This page is part of the OSIRIS FHIR Implementation Guide (v1.1.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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Resource Profile: OncoMedicationStatement - Mappings

Draft as of 2025-04-03

Mappings for the onco-medication-statement resource profile.

Mappings for Fhir-osiris to osiris (Drug)

OncoMedicationStatement
MedicationStatement	Treatment	Mapping from FHIR-osiris Drug to osiris Drug
basedOn	OSIRIS_pivot_Drug.Treatment_Ref
medication[x]
medication[x] (medicationCodeableConcept)
coding
code	OSIRIS_pivot_Drug.Drug_Code
text	OSIRIS_pivot_Drug.Drug_Name
subject	OSIRIS_pivot_Drug.Patient_Id

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

OncoMedicationStatement
MedicationStatement	Event
identifier	Event.identifier
basedOn	Event.basedOn
partOf	Event.partOf
status	Event.status
statusReason	Event.statusReason
medication[x]	Event.code
medication[x] (medicationCodeableConcept)	Event.code
subject	Event.subject
context	Event.context
effective[x]	Event.occurrence[x]
reasonCode	Event.reasonCode
reasonReference	Event.reasonReference
note	Event.note

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

OncoMedicationStatement
MedicationStatement	Entity. Role, or Act, SubstanceAdministration
text	Act.text?
contained	N/A
extension	N/A
modifierExtension	N/A
identifier	.id
basedOn	.outboundRelationship[typeCode=FLFS].target[classCode=SBADM or PROC or PCPR or OBS, moodCode=RQO orPLAN or PRP]
partOf	.outboundRelationship[typeCode=COMP]/target[classCode=SPLY or SBADM or PROC or OBS,moodCode=EVN]
status	.statusCode
statusReason	.inboundRelationship[typeCode=SUBJ].source[classCode=CACT, moodCode=EVN].reasonCOde
category	.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type of medication usage"].value
medication[x]	.participation[typeCode=CSM].role[classCode=ADMM or MANU]
medication[x] (medicationCodeableConcept)	.participation[typeCode=CSM].role[classCode=ADMM or MANU]
id	n/a
extension	n/a
coding	union(., ./translation)
id	n/a
extension	n/a
system	./codeSystem
version	./codeSystemVersion
code	./code
display	CV.displayName
userSelected	CD.codingRationale
text	./originalText[mediaType/code="text/plain"]/data
subject	.participation[typeCode=SBJ].role[classCode=PAT]
context	.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type of encounter or episode"]
effective[x]	.effectiveTime
dateAsserted	.participation[typeCode=AUT].time
informationSource	.participation[typeCode=INF].role[classCode=PAT, or codes for Practioner or Related Person (if PAT is the informer, then syntax for self-reported =true)
derivedFrom	.outboundRelationship[typeCode=SPRT]/target[classCode=ACT,moodCode=EVN]
reasonCode	.reasonCode
reasonReference	.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason for use"].value
note	.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].value
dosage	refer dosageInstruction mapping

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

OncoMedicationStatement
MedicationStatement
identifier	FiveWs.identifier
status	FiveWs.status
category	FiveWs.class
medication[x]	FiveWs.what[x]
medication[x] (medicationCodeableConcept)	FiveWs.what[x]
subject	FiveWs.subject[x], FiveWs.subject
effective[x]	FiveWs.done[x]
dateAsserted	FiveWs.recorded
informationSource	FiveWs.source
reasonCode	FiveWs.why[x]
reasonReference	FiveWs.why[x]

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

OncoMedicationStatement
MedicationStatement
medication[x]
medication[x] (medicationCodeableConcept)
coding	C*E.1-8, C*E.10-22
system	C*E.3
version	C*E.7
code	C*E.1
display	C*E.2 - but note this is not well followed
userSelected	Sometimes implied by being first
text	C*E.9. But note many systems use C*E.2 for this
subject	PID-3-Patient ID List