US Veterans Health Administration FHIR Map Set Implementation Guide
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Resource Profile: MedicationRequestPending - Mappings

Active as of 2025-03-31

Mappings for the MedicationRequestPending 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.

Mapping Sources

Use Case: MedicationRequest: Pending (Source)PENDING OUTPATIENT ORDERS (52.41).01PLACER NUMBER2ORDER TYPE4ENTERED BY5PROVIDER6EFFECTIVE DATE8PHARMACY ORDERABLE ITEM9PROVIDER COMMENTS11DRUG12QTY131.OF REFILLS15LOGIN DATE101DAYS SUPPLY105EXPANDED PATIENT INSTRUCTIONS

Raw Mappings

key status direction source mapApproach mapCase FHIR Path subPath mapValue mapParameter mapComment FHIR URL | Ver
1747 for review V2F PENDING OUTPATIENT ORDERS - PLACER NUMBER (52.41-.01) source value MedicationRequest.identifier .value .system = http://va.gov/identifiers/$Sta3n/52.41-.01
.type=http://terminology.hl7.org/CodeSystem/v2-0203#PLAC
http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1747-1 for review V2F fixed value MedicationRequest.identifier .system http://va.gov/identifiers/$Sta3n/52.41-.01 generated from mapParameter line 1 http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1747-2 for review V2F fixed value MedicationRequest.identifier .type http://terminology.hl7.org/CodeSystem/v2-0203#PLAC generated from mapParameter line 2 http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1748 for review V2F fixed value MedicationRequest.status #draft http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1749 for review V2F PENDING OUTPATIENT ORDERS - ORDER TYPE (52.41-2) source value MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus].valueCoding .code .system=http://va.gov/terminology/vistaDefinedTerms/52.41-2 http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1749-1 for review V2F fixed value MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus].valueCoding .system http://va.gov/terminology/vistaDefinedTerms/52.41-2 generated from mapParameter line 1 http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1750 for review V2F PENDING OUTPATIENT ORDERS - ENTERED BY (52.41-4) reference MedicationRequest.recorder /Practitioner http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1751 for review V2F PENDING OUTPATIENT ORDERS - PROVIDER (52.41-5) reference MedicationRequest.requester /Practitioner http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1752 for review V2F PENDING OUTPATIENT ORDERS - EFFECTIVE DATE (52.41-6) source value MedicationRequest.dosageInstruction .timing.repeat.boundsPeriod.start http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1753 for review V2F PENDING OUTPATIENT ORDERS - PHARMACY ORDERABLE ITEM (52.41-8) source value drug null MedicationRequest.medicationCodeableConcept http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1754 for review V2F PENDING OUTPATIENT ORDERS - DRUG (52.41-11) source value MedicationRequest.medicationCodeableConcept http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1755 for review V2F PENDING OUTPATIENT ORDERS - QTY (52.41-12) source value MedicationRequest.dispenseRequest .quantity http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1756 for review V2F PENDING OUTPATIENT ORDERS - # OF REFILLS (52.41-13) source value MedicationRequest.dispenseRequest .numberOfRepeatsAllowed http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1757 for review V2F PENDING OUTPATIENT ORDERS - LOGIN DATE (52.41-15) source value MedicationRequest.authoredOn http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1758 for review V2F PENDING OUTPATIENT ORDERS - DAYS SUPPLY (52.41-101) source value MedicationRequest.dispenseRequest .expectedSupplyDuration http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1759 for review V2F PENDING OUTPATIENT ORDERS - PROVIDER COMMENTS (52.41-9) source value MedicationRequest.note http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1
1760 for review V2F PENDING OUTPATIENT ORDERS - EXPANDED PATIENT INSTRUCTIONS (52.41-105) MedicationRequest.dosageInstruction .patientInstruction http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1

