HL7 EHR-S FM R2.1.1 - Dental Health Functional Profile, Release 2
2.0.0-ballot - Informative
HL7 EHR-S FM R2.1.1 - Dental Health Functional Profile, Release 2
2.0.0-ballot - Informative
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
| Page standards status: Informative | Maturity Level: 1 |
{
"resourceType" : "Requirements",
"id" : "DHFPR2-CP.4.2.2",
"meta" : {
"profile" : [
🔗 "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"
]
},
"language" : "en",
"text" : {
"status" : "extensions",
"div" : "<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>Provide parameter-based (e.g., weight, lean body mass, age, sensitivity, genomics, body surface area) medication dosing recommendations and warnings for simple medications and compounded medications at the time of order entry.</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.4.2.2#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.4.2.2.html\">CPS.4.2.2</a> (Support for Patient-Specific Dosing and Warnings) to determine 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.4.2.2#02\n </td>\n <td style=\"padding-left: 4px;\">\n SHOULD\n \n \n \n \n \n \n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n <div><p>The system SHOULD provide the ability to determine and render weight-specific dose suggestions and auto-populate (e.g., default) medication orders based on the suggested dosage.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#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 capture alternative patient dosing weight(s) (e.g., ideal body weight or dry weight vs. actual patient weight) for the purpose of dose calculation.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#04\n </td>\n <td style=\"padding-left: 4px;\">\n SHOULD\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: #f3e5ff;color: #7b1fa2;border: 1px solid #d1a3ff;\">conditional</span>\n \n \n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n <div><p>IF the system provides the ability to capture alternative patient dosing weight(s), THEN the system SHOULD provide the ability to determine and render alternative weight-specific dose recommendations and auto-populate medication orders based on the suggested dosage.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#05\n </td>\n <td style=\"padding-left: 4px;\">\n SHOULD\n \n \n \n \n \n \n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n <div><p>The system SHOULD provide the ability to render patient-specific medication dosing recommendations based on the patient's age and weight/body surface area.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#06\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 patient-specific medication dosing recommendations based on previous patient experience (e.g., adverse reaction, type, and severity) with the same medication.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#07\n </td>\n <td style=\"padding-left: 4px;\">\n SHOULD\n \n \n \n \n \n \n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n <div><p>The system SHOULD provide the ability to determine weight-based medication dosing when doses are based on the patient's weight (e.g., mg/kg).</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#08\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 determine and render medication orders in which the weight-specific dose suggested employs a starting range with incremental changes toward a target range (e.g., a target therapeutic index).</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#09\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 render a notification requesting the parameters (e.g., coefficients, exponents, formulas) required to calculate the body surface area.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#10\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 determine and present dose ranges based on patient age.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#11\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 manage complex medication orders that include dosing based on either physical status or laboratory values.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#12\n </td>\n <td style=\"padding-left: 4px;\">\n SHALL\n \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 determine and present drug dosing based on custom compounded medication components.</p>\n</div>\n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n CP.4.2.2#13\n </td>\n <td style=\"padding-left: 4px;\">\n SHOULD\n \n \n \n \n \n \n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n <div><p>The system SHOULD provide the ability to manage medication orders with patient-specific dose calculations (e.g., by weight, body surface area or genotype).</p>\n</div>\n \n </td>\n </tr>\n \n </table>\n</div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative"
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "ehr"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 1,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/ehrs/us/dhfpr2/ImplementationGuide/hl7.ehrs.us.dhfpr2"
}
]
}
}
],
"url" : "http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-CP.4.2.2",
"version" : "2.0.0-ballot",
"name" : "CP_4_2_2_Patient_Specific_Medication_Dosing_and_Warnings",
"title" : "CP.4.2.2 Patient-Specific Medication Dosing and Warnings (Function)",
"status" : "active",
"date" : "2025-12-19T08:44:27+00:00",
"publisher" : "HL7 International / Electronic Health Records",
"contact" : [
{
