| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ id |
987654321 |
MedicationDispense. identifier |
987654321 |
For now, only the identifierValue was transformed into the FHIR example. |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ statusCode |
COMPLETE |
MedicationDispense. status |
completed |
Had to add a "d" at the end and make it all undercase to match the required value set |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component3/ supplyEvent/ product/ COCT_MT220210CA/ medication/ player/ codeSystem |
2.16.840.1. 113883.5.1105 |
MedicationDispense. medication. CodeableConcept.system |
http://hl7.org/fhir/ NamingSystem/ca-hc-din |
OID for HC-DIN (OID) was identified in the CeRX source and replaced with the FHIR URL for the medication codeable concept system. Conversion arose from recommendation of FHIR SMEs to not propagate OIDs during FHIR conversion. |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component3/ supplyEvent/ product/ COCT_MT220210CA/ medication/ player/ code |
02466821 |
MedicationDispense. medication. CodeableConcept.code |
02466821 |
Exact transformation |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component3/ supplyEvent/ product/ COCT_MT220210CA / medication/ player/ text |
ALMOTRIPTAN (almotriptan (almotriptan malate) 12.5 mg oral tablet) |
MedicationDispense.medication. CodeableConcept. display |
ALMOTRIPTAN (almotriptan (almotriptan malate) 12.5 mg oral tablet) |
Exact transformation |
| PORX_IN060220CA/ QUQI_MT120000CA/ controlActEvent/ queryByParameter/ parameterList/ patientID/ value |
999999999 |
MedicationDispense. subject |
Patient/ 999999999 |
Given that design for how patients could be identified across jurisdictions and organizations fell outside of the scope of this phase, the conversion assumes a reference to the patient resource exists locally on the DIS server. Pointers to the PEI HCN system (https://fhir.infoway-inforoute.ca/NamingSystem/ca-pe-patient-healthcare-id) would be found within that patient resource. |
| No semantic equivalent. CeRX supports provider role type (e.g. Dr, Pharmacist, Psychiatrist) but it's not the same as performer.function (e.g. Distinguishes the type of performer in the dispense. For example, date enterer, packager, final checker) |
N/A |
MedicationDispense. performer.function |
N/A |
|
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ Performer/ COCT_MT090107CA/ assignedPerson/ id |
888888 |
MedicationDispense. performer.actor |
Practitioner/ 888888 |
Given that design for how providers and organizations could be identified across jurisdictions and organizations fell outside of the scope of this phase, the conversion assumes a reference to the practitioner or organization resource exists locally on the DIS server. Pointers to the Medical Society License Number or Pharmacy Board License Number would be found within that practitioner resource. Pointers to the Canada Department of Health organizational identifiers (hospital, pharmacy, etc) also have established OIDs by jurisdiction and would be found within the organization resource. |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ Location/ COCT_MT240003CA/ serviceDeliveryLocation/ id |
123445 |
MedicationDispense. location |
Organization/ 123445 |
Given that design for how providers and organizations could be identified across jurisdictions and organizations fell outside of the scope of this phase, the conversion assumes a reference to the practitioner or organization resource exists locally on the DIS server. Pointers to the Medical Society License Number or Pharmacy Board License Number would be found within that practitioner resource. Pointers to the Canada Department of Health organizational identifiers (hospital, pharmacy, etc) also have established OIDs by jurisdiction and would be found within the organization resource. |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ inFulfillmentOf/ substanceAdministrationRequest/ id |
222222 |
MedicationDispense. authorizingPrescription |
MedicationRequest/ 222222 |
Exact transformation (if assuming local resource) |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component3/ supplyEvent/ code |
FF |
MedicationDispense.type |
FF |
Exact transformation (the ActPharmacySupplyType code set same) |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component3/ supplyEvent/ quantity/ value |
250 |
MedicationDispense. quantity.value |
250 |
Quantity is originally expressed as the PQ.DRUG data type which includes a value and unit (which have been split to show how they would be parsed into sub-elements quantityValue and quantityCode). The quantity system (ex: units of measure) is not found in the CeRX field for quantity. |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component3/ supplyEvent/ quantity/ unit |
mg |
MedicationDispense. quantity.unit |
mg |
Quantity is originally expressed as the PQ.DRUG data type which includes a value and unit (which have been split to show how they would be parsed into sub-elements quantityValue and quantityCode). The quantity system (ex: units of measure) is not found in the CeRX field for quantity. |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component3/ supplyEvent/ expectedUseTime/ value |
30 |
MedicationDispense. daysSupply.value |
30 |
Exact transformation from the PEI test message but potentially more intervention necessary from other CeRX implementors |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component3/ supplyEvent/ expectedUseTime/ width |
d |
MedicationDispense. daysSupply.unit |
d |
Exact transformation from the PEI test message but potentially more intervention necessary from other CeRX implementors |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ component2/ sequenceNumber |
1 |
MedicationDispense. dosageInstruction.sequence |
1 |
Exact transformation |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ text |
Take 12.5 mg PO at onset; may repeat once after 2 hours. Not to exceed 25 mg/day. This medication is intended to address Migraines at onset. If you experience Migraines for more than 10 days/month, consult your doctor. |
MedicationDispense. dosageInstruction.text |
Take 12.5 mg PO at onset; may repeat once after 2 hours. Not to exceed 25 mg/day. This medication is intended to address Migraines at onset. If you experience Migraines for more than 10 days/month, consult your doctor. |
