| Left: | IPA-MedicationRequest (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest) |
| Right: | US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest' vs 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest' |
| Error | StructureDefinition.version | Values for version differ: '1.1.0' vs '10.0.0-ballot' |
| Information | StructureDefinition.name | Values for name differ: 'IPAMedicationRequest' vs 'USCoreMedicationRequestProfile' |
| Information | StructureDefinition.title | Values for title differ: 'IPA-MedicationRequest' vs 'US Core MedicationRequest Profile' |
| Information | StructureDefinition.date | Values for date differ: '2022-08-02' vs '2023-10-17' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Patient Care' vs 'HL7 International / Cross-Group Projects' |
| Information | StructureDefinition.jurisdiction | Removed the item 'http://unstats.un.org/unsd/methods/m49/m49.htm#001' |
| Information | StructureDefinition.jurisdiction | Added the item 'urn:iso:std:iso:3166#US' |
| Information | MedicationRequest.language | Example/preferred bindings differ at MedicationRequest.language using binding from IPAMedicationRequest |
| Information | StructureDefinition.short | Values for short differ: 'Additional content defined by implementations' vs 'Extension' |
| Information | StructureDefinition.definition | Values for definition differ: 'May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.' vs 'An Extension' |
| Warning | MedicationRequest.category | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: 'Reason or indication for ordering or not ordering the medication' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication' |
| Information | StructureDefinition.short | Values for short differ: 'Condition or observation that supports why the prescription is being written' vs '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription' |
| Warning | MedicationRequest.dosageInstruction.timing | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | MedicationRequest.dosageInstruction.route | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | MedicationRequest.dosageInstruction.doseAndRate | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | MedicationRequest.dispenseRequest | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | MedicationRequest.dispenseRequest.quantity | Elements differ in definition for mustSupport: 'false' vs 'true' |
| 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 |
| |
| date | 2022-08-02 | 2023-10-17 |
|
| 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. | The US Core MedicationRequest Profile inherits from the FHIR [MedicationRequest](https://hl7.org/fhir/R4/medicationrequest.html) resource; refer to it for scope and usage definitions. This profile meets the requirements of the [U.S. Core Data for Interoperability (USCDI)](https://www.healthit.gov/isp/united-states-core-data-interoperability-uscdi) *Medications* Data Class. This profile sets minimum expectations for the MedicationRequest resource to record, search, and fetch a patient's medication prescriptions or orders. It specifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains how the elements are used. Providing the floor for standards development for specific use cases promotes interoperability and adoption. |
|
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 |
| |
 jurisdiction[1] | urn:iso:std:iso:3166#US |
| |
| kind | resource | ||
| name | IPAMedicationRequest | USCoreMedicationRequestProfile |
|
| publisher | HL7 International / Patient Care | HL7 International / Cross-Group Projects |
|
| purpose | |||
| status | active | ||
| title | IPA-MedicationRequest | US Core MedicationRequest Profile |
|
| type | MedicationRequest | ||
| url | http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest |
|
| version | 1.1.0 | 10.0.0-ballot |
|
| 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 | C | 0..* | MedicationRequest | Ordering of medication for patient or group Constraints: us-core-21 | ||||||||||
| id | 0..1 | id | Logical id of this artifact | 0..1 | id | Logical id of this artifact | |||||||||||
| meta | 0..1 | Meta | Metadata about the resource | 0..1 | Meta | Metadata about the resource | |||||||||||
| implicitRules | 0..1 | uri | A set of rules under which this content was created | 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 | |||||||||||
 extension | 0..* | Extension | Additional content defined by implementations | 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 | 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.
| 1..1 | code | 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 | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.
| C | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | ||||||||||
| 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 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them |
| ||||||||||
| priority | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||||
| doNotPerform | 0..1 | boolean | True if request is prohibiting action
| 0..1 | boolean | True if request is prohibiting action | |||||||||||
| reported[x] | 0..1 | boolean, Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | Reported rather than primary record
| 0..1 | boolean , Reference (US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile) | Reported rather than primary record | |||||||||||
| medication[x] | 1..1 | CodeableConcept, Reference(IPA-Medication) | Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered.
| 1..1 | CodeableConcept, Reference(US Core Medication Profile) | Medication to be taken Binding: ?? (extensible) | |||||||||||
| subject | 1..1 | Reference(IPA-Patient) | Who or group medication request is for
| 1..1 | Reference(US Core Patient Profile | Group) | Who or group medication request is for | |||||||||||
| encounter | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
| 0..1 | Reference(US Core Encounter Profile) | 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 | 0..1 | dateTime | When request was initially authored
| 0..1 | dateTime | When request was initially authored | |||||||||||
| requester | 0..1 | Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-Patient | RelatedPerson | Device) | Who/What requested the Request
| C | 0..1 | Reference(US Core Practitioner Profile | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | US Core Device Profile) | 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 | 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. | 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 | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication Binding: ?? (extensible) | |||||||||||
| reasonReference | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | 0..* | Reference(Condition | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription | |||||||||||
| instantiatesCanonical | 0..* | canonical() | Instantiates FHIR protocol or definition | 0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||||
| instantiatesUri | 0..* | uri | Instantiates external protocol or definition | 0..* | uri | Instantiates external protocol or definition | |||||||||||
| basedOn | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||||||||
| groupIdentifier | 0..1 | Identifier | Composite request this is part of | 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 | 0..* | Dosage | How the medication should be taken
| 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 | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| sequence | 0..1 | integer | The order of the dosage instructions | 0..1 | integer | The order of the dosage instructions | |||||||||||
| text | 0..1 | string | Free text dosage instructions e.g. SIG
| 0..1 | string | Free text dosage instructions e.g. SIG | |||||||||||
| additionalInstruction | 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". | 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 | 0..1 | string | Patient or consumer oriented instructions | 0..1 | string | Patient or consumer oriented instructions | |||||||||||
| timing | 0..1 | Timing | When medication should be administered | 0..1 | Timing | When medication should be administered |
| ||||||||||
| asNeeded[x] | 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. | 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 | 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. | 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 | 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. | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (extensible): SNOMED CT and NCI Thesaurus SPL route of administration codes |
| ||||||||||
| method | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | |||||||||||
| doseAndRate | 0..* | Element | Amount of medication administered | 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 | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | |||||||||||
| dose[x] | 0..1 | Range, ??  | Amount of medication per dose | 0..1 | ?? , Range | Amount of medication per dose Binding: ?? (preferred)
|
| ||||||||||
| rate[x] | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | |||||||||||
| maxDosePerPeriod | 0..1 | Ratio | Upper limit on medication per unit of time | 0..1 | Ratio | Upper limit on medication per unit of time | |||||||||||
| maxDosePerAdministration | 0..1 | ?? | Upper limit on medication per administration | C | 0..1 | ?? | Upper limit on medication per administration | ||||||||||
| maxDosePerLifetime | 0..1 | ?? | Upper limit on medication per lifetime of the patient | C | 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 | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 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 | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||
| quantity | 0..1 | ?? | First fill quantity | C | 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 | C | 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) | 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 | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | 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 | |||||||||||||||||