2nd DSTU Draft For Comment

This page is part of the FHIR Specification (v0.4.0: DSTU 2 Draft). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Profile: cqf-medicationprescription

The official URL for this profile is: 

http://hl7.org/fhir/Profile/cqf-medicationprescription-cqf-medicationprescription

. Profile of medication prescription for decision support/quality metrics. Removes modifying attributes, and indicates which elements must be supported by CQF rules and measure engines. : Clinical Quality Framework (CQF) Medication Prescription Profile

This profile was published on Mon, Nov 10, 2014 00:00+1100 as a draft by Health Level Seven, Inc. - CQI WG.

Summary

Terminology Bindings

  • MedicationPrescription.status must come from A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.

Required/Prohibited Elements

  • The element MedicationPrescription is required
  • The element MedicationPrescription.patient is required
  • The element MedicationPrescription.substitution.type is required

Formal Views of Profile Content

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

Differential View

This structure is derived from MedicationPrescription.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationPrescription 1..1Profile of medication prescription, indicating which elements must be supported in rule and measure interpreters. Includes active and completed prescriptions, not those that were stopped, on-hold, superceded, or entered in error.
... dateWritten S0..1dateTime
... status S0..1codeactive | on-hold | completed | stopped
Binding: CQFMedicationPrescriptionStatus (required, not extensible)
... patient S1..1Patient
... prescriber S0..1Practitioner
... encounter S0..1Encounter
... reason[x] S0..1CodeableConcept
... medication S0..1Medication
... dosageInstruction S0..*
.... additionalInstructions S0..1CodeableConcept
.... scheduled[x] S0..1dateTime, Period, Timing
.... asNeeded[x] S0..1boolean, CodeableConcept
.... site S0..1CodeableConcept
.... route S0..1CodeableConcept
.... method S0..1CodeableConcept
.... doseQuantity S0..1Quantity
.... rate S0..1Ratio
.... maxDosePerPeriod S0..1Ratio
... dispense S0..1
.... medication S0..1Medication
.... validityPeriod S0..1Period
.... numberOfRepeatsAllowed S0..1integer
.... quantity S0..1Quantity
.... expectedSupplyDuration S0..1Duration
... substitution S0..1
.... type S1..1CodeableConcept
.... reason S0..1CodeableConcept

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationPrescription 1..1Profile of medication prescription, indicating which elements must be supported in rule and measure interpreters. Includes active and completed prescriptions, not those that were stopped, on-hold, superceded, or entered in error.
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... 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 M0..*IdentifierExternal identifier
... dateWritten S0..1dateTimeWhen prescription was authorized
... status M S0..1codeactive | on-hold | completed | stopped
Binding: CQFMedicationPrescriptionStatus (required, not extensible)
... patient S1..1PatientWho prescription is for
... prescriber S0..1PractitionerWho ordered the medication(s)
... encounter S0..1EncounterCreated during encounter / admission / stay
... reasonCodeableConcept S0..1CodeableConceptReason or indication for writing the prescription
... note 0..1stringInformation about the prescription
... medication S0..1MedicationMedication to be taken
... dosageInstruction S0..*How medication should be taken
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... text 0..1stringDosage instructions expressed as text
.... additionalInstructions S0..1CodeableConceptSupplemental instructions - e.g. "with meals"
.... scheduled[x] S0..1dateTime, Period, TimingWhen medication should be administered
.... asNeeded[x] S0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: MedicationAsNeededReason (preferred, extensible)
.... site S0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example, extensible)
.... route S0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example, extensible)
.... method S0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example, extensible)
.... doseQuantity S0..1QuantityAmount of medication per dose
.... rate S0..1RatioAmount of medication per unit of time
.... maxDosePerPeriod S0..1RatioUpper limit on medication per unit of time
... dispense S0..1Medication supply authorization
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... medication S0..1MedicationProduct to be supplied
.... validityPeriod S0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S0..1integer# of refills authorized
.... quantity S0..1QuantityAmount of medication to supply per dispense
.... expectedSupplyDuration S0..1DurationDays supply per dispense
... substitution S0..1Any restrictions on medication substitution?
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type S1..1CodeableConceptgeneric | formulary +
Binding: MedicationIntendedSubstitutionType (example, extensible)
.... reason S0..1CodeableConceptWhy should substitution (not) be made
Binding: MedicationIntendedSubstitutionReason (example, extensible)

