MedicationRequest: Outpatient - Mappings - US Veterans Health Administration FHIR Map Set Implementation Guide v1.9.0

US Veterans Health Administration FHIR Map Set Implementation Guide - Downloaded Version 1.9.0 See the Directory of published versions

Resource Profile: MedicationRequestOutpatient - Mappings

Active as of 2025-09-30

Mappings for the MedicationRequestOutpatient 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.

Mapping Sources

Raw Mappings

key	status	direction	source	mapApproach	mapCase	FHIR Path	subPath	mapValue	mapParameter	mapComment	FHIR URL \| Ver
798	for review	V2F	PRESCRIPTION - IEN (52-.001)	transform		MedicationRequest.id		ID_generation()			http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
799	for review	V2F	PRESCRIPTION - STATUS (52-100)	terminologyMaps		MedicationRequest.status		VF_OutMedRequestStatus			http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
800	for review	V2F	PRESCRIPTION - STATUS (52-100)	source value		MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus].valueCoding	.code		.system = http://va.gov/terminology/vistaDefinedTerms/52-100		http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
801	for review	V2F		fixed value		MedicationRequest.intent		#order		All records from file 52 are orders	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
803	for review	V2F	PRESCRIPTION - DRUG > DRUG - PSNDF VA PRODUCT NAME ENTRY > VA PRODUCT - VA PRINT NAME (52-6 > 50-22 > 50.68-5)	source value		MedicationRequest.medicationCodeableConcept	.text				http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
805	for review	V2F	PRESCRIPTION - DRUG > DRUG - NATIONAL DRUG FILE ENTRY > VA GENERIC - CODING SYSTEM > CODING SYSTEM - CODE (52-6 > 50-20 > 50.6-5 > 50.65-.02)	source value	.01 CODING SYSTEM = RXNORM	MedicationRequest.medicationCodeableConcept.coding	.code		.system = http://www.nlm.nih.gov/research/umls/rxnorm	Could add NDC as well, but usually not captured	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
806	for review	V2F	PRESCRIPTION - PATIENT (52-2)	reference		MedicationRequest.subject		/Patient			http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
807	for review	V2F	PRESCRIPTION - ISSUE DATE (52-1)	source value		MedicationRequest.authoredOn				We are using Issue Date for MedicationRequest.authoredOn. SDA records Login Date (52-21) as Entered On because Entered On cannot be null. It records Issue Date (52-1) in an extension, VAStartDate. This may not be an issue for CDA because Login Date (first fill) should be on or shortly after Issue date. It could be an issue for interfaces striving for a finer level of granularity.	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
808	for review	V2F	PRESCRIPTION - PROVIDER (52-4)	reference		MedicationRequest.requester		/Practitioner		retrieve via order	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
809	for review	V2F	PRESCRIPTION - SIG (52-10)	source value		MedicationRequest.dosageInstruction	.text				http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
810	for review	V2F	PRESCRIPTION - PATIENT INSTRUCTIONS (52-114)	source value		MedicationRequest.dosageInstruction	.patientInstruction				http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
811	for review	V2F	PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - DOSAGE ORDERED (52-113 > 52.0113-.01)	source value	number	MedicationRequest.dosageInstruction	.doseAndRate.doseQuantity.value				http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
812	for review	V2F	PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2)	source value		MedicationRequest.dosageInstruction	.doseAndRate.doseQuantity.unit				http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
815	for review	V2F	PRESCRIPTION - EXPIRATION DATE (52-26)	source value		MedicationRequest.dispenseRequest	.validityPeriod.end			confirm	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
1704	for review	V2F	PRESCRIPTION - CANCEL DATE (52-26.1)	source value		MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate]	.valueDateTime				http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
816	for review	V2F	PRESCRIPTION - # OF REFILLS (52-9)	source value		MedicationRequest.dispenseRequest	.numberOfRepeatsAllowed			confirm	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
1669	for review	V2F	PRESCRIPTION - QTY (52-7)	source value		MedicationRequest.dispenseRequest	.quantity.value				http://hl7.org/fhir/StructureDefinition/MedicationRequest \| 4.0.1
1670	for review	V2F	PRESCRIPTION - DAYS SUPPLY (52-8)	source value		MedicationRequest.dispenseRequest	.expectedSupplyDuration				http://hl7.org/fhir/StructureDefinition/MedicationRequest \| 4.0.1
841	for review	V2F	PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - DOSAGE ORDERED (52-113 > 52.0113-.01)	source value	not a number	MedicationRequest.dosageInstruction.doseAndRate	.extension[http://hl7.org/fhir/StructureDefinition/originalText].valueString				http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
1664	for review	V2F	PRESCRIPTION - RX # (52-.01)	source value		MedicationRequest.identifier	.value		.type=http://terminology.hl7.org/CodeSystem/v2-0203#FILL		http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
1665	for review	V2F	PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - ROUTE (52-113 > 52.0113-6)	source value		MedicationRequest.dosageInstruction.route.coding	.code		.system=http://va.gov/terminology/vistaDefinedTerms/53.1-3		http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
1666	for review	V2F		fixed value		MedicationRequest.category		http://terminology.hl7.org/CodeSystem/medicationrequest-category#outpatient			http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
1705	for review	V2F	PRESCRIPTION - INDICATION FOR USE (52-128)	source value		MedicationRequest.reasonCode	.text				http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
1706	for review	V2F	PRESCRIPTION - INDICATION FOR USE FLAG (52-129)	transform		MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig]	.valueBoolean	VF_Boolean			http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
1746	for review	V2F	PRESCRIPTION - MAIL/WINDOW/PARK (52-11)	fixed value	P	MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus].valueCoding	.code	#active-parked	.system = http://va.gov/terminology/vistaDefinedTerms/52-100	This value is consistent with Active. Add a second value, or overwrite Active with Parked?	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
1853	for review	V2F				MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount].valueInteger				A value calculated by subtracting first fill (based on Released) and refills (52.1) from total fills (52-9 # OF REFILLS + 1)	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
2251	for review	V2F	PRESCRIPTION - STATUS (52-100)	source value		MedicationRequest.status.extension[http://hl7.org/fhir/StructureDefinition/alternate-codes].valueCodeableConcept.coding	.code		.system = http://va.gov/terminology/vistaDefinedTerms/52-100		http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1
2252	for review	V2F	PRESCRIPTION - MAIL/WINDOW/PARK (52-11)	fixed value	P	MedicationRequest.status.extension[http://hl7.org/fhir/StructureDefinition/alternate-codes].valueCodeableConcept.coding	.code	#active-parked	.system = http://va.gov/terminology/vistaDefinedTerms/52-100	This value is consistent with Active. Add a second value, or overwrite Active with Parked?	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest \| 5.0.1

