HL7 EHR-S FM R2.1.1 - Dental Health Functional Profile, Release 2
2.0.0-ballot - Informative United States of America flag

HL7 EHR-S FM R2.1.1 - Dental Health Functional Profile, Release 2, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/dhfp-ig/ and changes regularly. See the Directory of published versions

: CP.4.2.1 Medication Interaction and Allergy Checking (Function)

Page standards status: Informative Maturity Level: 1

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Requirements ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "DHFPR2-CP.4.2.1"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction>     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "extensions" ] ;
fhir:div [ fhir:v "<div xml:lang=\"en\" xmlns=\"http://www.w3.org/1999/xhtml\" lang=\"en\">\n    \n             \n    \n    \n    <div id=\"description\"><b>Description <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Informative Content\" class=\"informative-flag\">I</a>:</b> <div><p>Check and provide alerts at the time of medication order based upon coded, active and non-active medications for possible interactions, allergies, sensitivities, intolerances, and other adverse reactions.</p>\n</div></div>\n    \n    \n    \n    <div id=\"requirements\"><b>Criteria <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b></div>\n    \n    <table id=\"statements\" class=\"grid dict\">\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            CP.4.2.1#01\n            </td>\n            <td style=\"padding-left: 4px;\">\n            SHALL\n            \n                \n            \n            \n            \n                \n                    <span style=\"border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #e0f2ff;color: #0070c9;border: 1px solid #a3d9ff;\">profiled</span>\n                \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system SHALL conform to function <a href=\"Requirements-DHFPR2-CPS.4.2.1.html\">CPS.4.2.1</a> (Support for Medication Interaction and Allergy Checking) to determine allergic reactions, drug-drug interactions, and other potential adverse reactions, and render alerts or notifications when new medications are ordered. Dental Note: According to scope of practice, organizational policy, and/or jurisdictional law, can be, but is not limited to, an API to Rx module. Could also be entered manually and then cross-checked manually.</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            CP.4.2.1#02\n            </td>\n            <td style=\"padding-left: 4px;\">\n            SHALL\n            \n                \n            \n            \n            \n                \n                    <span style=\"border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #e0f2ff;color: #0070c9;border: 1px solid #a3d9ff;\">profiled</span>\n                \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system SHALL conform to function <a href=\"Requirements-DHFPR2-CP.1.2.html\">CP.1.2</a> (Manage Allergy, Intolerance and Adverse Reaction List) to provide the ability to manage interaction and allergy checking and render alerts and notifications when new medications are ordered. Dental Note: According to scope of practice, organizational policy, and/or jurisdictional law, can be, but is not limited to, an API to Rx module. Could also be entered manually and then cross-checked manually.</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            CP.4.2.1#03\n            </td>\n            <td style=\"padding-left: 4px;\">\n            MAY\n            \n                \n            \n            \n            \n                \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system MAY provide the ability to render an alert, at the time a new medication is prescribed/ordered, that drug interaction, allergy, and formulary checking will not be performed against uncoded or free text medication(s).</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            CP.4.2.1#04\n            </td>\n            <td style=\"padding-left: 4px;\">\n            MAY\n            \n                \n                <span style=\"border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #e5f5e5;color: #388e3c;border: 1px solid #a2d1a2;\">dependent</span>\n                \n            \n            \n            \n                \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system MAY provide the ability to render a notification, at the time a new uncoded medication is prescribed/ordered, that drug interaction, allergy, and formulary checking will not be performed, according to scope of practice, organizational policy, and/or jurisdictional law.</p>\n</div>\n                \n            </td>\n        </tr>\n        \n        <tr>\n            <td style=\"padding-left: 4px;\">\n            CP.4.2.1#05\n            </td>\n            <td style=\"padding-left: 4px;\">\n            SHALL\n            \n                \n                <span style=\"border-radius: 999px;margin: 2px 2px;font-size: 10px;display: inline-block;padding: 3px 5px;letter-spacing: 0.5px;line-height: 1;white-space: nowrap;background-color: #e5f5e5;color: #388e3c;border: 1px solid #a2d1a2;\">dependent</span>\n                \n            \n            \n            \n                \n            \n            </td>\n            <td style=\"padding-left: 4px;\" class=\"requirement\">\n                <div><p>The system SHALL provide the ability to render and tag as inactive recently inactivated medications for inclusion in current medication screening according to scope of practice, organizational policy, and/or jurisdictional law.</p>\n</div>\n                \n            </td>\n        </tr>\n        \n    </table>\n</div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:extension ( [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "informative"     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "NC"     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-wg>     ] ;
