Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest vs http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest

Left:US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest)
Right:US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest)

Messages

ErrorStructureDefinition.versionValues for version differ: '5.0.1' vs '6.0.0-preview'
WarningMedicationRequest.reasonCodeElements differ in definition for mustSupport: 'false' vs 'true'
WarningMedicationRequest.reasonReferenceElements differ in definition for mustSupport: 'false' vs 'true'
WarningMedicationRequest.dosageInstruction.timingElements differ in definition for mustSupport: 'false' vs 'true'
WarningMedicationRequest.dosageInstruction.doseAndRateElements differ in definition for mustSupport: 'false' vs 'true'
WarningMedicationRequest.dosageInstruction.doseAndRate.dose[x]Elements differ in definition for mustSupport: 'false' vs 'true'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/MedicationRequest
      .copyrightUsed by permission of HL7 International, all rights reserved Creative Commons License
        .date2020-06-26
          .descriptionThe US Core Medication Request Profile is based upon the core FHIR MedicationRequest Resource and meets the U.S. Core Data for Interoperability (USCDI) v2 'Medications' requirements. The MedicationRequest resource can be used to record a patient’s medication prescription or order. This profile sets minimum expectations for the MedicationRequest resource to record, search, and fetch a patient's medication to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific uses cases.The US Core Medication Request Profile is based upon the core FHIR MedicationRequest Resource and meets the U.S. Core Data for Interoperability (USCDI) v2 'Medications' requirements. The MedicationRequest resource can be used to record a patient’s medication prescription or order. This profile sets minimum expectations for the MedicationRequest resource to record, search, and fetch a patient's medication to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource when using this profile. It provides the floor for standards development for specific use cases.
          • Values Differ
          .experimentalfalse
            .fhirVersion4.0.1
              .jurisdiction
                ..jurisdiction[0]urn:iso:std:iso:3166#US
                  .kindresource
                    .nameUSCoreMedicationRequestProfile
                      .publisherHL7 International - Cross-Group Projects
                        .purpose
                          .statusactive
                            .titleUS Core MedicationRequest Profile
                              .typeMedicationRequest
                                .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
                                  .version5.0.16.0.0-preview
                                  • Values Differ

                                  Structure

                                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.L TypeL Description & ConstraintsCommentsdoco
                                  .. MedicationRequest 0..*MedicationRequestOrdering of medication for patient or group
                                  0..*MedicationRequestOrdering of medication for patient or group
                                    ... id Σ0..1stringLogical id of this artifactΣ0..1idLogical id of this artifact
                                      ... meta Σ0..1MetaMetadata about the resourceΣ0..1MetaMetadata about the resource
                                        ... implicitRules ?!Σ0..1uriA set of rules under which this content was created?!Σ0..1uriA set of rules under which this content was created
                                          ... language 0..1codeLanguage of the resource content
                                          Binding: CommonLanguages (preferred): A human language.

                                          Additional BindingsPurpose
                                          AllLanguagesMax Binding
                                          0..1codeLanguage of the resource content
                                          Binding: CommonLanguages (preferred): A human language.

                                          Additional BindingsPurpose
                                          AllLanguagesMax Binding
                                            ... text 0..1NarrativeText summary of the resource, for human interpretation0..1NarrativeText summary of the resource, for human interpretation
                                              ... contained 0..*ResourceContained, inline Resources
                                              0..*ResourceContained, inline Resources
                                                ... extension 0..*ExtensionAdditional content defined by implementations
                                                0..*ExtensionAdditional content defined by implementations
                                                  ... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
                                                  ?!0..*ExtensionExtensions that cannot be ignored
                                                    ... identifier 0..*IdentifierExternal ids for this request
                                                    0..*IdentifierExternal ids for this request
                                                      ... status ?!SΣ1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
                                                      Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.

                                                      ?!SΣ1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
                                                      Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.

                                                        ... statusReason 0..1CodeableConceptReason for current status
                                                        Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

                                                        0..1CodeableConceptReason for current status
                                                        Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

                                                          ... intent ?!SΣ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
                                                          Binding: medicationRequest Intent (required): The kind of medication order.

                                                          ?!SΣ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
                                                          Binding: medicationRequest Intent (required): The kind of medication order.

                                                            ... Slices for category S0..*CodeableConceptType of medication usage
                                                            Slice: Unordered, Open by pattern:$this
                                                            Binding: medicationRequest Category Codes (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.