key

status

direction

source

mapApproach

mapCase

FHIR Path

subPath

mapValue

mapParameter

mapComment

FHIR URL | Ver

798

for review

V2F

PRESCRIPTION - IEN (52-.001)

transform

MedicationRequest.id

ID_generation()

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

799

for review

V2F

PRESCRIPTION - STATUS (52-100)

terminologyMaps

MedicationRequest.status

VF_OutMedRequestStatus

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

800

for review

V2F

PRESCRIPTION - STATUS (52-100)

source value

MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus].valueCoding

.code

.system = http://va.gov/terminology/vistaDefinedTerms/52-100

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

801

for review

V2F

fixed value

MedicationRequest.intent

#order

All records from file 52 are orders

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

803

for review

V2F

PRESCRIPTION - DRUG > DRUG - PSNDF VA PRODUCT NAME ENTRY > VA PRODUCT - VA PRINT NAME (52-6 > 50-22 > 50.68-5)

source value

MedicationRequest.medicationCodeableConcept

.text

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

805

for review

V2F

PRESCRIPTION - DRUG > DRUG - NATIONAL DRUG FILE ENTRY > VA GENERIC - CODING SYSTEM > CODING SYSTEM - CODE (52-6 > 50-20 > 50.6-5 > 50.65-.02)

source value

.01 CODING SYSTEM = RXNORM

MedicationRequest.medicationCodeableConcept.coding

.code

.system = http://www.nlm.nih.gov/research/umls/rxnorm

Could add NDC as well, but usually not captured

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

806

for review

V2F

PRESCRIPTION - PATIENT (52-2)

reference

MedicationRequest.subject

/Patient

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

807

for review

V2F

PRESCRIPTION - ISSUE DATE (52-1)

source value

MedicationRequest.authoredOn

We are using Issue Date for MedicationRequest.authoredOn. SDA records Login Date (52-21) as Entered On because Entered On cannot be null. It records Issue Date (52-1) in an extension, VAStartDate. This may not be an issue for CDA because Login Date (first fill) should be on or shortly after Issue date. It could be an issue for interfaces striving for a finer level of granularity.