fhir:value [
a fhir:Code ;
fhir:v "ehr"     ]
  ] [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm>     ] ;
fhir:value [
a fhir:Integer ;
fhir:v 1 ;
      ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom>         ] ;
fhir:value [
a fhir:Canonical ;
fhir:v "http://hl7.org/ehrs/us/dhfpr2/ImplementationGuide/hl7.ehrs.us.dhfpr2"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/us/dhfpr2/ImplementationGuide/hl7.ehrs.us.dhfpr2>         ]       ] )     ]
  ] ) ; # 
  fhir:url [
fhir:v "http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-CP.4.2.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-CP.4.2.1>
  ] ; # 
  fhir:version [ fhir:v "2.0.0-ballot"] ; # 
  fhir:name [ fhir:v "CP_4_2_1_Medication_Interaction_and_Allergy_Checking"] ; # 
  fhir:title [ fhir:v "CP.4.2.1 Medication Interaction and Allergy Checking (Function)"] ; # 
  fhir:status [ fhir:v "active"] ; # 
  fhir:date [ fhir:v "2025-12-19T08:44:27+00:00"^^xsd:dateTime] ; # 
  fhir:publisher [ fhir:v "HL7 International / Electronic Health Records"] ; # 
  fhir:contact ( [
    ( fhir:telecom [
fhir:system [ fhir:v "url" ] ;
fhir:value [ fhir:v "http://www.hl7.org/Special/committees/ehr" ]     ] )
  ] ) ; # 
  fhir:description [ fhir:v "Provide alerts for potential medication interactions and medication allergy reactions."] ; # 
  fhir:jurisdiction ( [
    ( fhir:coding [
fhir:system [
fhir:v "urn:iso:std:iso:3166"^^xsd:anyURI ;
fhir:l <urn:iso:std:iso:3166>       ] ;
fhir:code [ fhir:v "US" ]     ] )
  ] ) ; # 
  fhir:purpose [ fhir:v "Check and provide alerts at the time of medication order based upon coded, active and non-active medications for possible interactions, allergies, sensitivities, intolerances, and other adverse reactions."] ; # 
  fhir:derivedFrom ( [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CP.4.2.1"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CP.4.2.1>
  ] ) ; # 
  fhir:statement ( [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info>       ] ;
fhir:value [
a fhir:Code ;
fhir:v "C"       ]     ] ) ;
fhir:key [ fhir:v "DHFPR2-CP.4.2.1-01" ] ;
fhir:label [ fhir:v "CP.4.2.1#01" ] ;
    ( fhir:conformance [ fhir:v "SHALL" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHALL conform to function [CPS.4.2.1](Requirements-DHFPR2-CPS.4.2.1.html) (Support for Medication Interaction and Allergy Checking) to determine allergic reactions, drug-drug interactions, and other potential adverse reactions, and render alerts or notifications when new medications are ordered. Dental Note: According to scope of practice, organizational policy, and/or jurisdictional law, can be, but is not limited to, an API to Rx module. Could also be entered manually and then cross-checked manually." ] ;
fhir:derivedFrom [ fhir:v "CP.4.2.1#1" ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info>       ] ;
fhir:value [
a fhir:Code ;
fhir:v "C"       ]     ] ) ;
fhir:key [ fhir:v "DHFPR2-CP.4.2.1-02" ] ;
fhir:label [ fhir:v "CP.4.2.1#02" ] ;
    ( fhir:conformance [ fhir:v "SHALL" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHALL conform to function [CP.1.2](Requirements-DHFPR2-CP.1.2.html) (Manage Allergy, Intolerance and Adverse Reaction List) to provide the ability to manage interaction and allergy checking and render alerts and notifications when new medications are ordered. Dental Note: According to scope of practice, organizational policy, and/or jurisdictional law, can be, but is not limited to, an API to Rx module. Could also be entered manually and then cross-checked manually." ] ;
fhir:derivedFrom [ fhir:v "CP.4.2.1#2" ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v false       ]     ] [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info>       ] ;
fhir:value [
a fhir:Code ;
fhir:v "NC"       ]     ] ) ;
fhir:key [ fhir:v "DHFPR2-CP.4.2.1-03" ] ;
fhir:label [ fhir:v "CP.4.2.1#03" ] ;
    ( fhir:conformance [ fhir:v "MAY" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system MAY provide the ability to render an alert, at the time a new medication is prescribed/ordered, that drug interaction, allergy, and formulary checking will not be performed against uncoded or free text medication(s)." ] ;
fhir:derivedFrom [ fhir:v "CP.4.2.1#3" ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v true       ]     ] [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info>       ] ;
fhir:value [
a fhir:Code ;
fhir:v "NC"       ]     ] ) ;
fhir:key [ fhir:v "DHFPR2-CP.4.2.1-04" ] ;
fhir:label [ fhir:v "CP.4.2.1#04" ] ;
    ( fhir:conformance [ fhir:v "MAY" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system MAY provide the ability to render a notification, at the time a new uncoded medication is prescribed/ordered, that drug interaction, allergy, and formulary checking will not be performed, according to scope of practice, organizational policy, and/or jurisdictional law." ] ;
fhir:derivedFrom [ fhir:v "CP.4.2.1#4" ]
  ] [
    ( fhir:extension [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent>       ] ;
fhir:value [
a fhir:Boolean ;
fhir:v true       ]     ] [
fhir:url [
fhir:v "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info"^^xsd:anyURI ;
fhir:l <http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info>       ] ;
fhir:value [
a fhir:Code ;
fhir:v "NC"       ]     ] ) ;
fhir:key [ fhir:v "DHFPR2-CP.4.2.1-05" ] ;
fhir:label [ fhir:v "CP.4.2.1#05" ] ;
    ( fhir:conformance [ fhir:v "SHALL" ] ) ;
fhir:conditionality [ fhir:v false ] ;
fhir:requirement [ fhir:v "The system SHALL provide the ability to render and tag as inactive recently inactivated medications for inclusion in current medication screening according to scope of practice, organizational policy, and/or jurisdictional law." ] ;
fhir:derivedFrom [ fhir:v "CP.4.2.1#5" ]
  ] ) . #