GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

F.24.1 StructureDefinition: QICore-MedicationOrder

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/qicore-medicationorder

Profile of MedicationOrder for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.

This profile was published on Fri, Feb 27, 2015 00:00+1100 as a draft by Health Level Seven International (Clinical Quality Information - QICore).

F.24.1.1 Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.

This structure is derived from MedicationOrder.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder 0..*MedicationOrder
... dateWritten S0..1dateTime
... status S0..1code
... patient S0..1Reference(QICore-Patient)
... prescriber 0..1Reference(QICore-Practitioner)
... encounter S0..1Reference(QICore-Encounter)
... reason[x] 0..1CodeableConcept, Reference(Condition)Binding: Problem Value Set (preferred)
... medication[x] S1..1CodeableConcept, Reference(QICore-Medication)Binding: Medication Clinical Drug (RxNorm) (preferred)
... dosageInstruction S0..*BackboneElement
.... site[x] 0..1CodeableConcept, Reference(BodySite)Binding: Vaccine Administered Body Site (preferred)
.... pharmacy-core-doseType 0..1CodeableConceptThe type of dose, e.g., loading.
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType
Binding: SNOMED CT Dosages Codes (preferred)
.... pharmacy-core-infuseOver 0..1DurationThe length of the infusion
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver
.... pharmacy-core-rateIncrement 0..1RatioChange in dosing rate per interval
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement
.... pharmacy-core-rateIncrementInterval 0..1DurationThe period of time between rate increments
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval
.... pharmacy-core-rateGoal 0..1RatioThe target rate for the infusion
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal
.... pharmacy-core-minDosePerPeriod 0..1RatioThe minimum quantity of substance per period
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod
.... pharmacy-core-maxDeliveryRate 0..1RatioThe maximum rate of substance administration
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate
.... pharmacy-core-maxDeliveryVolume 0..1QuantityThe maximum amount of fluid to infuse
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume
... dispenseRequest S0..1BackboneElement
.... medication[x] 0..1CodeableConcept, Reference(QICore-Medication)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder ∑0..*MedicationOrderPrescription of medication to for patient
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal identifier
... dateWritten S ∑0..1dateTimeWhen prescription was authorized
... status ?! S∑0..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Binding: MedicationOrderStatus (required)
... dateEnded ∑0..1dateTimeWhen prescription was stopped
... reasonEnded ∑0..1CodeableConceptWhy prescription was stopped
Binding: (unbound) (example)
... patient S ∑0..1Reference(QICore-Patient)Who prescription is for
... prescriber ∑0..1Reference(QICore-Practitioner)Who ordered the medication(s)
... encounter S ∑0..1Reference(QICore-Encounter)Created during encounter/admission/stay
... reason[x] ∑0..1CodeableConcept, Reference(Condition)Reason or indication for writing the prescription
Binding: Problem Value Set (preferred)
... note ∑0..1stringInformation about the prescription
... medication[x] S ∑1..1CodeableConcept, Reference(QICore-Medication)Medication to be taken
Binding: Medication Clinical Drug (RxNorm) (preferred)
... dosageInstruction S ∑0..*BackboneElementHow medication should be taken
.... pharmacy-core-doseType 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType
Binding: SNOMED CT Dosages Codes (preferred)
.... pharmacy-core-infuseOver 0..1DurationExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver
.... pharmacy-core-rateIncrement 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement
.... pharmacy-core-rateIncrementInterval 0..1DurationExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval
.... pharmacy-core-rateGoal 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal
.... pharmacy-core-minDosePerPeriod 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod
.... pharmacy-core-maxDeliveryRate 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate
.... pharmacy-core-maxDeliveryVolume 0..1QuantityExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringDosage instructions expressed as text
.... additionalInstructions ∑0..1CodeableConceptSupplemental instructions - e.g. "with meals"
Binding: (unbound) (example)
.... timing ∑0..1TimingWhen medication should be administered
.... asNeeded[x] ∑0..1boolean, CodeableConceptTake "as needed" (for x)
Binding: (unbound) (example)
.... site[x] ∑0..1CodeableConcept, Reference(BodySite)Body site to administer to
Binding: Vaccine Administered Body Site (preferred)
.... route ∑0..1CodeableConceptHow drug should enter body
Binding: SNOMED CT Route Codes (example)
.... method ∑0..1CodeableConceptTechnique for administering medication
Binding: (unbound) (example)
.... dose[x] ∑0..1Range, SimpleQuantityAmount of medication per dose
.... rate[x] ∑0..1Ratio, RangeAmount of medication per unit of time
.... maxDosePerPeriod ∑0..1RatioUpper limit on medication per unit of time
... dispenseRequest S ∑0..1BackboneElementMedication supply authorization
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... medication[x] ∑0..1CodeableConcept, Reference(QICore-Medication)Product to be supplied
.... validityPeriod ∑0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed ∑0..1positiveIntNumber of refills authorized
.... quantity ∑0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration ∑0..1DurationNumber of days supply per dispense
... substitution ∑0..1BackboneElementAny restrictions on medication substitution
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type ∑1..1CodeableConceptgeneric | formulary +
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason ∑0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription ∑0..1Reference(MedicationOrder)An order/prescription that this supersedes

