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 MedicationRequestUnsigned 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225 | for review | V2F | ORDER - ORDER # (100-.01) | source value | package like 'PS%' & class 'I' & [exclude supply] | MedicationRequest.identifier | .value | .type=http://terminology.hl7.org/CodeSystem/v2-0203#PLAC | confirm case | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | |
| 1226 | for review | V2F | ORDER - OBJECT OF ORDER (100-.02) | reference | MedicationRequest.subject | /Patient | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | ||||
| 1227 | for review | V2F | ORDER - CURRENT AGENT/PROVIDER (100-1) | reference | MedicationRequest.requester | /Practitioner | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | ||||
| 1228 | for review | V2F | ORDER - WHEN ENTERED (100-4) | source value | MedicationRequest.authoredOn | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | |||||
| 1229 | for review | V2F | fixed value | MedicationRequest.status | #draft | Unsigned only; all signed orders are represented by Pharmacy files, not file 100. Removed source field: this is fixed. | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | ||||
| 1232 | for review | V2F | ORDER - REPLACED ORDER (100-9) | reference | MedicationRequest.priorPrescription | The specific MedicationRequestXxx profile to use depends on the source data | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | ||||
| 1233 | for review | V2F | ORDER - PATIENT CLASS (100-10) | terminologyMaps | MedicationRequest.category | VF_OrderPatientClass | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | ||||
| 1234 | for review | V2F | ORDER - START DATE (100-21) | source value | MedicationRequest.dosageInstruction | .timing.repeat.boundsPeriod.start | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | ||||
| 1235 | for review | V2F | ORDER - STOP DATE (100-22) | source value | MedicationRequest.dosageInstruction | .timing.repeat.boundsPeriod.end | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | ||||
| 1549 | for review | V2F | ORDER - ITEM ORDERED (100-7) | source value | MedicationRequest.medicationCodeableConcept | confirm lookup | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 | ||||
| 2250 | for review | V2F | ORDER - STATUS (100-5) | source value | MedicationRequest.extension[http://va.gov/fhir/StructureDefinition/medicationrequest-pharmacyOrderStatus].valueCoding | .code | .system = http://va.gov/terminology/vistaDefinedTerms/100.01 | This should always be "UNRELEASED" | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | ||
| 2254 | for review | V2F | ORDER - STATUS (100-5) | source value | MedicationRequest.status.extension[http://hl7.org/fhir/StructureDefinition/alternate-codes].valueCodeableConcept.coding | .code | .system = http://va.gov/terminology/vistaDefinedTerms/100.01 | This should always be "UNRELEASED" | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | 5.0.1 |
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 | Mapping to NCPDP SCRIPT 10.6 |
|---|---|---|---|---|---|---|
  MedicationRequest |
Request |
Message/Body/NewRx | ||||
  id |
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 meta |
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| implicitRules |
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| language |
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| text |
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| contained |
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  Slices for extension |
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   extension:medicationrequest-pharmacyOrderStatus |
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  id |
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| extension |
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| url |
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 value[x] |
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| id |
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| extension |
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| system |
fixed value = http://va.gov/terminology/vistaDefinedTerms/100.01 mapParameter line 1 |
|||||
| version |
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| code |
source value based on ORDER - STATUS (100-5) This should always be "UNRELEASED" |
RadOrder.Status
RadOrder.Extension[OrderExtension].VAStatus
RadOrder.Extension[ResultExtension].VAResultStatus
LabOrder.Status
LabOrder.Extension[LabOrderExtension].VAStatus
OtherOrder.Status
OtherOrder.Extension[OrderExtension].VAStatus
Medication.Status |
med.status
med.vaStatus
order.status (>100.01-.1)
order.status (>100.01-.01)
order.status (>100.01-99.99)
pharmacy (med).status
pharmacy (med).vaStatus |
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| display |
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 userSelected |
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 modifierExtension |
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| identifier |
Request.identifier |
Message/Header/PrescriberOrderNumber | ||||
| id |
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| extension |
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| use |
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| type |
fixed value = http://terminology.hl7.org/CodeSystem/v2-0203#PLAC if package like 'PS%' & class 'I' & [exclude supply] mapParameter line 1 |
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| system |
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| value |
source value based on ORDER - ORDER # (100-.01) if package like 'PS%' & class 'I' & [exclude supply] confirm case |
RadOrder.OrderItem[Order].Description
RadOrder.Extension[ResultExtension].null
LabOrder.OrderItem[Order].Description
LabOrder.Priority.Description
OtherOrder.OrderCategory.Description
