CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
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CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v2.0.0-cibuild) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: AcuteCareHospitalMonthlyReportingMedicationRequest - Mappings

Page standards status: Trial-use Maturity Level: 1

Mappings for the ach-monthly-medicationrequest resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

Name Workflow Pattern Mapping to NCPDP SCRIPT 10.6 RIM Mapping FiveWs Pattern Mapping HL7 v2 Mappingdoco
.. MedicationRequest
Request
Message/Body/NewRx
CombinedMedicationRequest
... id
... meta
.... id
n/a
.... Slices for extension
..... extension:link-received-date-extension
.... versionId
.... lastUpdated
.... source
.... profile
.... security
.... tag
... implicitRules
... language
... text
Act.text?
... contained
N/A
... extension
N/A
... modifierExtension
N/A
... identifier
Request.identifier
Message/Header/PrescriberOrderNumber
.id
FiveWs.identifier
ORC-2-Placer Order Number / ORC-3-Filler Order Number
... 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
..... id
n/a
..... Slices for extension
n/a
...... extension:notDoneValueSet
CD.valueSet/CD.valueSetVersion
CWE.
..... coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
..... text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
.... medication[x]:medicationReference
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
..... id
n/a
..... extension
n/a
..... reference
N/A
..... type
N/A
..... identifier
.identifier
..... display
N/A
... 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
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... 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
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... 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]
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
.... display
N/A
... 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
...... bounds[x]
IVL(TS) used in a QSI
...... 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