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

808

for review

V2F

PRESCRIPTION - PROVIDER (52-4)

reference

MedicationRequest.requester

/Practitioner

retrieve via order

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

809

for review

V2F

PRESCRIPTION - SIG (52-10)

source value

MedicationRequest.dosageInstruction

.text

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

810

for review

V2F

PRESCRIPTION - PATIENT INSTRUCTIONS (52-114)

source value

MedicationRequest.dosageInstruction

.patientInstruction

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

811

for review

V2F

PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - DOSAGE ORDERED (52-113 > 52.0113-.01)

source value

number

MedicationRequest.dosageInstruction

.doseAndRate.doseQuantity.value

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

812

for review

V2F

PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - UNITS (52-113 > 52.0113-2)

source value

MedicationRequest.dosageInstruction

.doseAndRate.doseQuantity.unit

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

815

for review

V2F

PRESCRIPTION - EXPIRATION DATE (52-26)

source value

MedicationRequest.dispenseRequest

.validityPeriod.end

confirm

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

1704

for review

V2F

PRESCRIPTION - CANCEL DATE (52-26.1)

source value

MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-cancelDate]

.valueDateTime

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

816

for review

V2F

PRESCRIPTION - # OF REFILLS (52-9)

source value

MedicationRequest.dispenseRequest

.numberOfRepeatsAllowed

confirm

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

1669

for review

V2F

PRESCRIPTION - QTY (52-7)

source value

MedicationRequest.dispenseRequest

.quantity.value

http://hl7.org/fhir/StructureDefinition/MedicationRequest | 4.0.1

1670

for review

V2F

PRESCRIPTION - DAYS SUPPLY (52-8)

source value

MedicationRequest.dispenseRequest

.expectedSupplyDuration

http://hl7.org/fhir/StructureDefinition/MedicationRequest | 4.0.1

841

for review

V2F

PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - DOSAGE ORDERED (52-113 > 52.0113-.01)

source value

not a number

MedicationRequest.dosageInstruction.doseAndRate

.extension[http://hl7.org/fhir/StructureDefinition/originalText].valueString

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

1664

for review

V2F

PRESCRIPTION - RX # (52-.01)

source value

MedicationRequest.identifier

.value

.type=http://terminology.hl7.org/CodeSystem/v2-0203#FILL

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

1665

for review

V2F

PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - ROUTE (52-113 > 52.0113-6)

source value

MedicationRequest.dosageInstruction.route.coding

.code

.system=http://va.gov/terminology/vistaDefinedTerms/53.1-3

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

1666

for review

V2F

fixed value

MedicationRequest.category

http://terminology.hl7.org/CodeSystem/medicationrequest-category#outpatient

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

1705

for review

V2F

PRESCRIPTION - INDICATION FOR USE (52-128)

source value

MedicationRequest.reasonCode

.text

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

1706

for review

V2F

PRESCRIPTION - INDICATION FOR USE FLAG (52-129)

transform

MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-includeIndicationInSig]

.valueBoolean

VF_Boolean

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

1746

for review

V2F

PRESCRIPTION - MAIL/WINDOW/PARK (52-11)

fixed value

MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus].valueCoding

.code

#active-parked

.system = http://va.gov/terminology/vistaDefinedTerms/52-100

This value is consistent with Active. Add a second value, or overwrite Active with Parked?

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

1853

for review

V2F

MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-remainingRefillCount].valueInteger

A value calculated by subtracting first fill (based on Released) and refills (52.1) from total fills (52-9 # OF REFILLS + 1)

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

2251

for review

V2F

PRESCRIPTION - STATUS (52-100)

source value

MedicationRequest.status.extension[http://hl7.org/fhir/StructureDefinition/alternate-codes].valueCodeableConcept.coding

.code

.system = http://va.gov/terminology/vistaDefinedTerms/52-100

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

2252

for review

V2F

PRESCRIPTION - MAIL/WINDOW/PARK (52-11)

fixed value

MedicationRequest.status.extension[http://hl7.org/fhir/StructureDefinition/alternate-codes].valueCodeableConcept.coding

.code

#active-parked

.system = http://va.gov/terminology/vistaDefinedTerms/52-100

This value is consistent with Active. Add a second value, or overwrite Active with Parked?

