Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS
1.0.0 - CI Build BR

!!Guia de Implementação do Registro de Atendimento Clínico (RAC) da RNDS - Compilação de desenvolvimento local (v1.0.0) construída pelas ferramentas de compilação FHIR (HL7® FHIR® Standard). Veja o Diretório de versões publicadas

Resource Profile: BRPrescricaoMedicamento - Mappings

Page standards status: Informative Maturity Level: 1

Mappings for the BRPrescricaoMedicamento resource profile.

Mappings to Structures in this Implementation Guide

No Mappings Found

Mappings to other Structures

No Mappings Found

Other Mappings

NomeWorkflow PatternMapping to NCPDP SCRIPT 10.6RIM MappingFiveWs Pattern MappingHL7 v2 Mappingdoco
.. MedicationRequest
Request
Message/Body/NewRx
CombinedMedicationRequest
... id
... meta
... 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
... 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
... 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
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
N/A
..... type
Role.code or implied by context
CX.5
..... 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
... 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
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
N/A
..... type
Role.code or implied by context
CX.5
..... 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
... 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
.... id
n/a
.... extension
n/a
.... reference
N/A
.... type
N/A
.... identifier
.identifier
..... id
n/a
..... extension
n/a
..... use
Role.code or implied by context
N/A
..... type
Role.code or implied by context
CX.5
..... 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
... 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]
... 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
...... Fatias para extension
....... extension:period
........ id
n/a
........ Fatias para extension
......... extension:periodUnit
.......... id
n/a
.......... extension
n/a
.......... url
N/A
.......... value[x]
N/A
........... id
........... extension
........... value
......... extension:period
.......... id
n/a
.......... extension
n/a
.......... url
N/A
.......... value[x]
N/A
........ url
N/A
........ value[x]
N/A
....... extension:when
N/A
........ id
n/a
........ extension
n/a
........ url
N/A
........ value[x]
N/A
......... id
......... extension
......... value
...... 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
...... 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
..... dose[x]
.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
..... 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
.... 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
.... 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
..... 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
.... 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
... 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]

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