (52-52 > 52.1-2) | source value | MedicationDispense.destination | .display | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
| 1559 | 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 | ||||
| 1579 | 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 | |||
| 1558 | 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 | |||
| 1557 | for review | V2F | PRESCRIPTION - PATIENT INSTRUCTIONS (52-114) | source value | MedicationDispense.dosageInstruction | .patientInstruction | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
| 1556 | for review | V2F | PRESCRIPTION - SIG (52-10) | source value | MedicationDispense.dosageInstruction | .text | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
| 1715 | for review | V2F | PRESCRIPTION - REFILL > REFILL - DIVISION > OUTPATIENT SITE - DEFAULT ERX CLINIC (52-52 > 52.1-8 > 59-10) | reference | MedicationDispense.location | /Location | not Clinic (written) but Division (filled) | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
| 1560 | 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 | |||
| 1561 | 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 | |||
| 1718 | for review | V2F | PRESCRIPTION - REFILL > REFILL - REMARKS (52-52 > 52.1-3) | source value | MedicationDispense.note | .text | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
| 1728 | for review | V2F | PRESCRIPTION - REFILL > REFILL - PHARMACIST NAME (52-52 > 52.1-4) | reference | MedicationDispense.performer.actor | /Practitioner | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
| 824 | for review | V2F | PRESCRIPTION - REFILL > REFILL - QTY (52-52 > 52.1-1) | source value | MedicationDispense.quantity | .value | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
| 869 | for review | V2F | PRESCRIPTION - REFILL > REFILL - RELEASED DATE/TIME (52-52 > 52.1-17) | fixed value | not null | MedicationDispense.status | #unknown | This can be switched to completed if the API can discover the status from the pharmacy, CMOP, or PoS system. | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||
| 819 | for review | V2F | PRESCRIPTION - REFILL > REFILL - RELEASED DATE/TIME (52-52 > 52.1-17) | fixed value | null | MedicationDispense.status | #in-progress | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
| 2256 | for review | V2F | PRESCRIPTION - REFILL > REFILL - RETURNED TO STOCK (52-52 > 52.1-14) | fixed value | not null | MedicationDispense.status | #cancelled | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||
| 1551 | for review | V2F | PRESCRIPTION - PATIENT (52-2) | reference | MedicationDispense.subject | /Patient | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | ||||
| 1709 | for review | V2F | fixed value | MedicationDispense.type | http://terminology.hl7.org/CodeSystem/v3-ActCode#RF | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 | |||||
| 833 | for review | V2F | PRESCRIPTION - REFILL > REFILL - RELEASED DATE/TIME (52-52 > 52.1-17) | source value | MedicationDispense.whenPrepared | see original fill note | http://hl7.org/fhir/StructureDefinition/MedicationDispense | 4.0.1 |
No Mappings Found
No Mappings Found
| Name | Veterans Health Information Systems Technology and Architecture (VistA) | Clinical Data Warehouse (CDW) | Summary Document Architecure (SDA) | Virtual Patient Record XML (VPR) | Workflow Pattern | V3 Pharmacy Dispense RMIM |
|---|---|---|---|---|---|---|
  MedicationDispense |
Event |
|||||
  id |
||||||
 meta |
||||||
| implicitRules |
||||||
| language |
||||||
| text |
||||||
| contained |
||||||
 extension |
||||||
 modifierExtension |
||||||
| identifier |
Event.identifier |
CombinedMedicationDispense.id | ||||
 partOf |
Event.partOf |
|||||
| status |
fixed value = #cancelled when PRESCRIPTION - REFILL > REFILL - RETURNED TO STOCK (52-52 > 52.1-14) if not null |