http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

Name	Veterans Health Information Systems Technology and Architecture (VistA)	Clinical Data Warehouse (CDW)	Summary Document Architecure (SDA)	Virtual Patient Record XML (VPR)	Workflow Pattern	Mapping to NCPDP SCRIPT 10.6
MedicationRequest					Request	Message/Body/NewRx
id	transform using ID_generation() on PRESCRIPTION - IEN (52-.001)
meta
implicitRules
language
text
contained
Slices for extension
extension:medicationrequest-pharmacyOrderStatus
id
extension
url
value[x]
id
extension
system	fixed value = http://va.gov/terminology/vistaDefinedTerms/52-100 if P mapParameter line 1
version
code	fixed value = #active-parked when PRESCRIPTION - MAIL/WINDOW/PARK (52-11) if P This value is consistent with Active. Add a second value, or overwrite Active with Parked?	RxOut.RxOutpat.RxStatus	Medication.PharmacyStatus Medication.VAStatus
display
userSelected
extension:medicationrequest-cancelDate
id
extension
url
value[x]	source value based on PRESCRIPTION - CANCEL DATE (52-26.1)	RxOut.RxOutpat.CancelDate	Medication.ToTime Medication.DiscontinuedDateTime
extension:medicationrequest-includeIndicationInSig
id
extension
url
value[x]	transform using VF_Boolean on PRESCRIPTION - INDICATION FOR USE FLAG (52-129)	RxOut.RxOutpatExt.IndicationForUseFlag
extension:medicationrequest-remainingRefillCount
id
extension
url
value[x]	null A value calculated by subtracting first fill (based on Released) and refills (52.1) from total fills (52-9 # OF REFILLS + 1)
modifierExtension
identifier					Request.identifier	Message/Header/PrescriberOrderNumber
id
extension
use
type	fixed value = http://terminology.hl7.org/CodeSystem/v2-0203#FILL mapParameter line 1
system
value	source value based on PRESCRIPTION - RX # (52-.01)	RxOut.RxOutpat.RxNumber	Medication.PrescriptionNumber Medication.FillDate	med.dose pharmacy (med).dose
period
assigner
status	terminologyMaps using VF_OutMedRequestStatus on PRESCRIPTION - STATUS (52-100)	RxOut.RxOutpat.RxStatus	Medication.PharmacyStatus Medication.VAStatus		Request.status	no mapping
id
Slices for extension
extension:alternate-codes
id
extension
url
value[x]
id
extension
coding
id
extension
system	fixed value = http://va.gov/terminology/vistaDefinedTerms/52-100 if P mapParameter line 1
version
code	fixed value = #active-parked when PRESCRIPTION - MAIL/WINDOW/PARK (52-11) if P This value is consistent with Active. Add a second value, or overwrite Active with Parked?	RxOut.RxOutpat.RxStatus	Medication.PharmacyStatus Medication.VAStatus
display
userSelected
text
value
statusReason					Request.statusReason
intent	fixed value = #order All records from file 52 are orders				Request.intent
Slices for category	fixed value = http://terminology.hl7.org/CodeSystem/medicationrequest-category#outpatient					Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
category:us-core						Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
priority					Request.priority
doNotPerform
reported[x]
Slices for medication[x]					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
medication[x]:medicationCodeableConcept					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
id
extension
coding
id
extension
system	fixed value = http://www.nlm.nih.gov/research/umls/rxnorm if .01 CODING SYSTEM = RXNORM mapParameter line 1
version
code	source value based on PRESCRIPTION - DRUG > DRUG - NATIONAL DRUG FILE ENTRY > VA GENERIC - CODING SYSTEM > CODING SYSTEM - CODE (52-6 > 50-20 > 50.6-5 > 50.65-.02) if .01 CODING SYSTEM = RXNORM Could add NDC as well, but usually not captured	RxOut.RxOutpat.LocalDrugIEN RxOut.RxOutpat.NationalDrugIEN RxOut.RxOutpatFill.LocalDrugIEN RxOut.RxOutpatFill.NationalDrugIEN	Medication.DrugProduct Medication.CMOP	med.route (>51.2-1) pharmacy (med).route (>51.2-1)
display
userSelected
text	source value based on PRESCRIPTION - DRUG > DRUG - PSNDF VA PRODUCT NAME ENTRY > VA PRODUCT - VA PRINT NAME (52-6 > 50-22 > 50.68-5)	RxOut.RxOutpat.LocalDrugIEN RxOut.RxOutpat.NationalDrugIEN RxOut.RxOutpatFill.LocalDrugIEN RxOut.RxOutpatFill.NationalDrugIEN	Medication.DrugProduct Medication.CMOP	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)	Request.subject	Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT)