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

MedicationRequestPending
MedicationRequest
   extension
   extension (medicationrequest-pharmacyOrderStatus)
      value[x]
         system1749-1: fixed value = http://va.gov/terminology/vistaDefinedTerms/52.41-2

generated from mapParameter line 1

         code1749: source value based on PENDING OUTPATIENT ORDERS - ORDER TYPE (52.41-2)
   identifier
      type1747-2: fixed value = http://terminology.hl7.org/CodeSystem/v2-0203#PLAC

generated from mapParameter line 2

      system1747-1: fixed value = http://va.gov/identifiers/$Sta3n/52.41-.01

generated from mapParameter line 1

      value1747: source value based on PENDING OUTPATIENT ORDERS - PLACER NUMBER (52.41-.01)
   status1748: fixed value = #draft
   medication[x] (medicationCodeableConcept)1753: source value based on PENDING OUTPATIENT ORDERS - PHARMACY ORDERABLE ITEM (52.41-8) if drug null, 1754: source value based on PENDING OUTPATIENT ORDERS - DRUG (52.41-11),
   authoredOn1757: source value based on PENDING OUTPATIENT ORDERS - LOGIN DATE (52.41-15)
   requester1751: reference based on PENDING OUTPATIENT ORDERS - PROVIDER (52.41-5)
   recorder1750: reference based on PENDING OUTPATIENT ORDERS - ENTERED BY (52.41-4)
   note1759: source value based on PENDING OUTPATIENT ORDERS - PROVIDER COMMENTS (52.41-9)
   dosageInstruction
      patientInstruction1760: null
      timing
         repeat
            bounds[x]
            bounds[x] (boundsPeriod)
               start1752: source value based on PENDING OUTPATIENT ORDERS - EFFECTIVE DATE (52.41-6)
   dispenseRequest
      numberOfRepeatsAllowed1756: source value based on PENDING OUTPATIENT ORDERS - # OF REFILLS (52.41-13)
      quantity1755: source value based on PENDING OUTPATIENT ORDERS - QTY (52.41-12)
      expectedSupplyDuration1758: source value based on PENDING OUTPATIENT ORDERS - DAYS SUPPLY (52.41-101)

Mappings for Clinical Data Warehouse (CDW) ()

MedicationRequestPending
MedicationRequest
   extension
   extension (medicationrequest-pharmacyOrderStatus)
      value[x]
         codeRxOut.PendingRxOrder.OrderType
   identifier
      valueRxOut.PendingRxOrder.PlacerCPRSOrderIEN,RxOut.PendingRxOrder.PlacerCPRSOrderSID
   medication[x] (medicationCodeableConcept)RxOut.PendingRxOrder.PharmacyOrderableItemIEN,RxOut.PendingRxOrder.PharmacyOrderableItemSID, RxOut.PendingRxOrder.LocalDrugIEN,RxOut.PendingRxOrder.LocalDrugSID
   authoredOnRxOut.PendingRxOrder.LoginDateTime
   requesterRxOut.PendingRxOrder.ProviderIEN,RxOut.PendingRxOrder.ProviderSID
   recorderRxOut.PendingRxOrder.EnteredByStaffIEN,RxOut.PendingRxOrder.EnteredByStaffSID
   dosageInstruction
      timing
         repeat
            bounds[x]
            bounds[x] (boundsPeriod)
               startRxOut.PendingRxOrder.EffectiveDateTime,RxOut.PharmacyInstructions.EffectiveDateTime,RxOut.ProviderComments.EffectiveDateTime
   dispenseRequest
      numberOfRepeatsAllowedRxOut.PendingRxOrder.NumberOfRefills
      quantityRxOut.PendingRxOrder.LocalQty
      expectedSupplyDurationRxOut.PendingRxOrder.DaysSupply