Medication.RefillNumber
Medication.EBilling
Medication.Fills
Medication.LastFilled |
Event.status |
CombinedMedicationDispense.SupplyEvent.statusCode | ||
 statusReason[x] |
Event.statusReason |
|||||
| category |
fixed value = http://terminology.hl7.org/fhir/CodeSystem/medicationdispense-category#outpatient |
|||||
  Slices for medication[x] |
Event.code |
CombinedMedicationRequest.component1.AdministrationRequest.consumable | ||||
   medication[x]:medicationCodeableConcept |
Event.code |
CombinedMedicationRequest.component1.AdministrationRequest.consumable | ||||
  id |
||||||
| extension |
||||||
 coding |
||||||
 id |
||||||
| extension |
||||||
| system |
fixed value = urn:oid:2.16.840.1.113883.6.233 mapParameter line 1 |
|||||
| version |
||||||
| code |
source value based on PRESCRIPTION - DRUG > DRUG - PSNDF VA PRODUCT NAME ENTRY (52-6 > 50-22) |
RxOut.RxOutpat.LocalDrugIEN
RxOut.RxOutpat.NationalDrugIEN
RxOut.RxOutpatFill.LocalDrugIEN
RxOut.RxOutpatFill.NationalDrugIEN
Dim.LocalDrug.DrugNameWithoutDoseIEN
Dim.LocalDrug.NationalDrugIEN
Dim.LocalDrug.NationalDrugIEN |
Medication.DrugProduct
Medication.CMOP
Medication.DrugProduct.Identifier2
Medication.DrugProduct.ProductName
Medication.Extension[DrugProductExtension].FederalSchedule |
med.route (>51.2-1)
pharmacy (med).route (>51.2-1) |
||
| display |
||||||
 userSelected |
||||||
 text |
source value based on PRESCRIPTION - DRUG > DRUG - GENERIC NAME (52-6 > 50-.01) This may not be necessary; we have the product. |
RxOut.RxOutpat.LocalDrugIEN
RxOut.RxOutpat.NationalDrugIEN
RxOut.RxOutpatFill.LocalDrugIEN
RxOut.RxOutpatFill.NationalDrugIEN
Dim.LocalDrug.LocalDrugNameWithDose
Dim.LocalDrug.LocalDrugNameWithDose
RxOut.RxOutpatFill.LocalDrugNameWithDose |
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 |
med.route (>51.2-1)
pharmacy (med).route (>51.2-1) |
||
| subject |
reference based on PRESCRIPTION - PATIENT (52-2) |
RxOut.ActivityLog.PatientIEN
RxOut.ActivityLogOtherComments.PatientIEN
RxOut.RxOutpat.PatientIEN
RxOut.RxOutpatExt.PatientIEN
RxOut.RxOutpatExt.PatientSID
RxOut.RxOutpatFill.PatientIEN
RxOut.RxOutpatMedInstructions.PatientIEN
RxOut.RxOutpatSig.PatientIEN |
med.units (>50.607-.01)
pharmacy (med).units (>50.607-.01) |
Event.subject |
||
| context |
Event.context |
|||||
| supportingInformation |
||||||
| performer |
Event.performer |
|||||
| id |
||||||
| extension |
||||||
| modifierExtension |
||||||
| function |
||||||
| actor |
reference based on PRESCRIPTION - REFILL > REFILL - PHARMACIST NAME (52-52 > 52.1-4) |
Medication.RefillNumber
Medication.EBilling
Medication.Fills
Medication.LastFilled |
Event.performer.actor |
|||
| location |
reference based on PRESCRIPTION - REFILL > REFILL - DIVISION > OUTPATIENT SITE - DEFAULT ERX CLINIC (52-52 > 52.1-8 > 59-10) not Clinic (written) but Division (filled) |
Medication.RefillNumber
Medication.EBilling
Medication.Fills
Medication.LastFilled |
||||
| authorizingPrescription |
reference based on PRESCRIPTION - RX # (52-.01) updated from PLACER ORDER # (CPRS id) |
RxOut.RxOutpat.RxNumber |
Medication.PrescriptionNumber
Medication.FillDate |
med.dose
pharmacy (med).dose |
Event.basedOn |
CombinedMedicationDispense.inFulfillmentOf |
| type |
fixed value = http://terminology.hl7.org/CodeSystem/v3-ActCode#RF |
CombinedMedicationDispense.SupplyEvent.code | ||||
| quantity |
CombinedMedicationDispense.SupplyEvent.quantity | |||||
| id |
||||||
| extension |
||||||
| value |
source value based on PRESCRIPTION - REFILL > REFILL - QTY (52-52 > 52.1-1) |
Medication.RefillNumber
Medication.EBilling
Medication.Fills
Medication.LastFilled |
||||
| comparator |
||||||
| unit |
||||||
| system |
||||||
| code |
||||||
| daysSupply |
source value based on PRESCRIPTION - REFILL > REFILL - DAYS SUPPLY (52-52 > 52.1-1.1) |
