CIBMTR Reporting Implementation Guide
0.1.6 - Trial Use 1

This page is part of the CIBMTR Reporting Implementation Guide (v0.1.6: Release Draft) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: CIBMTR_MedicationAdministration - Mappings

Active as of 2023-05-05

Mappings for the cibmtr-medication-administration resource profile.

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

CIBMTR_MedicationAdministration
MedicationAdministrationEvent
   identifierEvent.identifier
   instantiatesEvent.instantiates
   partOfEvent.partOf
   statusEvent.status
   statusReasonEvent.statusReason
   medication[x]Event.code
   subjectEvent.subject
   contextEvent.context
   effective[x]Event.occurrence[x]
   performerEvent.performer
      functionEvent.performer.function
      actorEvent.performer.actor
   reasonCodeEvent.reasonCode
   reasonReferenceEvent.reasonReference
   requestEvent.basedOn
   noteEvent.note

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

CIBMTR_MedicationAdministration
MedicationAdministrationEntity. Role, or Act, SubstanceAdministration
   meta
      idn/a
      extensionn/a
      security
      security (TransplantCenter)
         idn/a
         extensionn/a
         system./codeSystem
         version./codeSystemVersion
         code./code
         displayCV.displayName
         userSelectedCD.codingRationale
   textAct.text?
   containedN/A
   modifierExtensionN/A
   identifier.id
   instantiates.outboundRelationship[typeCode=DEFN].target[classCode=unspecified]
   partOf.outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]
   status.statusCode
   statusReason.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason not given"].value
   category.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
   medication[x].participation[typeCode=CSM].role[classCode=ADMM]
   subject.participation[typeCode=SBJ].role[classCode=PAT]
   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)]
   effective[x].effectiveTime
   performer.participation[typeCode=PRF]
      idn/a
      extensionn/a
      modifierExtensionN/A
      functionparticipation[typeCode=PRF].functionCode
      actor.role
   reasonCode.reasonCode
   reasonReference.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use ASSERTION"].value
   requestInFullfillmentOf->SubstanceAdministration
   devicedevice->Access OR device->AssignedDevice
   note.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
   dosagecomponent->SubstanceAdministrationEvent
      idn/a
      extensionn/a
      modifierExtensionN/A
      text.text
      site.approachSiteCode
      route.routeCode
      method.methodCode
      dose.doseQuantity
      rate[x].rateQuantity
   eventHistory.inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]

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

CIBMTR_MedicationAdministration
MedicationAdministration
   identifierFiveWs.identifier
   statusFiveWs.status
   medication[x]FiveWs.what[x]
   subjectFiveWs.subject[x], FiveWs.subject
   contextFiveWs.context
   supportingInformationFiveWs.context
   effective[x]FiveWs.done[x]
   performerFiveWs.actor
   reasonReferenceFiveWs.why[x]

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

CIBMTR_MedicationAdministration
MedicationAdministration
   meta
      security
      security (TransplantCenter)
         systemC*E.3
         versionC*E.7
         codeC*E.1
         displayC*E.2 - but note this is not well followed
         userSelectedSometimes implied by being first
   statusRXA-20-Completion Status
   statusReasonRXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason
   medication[x]RXA-5-Administered Code
   subjectPID-3-Patient ID List
   contextPV1-19-Visit Number
   effective[x]RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration
   performerRXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)
   reasonCodeRXE-27 Give Indication
   requestORC-2-Placer Order Number / ORC-3-Filler Order Number
   devicePRT-10 Participation Device / RXR-3 Administrative Device
   dosage
      siteRXR-2 Administration Site / RXR-6 Administration Site Modifier
      routeRXR-1-Route
      methodRXR-4-Administration Method
      doseRXA-6 Administered Amount / RXA-7 Administered Units
      rate[x]RXA-12-Administered Per (Time Unit)

Mappings for W3C PROV (http://www.w3.org/ns/prov)

CIBMTR_MedicationAdministration
MedicationAdministration
   reasonReferenceno mapping