abstractbaseDefinitioncopyrightdatedescriptionexperimentalfhirVersionjurisdiction
jurisdiction[0]kindnamepublisherpurposestatustitletypeurlversion- Values Differ
| Left: | QICore MedicationRequest (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest) |
| Right: | QICore MedicationRequest (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest) |
| Error | StructureDefinition.version | Values for version differ: '8.0.0-ballot' vs '7.0.2' |
| Information | MedicationRequest.dosageInstruction.timing.code | Example/preferred bindings differ at MedicationRequest.dosageInstruction.timing.code using binding from QICoreMedicationRequest |
| Warning | MedicationRequest.dosageInstruction.route | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Name | Value | Comments | |
|---|---|---|---|
| abstract | false | ||
| baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | ||
| copyright | |||
| date | 2018-08-22 | ||
| description | Profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. | ||
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
| jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | QICoreMedicationRequest | ||
| publisher | HL7 International / Clinical Quality Information | ||
| purpose | |||
| status | active | ||
| title | QICore MedicationRequest | ||
| type | MedicationRequest | ||
| url | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest | ||
| version | 8.0.0-ballot | 7.0.2 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 MedicationRequest | C | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group Constraints: mrq-1 | C | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group Constraints: mrq-1 | |||||||||
 id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
| language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||
| contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | 0..* | Identifier | External ids for this request | 0..* | Identifier | External ids for this request | |||||||||||
| status | ?!SΣ | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ?!SΣ | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. | |||||||||
| statusReason | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. | |||||||||||
| intent | ?!SΣC | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | ?!SΣC | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | |||||||||
| Slices for category | S | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by value:$this Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | S | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||
| doNotPerform | ?!Σ | 0..1 | boolean | (QI) True if the order is not to provide the medication | ?!Σ | 0..1 | boolean | (QI) True if the order is not to provide the medication | |||||||||
| reported[x] | SΣ | 0..1 | boolean S, Reference S(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson) | (QI) Reported rather than primary record | SΣ | 0..1 | boolean S, Reference S(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson) | (QI) Reported rather than primary record | |||||||||
 medication[x] | SΣC | 1..1 | CodeableConcept, Reference(US Core Medication Profile) | (QI) Medication to be taken Binding: ?? (preferred) | SΣC | 1..1 | CodeableConcept, Reference(US Core Medication Profile) | (QI) Medication to be taken Binding: ?? (preferred) | |||||||||
 id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| subject | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who or group medication request is for | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who or group medication request is for | |||||||||
| encounter | S | 0..1 | Reference(QICore Encounter) | (QI) Encounter created as part of encounter/admission/stay | S | 0..1 | Reference(QICore Encounter) | (QI) Encounter created as part of encounter/admission/stay | |||||||||
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||||
| authoredOn | SΣ | 0..1 | dateTime | (QI) When request was initially authored | SΣ | 0..1 | dateTime | (QI) When request was initially authored | |||||||||
| requester | SΣC | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient) | (QI) Who/What requested the Request | SΣC | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient) | (QI) Who/What requested the Request | |||||||||
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||
| performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. | |||||||||
| recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||
| reasonCode | 0..* | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication Binding: ?? (extensible) | 0..* | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication Binding: ?? (extensible) | |||||||||||
| reasonReference | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation) | (QI) QI-Core Condition or Observation that supports the prescription | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation) | (QI) QI-Core Condition or Observation that supports the prescription | |||||||||||
| instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||||||
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | Σ | 0..1 | Identifier | Composite request this is part of | |||||||||
| courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. | |||||||||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||
| note | 0..* | Annotation | Information about the prescription | 0..* | Annotation | Information about the prescription | |||||||||||
| dosageInstruction | S | 0..* | Dosage | (QI) How medication should be taken | S | 0..* | Dosage | (QI) How medication should be taken | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| sequence | Σ | 0..1 | integer | The order of the dosage instructions | Σ | 0..1 | integer | The order of the dosage instructions | |||||||||
| text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | |||||||||
| additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | Σ | 0..1 | string | Patient or consumer oriented instructions | |||||||||
| timing | SΣ | 0..1 | Timing | (QI) When medication should be administered | SΣ | 0..1 | Timing | (QI) When medication should be administered | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| event | Σ | 0..* | dateTime | When the event occurs | Σ | 0..* | dateTime | When the event occurs | |||||||||
