LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide
0.1.0 - STU1

LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: MedicationRequests - Mappings

Active as of 2025-06-18

Mappings for the 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 |  |  |  |  |
implicitRules |  |  |  |  |
language |  |  |  |  |
text |  |  | Act.text? |  |
contained |  |  | N/A |  |
extension |  |  | 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:RequestID | Request.identifier | Message/Header/PrescriberOrderNumber | .id | FiveWs.identifier | ORC-2-Placer Order Number / ORC-3-Filler Order Number
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)
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 |  |
Slices for 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
medication[x]:medicationCodeableConcept | 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 |  |
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 |  |
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
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 |  |
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 |  |
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 |  |  | CD |  | CE/CNE/CWE
method |  |  | .doseQuantity |  | RXR-4
doseAndRate |  |  |  |  | TQ1-2
id |  |  | n/a |  |
extension |  |  | n/a |  |
type |  |  |  |  | RXO-21; RXE-23
Slices for dose[x] |  |  | .doseQuantity |  | RXO-2 RXE-3
dose[x]:doseQuantity |  |  | .doseQuantity |  | RXO-2 RXE-3
rate[x] |  |  | .rateQuantity |  | RXE22 RXE23 RXE-24
maxDosePerPeriod |  |  | .maxDoseQuantity |  | RXO-23 RXE-19
maxDosePerAdministration |  |  | not supported |  |
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 |  |
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 |  | Message/Body/NewRx/MedicationPrescribed/Refills | effectiveTime |  |
id |  |  | n/a |  |
Slices for extension |  |  | n/a |  |
extension:data-absent-reason |  |  | ANY.nullFlavor |  |
start |  |  | ./low |  | DR.1
end |  |  | ./high |  | DR.2
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 |  |
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