encounter					Request.context	no mapping
supportingInformation					Request.supportingInfo
authoredOn	source value based on PRESCRIPTION - ISSUE DATE (52-1) We are using Issue Date for MedicationRequest.authoredOn. SDA records Login Date (52-21) as Entered On because Entered On cannot be null. It records Issue Date (52-1) in an extension, VAStartDate. This may not be an issue for CDA because Login Date (first fill) should be on or shortly after Issue date. It could be an issue for interfaces striving for a finer level of granularity.	RxOut.ActivityLog.IssueDateTime RxOut.RxOutpat.IssueDate RxOut.RxOutpatExt.IssueDateTime RxOut.RxOutpatFill.IssueDate RxOut.RxOutpatMedInstructions.IssueDate RxOut.RxOutpatSig.IssueDate	Medication.VAStartDate Medication.FillQuantity	med.unitsPerDose pharmacy (med).unitsPerDose	Request.authoredOn	Message/Body/NewRx/MedicationPrescribed/WrittenDate
requester	reference based on PRESCRIPTION - PROVIDER (52-4) retrieve via order	RxOut.RxOutpat.ProviderIEN	Medication.OrderedBy	med.currentProvider (>200-.01) med.currentProvider (>200-8932.1) med.doseStart med.doseStop med.duration pharmacy (med).currentProvider (>200-.01) pharmacy (med).currentProvider (>200-8932.1) pharmacy (med).doseStart pharmacy (med).doseStop pharmacy (med).duration	Request.requester
performer					Request.performer
performerType					Request.performerType
recorder
reasonCode					Request.reasonCode	Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value
id
extension
coding
text	source value based on PRESCRIPTION - INDICATION FOR USE (52-128)	RxOut.RxOutpatExt.IndicationForUse	Medication.Indication
reasonReference					Request.reasonReference	no mapping
instantiatesCanonical					Request.instantiates
instantiatesUri
basedOn					Request.basedOn
groupIdentifier					Request.groupIdentifier
courseOfTherapyType
insurance					Request.insurance
note					Request.note	Message/Body/NewRx/MedicationPrescribed/Note
dosageInstruction					Request.occurrence[x]
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
id
extension
coding
id
extension
system	fixed value = http://va.gov/terminology/vistaDefinedTerms/53.1-3 mapParameter line 1
version
code	source value based on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - ROUTE (52-113 > 52.0113-6)	RxOut.RxOutpatMedInstructions.MedRoute	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]
display
userSelected
text
method
doseAndRate
id
Slices for extension
extension:originalText
id
extension
url
value[x]	source value based on PRESCRIPTION - MEDICATION INSTRUCTIONS > MEDICATION INSTRUCTIONS - DOSAGE ORDERED (52-113 > 52.0113-.01) if not a 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]
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
rate[x]
maxDosePerPeriod
maxDosePerAdministration
maxDosePerLifetime
dispenseRequest						Message/Body/NewRx/MedicationPrescribed/ExpirationDate
id
extension
modifierExtension
initialFill
id
extension
modifierExtension
quantity
duration
dispenseInterval
validityPeriod						Message/Body/NewRx/MedicationPrescribed/Refills
id
extension
start
end	source value based on PRESCRIPTION - EXPIRATION DATE (52-26) confirm		Medication.ToTime Medication.Expires	med.expires pharmacy (med).expires
numberOfRepeatsAllowed	source value based on PRESCRIPTION - # OF REFILLS (52-9) confirm	RxOut.RxOutpat.MaxRefills	Medication.NumberOfRefills			Message/Body/NewRx/MedicationPrescribed/Quantity
quantity						Message/Body/NewRx/MedicationPrescribed/DaysSupply
id
extension
value	source value based on PRESCRIPTION - QTY (52-7)		Medication.OrderQuantity	med.schedule pharmacy (med).schedule
comparator
unit
system
code
expectedSupplyDuration	source value based on PRESCRIPTION - DAYS SUPPLY (52-8)		Medication.DaysSupply	med.daysSupply pharmacy (med).daysSupply		Message/Body/NewRx/MedicationPrescribed/Substitutions
performer
substitution						specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
id
extension
modifierExtension
allowed[x]						specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
reason						not mapped
priorPrescription					Request.replaces	not mapped
detectedIssue
eventHistory					Request.relevantHistory
Documentation for this format