| repeat | ΣC | 0..1 | Element | (QI) When the event is to occur | ΣC | 0..1 | Element | (QI) When the event is to occur | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| bounds[x] | Σ | 0..1 | Duration, Range, Period | (QI) Length/Range of lengths, or (Start and/or end) limits | Σ | 0..1 | Duration, Range, Period | (QI) Length/Range of lengths, or (Start and/or end) limits | |||||||||
| count | Σ | 0..1 | positiveInt | Number of times to repeat | Σ | 0..1 | positiveInt | Number of times to repeat | |||||||||
| countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat | Σ | 0..1 | positiveInt | Maximum number of times to repeat | |||||||||
| duration | Σ | 0..1 | decimal | How long when it happens | Σ | 0..1 | decimal | How long when it happens | |||||||||
| durationMax | Σ | 0..1 | decimal | How long when it happens (Max) | Σ | 0..1 | decimal | How long when it happens (Max) | |||||||||
| durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM). | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM). | |||||||||
| frequency | Σ | 0..1 | positiveInt | (QI) Event occurs frequency times per period | Σ | 0..1 | positiveInt | (QI) Event occurs frequency times per period | |||||||||
| frequencyMax | Σ | 0..1 | positiveInt | (QI) Event occurs frequencyMax times per period | Σ | 0..1 | positiveInt | (QI) Event occurs frequencyMax times per period | |||||||||
| period | Σ | 0..1 | decimal | (QI) Event occurs frequency times per period | Σ | 0..1 | decimal | (QI) Event occurs frequency times per period | |||||||||
| periodMax | Σ | 0..1 | decimal | (QI) Upper limit of period (3-4 hours) | Σ | 0..1 | decimal | (QI) Upper limit of period (3-4 hours) | |||||||||
| periodUnit | Σ | 0..1 | code | (QI) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM). | Σ | 0..1 | code | (QI) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM). | |||||||||
| dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: ?? (required) | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: ?? (required) | |||||||||
| timeOfDay | Σ | 0..* | time | Time of day for action | Σ | 0..* | time | Time of day for action | |||||||||
| when | Σ | 0..* | code | Code for time period of occurrence Binding: ?? (required): Real world event relating to the schedule. | Σ | 0..* | code | Code for time period of occurrence Binding: ?? (required): Real world event relating to the schedule. | |||||||||
| offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after) | Σ | 0..1 | unsignedInt | Minutes from event (before or after) | |||||||||
| code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: ?? (preferred): Code for a known / defined timing pattern. | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: ?? (preferred): Code for a known / defined timing pattern. |
| ||||||||
| asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | (QI) Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | Σ | 0..1 | boolean, CodeableConcept | (QI) Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||||||
| site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||||||
| route | SΣ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. |
| ||||||||
| method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | |||||||||
| doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered | SΣ | 0..* | Element | (QI) Amount of medication administered | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||
| type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | |||||||||
| dose[x] | SΣ | 0..1 | ??, Range | (QI) Amount of medication per dose Binding: ?? (preferred)
| SΣ | 0..1 | ??, Range | (QI) Amount of medication per dose Binding: ?? (preferred)
| |||||||||
| rate[x] | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | |||||||||
| maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | |||||||||
| maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration | Σ | 0..1 | ?? | Upper limit on medication per administration | |||||||||
| maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | |||||||||
| dispenseRequest | S | 0..1 | BackboneElement | (QI) Medication supply authorization | S | 0..1 | BackboneElement | (QI) Medication supply authorization | |||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| initialFill | 0..0 | First fill details | 0..0 | First fill details | |||||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| quantity | 0..1 | ?? | First fill quantity | 0..1 | ?? | First fill quantity | |||||||||||
| duration | 0..1 | Duration | First fill duration | 0..1 | Duration | First fill duration | |||||||||||
| dispenseInterval | 0..1 | Duration | (QI) Minimum period of time between dispenses | 0..1 | Duration | (QI) Minimum period of time between dispenses | |||||||||||
| validityPeriod | 0..1 | Period | (QI) Time period supply is authorized for | 0..1 | Period | (QI) Time period supply is authorized for | |||||||||||
| numberOfRepeatsAllowed | S | 0..1 | unsignedInt | (QI) Number of refills authorized | S | 0..1 | unsignedInt | (QI) Number of refills authorized | |||||||||
| quantity | S | 0..1 | ?? | (QI) Amount of medication to supply per dispense | S | 0..1 | ?? | (QI) Amount of medication to supply per dispense | |||||||||
| expectedSupplyDuration | 0..1 | Duration | (QI) Number of days supply per dispense | 0..1 | Duration | (QI) Number of days supply per dispense | |||||||||||
| performer | 0..1 | Reference(Organization) | Intended dispenser | 0..1 | Reference(Organization) | Intended dispenser | |||||||||||
| substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||||||||
| id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
| extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| allowed[x] | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. | |||||||||||
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||||||||
| priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||
| detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||
| eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||
| Documentation for this format | |||||||||||||||||