minimal Common Oncology Data Elements (mCODE) Implementation Guide
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minimal Common Oncology Data Elements (mCODE) Implementation Guide, published by HL7 International Clinical Interoperability Council. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/fhir-mCODE-ig/ and changes regularly. See the Directory of published versions

Resource Profile: Cancer-Related Medication Request Profile

Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request Version: 2.1.0
Active as of 2023-01-13 Maturity Level: 3 Computable Name: CancerRelatedMedicationRequest

A record of a medication prescription or consumption associated with cancer treatment. The medication may reported by the prescriber, prescribing organization, or patient. It does not have to be directly observed.

Conformance

MedicationRequest resources associated with an in-scope patient and associated with cancer treatment MUST conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient that would reasonably be expected to conform to this profile (i.e., a prescription, administration, or medication exposure) SHOULD be published in this form.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from USCoreMedicationRequestProfile

Terminology Bindings (Differential)

PathConformanceValueSet
MedicationRequest.reasonCodeextensibleCancerDisorderVS

Constraints

IdGradePath(s)DetailsRequirements
mcode-reason-requiredwarningMedicationRequestOne of reasonCode or reasonReference SHALL be present
: reasonCode.exists() or reasonReference.exists()

Terminology Bindings

PathConformanceValueSet
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categoryexamplemedicationRequest Category Codes
MedicationRequest.category:us-corerequiredmedicationRequest Category Codes
MedicationRequest.medication[x]extensibleMedication Clinical Drug
MedicationRequest.reasonCodeextensibleCancerDisorderVS

Constraints

IdGradePath(s)DetailsRequirements
mcode-reason-requiredwarningMedicationRequestOne of reasonCode or reasonReference SHALL be present
: reasonCode.exists() or reasonReference.exists()

Terminology Bindings

PathConformanceValueSet
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categoryexamplemedicationRequest Category Codes
MedicationRequest.category:us-corerequiredmedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.medication[x]extensibleMedication Clinical Drug
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodeextensibleCancerDisorderVS
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

Differential View

This structure is derived from USCoreMedicationRequestProfile

Terminology Bindings (Differential)

PathConformanceValueSet
MedicationRequest.reasonCodeextensibleCancerDisorderVS

Constraints

IdGradePath(s)DetailsRequirements
mcode-reason-requiredwarningMedicationRequestOne of reasonCode or reasonReference SHALL be present
: reasonCode.exists() or reasonReference.exists()

Key Elements View

Terminology Bindings

PathConformanceValueSet
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categoryexamplemedicationRequest Category Codes
MedicationRequest.category:us-corerequiredmedicationRequest Category Codes
MedicationRequest.medication[x]extensibleMedication Clinical Drug
MedicationRequest.reasonCodeextensibleCancerDisorderVS

Constraints

IdGradePath(s)DetailsRequirements
mcode-reason-requiredwarningMedicationRequestOne of reasonCode or reasonReference SHALL be present
: reasonCode.exists() or reasonReference.exists()

Snapshot View

Terminology Bindings

PathConformanceValueSet
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categoryexamplemedicationRequest Category Codes
MedicationRequest.category:us-corerequiredmedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.medication[x]extensibleMedication Clinical Drug
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodeextensibleCancerDisorderVS
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

 

Other representations of profile: CSV, Excel, Schematron