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

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

Messages

ErrorStructureDefinition.urlValues for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest' vs 'http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-medicationrequest'
ErrorStructureDefinition.versionValues for version differ: '7.0.0' vs '2.0.0-ballot'
InformationStructureDefinition.nameValues for name differ: 'USCoreMedicationRequestProfile' vs 'PCTMedicationRequest'
InformationStructureDefinition.titleValues for title differ: 'US Core MedicationRequest Profile' vs 'PCT GFE MedicationRequest'
InformationStructureDefinition.statusValues for status differ: 'active' vs 'draft'
InformationStructureDefinition.dateValues for date differ: '2023-10-17' vs '2024-07-02T05:31:41+00:00'
InformationStructureDefinition.publisherValues for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Financial Management'
InformationStructureDefinition.shortValues for short differ: 'Extension' vs 'Additional content defined by implementations'
InformationStructureDefinition.definitionValues for definition differ: 'An Extension' vs '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.'
WarningMedicationRequest.statusElements differ in definition for mustSupport: 'true' vs 'false'
WarningMedicationRequest.intentElements differ in definition for mustSupport: 'true' vs 'false'
WarningMedicationRequest.categoryElements differ in definition for mustSupport: 'true' vs 'false'
InformationMedicationRequest.doNotPerformElement maximum cardinalities differ: '1' vs '0'
WarningMedicationRequest.reported[x]Elements differ in definition for mustSupport: 'true' vs 'false'
WarningMedicationRequest.subjectElements differ in definition for mustSupport: 'true' vs 'false'
WarningMedicationRequest.encounterElements differ in definition for mustSupport: 'true' vs 'false'
WarningMedicationRequest.authoredOnElements differ in definition for mustSupport: 'true' vs 'false'
WarningMedicationRequest.requesterElements differ in definition for mustSupport: 'true' vs 'false'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication' vs 'Reason or indication for ordering or not ordering the medication'
InformationStructureDefinition.shortValues for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription' vs 'Condition or observation that supports why the prescription is being written'
WarningMedicationRequest.dosageInstructionElements differ in definition for mustSupport: 'true' vs 'false'
WarningMedicationRequest.dispenseRequestElements differ in definition for mustSupport: 'true' vs 'false'
WarningMedicationRequest.dispenseRequest.numberOfRepeatsAllowedElements differ in definition for mustSupport: 'true' vs 'false'
WarningMedicationRequest.dispenseRequest.quantityElements differ in definition for mustSupport: 'true' vs 'false'

Metadata

NameValueComments
.abstractfalse
    .baseDefinitionhttp://hl7.org/fhir/StructureDefinition/MedicationRequest
      .copyrightUsed 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'
      .date2023-10-172024-07-02T05:31:41+00:00
      • Values Differ
      .descriptionThe 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) *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.The PCT MedicationRequest including details about a medication for which a GFE is being requested.
      • Values Differ
      .experimentalfalse
      • Removed the item 'false'
      .fhirVersion4.0.1
        .jurisdiction
          ..jurisdiction[0]urn:iso:std:iso:3166#US
            .kindresource
              .nameUSCoreMedicationRequestProfilePCTMedicationRequest
              • Values Differ
              .publisherHL7 International / Cross-Group ProjectsHL7 International / Financial Management
              • Values Differ
              .purpose
                .statusactivedraft
                • Values Differ
                .titleUS Core MedicationRequest ProfilePCT GFE MedicationRequest
                • Values Differ
                .typeMedicationRequest
                  .urlhttp://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequesthttp://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-medicationrequest
                  • Values Differ
                  .version7.0.02.0.0-ballot
                  • Values Differ

                  Structure

                  NameL FlagsL Card.L TypeL Description & ConstraintsR FlagsR Card.R TypeR Description & ConstraintsCommentsdoco
                  .. MedicationRequest C0..*MedicationRequestOrdering of medication for patient or group
                  us-core-21: requester SHALL be present if intent is "order"
                  0..*MedicationRequestOrdering of medication for patient or group
                    ... id Σ0..1idLogical 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: ?? (preferred): A human language.

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

                          Additional BindingsPurpose
                          ??Max 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
                                ... Slices for extension 0..*ExtensionExtension
                                Slice: Unordered, Open by value:url
                                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: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.

                                      ?!Σ1..1codeactive | 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.


                                      Required Pattern: active
                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                      ... statusReason 0..1CodeableConceptReason for current status
                                      Binding: ?? (example): Identifies the reasons for a given status.

                                      0..1CodeableConceptReason for current status
                                      Binding: ?? (example): Identifies the reasons for a given status.

                                        ... intent ?!SΣC1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
                                        Binding: ?? (required): The kind of medication order.

