STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

U.S. Data Access Framework (DAF) MedicationOrder Profile vs QICore-MedicationOrder

Messages

A series of messages from the comparison algorithm. Errors indicate that solutions cannot be interoperable across both implementation guides (or that there are structural flaws in the definition of at least one).

PathMessage
Errors Detected
(None)
Notes about differences (e.g. definitions)
MedicationOrderElements differ in definition for definition:
"An order for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationOrder" rather than "MedicationPrescription" to generalize the use across inpatient and outpatient settings as well as for care plans, etc."
"Profile of medication prescription, indicating which elements must be supported in rule and measure interpreters."
MedicationOrder.medication[x]Elements differ in definition for binding.description:
"Prescribable medications"
"The set of RxNorm codes to represent medications"
MedicationOrder.reasonCodeExample/preferred bindings differ at MedicationOrder.reasonCode using binding from QICore-MedicationOrder
MedicationOrder.reasonCodeElements differ in definition for binding.description:
"Codes indicating why the medication was ordered."
"The reason code for the presecription"
MedicationOrder.dosageInstruction.extensionElements differ in definition for short:
"Additional Content defined by implementations"
"Extension"
MedicationOrder.dosageInstruction.extensionElements differ in definition for definition:
"May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."
"An Extension"
MedicationOrder.dosageInstruction.routeExample/preferred bindings differ at MedicationOrder.dosageInstruction.route using binding from U.S. Data Access Framework (DAF) MedicationOrder Profile
MedicationOrder.dosageInstruction.routeElements differ in definition for binding.description:
"This identifies the route of substance administration."
"A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject."

Intersection

The intersection of the 2 constraint statements. This is what resource authors (either client or server) would need to conform to produce content valid against both implementation guides.

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 0..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 S ∑0..*IdentifierExternal identifier
... status ?! S∑0..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Binding: MedicationOrderStatus (required)
... medication[x] S ∑1..1QICore-Medication, Reference(DAF-Medication)Medication to be taken
Binding: Medication Clinical Drug (RxNorm) (extensible)
... patient S ∑1..1Reference(DAF-Patient)Who prescription is for
... encounter S ∑0..1Reference(DAF-Encounter)Created during encounter/admission/stay
... dateWritten S ∑0..1dateTimeWhen prescription was authorized
... prescriber S ∑0..1Reference(DAF-Pract)Who ordered the medication(s)
... reasonCode ∑0..*CodeableConceptReason or indication for writing the prescription
Binding: Problem Value Set (preferred)
... reasonReference ∑0..*Reference(Condition)Condition that supports why the prescription is being written
... dateEnded S ∑0..1dateTimeWhen prescription was stopped
... reasonEnded ∑0..1CodeableConceptWhy prescription was stopped
Binding: (unbound) (example)
... note ∑0..*AnnotationInformation about the prescription
... dosageInstruction S ∑0..*BackboneElementHow medication should be taken
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... text S ∑0..1stringFree text dosage instructions e.g. SIG
.... additionalInstructions ∑0..1CodeableConceptSupplemental instructions - e.g. "with meals"
Binding: (unbound) (example)
.... timing S ∑0..1TimingWhen medication should be administered
.... asNeeded[x] S ∑0..1boolean, CodeableConceptTake "as needed" (for x)
Binding: (unbound) (example)
.... siteCodeableConcept S ∑0..1BodySiteBody site to administer to
Binding: Vaccine Administered Body Site (preferred)
.... route S ∑0..1CodeableConceptHow drug should enter body
Binding: Medication Route FDA Value Set (preferred)
.... method ∑0..1CodeableConceptTechnique for administering medication
Binding: (unbound) (example)
.... dose[x] S ∑0..1SimpleQuantity, SimpleQuantityAmount of medication per dose
.... rate[x] S ∑0..1SimpleQuantity, SimpleQuantity, SimpleQuantityAmount 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..1QICore-Medication, Reference(QICore-Medication)Product to be supplied
.... validityPeriod S ∑0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S ∑0..1positiveIntNumber of refills authorized
.... quantity S ∑0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration S ∑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

Union

The union of the 2 constraint statements. This is what resource authors (either client or server) would need to be able to handle to accept content valid against either implementation guides.

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 0..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 S ∑0..*IdentifierExternal identifier
... status ?! S∑0..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Binding: MedicationOrderStatus (required)
... medication[x] S ∑1..1CodeableConcept, Reference(#10)Medication to be taken
Binding: Medication Clinical Drug (RxNorm) (extensible)
... patient S ∑0..1Reference(#1)Who prescription is for
... encounter S ∑0..1Reference(#4)Created during encounter/admission/stay
... dateWritten S ∑0..1dateTimeWhen prescription was authorized
... prescriber S ∑0..1Reference(#3)Who ordered the medication(s)
... reasonCode ∑0..*CodeableConceptReason or indication for writing the prescription
Binding: ???? (preferred)
... reasonReference ∑0..*Reference(Condition)Condition that supports why the prescription is being written
... dateEnded S ∑0..1dateTimeWhen prescription was stopped
... reasonEnded ∑0..1CodeableConceptWhy prescription was stopped
Binding: (unbound) (example)
... note ∑0..*AnnotationInformation about the prescription
... 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-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
.... pharmacy-core-minDosePerPeriod 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-minDosePerPeriod
.... pharmacy-core-rateGoal 0..1RatioExtension
URL: http://hl7.org/fhir/StructureDefinition/pharmacy-core-rateGoal
.... 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
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... text S ∑0..1stringFree text dosage instructions e.g. SIG
.... additionalInstructions ∑0..1CodeableConceptSupplemental instructions - e.g. "with meals"
Binding: (unbound) (example)
.... timing S ∑0..1TimingWhen medication should be administered
.... asNeeded[x] S ∑0..1boolean, CodeableConceptTake "as needed" (for x)
Binding: (unbound) (example)
.... siteCodeableConcept S ∑0..1CodeableConcept, Reference(BodySite)Body site to administer to
Binding: Vaccine Administered Body Site (preferred)
.... route S ∑0..1CodeableConceptHow drug should enter body
Binding: ???? (preferred)
.... method ