Nepal HMIS FHIR Implementation Guide – 🚨 DRAFT VERSION
0.0.1-ballot - ci-build

Nepal HMIS FHIR Implementation Guide – 🚨 DRAFT VERSION - Local Development build (v0.0.1-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: NPCoreMedicationDispenseProfile - Mappings

Active as of 2025-09-08

Mappings for the np-core-medication-dispense resource profile.

#### Mappings to Structures in this Implementation Guide

No Mappings Found

#### Mappings to other Structures

No Mappings Found

#### Other Mappings

Name | Workflow Pattern | FiveWs Pattern Mapping | RIM Mapping | V3 Pharmacy Dispense RMIM | HL7 V2 Mapping
--- | --- | --- | --- | --- | ---
MedicationDispense | Event | clinical.medication | Entity Role or Act Supply[moodCode=EVN] |  |
id |  |  |  |  |
meta |  |  |  |  |
implicitRules |  |  |  |  |
language |  |  |  |  |
text |  |  | Act.text? |  |
contained |  |  | N/A |  |
extension |  |  | N/A |  |
modifierExtension |  |  | N/A |  |
identifier | Event.identifier | FiveWs.identifier | .id | CombinedMedicationDispense.id |
basedOn |  |  | .outboundRelationship[typeCode=FLFS].target |  |
partOf | Event.partOf |  | .outboundRelationship[typeCode=COMP]/target[classCode=PROC moodCode=EVN] |  |
status | Event.status | FiveWs.status | .statusCode | CombinedMedicationDispense.SupplyEvent.statusCode |
notPerformedReason |  |  |  |  |
statusChanged |  |  | .subjectOf Observation[code = statusChange].value = date |  |
category |  |  | .inboundRelationship[typeCode=COMP].source[classCode=OBS moodCode=EVN code="type of medication dispense"].value |  |
medication | Event.code | FiveWs.what[x] | .participation[typeCode=PRD].role | CombinedMedicationRequest.component1.AdministrationRequest.consumable | RXD-2 Dispense/Give Code
subject | Event.subject | FiveWs.subject[x] | .participation[typeCode=SBJ].role[classCode=PAT] |  | PID-3 Patient ID List
encounter | Event.encounter |  | .inboundRelationship[typeCode=COMP].source[classCode=ENC moodCode=EVN code="type of encounter or episode"] |  |
supportingInformation |  | FiveWs.context | .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)] |  |
performer | Event.performer |  | .participation[typeCode=PRF] |  |
id |  |  | n/a |  |
extension |  |  | n/a |  |
modifierExtension |  |  | N/A |  |
function |  |  | participation[typeCode=PRF].functionCode |  |
actor | Event.performer.actor |  | .role |  |
location |  |  | .participation[typeCode=LOC].role |  |
authorizingPrescription | Event.basedOn |  | .outboundRelationship[typeCode=FLFS].target[moodCode=RQO] | CombinedMedicationDispense.inFulfillmentOf | ORC-2 Placer Order Number
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
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
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
recorded |  |  | .MedicationDispense.dataEnterer..time |  |
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
renderedDosageInstruction |  |  | SubstanceAdministration.text |  |
dosageInstruction |  |  | .outboundRelationship[typeCode=COMP].target[classCode=SBADM moodCode=INT] |  |
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 |
responsibleParty |  |  | .participation[typeCode=PFM].role[classCode=ASSIGN] | CombinedMedicationDispense.substitutionMade.ResponsibleParty |
eventHistory |  |  | .inboundRelationship(typeCode=SUBJ].source[classCode=CACT moodCode=EVN] |  |
Documentation for this format