Medication.RefillNumber
Medication.EBilling
Medication.Fills
Medication.LastFilled |
||||
| whenPrepared |
source value based on PRESCRIPTION - REFILL > REFILL - RELEASED DATE/TIME (52-52 > 52.1-17) see original fill note |
Medication.RefillNumber
Medication.EBilling
Medication.Fills
Medication.LastFilled |
CombinedMedicationDispense.SupplyEvent.effectiveTime | |||
| whenHandedOver |
Event.occurrence[x] |
CombinedMedicationDispense.SupplyEvent.effectiveTime | ||||
| destination |
CombinedMedicationDispense.SupplyEvent.destination | |||||
| id |
||||||
| extension |
||||||
| reference |
||||||
| type |
||||||
| identifier |
||||||
| display |
source value based on PRESCRIPTION - REFILL > REFILL - MAIL/WINDOW/PARK (52-52 > 52.1-2) |
Medication.RefillNumber
Medication.EBilling
Medication.Fills
Medication.LastFilled |
||||
| receiver |
CombinedMedicationDispense.SupplyEvent.receiver | |||||
| note |
Event.note |
|||||
| id |
||||||
| extension |
||||||
| author[x] |
||||||
| time |
||||||
| text |
source value based on PRESCRIPTION - REFILL > REFILL - REMARKS (52-52 > 52.1-3) |
Medication.RefillNumber
Medication.EBilling
Medication.Fills
Medication.LastFilled |
||||
| dosageInstruction |
||||||
| id |
||||||
| extension |
||||||
| modifierExtension |
||||||
| sequence |
||||||
| text |
source value based on PRESCRIPTION - SIG (52-10) |
|||||
| additionalInstruction |
||||||
| patientInstruction |
source value based on PRESCRIPTION - PATIENT INSTRUCTIONS (52-114) |
RxOut.RxOutpatSig.PatientInstructions |
Medication.TextInstruction |
|||
| timing |
||||||
| asNeeded[x] |
||||||
| site |
||||||
| route |
||||||
| method |
||||||
| doseAndRate |
||||||
| id |
||||||
| extension |
||||||
| type |
||||||
| Slices for dose[x] |
||||||
| dose[x]:doseQuantity |
||||||
| id |
||||||
| extension |
||||||
| value |
source value based on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - DOSAGE ORDERED (52-113 > 52.0113-.01) if number |
RxOut.RxOutpatMedInstructions.DoseOrdered |
Medication.DosageSteps
Medication.Route
Medication.DoseQuantity
Medication.DoseUoM
Medication.Duration
Medication.Frequency
Medication.TextInstruction
Medication.Conjunction
Medication.Noun
Medication.UnitsPerDose
Medication.Verb |
med.dose [m]
pharmacy (med).dose [m] |
||
| comparator |
||||||
| unit |
source value based on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2) |
RxOut.RxOutpatMedInstructions.Unit |
Medication.DosageSteps
Medication.Route
Medication.DoseQuantity
Medication.DoseUoM
Medication.Duration
Medication.Frequency
Medication.TextInstruction
Medication.Conjunction
Medication.Noun
Medication.UnitsPerDose
Medication.Verb |
med.dose [m]
pharmacy (med).dose [m] |
||
| system |
||||||
| code |
terminologyMaps using VF_DoseUnits on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2) |
RxOut.RxOutpatMedInstructions.Unit |
Medication.DosageSteps
Medication.Route
Medication.DoseQuantity
Medication.DoseUoM
Medication.Duration
Medication.Frequency
Medication.TextInstruction
Medication.Conjunction
Medication.Noun
Medication.UnitsPerDose
Medication.Verb |
med.dose [m]
pharmacy (med).dose [m] |
||
| rate[x] |
||||||
| maxDosePerPeriod |
||||||
| maxDosePerAdministration |
||||||
| maxDosePerLifetime |
||||||
| substitution |
CombinedMedicationDispense.substitutionMade | |||||
| id |
||||||
| extension |
||||||
| modifierExtension |
||||||
| wasSubstituted |
||||||
| type |
CombinedMedicationDispense.substitutionMade.code | |||||
| reason |
CombinedMedicationDispense.substitutionMade.reasonCode | |||||
| responsibleParty |
CombinedMedicationDispense.substitutionMade.ResponsibleParty | |||||
| detectedIssue |
||||||
| eventHistory |
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| Documentation for this format | ||||||