                                        ?!Σ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
                                        Binding: ?? (required): The kind of medication order.


                                        Required Pattern: proposal
                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... Slices for category S0..*CodeableConceptType 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.


                                        0..*CodeableConceptType 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.


                                        • Elements differ in definition for mustSupport: 'true' vs 'false'
                                        ... priority Σ0..1coderoutine | urgent | asap | stat
                                        Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.

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

                                          ... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action?!Σ0..0
                                          • Element maximum cardinalities differ: '1' vs '0'
                                          ... reported[x] SΣ0..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 recordΣ0..1boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Reported rather than primary record
                                          • Elements differ in definition for mustSupport: 'true' vs 'false'
                                          ... medication[x] SΣ1..1CodeableConcept, Reference(US Core Medication Profile)Medication to be taken
                                          Binding: ?? (extensible)
                                          SΣ1..1CodeableConcept, Reference(Medication)Medication to be taken
                                          Binding: ?? (example): A coded concept identifying substance or product that can be ordered.

                                            ... subject SΣ1..1Reference(US Core Patient Profile S | Group)Who or group medication request is forΣ1..1Reference(HRex Patient Demographics)Who or group medication request is for
                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                            ... encounter S0..1Reference(US Core Encounter Profile)Encounter created as part of encounter/admission/stay0..1Reference(Encounter)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 SΣ0..1dateTimeWhen request was initially authoredΣ0..1dateTimeWhen request was initially authored
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              ... requester SΣC0..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 RequestΣ0..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Who/What requested the Request
                                              • Elements differ in definition for mustSupport: 'true' vs 'false'
                                              ... 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: ?? (example): Identifies the type of individual that is desired to administer the medication.

                                                Σ0..1CodeableConceptDesired kind of performer of the medication administration
                                                Binding: ?? (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..*CodeableConcept𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication
                                                    Binding: ?? (extensible)
                                                    0..*CodeableConceptReason 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)𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription
                                                      0..*Reference(Condition | Observation)Condition or observation that supports why the prescription is being written
                                                        ... 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: ?? (example): Identifies the overall pattern of medication administratio.

                                                                0..1CodeableConceptOverall 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..*AnnotationInformation about the prescription
                                                                    0..*AnnotationInformation about the prescription
                                                                      ... dosageInstruction S0..*DosageHow the medication should be taken
                                                                      0..*DosageHow the medication should be taken
                                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                      .... id 0..1stringUnique id for inter-element referencing
                                                                      • Removed this element
                                                                      .... Slices for extension 0..*ExtensionAdditional content defined by implementations
                                                                      Slice: Unordered, Open by value:url
                                                                      • Removed this element
                                                                      .... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
                                                                      • Removed this element
                                                                      .... sequence Σ0..1integerThe order of the dosage instructions
                                                                      • Removed this element
                                                                      .... text SΣ0..1stringFree text dosage instructions e.g. SIG
                                                                      • Removed this element
                                                                      .... additionalInstruction Σ0..*CodeableConceptSupplemental 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".


                                                                      • Removed this element
                                                                      .... patientInstruction Σ0..1stringPatient or consumer oriented instructions
                                                                      • Removed this element
                                                                      .... timing SΣ0..1TimingWhen medication should be administered
                                                                      • Removed this element
                                                                      .... asNeeded[x] Σ0..1boolean, CodeableConceptTake "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.

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

                                                                      • Removed this element
                                                                      .... route Σ0..1CodeableConceptHow 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.

                                                                      • Removed this element
                                                                      .... method Σ0..1CodeableConceptTechnique for administering medication
                                                                      Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.

                                                                      • Removed this element
                                                                      .... doseAndRate SΣ0..*ElementAmount of medication administered
                                                                      • Removed this element
                                                                      .... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
                                                                      • Removed this element
                                                                      .... maxDosePerAdministration Σ0..1??Upper limit on medication per administration
                                                                      • Removed this element
                                                                      .... maxDosePerLifetime Σ0..1??Upper limit on medication per lifetime of the patient
                                                                      • Removed this element
                                                                      ... dispenseRequest S0..1BackboneElementMedication supply authorization0..1BackboneElementMedication supply authorization
                                                                      • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                      .... 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..1??First fill quantity0..1??First 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 S0..1unsignedIntNumber of refills authorized0..1unsignedIntNumber of refills authorized
                                                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                            .... quantity S0..1??Amount of medication to supply per dispense0..1??Amount of medication to supply per dispense
                                                                                            • Elements differ in definition for mustSupport: 'true' vs 'false'
                                                                                            .... 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: ?? (example): Identifies the type of substitution allowed.

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

                                                                                                          .... reason 0..1CodeableConceptWhy 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..1CodeableConceptWhy 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..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