Implementation Guide
ePA Medication Service
Version 1.2.0-ballot.1 - draft

Resource Profile: EMPMedicationRequest - Mappings

Draft as of 2025-08-01

Mappings for the emp-medication-request resource profile.

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
.... id
n/a
.... extension
n/a
.... versionId
.... lastUpdated
n/a
.... source
.... profile
.... security
CV
CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
.... tag
CV
CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
... implicitRules
... language
... text
Act.text?
... contained
N/A
... Slices for extension
.... extension:context
..... id
n/a
..... extension
..... url
N/A
..... value[x]
N/A
.... extension:activity
.... extension:reasonPatientInstruction
... modifierExtension
N/A
... Slices for identifier
Request.identifier
Message/Header/PrescriberOrderNumber
.id
FiveWs.identifier
ORC-2-Placer Order Number / ORC-3-Filler Order Number
.... identifier:MedicationPlanIdentifier
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
CE/CNE/CWE
... intent
Request.intent
.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
FiveWs.class
... 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
CE/CNE/CWE
... priority
Request.priority
.priorityCode
FiveWs.grade
... doNotPerform
SubstanceAdministration.actionNegationInd
... reported[x]
.participation[typeCode=INF].role
... 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
... 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
  • CX / EI (occasionally
  • more often EI maps to a resource id or a URL)
.... 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
... 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
CE/CNE/CWE
... 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
.... id
n/a
.... extension
n/a
.... Slices for coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
..... coding:icd-10-gm
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
...... id
n/a
...... Slices for extension
n/a
....... extension:Mehrfachcodierungs-Kennzeichen
N/A
....... extension:Seitenlokalisation
N/A
....... extension:Diagnosesicherheit
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
.... text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
... 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
  • CX / EI (occasionally
  • more often EI maps to a resource id or a URL)
... courseOfTherapyType
Act.code where classCode = LIST and moodCode = EVN
CE/CNE/CWE
... 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
N/A
.... id
n/a
.... extension
n/a
.... author[x]
Act.participant[typeCode=AUT].role
N/A
.... time
Act.effectiveTime
N/A
.... text
Act.text
N/A
... dosageInstruction
Request.occurrence[x]
see dosageInstruction mapping
... dispenseRequest
Message/Body/NewRx/MedicationPrescribed/ExpirationDate
component.supplyEvent
... substitution
specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
subjectOf.substitutionPersmission
... 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