OtherOrder.OrderItem[Order].Description
OtherOrder.OrderStatus[VA.VAStatus].Description
OtherOrder.Priority.Description
OtherOrder.OrderItem[Order].OriginalText |
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| period |
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 assigner |
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| status |
fixed value = #draft Unsigned only; all signed orders are represented by Pharmacy files, not file 100. Removed source field: this is fixed. |
Request.status |
no mapping | |||
| id |
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| Slices for extension |
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| extension:alternate-codes |
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| id |
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| extension |
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| url |
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| value[x] |
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| id |
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| extension |
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| coding |
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| id |
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| extension |
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| system |
fixed value = http://va.gov/terminology/vistaDefinedTerms/100.01 mapParameter line 1 |
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| version |
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| code |
source value based on ORDER - STATUS (100-5) This should always be "UNRELEASED" |
RadOrder.Status
RadOrder.Extension[OrderExtension].VAStatus
RadOrder.Extension[ResultExtension].VAResultStatus
LabOrder.Status
LabOrder.Extension[LabOrderExtension].VAStatus
OtherOrder.Status
OtherOrder.Extension[OrderExtension].VAStatus
Medication.Status |
med.status
med.vaStatus
order.status (>100.01-.1)
order.status (>100.01-.01)
order.status (>100.01-99.99)
pharmacy (med).status
pharmacy (med).vaStatus |
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| display |
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| userSelected |
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| text |
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| value |
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| statusReason |
Request.statusReason |
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| intent |
Request.intent |
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 Slices for category |
terminologyMaps using VF_OrderPatientClass on ORDER - PATIENT CLASS (100-10) |
CPRSOrder.CPRSOrder.InPatientFlag |
RadOrder.Extension[OrderExtension].PatientClass
LabOrder.Extension[LabOrderExtension].PatientClass
OtherOrder.Extension[OrderExtension].PatientClass
Medication.Extension[MedicationExtension].PatientClass |
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 |
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| doNotPerform |
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 reported[x] |
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| 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 |
source value based on ORDER - ITEM ORDERED (100-7) confirm lookup |
CPRSOrder.CPRSOrder.ItemOrderedParentFileIEN
CPRSOrder.CPRSOrder.ItemOrderedParentFileNumber |
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 | ||
| subject |
reference based on ORDER - OBJECT OF ORDER (100-.02) |
CPRSOrder.OrderAction.ObjectOfOrderIEN
CPRSOrder.OrderAction.ObjectofOrderLabReferralPatientIEN
CPRSOrder.OrderAction.ObjectOfOrderPatientIEN
CPRSOrder.OrderAction.ParentFileNumber
CPRSOrder.OrderedItem.PatientIEN |
RadOrder.Extension[ResultExtension].null |
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 |
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| authoredOn |
source value based on ORDER - WHEN ENTERED (100-4) |
CPRSOrder.CPRSOrder.EnteredDateTime
CPRSOrder.CPRSOrder.EnteredVistaDate
CPRSOrder.OrderedItem.EnteredDateTime
CPRSOrder.OrderedItem.EnteredVistaDate |
RadOrder.EnteredOn
RadOrder.NationalItem[CodeTable].SDACodingStandard
RadOrder.Extension[ResultExtension].CaseNumber
LabOrder.EnteredOn
LabOrder.NationalItem[CodeTable].SDACodingStandard
OtherOrder.EnteredOn
Medication.EnteredOn |
med.ordered
order.entered
pharmacy (med).ordered |
Request.authoredOn |
Message/Body/NewRx/MedicationPrescribed/WrittenDate |
| requester |
reference based on ORDER - CURRENT AGENT/PROVIDER (100-1) |
med.orderingProvider (>200-.01)
pharmacy (med).orderingProvider (>200-.01) |
Request.requester |
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| performer |
Request.performer |
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| performerType |
Request.performerType |
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| recorder |
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| reasonCode |
Request.reasonCode |
Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value | ||||
| reasonReference |
Request.reasonReference |
no mapping | ||||
| instantiatesCanonical |
Request.instantiates |
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| instantiatesUri |
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| basedOn |
Request.basedOn |
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| groupIdentifier |
Request.groupIdentifier |
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| courseOfTherapyType |
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| insurance |
Request.insurance |
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| note |
Request.note |
Message/Body/NewRx/MedicationPrescribed/Note | ||||
| dosageInstruction |
Request.occurrence[x] |
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| id |
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| extension |
