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) |
Error | StructureDefinition.url | Values 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' |
Error | StructureDefinition.version | Values for version differ: '7.0.0' vs '2.0.0-ballot' |
Information | StructureDefinition.name | Values for name differ: 'USCoreMedicationRequestProfile' vs 'PCTMedicationRequest' |
Information | StructureDefinition.title | Values for title differ: 'US Core MedicationRequest Profile' vs 'PCT GFE MedicationRequest' |
Information | StructureDefinition.status | Values for status differ: 'active' vs 'draft' |
Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2024-07-17T23:57:02+00:00' |
Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Financial Management' |
Information | StructureDefinition.short | Values for short differ: 'Extension' vs 'Additional content defined by implementations' |
Information | StructureDefinition.definition | Values 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.' |
Warning | MedicationRequest.status | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | MedicationRequest.intent | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | MedicationRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | MedicationRequest.doNotPerform | Element maximum cardinalities differ: '1' vs '0' |
Warning | MedicationRequest.reported[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | MedicationRequest.subject | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | MedicationRequest.encounter | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | MedicationRequest.authoredOn | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | MedicationRequest.requester | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | StructureDefinition.short | Values 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' |
Information | StructureDefinition.short | Values 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' |
Warning | MedicationRequest.dosageInstruction | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | MedicationRequest.dispenseRequest | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | Elements differ in definition for mustSupport: 'true' vs 'false' |
Warning | MedicationRequest.dispenseRequest.quantity | Elements differ in definition for mustSupport: 'true' vs 'false' |
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 |
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date | 2023-10-17 | 2024-07-17T23:57:02+00:00 |
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description | 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) *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. |
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experimental | false |
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fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | USCoreMedicationRequestProfile | PCTMedicationRequest |
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publisher | HL7 International / Cross-Group Projects | HL7 International / Financial Management |
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purpose | |||
status | active | draft |
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title | US Core MedicationRequest Profile | PCT GFE MedicationRequest |
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type | MedicationRequest | ||
url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-medicationrequest |
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version | 7.0.0 | 2.0.0-ballot |
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Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments | ||||||||
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MedicationRequest | C | 0..* | MedicationRequest | Ordering of medication for patient or group us-core-21: requester SHALL be present if intent is "order" | 0..* | MedicationRequest | Ordering of medication for patient or group | ||||||||||
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||||||||
contained | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
identifier | 0..* | Identifier | External ids for this request | 0..* | Identifier | External ids for this request | |||||||||||
status | ?!SΣ | 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. | ?!Σ | 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. Required Pattern: active |
| ||||||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. | |||||||||||
intent | ?!SΣC | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. Required Pattern: proposal |
| ||||||||
Slices for category | S | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | 0..* | CodeableConcept | Type of medication usage Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. |
| |||||||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ?!Σ | 0..0 |
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reported[x] | SΣ | 0..1 | boolean 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 | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record |
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medication[x] | SΣ | 1..1 | CodeableConcept, Reference(US Core Medication Profile) | Medication to be taken Binding: ?? (extensible) | SΣ | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered. | |||||||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile S | Group) | Who or group medication request is for | Σ | 1..1 | Reference(HRex Patient Demographics) | Who or group medication request is for |
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encounter | S | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of encounter/admission/stay | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay |
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supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||||
authoredOn | SΣ | 0..1 | dateTime | When request was initially authored | Σ | 0..1 | dateTime | When request was initially authored |
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requester | SΣC | 0..1 | Reference(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 | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request |
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performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. | |||||||||
recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||
reasonCode | 0..* | CodeableConcept | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication Binding: ?? (extensible) | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. | |||||||||||
reasonReference | 0..* | Reference(Condition | Observation) | 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 | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||||||
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | Σ | 0..1 | Identifier | Composite request this is part of | |||||||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. | |||||||||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||
note | 0..* | Annotation | Information about the prescription | 0..* | Annotation | Information about the prescription | |||||||||||
dosageInstruction | S | 0..* | Dosage | How the medication should be taken | 0..* | Dosage | How the medication should be taken |
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id | 0..1 | string | Unique id for inter-element referencing |
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Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url |
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modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
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sequence | Σ | 0..1 | integer | The order of the dosage instructions |
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text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
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additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". |
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patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions |
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timing | SΣ | 0..1 | Timing | When medication should be administered |
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asNeeded[x] | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. |
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site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. |
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route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. |
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method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. |
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doseAndRate | SΣ | 0..* | Element | Amount of medication administered |
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maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time |
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maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration |
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maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient |
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dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization | 0..1 | BackboneElement | Medication supply authorization |
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id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
initialFill | 0..1 | BackboneElement | First fill details | 0..1 | BackboneElement | First fill details | |||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
quantity | 0..1 | ?? | First fill quantity | 0..1 | ?? | First fill quantity | |||||||||||
duration | 0..1 | Duration | First fill duration | 0..1 | Duration | First fill duration | |||||||||||
dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses | 0..1 | Duration | Minimum period of time between dispenses | |||||||||||
validityPeriod | 0..1 | Period | Time period supply is authorized for | 0..1 | Period | Time period supply is authorized for | |||||||||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized | 0..1 | unsignedInt | Number of refills authorized |
| |||||||||
quantity | S | 0..1 | ?? | Amount of medication to supply per dispense | 0..1 | ?? | Amount of medication to supply per dispense |
| |||||||||
expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | 0..1 | Duration | Number of days supply per dispense | |||||||||||
performer | 0..1 | Reference(Organization) | Intended dispenser | 0..1 | Reference(Organization) | Intended dispenser | |||||||||||
substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||||||||
id | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||
extension | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
allowed[x] | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. | |||||||||||
reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||||||||
priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||
eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||
Documentation for this format |