                                                            S0..*CodeableConceptType of medication usage
                                                            Slice: Unordered, Open by pattern:$this
                                                            Binding: medicationRequest Category Codes (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 Σ0..1coderoutine | urgent | asap | stat
                                                              Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

                                                              Σ0..1coderoutine | urgent | asap | stat
                                                              Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

                                                                ... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action?!Σ0..1booleanTrue if request is prohibiting action
                                                                  ... reported[x] SΣ0..1boolean S, Reference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson)Reported rather than primary recordSΣ0..1boolean S, Reference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile)Reported rather than primary record
                                                                    ... medication[x] SΣ1..1CodeableConcept, Reference(US Core Medication Profile)Medication to be taken
                                                                    Binding: VSAC 2.16.840.1.113762.1.4.1010.4 (extensible)
                                                                    SΣ1..1CodeableConcept, Reference(US Core Medication Profile)Medication to be taken
                                                                    Binding: Medication Clinical Drug (extensible)
                                                                      ... subject SΣ1..1Reference(US Core Patient Profile)Who or group medication request is forSΣ1..1Reference(US Core Patient Profile)Who or group medication request is for
                                                                        ... encounter S0..1Reference(US Core Encounter Profile)Encounter created as part of encounter/admission/stayS0..1Reference(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 SΣ0..1dateTimeWhen request was initially authoredSΣ0..1dateTimeWhen request was initially authored
                                                                              ... requester SΣ1..1Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson | Device)Who/What requested the RequestSΣ1..1Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)Who/What requested the Request
                                                                                ... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
                                                                                  ... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
                                                                                  Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

                                                                                  Σ0..1CodeableConceptDesired kind of performer of the medication administration
                                                                                  Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

                                                                                    ... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request0..1Reference(Practitioner | PractitionerRole)Person who entered the request
                                                                                      ... reasonCode 0..*CodeableConceptReason or indication for ordering or not ordering the medication
                                                                                      Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


                                                                                      S0..*CodeableConceptReason or indication for ordering or not ordering the medication
                                                                                      Binding: US Core Condition Codes (extensible)
                                                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                      ... reasonReference 0..*Reference(Condition | Observation)Condition or observation that supports why the prescription is being written
                                                                                      S0..*Reference(US Core Condition Encounter Diagnosis Profile | US Core Condition Problems and Health Concerns Profile | Observation)Condition or observation that supports why the prescription is being written
                                                                                      • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                      ... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
                                                                                      Σ0..*canonical()Instantiates FHIR protocol or definition
                                                                                        ... instantiatesUri Σ0..*uriInstantiates external protocol or definition
                                                                                        Σ0..*uriInstantiates external protocol or definition
                                                                                          ... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
                                                                                          Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
                                                                                            ... groupIdentifier Σ0..1IdentifierComposite request this is part ofΣ0..1IdentifierComposite request this is part of
                                                                                              ... courseOfTherapyType 0..1CodeableConceptOverall pattern of medication administration
                                                                                              Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

                                                                                              0..1CodeableConceptOverall pattern of medication administration
                                                                                              Binding: medicationRequest Course of Therapy Codes (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..*AnnotationInformation about the prescription
                                                                                                  0..*AnnotationInformation about the prescription
                                                                                                    ... dosageInstruction S0..*DosageHow the medication should be taken
                                                                                                    S0..*DosageHow the medication should be taken
                                                                                                      .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                        .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                        Slice: Unordered, Open by value:url
                                                                                                        0..*ExtensionAdditional content defined by implementations
                                                                                                        Slice: Unordered, Open by value:url
                                                                                                          .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                          ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                            .... sequence Σ0..1integerThe order of the dosage instructionsΣ0..1integerThe order of the dosage instructions
                                                                                                              .... text SΣ0..1stringFree text dosage instructions e.g. SIGSΣ0..1stringFree text dosage instructions e.g. SIG
                                                                                                                .... additionalInstruction Σ0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
                                                                                                                Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


                                                                                                                Σ0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
                                                                                                                Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


                                                                                                                  .... patientInstruction Σ0..1stringPatient or consumer oriented instructionsΣ0..1stringPatient or consumer oriented instructions
                                                                                                                    .... timing Σ0..1TimingWhen medication should be administeredSΣ0..1TimingWhen medication should be administered
                                                                                                                    • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                                                    .... asNeeded[x] Σ0..1boolean, CodeableConceptTake "as needed" (for x)
                                                                                                                    Binding: SNOMEDCTMedicationAsNeededReasonCodes (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.