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

MedicationRequestPending
MedicationRequestRequest
   identifierRequest.identifier
   statusRequest.status
   statusReasonRequest.statusReason
   intentRequest.intent
   priorityRequest.priority
   medication[x]Request.code
   medication[x] (medicationCodeableConcept)Request.code
   subjectRequest.subject
   encounterRequest.context
   supportingInformationRequest.supportingInfo
   authoredOnRequest.authoredOn
   requesterRequest.requester
   performerRequest.performer
   performerTypeRequest.performerType
   reasonCodeRequest.reasonCode
   reasonReferenceRequest.reasonReference
   instantiatesCanonicalRequest.instantiates
   basedOnRequest.basedOn
   groupIdentifierRequest.groupIdentifier
   insuranceRequest.insurance
   noteRequest.note
   dosageInstructionRequest.occurrence[x]
   priorPrescriptionRequest.replaces
   eventHistoryRequest.relevantHistory

Mappings for Mapping to NCPDP SCRIPT 10.6 (http://ncpdp.org/SCRIPT10_6)

MedicationRequestPending
MedicationRequestMessage/Body/NewRx
   identifierMessage/Header/PrescriberOrderNumber
   statusno mapping
   categoryMessage/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
   category (us-core)Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
   medication[x]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)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
   subjectMessage/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT)
   encounterno mapping
   authoredOnMessage/Body/NewRx/MedicationPrescribed/WrittenDate
   reasonCodeMessage/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value
   reasonReferenceno mapping
   noteMessage/Body/NewRx/MedicationPrescribed/Note
   dispenseRequestMessage/Body/NewRx/MedicationPrescribed/ExpirationDate
      validityPeriodMessage/Body/NewRx/MedicationPrescribed/Refills
      numberOfRepeatsAllowedMessage/Body/NewRx/MedicationPrescribed/Quantity
      quantityMessage/Body/NewRx/MedicationPrescribed/DaysSupply
      expectedSupplyDurationMessage/Body/NewRx/MedicationPrescribed/Substitutions
   substitutionspecific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
      allowed[x]specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
      reasonnot mapped
   priorPrescriptionnot mapped

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

MedicationRequestPending
MedicationRequestEntity. Role, or Act, CombinedMedicationRequest
   textAct.text?
   containedN/A
   extension
   extension (medicationrequest-pharmacyOrderStatus)
      idn/a
      urlN/A
      value[x]N/A
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
   modifierExtensionN/A
   identifier.id
      idn/a
      extensionn/a
      useRole.code or implied by context
      typeRole.code or implied by context
      systemII.root or Role.id.root
      valueII.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
      periodRole.effectiveTime or implied by context
      assignerII.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
   status.statusCode
   statusReason.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
   intent.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
   category.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
   category (us-core).inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
   priority.priorityCode
   doNotPerformSubstanceAdministration.actionNegationInd
   reported[x].participation[typeCode=INF].role
   medication[x]consumable.administrableMedication
   medication[x] (medicationCodeableConcept)consumable.administrableMedication
   subject.participation[typeCode=AUT].role
   encounter.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)]
   authoredOnauthor.time
   requester.participation[typeCode=AUT].role
   performer.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
   performerType.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
   recorder.participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
   reasonCodereason.observation.reasonCode
   reasonReferencereason.observation[code=ASSERTION].value
   instantiatesCanonical.outboundRelationship[typeCode=DEFN].target
   instantiatesUri.outboundRelationship[typeCode=DEFN].target
   basedOn.outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
   groupIdentifier.outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id
   courseOfTherapyTypeAct.code where classCode = LIST and moodCode = EVN
   insurance.outboundRelationship[typeCode=COVBY].target
   note.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
   dosageInstructionsee dosageInstruction mapping
      idn/a
      extensionn/a
      modifierExtensionN/A
      sequence.text
      text.text
      additionalInstruction.text
      patientInstruction.text
      timing.effectiveTime
         idn/a
         extensionn/a
         modifierExtensionN/A
         eventQLIST<TS>
         repeatImplies PIVL or EIVL
            idn/a
            extensionn/a
            bounds[x]IVL(TS) used in a QSI
            bounds[x] (boundsPeriod)IVL(TS) used in a QSI
               idn/a
               extensionn/a
               start./low
               end./high
            countPIVL.count
            countMaxPIVL.count
            durationPIVL.phase
            durationMaxPIVL.phase
            durationUnitPIVL.phase.unit
            frequencyPIVL.phase
            frequencyMaxPIVL.phase
            periodPIVL.phase
            periodMaxPIVL.phase
            periodUnitPIVL.phase.unit
            dayOfWeekn/a
            timeOfDayn/a
            whenEIVL.event
            offsetEIVL.offset
         codeQSC.code
      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
         idn/a
         extensionn/a
         dose[x].doseQuantity
         rate[x].rateQuantity
      maxDosePerPeriod.maxDoseQuantity
      maxDosePerAdministrationnot supported
      maxDosePerLifetimenot supported
   dispenseRequestcomponent.supplyEvent
      idn/a
      extensionn/a
      modifierExtensionN/A
      initialFillSubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply
         idn/a
         extensionn/a
         modifierExtensionN/A
         quantitySupply.quantity[moodCode=RQO]
         durationSupply.effectivetime[moodCode=RQO]
      dispenseIntervalSupply.effectivetime[moodCode=RQO]
      validityPeriodeffectiveTime
      numberOfRepeatsAllowedrepeatNumber
      quantityquantity
      expectedSupplyDurationexpectedUseTime
      performer.outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
   substitutionsubjectOf.substitutionPersmission
      idn/a
      extensionn/a
      modifierExtensionN/A
      allowed[x]code
      reasonreasonCode
   priorPrescription.outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]
   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)

