US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701
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Active as of 2025-06-20 |
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.
key | status | direction | source | mapApproach | mapCase | FHIR Path | subPath | mapValue | mapParameter | mapComment | FHIR URL | Ver |
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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 | .valueCoding.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) | transform | 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 | .valueCoding.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 |
No Mappings Found
No Mappings Found
Name | Workflow Pattern | Mapping to NCPDP SCRIPT 10.6 | RIM Mapping | FiveWs Pattern Mapping | HL7 v2 Mapping![]() |
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Request |
Message/Body/NewRx |
CombinedMedicationRequest |
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Act.text? |
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N/A |
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n/a |
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N/A |
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N/A |
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n/a |
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n/a |
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./codeSystem |
C*E.3 | |||
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./codeSystemVersion |
C*E.7 | |||
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./code |
C*E.1 | |||
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CV.displayName |
C*E.2 - but note this is not well followed | |||
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CD.codingRationale |
Sometimes implied by being first | |||
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n/a |
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N/A |
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N/A |
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n/a |
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N/A |
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N/A |
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n/a |
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N/A |
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N/A |
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N/A |
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Request.identifier |
Message/Header/PrescriberOrderNumber |
.id |
FiveWs.identifier |
ORC-2-Placer Order Number / ORC-3-Filler Order Number |
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n/a |
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n/a |
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Role.code or implied by context |
N/A | |||
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Role.code or implied by context |
CX.5 | |||
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II.root or Role.id.root |
CX.4 / EI-2-4 | |||
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II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root) |
CX.1 / EI.1 | |||
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Role.effectiveTime or implied by context |
CX.7 + CX.8 | |||
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II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper |
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Request.status |
no mapping |
.statusCode |
FiveWs.status |
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Request.statusReason |
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Request.intent |
.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere) |
FiveWs.class |
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Message/Body/NewRx/MedicationPrescribed/Directions
or
Message/Body/NewRx/MedicationPrescribed/StructuredSIG |
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FiveWs.class |
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Message/Body/NewRx/MedicationPrescribed/Directions
or
Message/Body/NewRx/MedicationPrescribed/StructuredSIG |
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FiveWs.class |
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Request.priority |
.priorityCode |
FiveWs.grade |
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SubstanceAdministration.actionNegationInd |
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.participation[typeCode=INF].role |
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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 |
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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 |
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n/a |
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n/a |
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n/a |
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n/a |
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./codeSystem |
C*E.3 | |||
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./codeSystemVersion |
C*E.7 | |||
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./code |
C*E.1 | |||
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CV.displayName |
C*E.2 - but note this is not well followed | |||
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CD.codingRationale |
Sometimes implied by being first | |||
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | |||
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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 |
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Request.context |
no mapping |
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FiveWs.context |
PV1-19-Visit Number |
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Request.supportingInfo |
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FiveWs.context |
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Request.authoredOn |
Message/Body/NewRx/MedicationPrescribed/WrittenDate |
author.time |
FiveWs.recorded |
RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction |
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Request.requester |
.participation[typeCode=AUT].role |
FiveWs.author |
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Request.performer |
.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE] |
FiveWs.actor |
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Request.performerType |
.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code |
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.participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType) |
FiveWs.who |
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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 |
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n/a |
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n/a |
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | |||
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Request.reasonReference |
no mapping |
reason.observation[code=ASSERTION].value |
FiveWs.why[x] |
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Request.instantiates |
.outboundRelationship[typeCode=DEFN].target |
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.outboundRelationship[typeCode=DEFN].target |
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Request.basedOn |
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Request.groupIdentifier |
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Act.code where classCode = LIST and moodCode = EVN |
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Request.insurance |
.outboundRelationship[typeCode=COVBY].target |
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Request.note |
Message/Body/NewRx/MedicationPrescribed/Note |
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Request.occurrence[x] |
see dosageInstruction mapping |
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n/a |
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n/a |
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N/A |
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.text |
TQ1-1 | |||
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.text |
RXO-6; RXE-21 | |||
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.text |
RXO-7 | |||
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.text |
RXO-7 | |||
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.effectiveTime |
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TQ1-9 | |||
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.approachSiteCode |
RXR-2 | |||
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.routeCode |
RXR-1 | |||
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n/a |
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n/a |
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n/a |
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n/a |
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./codeSystem |
C*E.3 | |||
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./codeSystemVersion |
C*E.7 | |||
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./code |
C*E.1 | |||
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CV.displayName |
C*E.2 - but note this is not well followed | |||
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CD.codingRationale |
Sometimes implied by being first | |||
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./originalText[mediaType/code="text/plain"]/data |
C*E.9. But note many systems use C*E.2 for this | |||
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.doseQuantity |
RXR-4 | |||
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TQ1-2 | ||||
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n/a |
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n/a |
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n/a |
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N/A |
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N/A |
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RXO-21; RXE-23 | ||||
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.doseQuantity |
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.doseQuantity |
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n/a |
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n/a |
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SN.2 / CQ - N/A | |||
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IVL properties |
SN.1 / CQ.1 | |||
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PQ.unit |
(see OBX.6 etc.) / CQ.2 | |||
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(see OBX.6 etc.) / CQ.2 | |||
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(see OBX.6 etc.) / CQ.2 | |||
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.rateQuantity |
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.maxDoseQuantity |
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not supported |
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not supported |
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Message/Body/NewRx/MedicationPrescribed/ExpirationDate |
component.supplyEvent |
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n/a |
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n/a |
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N/A |
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SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply |
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n/a |
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n/a |
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N/A |
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Supply.quantity[moodCode=RQO] |
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Supply.effectivetime[moodCode=RQO] |
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Supply.effectivetime[moodCode=RQO] |
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Message/Body/NewRx/MedicationPrescribed/Refills |
effectiveTime |
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n/a |
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n/a |
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./low |
DR.1 | |||
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./high |
DR.2 | |||
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Message/Body/NewRx/MedicationPrescribed/Quantity |
repeatNumber |
RXE-12-Number of Refills | ||
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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 | ||
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n/a |
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n/a |
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SN.2 / CQ - N/A | |||
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IVL properties |
SN.1 / CQ.1 | |||
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PQ.unit |
(see OBX.6 etc.) / CQ.2 | |||
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(see OBX.6 etc.) / CQ.2 | |||
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(see OBX.6 etc.) / CQ.2 | |||
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Message/Body/NewRx/MedicationPrescribed/Substitutions |
expectedUseTime |
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FiveWs.who |
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specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions |
subjectOf.substitutionPersmission |
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n/a |
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n/a |
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N/A |
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specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions |
code |
RXO-9-Allow Substitutions / RXE-9-Substitution Status | ||
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not mapped |
reasonCode |
RXE-9 Substition status | ||
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Request.replaces |
not mapped |
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Request.relevantHistory |
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