ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - local
ISO/HL7 10781 - Electronic Health Record System Functional Model, Release 2.1
2.1.0 - local
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| Active as of 2024-11-26 |
@prefix fhir: <http://hl7.org/fhir/> . @prefix owl: <http://www.w3.org/2002/07/owl#> . @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 "EHRSFMR2.1-CP.4.2.2"] ; # fhir:meta [ ( fhir:profile [ fhir:v "http://hl7.org/ehrs/StructureDefinition/FMFunction"^^xsd:anyURI ; fhir:link <http://hl7.org/ehrs/StructureDefinition/FMFunction> ] ) ] ; # fhir:text [ fhir:status [ fhir:v "extensions" ] ; fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <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>Render medication dosing and warnings related to a medication order based on patient-specific parameters.</p>\n</div></span>\n\n \n <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>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></span>\n \n\n \n\n \n <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>\n \n <table id=\"statements\" class=\"grid dict\">\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#01</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL conform to function [[CPS.4.2.2]] (Support for Patient-Specific Dosing and Warnings) to determine potential adverse reactions and render alerts or notifications when new medications are ordered.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#02</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#03</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#04</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n <i>conditional</i>\n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#05</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#06</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#07</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#08</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#09</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#10</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to determine and present dose ranges based on patient age.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#11</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#12</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to determine and present drug dosing based on custom compounded medication components.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#13</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><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></span>\n \n \n </td>\n </tr>\n \n </table>\n</div>" ] ; # fhir:url [ fhir:v "http://hl7.org/ehrs/Requirements/EHRSFMR2.1-CP.4.2.2"^^xsd:anyURI] ; # fhir:version [ fhir:v "2.1.0"] ; # fhir:name [ fhir:v "CP_4_2_2_Patient_Specific_Medication_Dosing_and_Warnings"] ; # fhir:title [ fhir:v "CP.4.2.2 Patient-Specific Medication Dosing and Warnings (Function)"] ; # fhir:status [ fhir:v "active"] ; # fhir:date [ fhir:v "2024-11-26T16:30:50+00:00"^^xsd:dateTime] ; # fhir:publisher [ fhir:v "EHR WG"] ; # fhir:contact ( [ ( fhir:telecom [ fhir:system [ fhir:v "url" ] ; fhir:value [ fhir:v "http://www.hl7.org/Special/committees/ehr" ] ] ) ] ) ; # fhir:description [ fhir:v "Render medication dosing and warnings related to a medication order based on patient-specific parameters."] ; # fhir:jurisdiction ( [ ( fhir:coding [ fhir:system [ fhir:v "http://unstats.un.org/unsd/methods/m49/m49.htm"^^xsd:anyURI ] ; fhir:code [ fhir:v "001" ] ; fhir:display [ fhir:v "World" ] ] ) ] ) ; # fhir:purpose [ fhir:v "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."] ; # fhir:statement ( [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-01" ] ; fhir:label [ fhir:v "CP.4.2.2#01" ] ; ( fhir:conformance [ fhir:v "SHALL" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHALL conform to function [[CPS.4.2.2]] (Support for Patient-Specific Dosing and Warnings) to determine potential adverse reactions and render alerts or notifications when new medications are ordered." ] ; fhir:derivedFrom [ fhir:v "EHR-S_FM_R1.1 DC.1.7.1#17" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-02" ] ; fhir:label [ fhir:v "CP.4.2.2#02" ] ; ( fhir:conformance [ fhir:v "SHOULD" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "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." ] ; fhir:derivedFrom [ fhir:v "EHR-S_FM_R1.1 DC.1.7.1#18" ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-03" ] ; fhir:label [ fhir:v "CP.4.2.2#03" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "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." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-04" ] ; fhir:label [ fhir:v "CP.4.2.2#04" ] ; ( fhir:conformance [ fhir:v "SHOULD" ] ) ; fhir:conditionality [ fhir:v "true"^^xsd:boolean ] ; fhir:requirement [ fhir:v "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." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-05" ] ; fhir:label [ fhir:v "CP.4.2.2#05" ] ; ( fhir:conformance [ fhir:v "SHOULD" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHOULD provide the ability to render patient-specific medication dosing recommendations based on the patient's age and weight/body surface area." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-06" ] ; fhir:label [ fhir:v "CP.4.2.2#06" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "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." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-07" ] ; fhir:label [ fhir:v "CP.4.2.2#07" ] ; ( fhir:conformance [ fhir:v "SHOULD" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "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)." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-08" ] ; fhir:label [ fhir:v "CP.4.2.2#08" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "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)." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-09" ] ; fhir:label [ fhir:v "CP.4.2.2#09" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system MAY render a notification requesting the parameters (e.g., coefficients, exponents, formulas) required to calculate the body surface area." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-10" ] ; fhir:label [ fhir:v "CP.4.2.2#10" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system MAY provide the ability to determine and present dose ranges based on patient age." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-11" ] ; fhir:label [ fhir:v "CP.4.2.2#11" ] ; ( fhir:conformance [ fhir:v "MAY" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system MAY provide the ability to manage complex medication orders that include dosing based on either physical status or laboratory values." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-12" ] ; fhir:label [ fhir:v "CP.4.2.2#12" ] ; ( fhir:conformance [ fhir:v "SHALL" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHALL provide the ability to determine and present drug dosing based on custom compounded medication components." ] ] [ ( fhir:extension [ fhir:url [ fhir:v "http://hl7.org/ehrs/StructureDefinition/requirements-dependent"^^xsd:anyURI ] ; fhir:value [ fhir:v "false"^^xsd:boolean ] ] ) ; fhir:key [ fhir:v "EHRSFMR2.1-CP.4.2.2-13" ] ; fhir:label [ fhir:v "CP.4.2.2#13" ] ; ( fhir:conformance [ fhir:v "SHOULD" ] ) ; fhir:conditionality [ fhir:v "false"^^xsd:boolean ] ; fhir:requirement [ fhir:v "The system SHOULD provide the ability to manage medication orders with patient-specific dose calculations (e.g., by weight, body surface area or genotype)." ] ] ) . #
IG © 2024 EHR WG. Package hl7.ehrs.ehrsfmr21#2.1.0 based on FHIR 5.0.0. Generated 2024-11-26
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