MedicationRequestPending
MedicationRequest
   identifierFiveWs.identifier
   statusFiveWs.status
   intentFiveWs.class
   categoryFiveWs.class
   category (us-core)FiveWs.class
   priorityFiveWs.grade
   medication[x]FiveWs.what[x]
   medication[x] (medicationCodeableConcept)FiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   encounterFiveWs.context
   supportingInformationFiveWs.context
   authoredOnFiveWs.recorded
   requesterFiveWs.author
   performerFiveWs.actor
   recorderFiveWs.who
   reasonCodeFiveWs.why[x]
   reasonReferenceFiveWs.why[x]
   dispenseRequest
      performerFiveWs.who

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

MedicationRequestPending
MedicationRequest
   extension
   extension (medicationrequest-pharmacyOrderStatus)
      value[x]
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
   identifierORC-2-Placer Order Number / ORC-3-Filler Order Number
      useN/A
      typeCX.5
      systemCX.4 / EI-2-4
      valueCX.1 / EI.1
      periodCX.7 + CX.8
      assignerCX.4 / (CX.4,CX.9,CX.10)
   medication[x]RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
   medication[x] (medicationCodeableConcept)RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
   subjectPID-3-Patient ID List
   encounterPV1-19-Visit Number
   authoredOnRXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction
   reasonCodeORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication
   dosageInstruction
      sequenceTQ1-1
      textRXO-6; RXE-21
      additionalInstructionRXO-7
      patientInstructionRXO-7
      timing
         repeat
            bounds[x]
            bounds[x] (boundsPeriod)
               startDR.1
               endDR.2
      asNeeded[x]TQ1-9
      siteRXR-2
      routeRXR-1
      methodRXR-4
      doseAndRateTQ1-2
         typeRXO-21; RXE-23
         dose[x]RXO-2, RXE-3
         rate[x]RXE22, RXE23, RXE-24
      maxDosePerPeriodRXO-23, RXE-19
   dispenseRequest
      numberOfRepeatsAllowedRXE-12-Number of Refills
      quantityRXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
   substitution
      allowed[x]RXO-9-Allow Substitutions / RXE-9-Substitution Status
      reasonRXE-9 Substition status