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/ehr"
}
]
}
],
"description" : "Render medication dosing and warnings related to a medication order based on patient-specific parameters.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "urn:iso:std:iso:3166",
"code" : "US"
}
]
}
],
"purpose" : "Provide parameter-based (e.g., weight, lean body mass, age, sensitivity, genomics, body surface area) medication dosing recommendations and warnings for simple medications and compounded medications at the time of order entry.",
"derivedFrom" : [
🔗 "http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CP.4.2.2"
],
"statement" : [
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "C"
}
],
"key" : "DHFPR2-CP.4.2.2-01",
"label" : "CP.4.2.2#01",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL conform to function [CPS.4.2.2](Requirements-DHFPR2-CPS.4.2.2.html) (Support for Patient-Specific Dosing and Warnings) to determine 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.",
"derivedFrom" : "CP.4.2.2#1"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-02",
"label" : "CP.4.2.2#02",
"conformance" : [
"SHOULD"
],
"conditionality" : false,
"requirement" : "The system SHOULD provide the ability to determine and render weight-specific dose suggestions and auto-populate (e.g., default) medication orders based on the suggested dosage.",
"derivedFrom" : "CP.4.2.2#2"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-03",
"label" : "CP.4.2.2#03",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY provide the ability to capture alternative patient dosing weight(s) (e.g., ideal body weight or dry weight vs. actual patient weight) for the purpose of dose calculation.",
"derivedFrom" : "CP.4.2.2#3"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-04",
"label" : "CP.4.2.2#04",
"conformance" : [
"SHOULD"
],
"conditionality" : true,
"requirement" : "IF the system provides the ability to capture alternative patient dosing weight(s), THEN the system SHOULD provide the ability to determine and render alternative weight-specific dose recommendations and auto-populate medication orders based on the suggested dosage.",
"derivedFrom" : "CP.4.2.2#4"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-05",
"label" : "CP.4.2.2#05",
"conformance" : [
"SHOULD"
],
"conditionality" : false,
"requirement" : "The system SHOULD provide the ability to render patient-specific medication dosing recommendations based on the patient's age and weight/body surface area.",
"derivedFrom" : "CP.4.2.2#5"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-06",
"label" : "CP.4.2.2#06",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY provide the ability to render patient-specific medication dosing recommendations based on previous patient experience (e.g., adverse reaction, type, and severity) with the same medication.",
"derivedFrom" : "CP.4.2.2#6"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-07",
"label" : "CP.4.2.2#07",
"conformance" : [
"SHOULD"
],
"conditionality" : false,
"requirement" : "The system SHOULD provide the ability to determine weight-based medication dosing when doses are based on the patient's weight (e.g., mg/kg).",
"derivedFrom" : "CP.4.2.2#7"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-08",
"label" : "CP.4.2.2#08",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY provide the ability to determine and render medication orders in which the weight-specific dose suggested employs a starting range with incremental changes toward a target range (e.g., a target therapeutic index).",
"derivedFrom" : "CP.4.2.2#8"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-09",
"label" : "CP.4.2.2#09",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY render a notification requesting the parameters (e.g., coefficients, exponents, formulas) required to calculate the body surface area.",
"derivedFrom" : "CP.4.2.2#9"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-10",
"label" : "CP.4.2.2#10",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY provide the ability to determine and present dose ranges based on patient age.",
"derivedFrom" : "CP.4.2.2#10"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-11",
"label" : "CP.4.2.2#11",
"conformance" : [
"MAY"
],
"conditionality" : false,
"requirement" : "The system MAY provide the ability to manage complex medication orders that include dosing based on either physical status or laboratory values.",
"derivedFrom" : "CP.4.2.2#11"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-12",
"label" : "CP.4.2.2#12",
"conformance" : [
"SHALL"
],
"conditionality" : false,
"requirement" : "The system SHALL provide the ability to determine and present drug dosing based on custom compounded medication components.",
"derivedFrom" : "CP.4.2.2#12"
},
{
"extension" : [
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean" : false
},
{
"url" : "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode" : "NC"
}
],
"key" : "DHFPR2-CP.4.2.2-13",
"label" : "CP.4.2.2#13",
"conformance" : [
"SHOULD"
],
"conditionality" : false,
"requirement" : "The system SHOULD provide the ability to manage medication orders with patient-specific dose calculations (e.g., by weight, body surface area or genotype).",
"derivedFrom" : "CP.4.2.2#13"
}
]
}
IG © 2025 HL7 International / Electronic Health Records.
Package hl7.ehrs.us.dhfpr2#2.0.0-ballot based on FHIR 5.0.0.
Generated
2025-12-19
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