                                                                                                                    Σ0..1boolean, CodeableConceptTake "as needed" (for x)
                                                                                                                    Binding: SNOMEDCTMedicationAsNeededReasonCodes (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 Σ0..1CodeableConceptBody site to administer to
                                                                                                                      Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

                                                                                                                      Σ0..1CodeableConceptBody site to administer to
                                                                                                                      Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

                                                                                                                        .... route Σ0..1CodeableConceptHow drug should enter body
                                                                                                                        Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

                                                                                                                        Σ0..1CodeableConceptHow drug should enter body
                                                                                                                        Binding: SNOMEDCTRouteCodes (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 Σ0..1CodeableConceptTechnique for administering medication
                                                                                                                          Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

                                                                                                                          Σ0..1CodeableConceptTechnique for administering medication
                                                                                                                          Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

                                                                                                                            .... doseAndRate Σ0..*ElementAmount of medication administered
                                                                                                                            SΣ0..*ElementAmount of medication administered
                                                                                                                            • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                                                            ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                              ..... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                              Slice: Unordered, Open by value:url
                                                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                                              Slice: Unordered, Open by value:url
                                                                                                                                ..... type Σ0..1CodeableConceptThe kind of dose or rate specified
                                                                                                                                Binding: DoseAndRateType (example): The kind of dose or rate specified.

                                                                                                                                Σ0..1CodeableConceptThe kind of dose or rate specified
                                                                                                                                Binding: DoseAndRateType (example): The kind of dose or rate specified.

                                                                                                                                  ..... dose[x] Σ0..1Range, SimpleQuantityAmount of medication per doseSΣ0..1Quantity S, RangeAmount of medication per dose
                                                                                                                                  Binding: Common UCUM units (preferred)
                                                                                                                                  Additional BindingsPurpose
                                                                                                                                  UCUMCodesMax Binding
                                                                                                                                  • Elements differ in definition for mustSupport: 'false' vs 'true'
                                                                                                                                  ..... rate[x] Σ0..1Ratio, Range, SimpleQuantityAmount of medication per unit of timeΣ0..1Ratio, Range, SimpleQuantityAmount of medication per unit of time
                                                                                                                                    .... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of timeΣ0..1RatioUpper limit on medication per unit of time
                                                                                                                                      .... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administrationΣ0..1SimpleQuantityUpper limit on medication per administration
                                                                                                                                        .... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patientΣ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
                                                                                                                                          ... dispenseRequest 0..1BackboneElementMedication supply authorization0..1BackboneElementMedication supply authorization
                                                                                                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                  .... initialFill 0..1BackboneElementFirst fill details0..1BackboneElementFirst fill details
                                                                                                                                                    ..... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                      ..... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                      0..*ExtensionAdditional content defined by implementations
                                                                                                                                                        ..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                        ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                          ..... quantity 0..1SimpleQuantityFirst fill quantity0..1SimpleQuantityFirst fill quantity
                                                                                                                                                            ..... duration 0..1DurationFirst fill duration0..1DurationFirst fill duration
                                                                                                                                                              .... dispenseInterval 0..1DurationMinimum period of time between dispenses0..1DurationMinimum period of time between dispenses
                                                                                                                                                                .... validityPeriod 0..1PeriodTime period supply is authorized for0..1PeriodTime period supply is authorized for
                                                                                                                                                                  .... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized0..1unsignedIntNumber of refills authorized
                                                                                                                                                                    .... quantity 0..1SimpleQuantityAmount of medication to supply per dispense0..1SimpleQuantityAmount of medication to supply per dispense
                                                                                                                                                                      .... expectedSupplyDuration 0..1DurationNumber of days supply per dispense0..1DurationNumber of days supply per dispense
                                                                                                                                                                        .... performer 0..1Reference(Organization)Intended dispenser0..1Reference(Organization)Intended dispenser
                                                                                                                                                                          ... substitution 0..1BackboneElementAny restrictions on medication substitution0..1BackboneElementAny restrictions on medication substitution
                                                                                                                                                                            .... id 0..1stringUnique id for inter-element referencing0..1stringUnique id for inter-element referencing
                                                                                                                                                                              .... extension 0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                              0..*ExtensionAdditional content defined by implementations
                                                                                                                                                                                .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                                                                                                                                  .... allowed[x] 1..1boolean, CodeableConceptWhether substitution is allowed or not
                                                                                                                                                                                  Binding: V3 Value SetActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

                                                                                                                                                                                  1..1boolean, CodeableConceptWhether substitution is allowed or not
                                                                                                                                                                                  Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

                                                                                                                                                                                    .... reason 0..1CodeableConceptWhy should (not) substitution be made
                                                                                                                                                                                    Binding: V3 Value SetSubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

                                                                                                                                                                                    0..1CodeableConceptWhy should (not) substitution be made
                                                                                                                                                                                    Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

                                                                                                                                                                                      ... priorPrescription 0..1Reference(MedicationRequest)An order/prescription that is being replaced0..1Reference(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

                                                                                                                                                                                            doco Documentation for this format