Profile Comparison between http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest vs http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationRequest
copyright	Used by permission of HL7 International all rights reserved Creative Commons License		Removed the item 'Used by permission of HL7 International all rights reserved Creative Commons License'
date	2022-08-02	2019-03-31	Values Differ
description	Minimum expectations for a MedicationRequest resource when accessed via a International Patient Access API. The MedicationRequest resource represents an order or request for both supply of the medication and the instructions for administration of the medication to a patient.	Proposed constraints and extensions on the MedicationRequest resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.	Values Differ
experimental	false		Removed the item 'false'
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	http://unstats.un.org/unsd/methods/m49/m49.htm#001		Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001'
jurisdiction[1]		urn:iso:std:iso:3166#CA	Added the item 'urn:iso:std:iso:3166#CA'
kind	resource
name	IPAMedicationRequest	MedicationRequestProfile	Values Differ
publisher	HL7 International / Patient Care	HL7 Canada - FHIR Implementation Work Group	Values Differ
purpose
status	active	draft	Values Differ
title	IPA-MedicationRequest	MedicationRequest Profile	Values Differ
type	MedicationRequest
url	http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest	http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest	Values Differ
version	1.1.0

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group		0..*	MedicationRequest	MedicationRequest Profile
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. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
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	?!SOΣ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	?!SΣ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept 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	?!SOΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server	?!Σ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.	Elements differ in definition for mustSupport: 'true' vs 'false'
category		0..*	CodeableConcept	Type of medication usage 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.		0..*	CodeableConcept	Type of medication usage 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	?!OΣ	0..1	boolean	True if request is prohibiting action Obligations Actor SHOULD:populate http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	SOΣ	0..1	boolean, Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole)	Reported rather than primary record Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHOULD:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	Σ	0..1	boolean, Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General) | RelatedPerson | Organization Profile)	Reported rather than primary record	Elements differ in definition for mustSupport: 'true' vs 'false'
medication[x]	SOΣ	1..1	CodeableConcept, Reference(IPA-Medication)	Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered. Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	SΣ	1..1	CodeableConcept, Reference(Medication Profile)	Medication to be taken Binding: ?? (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.	Example/preferred bindings differ at MedicationRequest.medication[x] using binding from MedicationRequestProfile
subject	SOΣ	1..1	Reference(IPA-Patient)	Who or group medication request is for Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	SΣ	1..1	Reference(Patient Profile)	Who or group medication request is for
encounter	SO	0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server		0..1	Reference(Encounter Profile)	Encounter created as part of encounter/admission/stay	Elements differ in definition for mustSupport: 'true' vs 'false'
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SOΣ	0..1	dateTime	When request was initially authored Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server	SΣ	0..1	dateTime	When request was initially authored
requester	SOΣ	0..1	Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-Patient | RelatedPerson | Device)	Who/What requested the Request Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	Σ	0..1	Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile | Patient Profile | RelatedPerson | Device Profile (Implantable))	Who/What requested the Request	Elements differ in definition for mustSupport: 'true' vs 'false'
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration		0..1	Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile | Patient Profile | Device Profile (Implantable) | 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 Profile (General) | PractitionerRole Profile (General))	Person who entered the request
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered.		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered.
reasonReference		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written		0..*	Reference(Condition Profile | Observation Profile (General Use))	Condition or observation that supports why the prescription is being written
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 Profile | ServiceRequest | ImmunizationRecommendation Profile)	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	SO	0..*	Dosage	How the medication should be taken Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	S	0..*	Dosage	How the 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	SOΣ	0..1	string	Free text dosage instructions e.g. SIG Obligations Actor SHALL:populate-if-known http://hl7.org/fhir/uv/ipa/ActorDefinition/server SHALL:handle http://hl7.org/fhir/uv/ipa/ActorDefinition/client	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	Σ	0..1	Timing	When medication should be administered	Σ	0..1	Timing	When medication should be administered
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	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	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	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.	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	Σ	0..*	Element	Amount of medication administered	Σ	0..*	Element	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]	Σ	0..1	Range, ??	Amount of medication per dose	Σ	0..1	Range, ??	Amount of medication per dose
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		0..1	BackboneElement	Medication supply authorization		0..1	BackboneElement	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..1	BackboneElement	First fill details		0..1	BackboneElement	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	Minimum period of time between dispenses		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized		0..1	unsignedInt	Number of refills authorized
quantity		0..1	??	Amount of medication to supply per dispense		0..1	??	Amount of medication to supply per dispense
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser		0..1	Reference(Organization Profile)	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 Profile)	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