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Resource Profile: MedicationRequestNonVA - Mappings

Draft as of 2025-06-13

Mappings for the MedicationRequestNonVA resource profile.

Mappings for Veterans Health Information Systems Technology and Architecture (VistA) ()

MedicationRequestNonVA
MedicationRequest
extension
extension (medicationrequest-recordedLocation)
value[x]	1765: reference based on NON-VA MEDS - CLINIC (55.05-13)
identifier
identifier (va-order-number)
type	1762-2: fixed value = http://terminology.hl7.org/CodeSystem/v2-0203#FILL	generated from mapParameter line 2
system	1762-1: fixed value = http://va.gov/identifiers/$Sta3n/55.05-7	generated from mapParameter line 1
value	1762: source value based on NON-VA MEDS - ORDER NUMBER (55.05-7)	Not required by US Core
identifier (va-ien)
system	1763-1: fixed value = http://va.gov/identifiers/$Sta3n/55.05	generated from mapParameter line 1
value	1763: source value based on NON-VA MEDS - IEN (55.05-.001)	Not required by US Core
status	1737: fixed value = #active when NON-VA MEDS - STATUS (55.05-5) if NULL, 1738: fixed value = #inactive when NON-VA MEDS - STATUS (55.05-5) if NOT NULL	use status, not discontinue date , use status, not discontinue date
intent	1540: fixed value = #plan	Revisit this if we can influence US Core
category (us-core)	2178: target not supported	auto added because of must-support
reported[x] (reportedBoolean)	1347: fixed value = true
reported[x] (reportedReference)	2179: target not supported	auto added because of must-support
medication[x] (medicationCodeableConcept)	1732: source value based on NON-VA MEDS - ORDERABLE ITEM (55.05-.01) if 55.05-1 is null, 1733: source value based on NON-VA MEDS - DISPENSE DRUG (55.05-1)	,
medication[x] (medicationReference)	2180: target not supported	auto added because of must-support
subject	2181: target not supported	auto added because of must-support
encounter
extension
extension (data-absent-reason)
value[x]	1731: fixed value = #unsupported
authoredOn	1741: source value based on NON-VA MEDS - DOCUMENTED DATE (55.05-11)
requester
extension
extension (data-absent-reason)
value[x]	1730: fixed value = #unsupported
recorder	1742: reference based on NON-VA MEDS - DOCUMENTED BY (55.05-12)
reasonCode
text	1744: source value based on NON-VA MEDS - INDICATION FOR USE (55.05-15)
note	1743: source value based on NON-VA MEDS - COMMENTS (55.05-14), 1764: source value based on NON-VA MEDS - DISCLAIMER (55.05-10)	Concatenate Disclaimer to end. , Concatenate to Comment. Delimit with a period.
dosageInstruction
text	1745: source value based on NON-VA MEDS - SIG (55.05-16)
timing
code
text	1736: source value based on NON-VA MEDS - SCHEDULE (55.05-4)
route
text	1735: source value based on NON-VA MEDS - MEDICATION ROUTE (55.05-3)
doseAndRate
dose[x]
dose[x] (doseQuantity)
extension (originalText)	1734: source value based on NON-VA MEDS - DOSAGE (55.05-2)

Mappings for Clinical Data Warehouse (CDW) ()

MedicationRequestNonVA
MedicationRequest
extension
extension (medicationrequest-recordedLocation)
value[x]	NonVAMed.NonVAMed.LocationIEN
identifier
identifier (va-order-number)
value	NonVAMed.NonVAMed.CPRSOrderIEN
status	NonVAMed.NonVAMed.NonVAMedStatus
medication[x] (medicationCodeableConcept)	NonVAMed.NonVAMed.PharmacyOrderableItemIEN, NonVAMed.NonVAMed.LocalDrugIEN
authoredOn	NonVAMed.NonVAMed.DocumentedDateTime
recorder	NonVAMed.NonVAMed.DocumentedByStaffIEN
dosageInstruction
timing
code
text	NonVAMed.NonVAMed.Schedule
route
text	NonVAMed.NonVAMed.MedicationRoute
doseAndRate
dose[x]
dose[x] (doseQuantity)
extension (originalText)	NonVAMed.NonVAMed.Dosage

Mappings for Summary Document Architecure (SDA) ()