XML Template

JSON Template

todo

Differential View

This structure is derived from MedicationPrescription.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationPrescription 1..1Profile of medication prescription, indicating which elements must be supported in rule and measure interpreters. Includes active and completed prescriptions, not those that were stopped, on-hold, superceded, or entered in error.
... dateWritten S0..1dateTime
... status S0..1codeactive | on-hold | completed | stopped
Binding: CQFMedicationPrescriptionStatus (required, not extensible)
... patient S1..1Patient
... prescriber S0..1Practitioner
... encounter S0..1Encounter
... reason[x] S0..1CodeableConcept
... medication S0..1Medication
... dosageInstruction S0..*
.... additionalInstructions S0..1CodeableConcept
.... scheduled[x] S0..1dateTime, Period, Timing
.... asNeeded[x] S0..1boolean, CodeableConcept
.... site S0..1CodeableConcept
.... route S0..1CodeableConcept
.... method S0..1CodeableConcept
.... doseQuantity S0..1Quantity
.... rate S0..1Ratio
.... maxDosePerPeriod S0..1Ratio
... dispense S0..1
.... medication S0..1Medication
.... validityPeriod S0..1Period
.... numberOfRepeatsAllowed S0..1integer
.... quantity S0..1Quantity
.... expectedSupplyDuration S0..1Duration
... substitution S0..1
.... type S1..1CodeableConcept
.... reason S0..1CodeableConcept

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationPrescription 1..1Profile of medication prescription, indicating which elements must be supported in rule and measure interpreters. Includes active and completed prescriptions, not those that were stopped, on-hold, superceded, or entered in error.
... id 0..1idLogical id of this artefact
... meta 0..1MetaMetadata about the resource
... implicitRules M0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Language (required, not extensible)
... 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 M0..*IdentifierExternal identifier
... dateWritten S0..1dateTimeWhen prescription was authorized
... status M S0..1codeactive | on-hold | completed | stopped
Binding: CQFMedicationPrescriptionStatus (required, not extensible)
... patient S1..1PatientWho prescription is for
... prescriber S0..1PractitionerWho ordered the medication(s)
... encounter S0..1EncounterCreated during encounter / admission / stay
... reasonCodeableConcept S0..1CodeableConceptReason or indication for writing the prescription
... note 0..1stringInformation about the prescription
... medication S0..1MedicationMedication to be taken
... dosageInstruction S0..*How medication should be taken
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... text 0..1stringDosage instructions expressed as text
.... additionalInstructions S0..1CodeableConceptSupplemental instructions - e.g. "with meals"
.... scheduled[x] S0..1dateTime, Period, TimingWhen medication should be administered
.... asNeeded[x] S0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: MedicationAsNeededReason (preferred, extensible)
.... site S0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example, extensible)
.... route S0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example, extensible)
.... method S0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example, extensible)
.... doseQuantity S0..1QuantityAmount of medication per dose
.... rate S0..1RatioAmount of medication per unit of time
.... maxDosePerPeriod S0..1RatioUpper limit on medication per unit of time
... dispense S0..1Medication supply authorization
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... medication S0..1MedicationProduct to be supplied
.... validityPeriod S0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S0..1integer# of refills authorized
.... quantity S0..1QuantityAmount of medication to supply per dispense
.... expectedSupplyDuration S0..1DurationDays supply per dispense
... substitution S0..1Any restrictions on medication substitution?
.... id 0..1idxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... type S1..1CodeableConceptgeneric | formulary +
Binding: MedicationIntendedSubstitutionType (example, extensible)
.... reason S0..1CodeableConceptWhy should substitution (not) be made
Binding: MedicationIntendedSubstitutionReason (example, extensible)

XML Template

JSON Template

todo

 

Other definitions: (todo)

Terminology Bindings

PathNameConformanceValueSet
MedicationPrescription.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
MedicationPrescription.statusCQFMedicationPrescriptionStatusrequiredCQFMedicationPrescriptionStatus
MedicationPrescription.dosageInstruction.asNeeded[x]MedicationAsNeededReasonpreferred (extensible)
MedicationPrescription.dosageInstruction.siteMedicationAdministrationSiteexample (extensible)SNOMED CT Anatomical Structure for Administration Site Codes
MedicationPrescription.dosageInstruction.routeRouteOfAdministrationexample (extensible)SNOMED CT Route Codes
MedicationPrescription.dosageInstruction.methodMedicationAdministrationMethodexample (extensible)SNOMED CT Introduction (procedure) for Administration Method Codes
MedicationPrescription.substitution.typeMedicationIntendedSubstitutionTypeexample (extensible)ActSubstanceAdminSubstitutionCode
MedicationPrescription.substitution.reasonMedicationIntendedSubstitutionReasonexample (extensible)SubstanceAdminSubstitutionReason

Constraints

IdPathNameDetails
.