Exact transformation |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ effectiveTime/ lowValue |
20040101 |
MedicationDispense. dosageInstruction. timing.repeat.bounds.period.start |
2004 -01 -01 |
Dashes were added |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ effectiveTime/ highValue |
20040131 |
MedicationDispense. dosageInstruction. timing.repeat.bounds. period.end |
2004-01-31 |
Dashes were added |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ approachSiteCode |
N/A |
MedicationDispense. dosageInstruction.site |
N/A |
No transformation performed because the value wasn't present in the example message (though it will likely be present in other messages where the dispensed drug is not taken orally and instead is administered to a Human Substance Administration Site (like left forearm) |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ routeCode |
3 |
MedicationDispense. dosageInstruction.route |
3 |
Pulled over the code value of "3" and created a system url (fake) based on the gCRT OID used. No human-readable description could be found to describe the code (critical to providing meaning to viewers) = |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ component2/ dosageLine/ doseQuantity/ value |
6.25 |
MedicationDispense. dosageInstruction. doseAndRate. doseQuantity.value |
6.25 |
Exact transformation. The FHIR profile supports both Range and SimpleQuantity data types, whereas the CeRX dosageLine/doseQuantity supports a URG <PQ.DRUG> data type. The value in CeRX example message was appropriately converted into simple quantity (6.25mg) |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ component2/ dosageLine/ doseQuantity/ unit |
mg |
MedicationDispense. dosageInstruction. doseAndRate. doseQuantity.unit |
mg |
See above |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ component2/ dosageLine/ rateQuantity |
N/A |
MedicationDispense. dosageInstruction. doseAndRate .rateRatio |
N/A |
No transformation performed because the value wasn't present in the example message (though it will likely be present in other messages where the dispensed drug is administered intravenously or through a route that requires a single dose to be administered over time - like flow rate). |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ maxDoseQuantity/ numeratorValue |
25 |
MedicationDispense. dosageInstruction. maxDosePerPeriod. numeratorValue |
25 |
Exact transformation |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ maxDoseQuantity/ numeratorUnit |
mg |
MedicationDispense. dosageInstruction. maxDosePerPeriod. numeratorUnit |
mg |
Exact transformation |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ maxDoseQuantity/ denominatorValue |
1 |
MedicationDispense. dosageInstruction. maxDosePerPeriod. denominatorValue |
1 |
Exact transformation |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component1/ PORX_MT980040CA/ dosageInstruction/ maxDoseQuantity/ denominatorUnit |
day |
MedicationDispense. dosageInstruction. maxDosePerPeriod. denominatorUnit |
day |
Exact transformation |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component2/ substitutionMade/ code |
N |
MedicationDispense. substitution.type |
N |
Exact transformation, same value set V3 Value Set Act Substance Admin Substitution Code |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component2 / substitutionMade/ reasonCode |
OS |
MedicationDispense. substitution.reason |
OS |
Exact transformation, same value set V3 Substance Admin Substitution Reason |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ component2/ substitutionMade/ responsibleParty/ agent/ id |
2356 |
MedicationDispense.substitution. responsibleParty |
Practitioner/ 2356 |
Given that design for how providers could be identified across jurisdictions, the conversion assumes a reference to the practitioner resource exists locally on the DIS server. Pointers to the Medical Society License Number or Pharmacy license number would be found within the practitioner resource. |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ subjectOf2/ PORX_MT980030CA/ detectedIssueEvent/ statusCode |
active |
MedicationDispense. detectedIssue.status |
N/A (conformance issue) or "unknown" |
No lossless transformation could be performed, for two reasons: 1) "active" value pulled from the PEI example message is not a recognized value in the required detectedIssue status value set (ObservationStatus), 2) the "active" is also not conformant to the CeRX standard which requires a fixed code of "completed" for dectectedIssue status. Because detectedIssue.status is a required field, One method of addressing is to have the converter hard-code any values not part of the required value set (ObservationStatus) to "unknown" |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ subjectOf2/ PORX_MT980030CA/ detectedIssueEvent/ text |
The patient has an intolerance to iron oxide found in Almotriptan malate 6.25mg |
MedicationDispense. detectedIssue.detail |
The patient has an intolerance to iron oxide found in Almotriptan malate 6.25mg |
Exact transformation |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ subjectOf2/ PORX_MT980030CA/ detectedIssueEvent/ mitigatedBy/ detectedIssueManagement/ code |
5 |
MedicationDispense.detectedIssue. mitigation.action |
5 |
Exact transformation |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ subjectOf2/ PORX_MT980030CA/ detectedIssueEvent/ mitigatedBy/ detectedIssueManagement / author/ time |
20031201100101 |
MedicationDispense.detectedIssue. mitigation.date |
2003-12-01T10:01:01-03:00 |
Dashes, T, colons, and time zone added to be conformant with the DateTime Data Type (since hours and minutes were known). We had to add a timezone to the example message from PEI, even though it should've been included for conformance to TS.FULLDATETIME |
| PORX_IN060220CA/ PORX_MT060090CA/ medicationDispense/ subjectOf2/ PORX_MT980030CA/ detectedIssueEvent/ mitigatedBy / detectedIssueManagement/ author/ assignedPerson/ id |
555555 |
MedicationDispense. detectedIssue. mitigation.author |
Practitioner /555555 (Tech Timmy) |
Given that design for how providers could be identified across jurisdictions, the conversion assumes a reference to the practitioner resource exists locally on the DIS server. Pointers to the Medical Society License Number or Pharmacy license number would be found within the practitioner resource. |