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| modifierExtension |
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| sequence |
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| text |
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| additionalInstruction |
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| patientInstruction |
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| timing |
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| id |
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| extension |
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| modifierExtension |
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| event |
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| repeat |
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| id |
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| extension |
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| Slices for bounds[x] |
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| bounds[x]:boundsPeriod |
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| id |
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| extension |
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| start |
source value based on ORDER - START DATE (100-21) |
CPRSOrder.CPRSOrder.OrderStartDateTime
CPRSOrder.CPRSOrder.OrderStartVistaDate
CPRSOrder.OrderAction.OrderStartDateTime
CPRSOrder.OrderedItem.OrderStartDateSID
CPRSOrder.OrderedItem.OrderStartDateTime
CPRSOrder.OrderedItem.OrderStartVistaDate |
RadOrder.FromTime
LabOrder.FromTime
LabOrder.SpecimenCollectedTime
OtherOrder.FromTime
Medication.FromTime |
med.start
order.start
pharmacy (med).start |
||
 end |
source value based on ORDER - STOP DATE (100-22) |
CPRSOrder.CPRSOrder.OrderStopDateTime
CPRSOrder.CPRSOrder.OrderStopVistaDate
CPRSOrder.OrderedItem.OrderStopDateSID
CPRSOrder.OrderedItem.OrderStopDateTime
CPRSOrder.OrderedItem.OrderStopVistaDate |
RadOrder.ToTime
LabOrder.ToTime
OtherOrder.ToTime
Medication.ToTime |
med.stop
order.stop
pharmacy (med).stop |
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| count |
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| countMax |
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| duration |
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| durationMax |
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| durationUnit |
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| frequency |
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| frequencyMax |
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| period |
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| periodMax |
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| periodUnit |
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| dayOfWeek |
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| timeOfDay |
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| when |
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| offset |
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| code |
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| asNeeded[x] |
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| site |
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| route |
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| method |
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| doseAndRate |
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| id |
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| extension |
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| type |
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| dose[x] |
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| rate[x] |
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| maxDosePerPeriod |
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| maxDosePerAdministration |
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| maxDosePerLifetime |
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| dispenseRequest |
Message/Body/NewRx/MedicationPrescribed/ExpirationDate | |||||
| id |
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| extension |
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| modifierExtension |
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| initialFill |
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| id |
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| extension |
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| modifierExtension |
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| quantity |
||||||
| duration |
||||||
| dispenseInterval |
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| validityPeriod |
Message/Body/NewRx/MedicationPrescribed/Refills | |||||
| numberOfRepeatsAllowed |
Message/Body/NewRx/MedicationPrescribed/Quantity | |||||
| quantity |
Message/Body/NewRx/MedicationPrescribed/DaysSupply | |||||
| expectedSupplyDuration |
Message/Body/NewRx/MedicationPrescribed/Substitutions | |||||
| performer |
||||||
| substitution |
specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions | |||||
| id |
||||||
| extension |
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| modifierExtension |
||||||
| allowed[x] |
specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions | |||||
| reason |
not mapped | |||||
| priorPrescription |
reference based on ORDER - REPLACED ORDER (100-9) The specific MedicationRequestXxx profile to use depends on the source data |
RadOrder.Extension[OrderExtension].ReplacedOrder
LabOrder.Extension[LabOrderExtension].ReplacedOrder
OtherOrder.Extension[OrderExtension].ReplacedOrder
Medication.Extension[MedicationExtension].ReplacedOrder |
Request.replaces |
not mapped | ||
| detectedIssue |
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| eventHistory |
Request.relevantHistory |
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| Documentation for this format | ||||||