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: hspc-medicationprescription

The official URL for this profile is: 

http://hl7.org/fhir/Profile/hspc-medicationprescription-hspc-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. : Health Services Platform Consortium (HSPC) Medication Prescription Profile

This profile was published on Tue, Feb 17, 2015 00:00+1100 as a draft by Health Level Seven, Inc. - CQI WG.

unable to summarise extension (wrong count)

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 Includes active and completed prescriptions, not those that were stopped, on-hold, superceded, or entered in error.
... dosageInstruction 0..*
.... medicationprescription-doseType 0..1stringDose Type
.... medicationprescription-infuseOver 0..1PeriodInfuse Over
.... medicationprescription-rateIncrement 0..1RatioRate Increment
.... medicationprescription-rateIncrementInterval 0..1QuantityRate Increment Interval
.... medicationprescription-rateGoal 0..1RatioRate Goal
.... medicationprescription-minDosePerPeriod 0..1RatioMinimum Dose per Period
.... medicationprescription-maxDeliveryRate 0..1RatioMaximum Delivery Rate
.... medicationprescription-maxDeliveryVolume 0..1QuantityMaximum Delivery Volume
.... medicationprescription-specialDosing 0..1Range, QuantitySpecial Dosing

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 Includes active and completed prescriptions, not those that were stopped, on-hold, superceded, or entered in error.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 0..1dateTimeWhen prescription was authorized
... status M0..1codeactive | on-hold | completed | entered-in-error | stopped | superceded | draft
Binding: MedicationPrescriptionStatus (required, not extensible)
... patient 0..1PatientWho prescription is for
... prescriber 0..1PractitionerWho ordered the medication(s)
... encounter 0..1EncounterCreated during encounter / admission / stay
... reason[x] 0..1CodeableConcept, ConditionReason or indication for writing the prescription
... note 0..1stringInformation about the prescription
... medication 0..1MedicationMedication to be taken
... dosageInstruction 0..*How medication should be taken
.... id 0..1idxml:id (or equivalent in JSON)
.... medicationprescription-doseType 0..1stringDose Type
.... medicationprescription-infuseOver 0..1PeriodInfuse Over
.... medicationprescription-rateIncrement 0..1RatioRate Increment
.... medicationprescription-rateIncrementInterval 0..1QuantityRate Increment Interval
.... medicationprescription-rateGoal 0..1RatioRate Goal
.... medicationprescription-minDosePerPeriod 0..1RatioMinimum Dose per Period
.... medicationprescription-maxDeliveryRate 0..1RatioMaximum Delivery Rate
.... medicationprescription-maxDeliveryVolume 0..1QuantityMaximum Delivery Volume
.... medicationprescription-specialDosing 0..1Range, QuantitySpecial Dosing
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... text 0..1stringDosage instructions expressed as text
.... additionalInstructions 0..1CodeableConceptSupplemental instructions - e.g. "with meals"
.... scheduled[x] 0..1dateTime, Period, TimingWhen medication should be administered
.... asNeeded[x] 0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: MedicationAsNeededReason (preferred, extensible)
.... site 0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example, extensible)
.... route 0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example, extensible)
.... method 0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example, extensible)
.... dose[x] 0..1Range, QuantityAmount of medication per dose
.... rate 0..1RatioAmount of medication per unit of time
.... maxDosePerPeriod 0..1RatioUpper limit on medication per unit of time
... dispense 0..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 0..1MedicationProduct to be supplied
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1integer# of refills authorized
.... quantity 0..1QuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationDays supply per dispense
... substitution 0..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 1..1CodeableConceptgeneric | formulary +
Binding: MedicationIntendedSubstitutionType (example, extensible)
.... reason 0..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.
... dosageInstruction 0..*
.... medicationprescription-doseType 0..1stringDose Type
.... medicationprescription-infuseOver 0..1PeriodInfuse Over
.... medicationprescription-rateIncrement 0..1RatioRate Increment
.... medicationprescription-rateIncrementInterval 0..1QuantityRate Increment Interval
.... medicationprescription-rateGoal 0..1RatioRate Goal
.... medicationprescription-minDosePerPeriod 0..1RatioMinimum Dose per Period
.... medicationprescription-maxDeliveryRate 0..1RatioMaximum Delivery Rate
.... medicationprescription-maxDeliveryVolume 0..1QuantityMaximum Delivery Volume
.... medicationprescription-specialDosing 0..1Range, QuantitySpecial Dosing

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 0..1dateTimeWhen prescription was authorized
... status M0..1codeactive | on-hold | completed | entered-in-error | stopped | superceded | draft
Binding: MedicationPrescriptionStatus (required, not extensible)
... patient 0..1PatientWho prescription is for
... prescriber 0..1PractitionerWho ordered the medication(s)
... encounter 0..1EncounterCreated during encounter / admission / stay
... reason[x] 0..1CodeableConcept, ConditionReason or indication for writing the prescription
... note 0..1stringInformation about the prescription
... medication 0..1MedicationMedication to be taken
... dosageInstruction 0..*How medication should be taken
.... id 0..1idxml:id (or equivalent in JSON)
.... medicationprescription-doseType 0..1stringDose Type
.... medicationprescription-infuseOver 0..1PeriodInfuse Over
.... medicationprescription-rateIncrement 0..1RatioRate Increment
.... medicationprescription-rateIncrementInterval 0..1QuantityRate Increment Interval
.... medicationprescription-rateGoal 0..1RatioRate Goal
.... medicationprescription-minDosePerPeriod 0..1RatioMinimum Dose per Period
.... medicationprescription-maxDeliveryRate 0..1RatioMaximum Delivery Rate
.... medicationprescription-maxDeliveryVolume 0..1QuantityMaximum Delivery Volume
.... medicationprescription-specialDosing 0..1Range, QuantitySpecial Dosing
.... modifierExtension 0..*ExtensionExtensions that cannot be ignored
.... text 0..1stringDosage instructions expressed as text
.... additionalInstructions 0..1CodeableConceptSupplemental instructions - e.g. "with meals"
.... scheduled[x] 0..1dateTime, Period, TimingWhen medication should be administered
.... asNeeded[x] 0..1boolean, CodeableConceptTake "as needed" f(or x)
Binding: MedicationAsNeededReason (preferred, extensible)
.... site 0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example, extensible)
.... route 0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example, extensible)
.... method 0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example, extensible)
.... dose[x] 0..1Range, QuantityAmount of medication per dose
.... rate 0..1RatioAmount of medication per unit of time
.... maxDosePerPeriod 0..1RatioUpper limit on medication per unit of time
... dispense 0..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 0..1MedicationProduct to be supplied
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1integer# of refills authorized
.... quantity 0..1QuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationDays supply per dispense
... substitution 0..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 1..1CodeableConceptgeneric | formulary +
Binding: MedicationIntendedSubstitutionType (example, extensible)
.... reason 0..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.statusMedicationPrescriptionStatusrequiredMedicationPrescriptionStatus
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
.