doco Documentation for this format

todo

Differential View

This structure is derived from MedicationOrder.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder 0..*MedicationOrder
... dateWritten S0..1dateTime
... status S0..1code
... patient S0..1Reference(QICore-Patient)
... prescriber 0..1Reference(QICore-Practitioner)
... encounter S0..1Reference(QICore-Encounter)
... reason[x] 0..1CodeableConcept, Reference(Condition)Binding: Problem Value Set (preferred)
... medication[x] S1..1CodeableConcept, Reference(QICore-Medication)Binding: Medication Clinical Drug (RxNorm) (preferred)
... dosageInstruction S0..*BackboneElement
.... site[x] 0..1CodeableConcept, Reference(BodySite)Binding: Vaccine Administered Body Site (preferred)
.... pharmacy-core-doseType 0..1CodeableConceptThe type of dose, e.g., loading.
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType
Binding: SNOMED CT Dosages Codes (preferred)
.... pharmacy-core-infuseOver 0..1DurationThe length of the infusion
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver
.... pharmacy-core-rateIncrement 0..1RatioChange in dosing rate per interval
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement
.... pharmacy-core-rateIncrementInterval 0..1DurationThe period of time between rate increments
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval
.... pharmacy-core-rateGoal 0..1RatioThe target rate for the infusion
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal
.... pharmacy-core-minDosePerPeriod 0..1RatioThe minimum quantity of substance per period
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod
.... pharmacy-core-maxDeliveryRate 0..1RatioThe maximum rate of substance administration
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate
.... pharmacy-core-maxDeliveryVolume 0..1QuantityThe maximum amount of fluid to infuse
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume
... dispenseRequest S0..1BackboneElement
.... medication[x] 0..1CodeableConcept, Reference(QICore-Medication)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder ∑0..*MedicationOrderPrescription of medication to for patient
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional Content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier ∑0..*IdentifierExternal identifier
... dateWritten S ∑0..1dateTimeWhen prescription was authorized
... status ?! S∑0..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Binding: MedicationOrderStatus (required)
... dateEnded ∑0..1dateTimeWhen prescription was stopped
... reasonEnded ∑0..1CodeableConceptWhy prescription was stopped
Binding: (unbound) (example)
... patient S ∑0..1Reference(QICore-Patient)Who prescription is for
... prescriber ∑0..1Reference(QICore-Practitioner)Who ordered the medication(s)
... encounter S ∑0..1Reference(QICore-Encounter)Created during encounter/admission/stay
... reason[x] ∑0..1CodeableConcept, Reference(Condition)Reason or indication for writing the prescription
Binding: Problem Value Set (preferred)
... note ∑0..1stringInformation about the prescription
... medication[x] S ∑1..1CodeableConcept, Reference(QICore-Medication)Medication to be taken
Binding: Medication Clinical Drug (RxNorm) (preferred)
... dosageInstruction S ∑0..*BackboneElementHow medication should be taken
.... pharmacy-core-doseType 0..1CodeableConceptExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType
Binding: SNOMED CT Dosages Codes (preferred)
.... pharmacy-core-infuseOver 0..1DurationExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-infuseOver
.... pharmacy-core-rateIncrement 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrement
.... pharmacy-core-rateIncrementInterval 0..1DurationExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateIncrementInterval
.... pharmacy-core-rateGoal 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal
.... pharmacy-core-minDosePerPeriod 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod
.... pharmacy-core-maxDeliveryRate 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryRate
.... pharmacy-core-maxDeliveryVolume 0..1QuantityExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-maxDeliveryVolume
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringDosage instructions expressed as text
.... additionalInstructions ∑0..1CodeableConceptSupplemental instructions - e.g. "with meals"
Binding: (unbound) (example)
.... timing ∑0..1TimingWhen medication should be administered
.... asNeeded[x] ∑0..1boolean, CodeableConceptTake "as needed" (for x)
Binding: (unbound) (example)
.... site[x] ∑0..1CodeableConcept, Reference(BodySite)Body site to administer to
Binding: Vaccine Administered Body Site (preferred)
.... route ∑0..1CodeableConceptHow drug should enter body
Binding: SNOMED CT Route Codes (example)
.... method ∑0..1CodeableConceptTechnique for administering medication
Binding: (unbound) (example)
.... dose[x] ∑0..1Range, SimpleQuantityAmount of medication per dose
.... rate[x] ∑0..1Ratio, RangeAmount of medication per unit of time
.... maxDosePerPeriod ∑0..1RatioUpper limit on medication per unit of time
... dispenseRequest S ∑0..1BackboneElementMedication supply authorization
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... medication[x] ∑0..1CodeableConcept, Reference(QICore-Medication)Product to be supplied
.... validityPeriod ∑0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed ∑0..1positiveIntNumber of refills authorized
.... quantity ∑0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration ∑0..1DurationNumber of days supply per dispense
... substitution ∑0..1BackboneElementAny restrictions on medication substitution
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type ∑1..1CodeableConceptgeneric | formulary +
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason ∑0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription ∑0..1Reference(MedicationOrder)An order/prescription that this supersedes