MedicationRequestNonVA
MedicationRequest
extension
extension (medicationrequest-recordedLocation)
value[x]	Medication.EnteredAt Medication.EnteringOrganization
identifier
identifier (va-order-number)
value	Medication.ExternalId Medication.PlacerId
status	Medication.PharmacyStatus Medication.VAStatus
medication[x] (medicationCodeableConcept)	Medication.DosageForm Medication.OrderItem Medication.IsNonFormulary Medication.PharmacyOrderItem, Medication.DrugProduct
authoredOn	Medication.EnteredOn
recorder	Medication.EnteredBy Medication.OrderedBy
note	Medication.Comments, Medication.Statement
dosageInstruction
timing
code
text	Medication.Sig Medication.Frequency
route
text	Medication.Route Medication.Sig
doseAndRate
dose[x]
dose[x] (doseQuantity)
extension (originalText)	Medication.Sig Medication.DoseQuantity Medication.TextInstruction

Mappings for Virtual Patient Record XML (VPR) ()

MedicationRequestNonVA
MedicationRequest
extension
extension (medicationrequest-recordedLocation)
value[x]	med.facility (>44-3) med.location (>44-.01) pharmacy (med).facility (>44-3) pharmacy (med).location (>44-.01)
identifier
identifier (va-order-number)
value	med.id med.orderID pharmacy (med).id pharmacy (med).orderID
status	med.status med.vaStatus pharmacy (med).status pharmacy (med).vaStatus
medication[x] (medicationCodeableConcept)	med.form (>50.7-.01) med.name (>50.7-.01) med.name (>50.7-.02) pharmacy (med).form (>50.7-.01) pharmacy (med).name (>50.7-.01) pharmacy (med).name (>50.7-.02), med.product [m] (>50-.01) pharmacy (med).product [m] (>50-.01)
authoredOn	med.ordered pharmacy (med).ordered
recorder	med.currentProvider (>200-.01) med.orderingProvider (>200-.01) pharmacy (med).currentProvider (>200-.01) pharmacy (med).orderingProvider (>200-.01)
dosageInstruction
timing
code
text	med.schedule med.sig pharmacy (med).schedule pharmacy (med).sig
route
text	med.route med.sig pharmacy (med).route pharmacy (med).sig
doseAndRate
dose[x]
dose[x] (doseQuantity)
extension (originalText)	med.dose med.sig pharmacy (med).dose pharmacy (med).sig

Mappings for Workflow Pattern (http://hl7.org/fhir/workflow)

MedicationRequestNonVA
MedicationRequest	Request
identifier	Request.identifier
identifier (va-order-number)	Request.identifier
identifier (va-ien)	Request.identifier
status	Request.status
statusReason	Request.statusReason
intent	Request.intent
priority	Request.priority
medication[x]	Request.code
medication[x] (medicationCodeableConcept)	Request.code
medication[x] (medicationReference)	Request.code
subject	Request.subject
encounter	Request.context
supportingInformation	Request.supportingInfo
authoredOn	Request.authoredOn
requester	Request.requester
performer	Request.performer
performerType	Request.performerType
reasonCode	Request.reasonCode
reasonReference	Request.reasonReference
instantiatesCanonical	Request.instantiates
basedOn	Request.basedOn
groupIdentifier	Request.groupIdentifier
insurance	Request.insurance
note	Request.note
dosageInstruction	Request.occurrence[x]
priorPrescription	Request.replaces
eventHistory	Request.relevantHistory

Mappings for Mapping to NCPDP SCRIPT 10.6 (http://ncpdp.org/SCRIPT10_6)

MedicationRequestNonVA
MedicationRequest	Message/Body/NewRx
identifier	Message/Header/PrescriberOrderNumber
identifier (va-order-number)	Message/Header/PrescriberOrderNumber
identifier (va-ien)	Message/Header/PrescriberOrderNumber
status	no mapping
category	Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
category (us-core)	Message/Body/NewRx/MedicationPrescribed/Directions or Message/Body/NewRx/MedicationPrescribed/StructuredSIG
medication[x]	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
medication[x] (medicationCodeableConcept)	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
medication[x] (medicationReference)	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
subject	Message/Body/NewRx/Patient (need detail to link to specific patient … Patient.Identification in SCRIPT)
encounter	no mapping
authoredOn	Message/Body/NewRx/MedicationPrescribed/WrittenDate
reasonCode	Message/Body/NewRx/MedicationPrescribed/Diagnosis/Primary/Value
reasonReference	no mapping
note	Message/Body/NewRx/MedicationPrescribed/Note
dispenseRequest	Message/Body/NewRx/MedicationPrescribed/ExpirationDate
validityPeriod	Message/Body/NewRx/MedicationPrescribed/Refills
numberOfRepeatsAllowed	Message/Body/NewRx/MedicationPrescribed/Quantity
quantity	Message/Body/NewRx/MedicationPrescribed/DaysSupply
expectedSupplyDuration	Message/Body/NewRx/MedicationPrescribed/Substitutions
substitution	specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
allowed[x]	specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions
reason	not mapped
priorPrescription	not mapped

