Medtech ALEX® AU Implementation Guide
1.0.0 - Trial Use

Medtech ALEX® AU Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

## Resource Profile: AlexRepeatPrescription - Mappings

Active as of 2026-01-12

Mappings for the alex-repeatprescription 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 |  |  |  |  |
id |  |  | n/a |  |
extension |  |  | n/a |  |
versionId |  |  |  |  |
lastUpdated |  |  |  |  |
source |  |  |  |  |
profile |  |  |  |  |
security |  |  |  |  |
tag |  |  |  |  |
implicitRules |  |  |  |  |
language |  |  |  |  |
text |  |  | Act.text? |  |
contained |  |  | N/A |  |
Slices for extension |  |  |  |  |
extension:subsidisedConcurrentSupply |  |  |  |  |
extension:longTerm |  |  |  |  |
extension:scheme |  |  |  |  |
extension:unusualDose |  |  |  |  |
extension:regulation24 |  |  |  |  |
extension:approvedNumber |  |  |  |  |
extension:authorityNumber |  |  |  |  |
modifierExtension |  |  | N/A |  |
identifier |  |  | II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT] |  | CX / EI (occasionally more often EI maps to a resource id or a URL)
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]:medicationReference | 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
id |  |  | n/a |  |
extension |  |  | n/a |  |
Slices for coding |  |  | union(. ./translation) |  | C*E.1-8 C*E.10-22
coding:pbs |  |  | union(. ./translation) |  | C*E.1-8 C*E.10-22
coding:gtin |  |  | union(. ./translation) |  | C*E.1-8 C*E.10-22
coding:amt |  |  | union(. ./translation) |  | C*E.1-8 C*E.10-22
coding:mimsPackage |  |  | 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
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
Slices for 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 |
supportingInformation:bodyHeight | 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 |
supportingInformation:bodyWeight | 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 |  |
id |  |  | n/a |  |
extension |  |  | n/a |  |
author[x] |  |  | Act.participant[typeCode=AUT].role |  | N/A
time |  |  | Act.effectiveTime |  | N/A
text |  |  | Act.text |  | N/A
dosageInstruction |  |  | .outboundRelationship[typeCode=COMP].target[classCode=SBADM moodCode=INT] |  |
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 |  |
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 |  |  | .routeCode |  | RXR-1
method |  |  | .doseQuantity |  | RXR-4
doseAndRate |  |  |  |  | TQ1-2
id |  |  | n/a |  |
extension |  |  | n/a |  |
type |  |  |  |  | RXO-21; RXE-23
dose[x] |  |  | .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 |  |
dispenseInterval |  |  | Supply.effectivetime[moodCode=RQO] |  |
validityPeriod |  | Message/Body/NewRx/MedicationPrescribed/Refills | effectiveTime |  |
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
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
expectedSupplyDuration |  | Message/Body/NewRx/MedicationPrescribed/Substitutions | expectedUseTime |  |
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
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 |  |
Slices for allowed[x] |  | specific values within Message/Body/NewRx/MedicationPrescribed/Substitutions | code |  | RXO-9-Allow Substitutions / RXE-9-Substitution Status
allowed[x]:allowedBoolean |  | 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