Implementation Guide
ePA Medication Service
Version 1.3.1 - release

Resource Profile: EPAMedicationDispense - Mappings

Active as of 2025-12-15

Mappings for the epa-medication-dispense resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NameWorkflow PatternRIM MappingFiveWs Pattern MappingV3 Pharmacy Dispense RMIMHL7 v2 Mappingdoco
.. MedicationDispense
Event
Supply[moodCode=EVN]
... 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
N/A
.... extension:rxPrescriptionProcessIdentifier
..... id
n/a
..... extension
..... url
N/A
..... value[x]
N/A
...... id
n/a
...... extension
n/a
...... use
Role.code or implied by context
N/A
...... type
Role.code or implied by context
CX.5
....... id
n/a
....... extension
n/a
....... coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
........ 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
....... text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
...... 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)
.... extension:renderedDosageInstruction
N/A
..... id
n/a
..... extension
..... url
N/A
..... value[x]
N/A
.... extension:generatedDosageInstructionsMeta
N/A
..... id
n/a
..... Slices for extension
n/a
...... extension:language
....... id
n/a
....... extension
n/a
....... url
N/A
....... Slices for value[x]
N/A
........ value[x]:valueCode
N/A
...... extension:algorithmVersion
....... id
n/a
....... extension
n/a
....... url
N/A
....... Slices for value[x]
N/A
........ value[x]:valueString
N/A
..... url
N/A
..... value[x]
N/A
... modifierExtension
N/A
... Slices for identifier
Event.identifier
.id
FiveWs.identifier
CombinedMedicationDispense.id
  • CX / EI (occasionally
  • more often EI maps to a resource id or a URL)
.... identifier:RxOriginatorProcessIdentifier
Event.identifier
.id
FiveWs.identifier
CombinedMedicationDispense.id
  • CX / EI (occasionally
  • more often EI maps to a resource id or a URL)
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
N/A
..... type
Role.code or implied by context
CX.5
...... id
n/a
...... extension
n/a
...... coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
....... 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
...... text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
..... 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)
... partOf
Event.partOf
  • .outboundRelationship[typeCode=COMP]/target[classCode=PROC
  • moodCode=EVN]
... status
Event.status
.statusCode
FiveWs.status
CombinedMedicationDispense.SupplyEvent.statusCode
... statusReason[x]
Event.statusReason
  • .outboundRelationship[typeCode=RSON]/target[classCode=OBS
  • moodCode=EVN
  • code="not done reason"].value
... category
  • .inboundRelationship[typeCode=COMP].source[classCode=OBS
  • moodCode=EVN
  • code="type of medication dispense"].value
CE/CNE/CWE
.... id
n/a
.... extension
n/a
.... coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
..... 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
.... text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
... medication[x]
Event.code
.participation[typeCode=PRD].role
FiveWs.what[x]
CombinedMedicationRequest.component1.AdministrationRequest.consumable
RXD-2-Dispense/Give Code
.... 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)
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
N/A
..... type
Role.code or implied by context
CX.5
...... id
n/a
...... extension
n/a
...... coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
....... 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
...... text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
..... 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)
.... display
N/A
... subject
Event.subject
.participation[typeCode=SBJ].role[classCode=PAT]
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
... context
Event.context
  • .inboundRelationship[typeCode=COMP].source[classCode=ENC
  • moodCode=EVN
  • code="type of encounter or episode"]
... supportingInformation
  • .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
... performer
Event.performer
.participation[typeCode=PRF]
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... function
participation[typeCode=PRF].functionCode
CE/CNE/CWE
.... actor
Event.performer.actor
.role
..... 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)
...... id
n/a
...... extension
n/a
...... use
Role.code or implied by context
N/A
...... type
Role.code or implied by context
CX.5
....... id
n/a
....... extension
n/a
....... coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