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

F.24.1.2 Terminology Bindings

PathNameConformanceValueSet
MedicationOrder.language?extrequiredhttp://tools.ietf.org/html/bcp47
MedicationOrder.statusMedicationOrderStatusrequiredMedicationOrderStatus
MedicationOrder.reasonEnded?extexample
MedicationOrder.reason[x]Problem Value SetpreferredProblem Value Set
MedicationOrder.medication[x]Medication Clinical Drug (RxNorm)preferredMedication Clinical Drug (RxNorm)
MedicationOrder.dosageInstruction.extension
[UriType[http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType]]		SNOMED CT Dosages CodespreferredSNOMED CT Dosages Codes
MedicationOrder.dosageInstruction.additionalInstructions?extexample
MedicationOrder.dosageInstruction.asNeeded[x]?extexample
MedicationOrder.dosageInstruction.site[x]Vaccine Administered Body SitepreferredVaccine Administered Body Site
MedicationOrder.dosageInstruction.routeSNOMED CT Route CodesexampleSNOMED CT Route Codes
MedicationOrder.dosageInstruction.method?extexample
MedicationOrder.substitution.typeActSubstanceAdminSubstitutionCodeexampleActSubstanceAdminSubstitutionCode
MedicationOrder.substitution.reasonSubstanceAdminSubstitutionReasonexampleSubstanceAdminSubstitutionReason

F.24.1.3 Constraints

IdPathDetailsRequirements
.