HL7 Electronic Health Record System Functional Model, Release 2.1.1
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HL7 Electronic Health Record System Functional Model, Release 2.1.1, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 2.1.1-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/ehrsfm-ig/ and changes regularly. See the Directory of published versions

: CP.4.2.4 Medication Alert Overrides (Function) - XML Representation

Page standards status: Informative

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<Requirements xmlns="http://hl7.org/fhir">
  <id value="EHRSFMR2-CP.4.2.4"/>
  <meta>
    <profile
             value="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"/>
  </meta>
  <text>
    <status value="extensions"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
    <span id="description"><b>Statement <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b> <div><p>Capture the alerts and warnings for medications being overridden and reasons for the override.</p>
</div></span>

    
    <span id="purpose"><b>Description <a href="https://hl7.org/fhir/versions.html#std-process" title="Informative Content" class="informative-flag">I</a>:</b> <div><p>Alerts are generated for possible contraindications to administration of medications (e.g., the administration of tetracycline to pregnant women) and the prescriber may choose to override the alert.</p>
</div></span>
    

    
    
    

    
    <span id="requirements"><b>Criteria <a href="https://hl7.org/fhir/versions.html#std-process" title="Normative Content" class="normative-flag">N</a>:</b></span>
    
    <table id="statements" class="grid dict">
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CP.4.2.4#01</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHALL provide the ability to edit a medication order by overriding the drug alert or warning and transmitting the updated medication order.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CP.4.2.4#02</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHALL provide the ability to capture reasons for overriding a drug alert or warning at the time of ordering.</p>
</div></span>
                
                
            </td>
        </tr>
        
        <tr>
            <td style="padding-left: 4px;">
                
                <span>CP.4.2.4#03</span>
                
            </td>
            <td style="padding-left: 4px;">
                
                
                
                <span>SHALL</span>
                
            </td>
            <td style="padding-left: 4px;" class="requirement">
                
                <span><div><p>The system SHALL provide the ability to tag and render an indication that a provider has overridden a drug alert or warning.</p>
</div></span>
                
                
            </td>
        </tr>
        
    </table>
</div>
  </text>
  <extension
             url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="ehr"/>
  </extension>
  <url
       value="http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CP.4.2.4"/>
  <version value="2.1.1-ballot"/>
  <name value="CP_4_2_4_Medication_Alert_Overrides"/>
  <title value="CP.4.2.4 Medication Alert Overrides (Function)"/>
  <status value="active"/>
  <date value="2025-08-29T14:03:55+00:00"/>
  <publisher value="HL7 International / Electronic Health Records"/>
  <contact>
    <telecom>
      <system value="url"/>
      <value value="http://www.hl7.org/Special/committees/ehr"/>
    </telecom>
  </contact>
  <description
               value="Capture the alerts and warnings for medications being overridden and reasons for the override."/>
  <jurisdiction>
    <coding>
      <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
      <code value="001"/>
      <display value="World"/>
    </coding>
  </jurisdiction>
  <purpose
           value="Alerts are generated for possible contraindications to administration of medications (e.g., the administration of tetracycline to pregnant women) and the prescriber may choose to override the alert."/>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2-CP.4.2.4-01"/>
    <label value="CP.4.2.4#01"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL provide the ability to edit a medication order by overriding the drug alert or warning and transmitting the updated medication order."/>
    <derivedFrom value="EHR-S_FM_R1.1 DC.2.3.1.2#3"/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2-CP.4.2.4-02"/>
    <label value="CP.4.2.4#02"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL provide the ability to capture reasons for overriding a drug alert or warning at the time of ordering."/>
  </statement>
  <statement>
    <extension
               url="http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent">
      <valueBoolean value="false"/>
    </extension>
    <key value="EHRSFMR2-CP.4.2.4-03"/>
    <label value="CP.4.2.4#03"/>
    <conformance value="SHALL"/>
    <conditionality value="false"/>
    <requirement
                 value="The system SHALL provide the ability to tag and render an indication that a provider has overridden a drug alert or warning."/>
  </statement>
</Requirements>