US Veterans Health Administration FHIR Map Set Implementation Guide
1.6.0 - 250701 United States of America flag

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Resource Profile: MedicationRequestPending - Mappings

Active as of 2025-06-20

Mappings for the MedicationRequestPending 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

Use Case: MedicationRequest: Pending (Source)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
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
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 to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternMapping to NCPDP SCRIPT 10.6RIM MappingFiveWs Pattern MappingHL7 v2 Mappingdoco
.. MedicationRequest
Request
Message/Body/NewRx
CombinedMedicationRequest
... id
... meta
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:medicationrequest-pharmacyOrderStatus
..... id
n/a
..... extension
..... url
N/A
..... value[x]
N/A
...... id
n/a
...... extension
n/a
...... system
./codeSystem
C*E.3
...... version
./codeSystemVersion
C*E.7
...... code
./code
C*E.1
...... display
CV.displayName
C*E.2 - but note this is not well followed
...... userSelected
CD.codingRationale
Sometimes implied by being first
... modifierExtension
N/A
... identifier
Request.identifier
Message/Header/PrescriberOrderNumber
.id
FiveWs.identifier
ORC-2-Placer Order Number / ORC-3-Filler Order Number
.... id
n/a
.... extension
n/a
.... use
Role.code or implied by context
N/A
.... type
Role.code or implied by context
CX.5
.... system
II.root or Role.id.root
CX.4 / EI-2-4
.... value
II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
CX.1 / EI.1
.... period
Role.effectiveTime or implied by context
CX.7 + CX.8
.... assigner
II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
  • CX.4 / (CX.4
  • CX.9
  • CX.10)
... status
Request.status
no mapping
.statusCode
FiveWs.status
... statusReason
Request.statusReason
  • .inboundRelationship[typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN].reasonCOde
... intent
Request.intent
.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
FiveWs.class
... Slices for category
Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
  • .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • moodCode=EVN
  • code="type of medication usage"].value
FiveWs.class
.... category:us-core
Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
  • .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • moodCode=EVN
  • code="type of medication usage"].value
FiveWs.class
... priority
Request.priority
.priorityCode
FiveWs.grade
... doNotPerform
SubstanceAdministration.actionNegationInd
... reported[x]
.participation[typeCode=INF].role
... 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
consumable.administrableMedication
FiveWs.what[x]
RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
.... 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
consumable.administrableMedication
FiveWs.what[x]
RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
... subject
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
... encounter
Request.context
no mapping
  • .inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN
  • code="type of encounter or episode"]
FiveWs.context
PV1-19-Visit Number
... supportingInformation
Request.supportingInfo
  • .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)]
FiveWs.context
... authoredOn
Request.authoredOn
Message/Body/NewRx/MedicationPrescribed/WrittenDate
author.time
FiveWs.recorded
RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction
... requester
Request.requester
.participation[typeCode=AUT].role
FiveWs.author
... performer
Request.performer
.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
FiveWs.actor
... performerType
Request.performerType
.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
... recorder
.participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
FiveWs.who
... reasonCode
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
... reasonReference
Request.reasonReference
no mapping
reason.observation[code=ASSERTION].value
FiveWs.why[x]
... instantiatesCanonical
Request.instantiates
.outboundRelationship[typeCode=DEFN].target
... instantiatesUri
.outboundRelationship[typeCode=DEFN].target
... basedOn
Request.basedOn
  • .outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS
  • moodCode=RQO orPLAN or PRP]
... groupIdentifier
Request.groupIdentifier
  • .outboundRelationship(typeCode=COMP].target[classCode=SBADM
  • moodCode=INT].id
... courseOfTherapyType
Act.code where classCode = LIST and moodCode = EVN
... insurance
Request.insurance
.outboundRelationship[typeCode=COVBY].target
... note
Request.note
Message/Body/NewRx/MedicationPrescribed/Note
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS
  • moodCode=EVN
  • code="annotation"].value
... dosageInstruction
Request.occurrence[x]
see dosageInstruction mapping
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... sequence
.text
TQ1-1
.... text
.text
RXO-6; RXE-21
.... additionalInstruction
.text
RXO-7
.... patientInstruction
.text
RXO-7
.... timing
.effectiveTime
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... event
QLIST<TS>
..... repeat
Implies PIVL or EIVL
...... id
n/a
...... extension
n/a
...... Slices for bounds[x]
IVL(TS) used in a QSI
....... bounds[x]:boundsPeriod
IVL(TS) used in a QSI
........ id
n/a
........ extension
n/a
........ start
./low
DR.1
........ end
./high
DR.2
...... count
PIVL.count
...... countMax
PIVL.count
...... duration
PIVL.phase
...... durationMax
PIVL.phase
...... durationUnit
PIVL.phase.unit
...... frequency
PIVL.phase
...... frequencyMax
PIVL.phase
...... period
PIVL.phase
...... periodMax
PIVL.phase
...... periodUnit
PIVL.phase.unit
...... dayOfWeek
n/a
...... timeOfDay
n/a
...... when
EIVL.event
...... offset
EIVL.offset
..... code
QSC.code
.... asNeeded[x]
  • .outboundRelationship[typeCode=PRCN].target[classCode=OBS
  • moodCode=EVN
  • code="as needed"].value=boolean or codable concept
TQ1-9
.... site
.approachSiteCode
RXR-2
.... route
.routeCode
RXR-1
.... method
.doseQuantity
RXR-4
.... doseAndRate
TQ1-2
..... id
n/a
..... extension
n/a
..... type
RXO-21; RXE-23
..... dose[x]
.doseQuantity
  • RXO-2
  • RXE-3
..... rate[x]
.rateQuantity
  • RXE22
  • RXE23
  • RXE-24
.... maxDosePerPeriod
.maxDoseQuantity
  • RXO-23
  • RXE-19
.... maxDosePerAdministration
not supported
.... maxDosePerLifetime
not supported
... dispenseRequest
Message/Body/NewRx/MedicationPrescribed/ExpirationDate
component.supplyEvent
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... initialFill
SubstanceAdministration -> ActRelationship[sequenceNumber = '1'] -> Supply
..... id
n/a
..... extension
n/a
..... modifierExtension
N/A
..... quantity
Supply.quantity[moodCode=RQO]
..... duration
Supply.effectivetime[moodCode=RQO]
.... dispenseInterval
Supply.effectivetime[moodCode=RQO]
.... validityPeriod
Message/Body/NewRx/MedicationPrescribed/Refills
effectiveTime
.... numberOfRepeatsAllowed
Message/Body/NewRx/MedicationPrescribed/Quantity
repeatNumber
RXE-12-Number of Refills
.... quantity
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
.... expectedSupplyDuration
Message/Body/NewRx/MedicationPrescribed/Substitutions
expectedUseTime
.... performer
  • .outboundRelationship[typeCode=COMP].target[classCode=SPLY
  • moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
FiveWs.who
... substitution
specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
subjectOf.substitutionPersmission
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... allowed[x]
specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
code
RXO-9-Allow Substitutions / RXE-9-Substitution Status
.... reason
not mapped
reasonCode
RXE-9 Substition status
... priorPrescription
Request.replaces
not mapped
  • .outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM
  • moodCode=RQO]
... detectedIssue
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT
  • moodCode=EVN].value
... eventHistory
Request.relevantHistory
  • .inboundRelationship(typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN]

doco Documentation for this format