Mappings for RIM Mapping (http://hl7.org/v3)

MedicationRequestNonVA
MedicationRequest	Entity. Role, or Act, CombinedMedicationRequest
text	Act.text?
contained	N/A
extension
extension (medicationrequest-recordedLocation)
id	n/a
url	N/A
value[x]	N/A
modifierExtension	N/A
identifier	.id
identifier (va-order-number)	.id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
identifier (va-ien)	.id
id	n/a
extension	n/a
use	Role.code or implied by context
type	Role.code or implied by context
system	II.root or Role.id.root
value	II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
period	Role.effectiveTime or implied by context
assigner	II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
status	.statusCode
statusReason	.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
intent	.moodCode (nuances beyond PRP/PLAN/RQO would need to be elsewhere)
category	.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
category (us-core)	.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
priority	.priorityCode
doNotPerform	SubstanceAdministration.actionNegationInd
reported[x]	.participation[typeCode=INF].role
reported[x] (reportedBoolean)	.participation[typeCode=INF].role
reported[x] (reportedReference)	.participation[typeCode=INF].role
medication[x]	consumable.administrableMedication
medication[x] (medicationCodeableConcept)	consumable.administrableMedication
medication[x] (medicationReference)	consumable.administrableMedication
subject	.participation[typeCode=AUT].role
encounter	.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
id	n/a
extension	n/a
extension (data-absent-reason)	ANY.nullFlavor
id	n/a
url	N/A
value[x]	N/A
reference	N/A
type	N/A
identifier	.identifier
display	N/A
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)]
authoredOn	author.time
requester	.participation[typeCode=AUT].role
id	n/a
extension	n/a
extension (data-absent-reason)	ANY.nullFlavor
id	n/a
url	N/A
value[x]	N/A
reference	N/A
type	N/A
identifier	.identifier
display	N/A
performer	.participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
performerType	.participation[typeCode=PRF].role[scoper.determinerCode=KIND].code
recorder	.participation[typeCode=TRANS].role[classCode=ASSIGNED].code (HealthcareProviderType)
reasonCode	reason.observation.reasonCode
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
reasonReference	reason.observation[code=ASSERTION].value
instantiatesCanonical	.outboundRelationship[typeCode=DEFN].target
instantiatesUri	.outboundRelationship[typeCode=DEFN].target
basedOn	.outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
groupIdentifier	.outboundRelationship(typeCode=COMP].target[classCode=SBADM, moodCode=INT].id
courseOfTherapyType	Act.code where classCode = LIST and moodCode = EVN
insurance	.outboundRelationship[typeCode=COVBY].target
note	.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
dosageInstruction	see dosageInstruction mapping
id	n/a
extension	n/a
modifierExtension	N/A
sequence	.text
text	.text
additionalInstruction	.text
patientInstruction	.text
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
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
asNeeded[x]	.outboundRelationship[typeCode=PRCN].target[classCode=OBS, moodCode=EVN, code="as needed"].value=boolean or codable concept
site	.approachSiteCode
route	.routeCode
id	n/a
extension	n/a
coding	union(., ./translation)
text	./originalText[mediaType/code="text/plain"]/data
method	.doseQuantity
doseAndRate
id	n/a
extension	n/a
dose[x]	.doseQuantity
dose[x] (doseQuantity)	.doseQuantity
id	n/a
extension	n/a
value	PQ.value, CO.value, MO.value, IVL.high or IVL.low depending on the value
unit	PQ.unit
system	CO.codeSystem, PQ.translation.codeSystem
code	PQ.code, MO.currency, PQ.translation.code
rate[x]	.rateQuantity
maxDosePerPeriod	.maxDoseQuantity
maxDosePerAdministration	not supported
maxDosePerLifetime	not supported
dispenseRequest	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	effectiveTime
numberOfRepeatsAllowed	repeatNumber
quantity	quantity
expectedSupplyDuration	expectedUseTime
performer	.outboundRelationship[typeCode=COMP].target[classCode=SPLY, moodCode=RQO] .participation[typeCode=PRF].role[scoper.determinerCode=INSTANCE]
substitution	subjectOf.substitutionPersmission
id	n/a
extension	n/a
modifierExtension	N/A
allowed[x]	code
reason	reasonCode
priorPrescription	.outboundRelationship[typeCode=?RPLC or ?SUCC]/target[classCode=SBADM,moodCode=RQO]
detectedIssue	.inboundRelationship[typeCode=SUBJ]/source[classCode=ALRT,moodCode=EVN].value
eventHistory	.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

