Implementation Guide
ePA Medication Service
Version 1.2.0-ballot.2 - draft

## Resource Profile: EMPMedicationRequest - Mappings

Draft as of 2025-09-02

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

Name | Workflow Pattern | Mapping to NCPDP SCRIPT 10.6 | RIM Mapping | FiveWs Pattern Mapping | HL7 v2 Mapping
--- | --- | --- | --- | --- | ---
MedicationRequest | Request | Message/Body/NewRx | CombinedMedicationRequest |  |
id |  |  |  |  |
meta |  |  |  |  |
id |  |  | n/a |  |
extension |  |  | n/a |  |
versionId |  |  |  |  |
lastUpdated |  |  |  |  |
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 |  |  |  |  |
extension:patientNote |  |  |  |  |
extension:effectiveDosePeriod |  |  | N/A |  |
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 |  |
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] |  | SN (see also Range) or CQ
duration |  |  | Supply.effectivetime[moodCode=RQO] |  | SN (see also Range) or CQ
dispenseInterval |  |  | Supply.effectivetime[moodCode=RQO] |  | SN (see also Range) or CQ
validityPeriod |  | Message/Body/NewRx/MedicationPrescribed/Refills | effectiveTime |  | DR
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 |  | SN (see also Range) or CQ
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] |  |
Documentation for this format