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4.13.11.3 StructureDefinition: QICore-MedicationPrescription

The official URL for this profile is: 

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

Profile of MedicationPrescription 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, Inc. - CQI WG.

4.13.11.3.1 Formal Views of Profile Content

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

This structure is derived from MedicationPrescription.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationPrescription 1..1MedicationPrescriptionProfile of medication prescription, indicating which elements must be supported in rule and measure interpreters.
... dateWritten S
... status S
... patient Spatient-qicore-qicore-patient
... prescriber practitioner-qicore-qicore-practitioner
... encounter Sencounter-qicore-qicore-encounter
... medication Smedication-qicore-qicore-medication
... dosageInstruction 0..*
.... pharmacy-core-doseType 0..1CodeableConceptThe type of dose, e.g., loading.
Binding: QICoreMedicationDoseType (preferred)
.... pharmacy-core-infuseOver 0..1DurationThe length of the infusion
.... pharmacy-core-rateIncrement 0..1RatioChange in dosing rate per interval
.... pharmacy-core-rateIncrementInterval 0..1DurationThe period of time between rate increments
.... pharmacy-core-rateGoal 0..1RatioThe target rate for the infusion
.... pharmacy-core-minDosePerPeriod 0..1RatioThe minimum quantity of substance per period
.... pharmacy-core-maxDeliveryRate 0..1RatioThe maximum rate of substance administration
.... pharmacy-core-maxDeliveryVolume 0..1QuantityThe maximum amount of fluid to infuse
... dispense
.... medication medication-qicore-qicore-medication
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationPrescription 1..1MedicationPrescriptionProfile of medication prescription, indicating which elements must be supported in rule and measure interpreters.
... 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: Language (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 S0..1dateTimeWhen prescription was authorized
... status ?! S0..1codeactive | on-hold | completed | entered-in-error | stopped | superceded | draft
Binding: MedicationPrescriptionStatus (required)
... patient S0..1patient-qicore-qicore-patientWho prescription is for
... prescriber 0..1practitioner-qicore-qicore-practitionerWho ordered the medication(s)
... encounter S0..1encounter-qicore-qicore-encounterCreated during encounter / admission / stay
... reason[x] 0..1CodeableConcept, ConditionReason or indication for writing the prescription
... note 0..1stringInformation about the prescription
... medication S0..1medication-qicore-qicore-medicationMedication to be taken
... dosageInstruction 0..*How medication should be taken
.... pharmacy-core-doseType 0..1CodeableConceptExtension
Binding: QICoreMedicationDoseType (preferred)
.... pharmacy-core-infuseOver 0..1DurationExtension
.... pharmacy-core-rateIncrement 0..1RatioExtension
.... pharmacy-core-rateIncrementInterval 0..1DurationExtension
.... pharmacy-core-rateGoal 0..1RatioExtension
.... pharmacy-core-minDosePerPeriod 0..1RatioExtension
.... pharmacy-core-maxDeliveryRate 0..1RatioExtension
.... pharmacy-core-maxDeliveryVolume 0..1QuantityExtension
.... 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 (required)
.... site 0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example)
.... route 0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example)
.... method 0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example)
.... 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
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... medication 0..1medication-qicore-qicore-medicationProduct to be supplied
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1positiveInt# 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?
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type 1..1CodeableConceptgeneric | formulary +
Binding: MedicationIntendedSubstitutionType (example)
.... reason 0..1CodeableConceptWhy should substitution (not) be made
Binding: MedicationIntendedSubstitutionReason (example)

todo

Differential View

This structure is derived from MedicationPrescription.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationPrescription 1..1MedicationPrescriptionProfile of medication prescription, indicating which elements must be supported in rule and measure interpreters.
... dateWritten S
... status S
... patient Spatient-qicore-qicore-patient
... prescriber practitioner-qicore-qicore-practitioner
... encounter Sencounter-qicore-qicore-encounter
... medication Smedication-qicore-qicore-medication
... dosageInstruction 0..*
.... pharmacy-core-doseType 0..1CodeableConceptThe type of dose, e.g., loading.
Binding: QICoreMedicationDoseType (preferred)
.... pharmacy-core-infuseOver 0..1DurationThe length of the infusion
.... pharmacy-core-rateIncrement 0..1RatioChange in dosing rate per interval
.... pharmacy-core-rateIncrementInterval 0..1DurationThe period of time between rate increments
.... pharmacy-core-rateGoal 0..1RatioThe target rate for the infusion
.... pharmacy-core-minDosePerPeriod 0..1RatioThe minimum quantity of substance per period
.... pharmacy-core-maxDeliveryRate 0..1RatioThe maximum rate of substance administration
.... pharmacy-core-maxDeliveryVolume 0..1QuantityThe maximum amount of fluid to infuse
... dispense
.... medication medication-qicore-qicore-medication