Mappings for FiveWs Pattern Mapping (http://hl7.org/fhir/fivews)

MedicationRequestNonVA
MedicationRequest
identifier	FiveWs.identifier
identifier (va-order-number)	FiveWs.identifier
identifier (va-ien)	FiveWs.identifier
status	FiveWs.status
intent	FiveWs.class
category	FiveWs.class
category (us-core)	FiveWs.class
priority	FiveWs.grade
medication[x]	FiveWs.what[x]
medication[x] (medicationCodeableConcept)	FiveWs.what[x]
medication[x] (medicationReference)	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
encounter	FiveWs.context
supportingInformation	FiveWs.context
authoredOn	FiveWs.recorded
requester	FiveWs.author
performer	FiveWs.actor
recorder	FiveWs.who
reasonCode	FiveWs.why[x]
reasonReference	FiveWs.why[x]
dispenseRequest
performer	FiveWs.who

Mappings for HL7 v2 Mapping (http://hl7.org/v2)

MedicationRequestNonVA
MedicationRequest
identifier	ORC-2-Placer Order Number / ORC-3-Filler Order Number
identifier (va-order-number)	ORC-2-Placer Order Number / ORC-3-Filler Order Number
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
identifier (va-ien)	ORC-2-Placer Order Number / ORC-3-Filler Order Number
use	N/A
type	CX.5
system	CX.4 / EI-2-4
value	CX.1 / EI.1
period	CX.7 + CX.8
assigner	CX.4 / (CX.4,CX.9,CX.10)
medication[x]	RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
medication[x] (medicationCodeableConcept)	RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
medication[x] (medicationReference)	RXE-2-Give Code / RXO-1-Requested Give Code / RXC-2-Component Code
subject	PID-3-Patient ID List
encounter	PV1-19-Visit Number
authoredOn	RXE-32-Original Order Date/Time / ORC-9-Date/Time of Transaction
reasonCode	ORC-16-Order Control Code Reason /RXE-27-Give Indication/RXO-20-Indication / RXD-21-Indication / RXG-22-Indication / RXA-19-Indication
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
dosageInstruction
sequence	TQ1-1
text	RXO-6; RXE-21
additionalInstruction	RXO-7
patientInstruction	RXO-7
timing
code
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
asNeeded[x]	TQ1-9
site	RXR-2
route	RXR-1
coding	C*E.1-8, C*E.10-22
text	C*E.9. But note many systems use C*E.2 for this
method	RXR-4
doseAndRate	TQ1-2
type	RXO-21; RXE-23
dose[x]	RXO-2, RXE-3
dose[x] (doseQuantity)	RXO-2, RXE-3
value	SN.2 / CQ - N/A
unit	(see OBX.6 etc.) / CQ.2
system	(see OBX.6 etc.) / CQ.2
code	(see OBX.6 etc.) / CQ.2
rate[x]	RXE22, RXE23, RXE-24
maxDosePerPeriod	RXO-23, RXE-19
dispenseRequest
numberOfRepeatsAllowed	RXE-12-Number of Refills
quantity	RXD-4-Actual Dispense Amount / RXD-5.1-Actual Dispense Units.code / RXD-5.3-Actual Dispense Units.name of coding system
substitution
allowed[x]	RXO-9-Allow Substitutions / RXE-9-Substitution Status
reason	RXE-9 Substition status