........ 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
....... text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
...... 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)
..... display
N/A
... location
.participation[typeCode=LOC].role
... authorizingPrescription
Event.basedOn
.outboundRelationship[typeCode=FLFS].target[moodCode=RQO]
CombinedMedicationDispense.inFulfillmentOf
ORC-2 Placer Order Number
.... 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)
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
N/A
..... type
Role.code or implied by context
CX.5
...... id
n/a
...... extension
n/a
...... coding
  • union(.
  • ./translation)
  • C*E.1-8
  • C*E.10-22
....... 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
...... text
./originalText[mediaType/code="text/plain"]/data
C*E.9. But note many systems use C*E.2 for this
..... 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)
.... display
N/A
... type
.code
CombinedMedicationDispense.SupplyEvent.code
RXD-33-Dispense Type
... quantity
.quantity
CombinedMedicationDispense.SupplyEvent.quantity
RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
... daysSupply
effectiveUseTime
  • TQ1.6 Timing/Quantity Segment Service Duration. Prior to v2.5
  • ORC.7.3 Common Order Segment / Quantity/Timing / Duration component. This is a formatted string
  • first character for the time unit (e.g.
  • D=days)
  • followed by the value. For example
  • “D14” represents “14 days supply” From v2.5 on
  • TQ1.6 Timing/Quantity Segment / Service Duration. This is a CQ data type (<Quantity (NM)> ^ <Units (CWE)>)
  • thus for days supply
  • assuming the unit of measure is “days”
  • the numeric value is TQ1.6.1 (…|14^ For backwards compatibility
  • ORC.7 was permitted through v2.6. Both forms (field and segment) may be present in v2.5
  • v2.5.1
  • and v2.6
... whenPrepared
type=IVL_TS].low
CombinedMedicationDispense.SupplyEvent.effectiveTime
RXD-3-Date/Time Dispensed
... whenHandedOver
Event.occurrence[x]
type=IVL_TS].high
CombinedMedicationDispense.SupplyEvent.effectiveTime
RXD-3-Date/Time Dispensed
... destination
.participation[typeCode=DST].role
CombinedMedicationDispense.SupplyEvent.destination
RXD-13 Dispense-to Location; RXD-30 Dispense to Pharmacy; RXD-31 Dispense to Pharmacy Address
... receiver
.participation[typeCode=RCV].role
CombinedMedicationDispense.SupplyEvent.receiver
... note
Event.note
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ACT
  • moodCode=EVN]
RXD-9 Dispense Notes
... dosageInstruction
  • .outboundRelationship[typeCode=COMP].target[classCode=SBADM
  • moodCode=INT]
.... 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
N/A
.... 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
n/a
TQ1-2
..... id
n/a
..... extension
N/A
..... type
CD
RXO-21; RXE-23
..... Slices for dose[x]
  • PQ
  • IVL<PQ>
  • MO
  • CO
  • depending on the values
SN (see also Range) or CQ
...... dose[x]:doseQuantity
.doseQuantity
  • RXO-2
  • RXE-3
....... id
n/a
....... extension
n/a
....... value
  • PQ.value
  • CO.value
  • MO.value
  • IVL.high or IVL.low depending on the value
SN.2 / CQ - N/A
....... comparator
IVL properties
SN.1 / CQ.1
....... unit
PQ.unit
(see OBX.6 etc.) / CQ.2
....... system
  • CO.codeSystem
  • PQ.translation.codeSystem
(see OBX.6 etc.) / CQ.2
....... code
  • PQ.code
  • MO.currency
  • PQ.translation.code
(see OBX.6 etc.) / CQ.2
..... rate[x]
.rateQuantity
  • RXE22
  • RXE23
  • RXE-24
.... maxDosePerPeriod
.maxDoseQuantity
  • RXO-23
  • RXE-19
.... maxDosePerAdministration
not supported
SN (see also Range) or CQ
.... maxDosePerLifetime
not supported
SN (see also Range) or CQ
... substitution
  • .outboundRelationship[typeCode=COMP].target[classCode=SUBST
  • moodCode=EVN]
CombinedMedicationDispense.substitutionMade
.... id
n/a
.... extension
n/a
.... modifierExtension
N/A
.... wasSubstituted
.actionNegationInd
.... type
.code
CombinedMedicationDispense.substitutionMade.code
RXO-9-Allow Substitutions / RXE-9-Substitution Status
.... reason
.reasonCode
CombinedMedicationDispense.substitutionMade.reasonCode
CE/CNE/CWE
.... responsibleParty
.participation[typeCode=PFM].role[classCode=ASSIGN]
CombinedMedicationDispense.substitutionMade.ResponsibleParty
... detectedIssue
  • .inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT
  • moodCode=EVN].value
... eventHistory
  • .inboundRelationship(typeCode=SUBJ].source[classCode=CACT
  • moodCode=EVN]

doco Documentation for this format