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationPrescription 1..1MedicationPrescriptionProfile of medication prescription, indicating which elements must be supported in rule and measure interpreters.
... 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: Language (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 S0..1dateTimeWhen prescription was authorized
... status ?! S0..1codeactive | on-hold | completed | entered-in-error | stopped | superceded | draft
Binding: MedicationPrescriptionStatus (required)
... patient S0..1patient-qicore-qicore-patientWho prescription is for
... prescriber 0..1practitioner-qicore-qicore-practitionerWho ordered the medication(s)
... encounter S0..1encounter-qicore-qicore-encounterCreated during encounter / admission / stay
... reason[x] 0..1CodeableConcept, ConditionReason or indication for writing the prescription
... note 0..1stringInformation about the prescription
... medication S0..1medication-qicore-qicore-medicationMedication to be taken
... dosageInstruction 0..*How medication should be taken
.... pharmacy-core-doseType 0..1CodeableConceptExtension
Binding: QICoreMedicationDoseType (preferred)
.... pharmacy-core-infuseOver 0..1DurationExtension
.... pharmacy-core-rateIncrement 0..1RatioExtension
.... pharmacy-core-rateIncrementInterval 0..1DurationExtension
.... pharmacy-core-rateGoal 0..1RatioExtension
.... pharmacy-core-minDosePerPeriod 0..1RatioExtension
.... pharmacy-core-maxDeliveryRate 0..1RatioExtension
.... pharmacy-core-maxDeliveryVolume 0..1QuantityExtension
.... 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 (required)
.... site 0..1CodeableConceptBody site to administer to
Binding: MedicationAdministrationSite (example)
.... route 0..1CodeableConceptHow drug should enter body
Binding: RouteOfAdministration (example)
.... method 0..1CodeableConceptTechnique for administering medication
Binding: MedicationAdministrationMethod (example)
.... 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
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... medication 0..1medication-qicore-qicore-medicationProduct to be supplied
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1positiveInt# 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?
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type 1..1CodeableConceptgeneric | formulary +
Binding: MedicationIntendedSubstitutionType (example)
.... reason 0..1CodeableConceptWhy should substitution (not) be made
Binding: MedicationIntendedSubstitutionReason (example)

XML Template

JSON Template

todo

 

Other representations of profile: (todo)

4.13.11.3.2 Terminology Bindings

PathNameConformanceValueSet
MedicationPrescription.languageLanguagerequiredhttp://tools.ietf.org/html/bcp47
MedicationPrescription.statusMedicationPrescriptionStatusrequiredMedicationPrescriptionStatus
MedicationPrescription.dosageInstruction.extension
http://hl7.org/fhir/StructureDefinition/pharmacy-core-doseType		QICoreMedicationDoseTypepreferredSNOMED CT Dietary Finding Codes
MedicationPrescription.dosageInstruction.asNeeded[x]MedicationAsNeededReasonrequired
MedicationPrescription.dosageInstruction.siteMedicationAdministrationSiteexampleSNOMED CT Anatomical Structure for Administration Site Codes
MedicationPrescription.dosageInstruction.routeRouteOfAdministrationexampleSNOMED CT Route Codes
MedicationPrescription.dosageInstruction.methodMedicationAdministrationMethodexampleSNOMED CT Introduction (procedure) for Administration Method Codes
MedicationPrescription.substitution.typeMedicationIntendedSubstitutionTypeexampleActSubstanceAdminSubstitutionCode
MedicationPrescription.substitution.reasonMedicationIntendedSubstitutionReasonexampleSubstanceAdminSubstitutionReason

4.13.11.3.3 Constraints

IdPathNameDetails
.