HL7 EHR-S FM R2.1.1 - Dental Health Functional Profile, Release 2
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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.4.2.2 Patient-Specific Medication Dosing and Warnings (Function)

Page standards status: Informative Maturity Level: 1

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<Requirements xmlns="http://hl7.org/fhir">
  <id value="DHFPR2-CP.4.2.2"/>
  <meta>
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    <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>
</div></div>
    
    
    
    <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>
    
    <table id="statements" class="grid dict">
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#01
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
                
                    <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>
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#02
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#03
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#04
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            <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>
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#05
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#06
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#07
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#08
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#09
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY render a notification requesting the parameters (e.g., coefficients, exponents, formulas) required to calculate the body surface area.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#10
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system MAY provide the ability to determine and present dose ranges based on patient age.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#11
            </td>
            <td style="padding-left: 4px;">
            MAY
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#12
            </td>
            <td style="padding-left: 4px;">
            SHALL
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <div><p>The system SHALL provide the ability to determine and present drug dosing based on custom compounded medication components.</p>
</div>
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
            CP.4.2.2#13
            </td>
            <td style="padding-left: 4px;">
            SHOULD
            
                
            
            
            
                
            
            </td>
            <td style="padding-left: 4px;" class="requirement">
                <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>
</div>
                
            </td>
        </tr>
        
    </table>
</div>
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  <version value="2.0.0-ballot"/>
  <name value="CP_4_2_2_Patient_Specific_Medication_Dosing_and_Warnings"/>
  <title
         value="CP.4.2.2 Patient-Specific Medication Dosing and Warnings (Function)"/>
  <status value="active"/>
  <date value="2025-12-19T08:44:27+00:00"/>
  <publisher value="HL7 International / Electronic Health Records"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/ehr"/>
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  <description
               value="Render medication dosing and warnings related to a medication order based on patient-specific parameters."/>
  <jurisdiction>
    <coding>
      <system value="urn:iso:std:iso:3166"/>
      <code value="US"/>
    </coding>
  </jurisdiction>
  <purpose
           value="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
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    <label value="CP.4.2.2#01"/>
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    <conditionality value="false"/>
    <requirement
                 value="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."/>
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    <requirement
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    <requirement
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    <derivedFrom value="CP.4.2.2#3"/>
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    <requirement
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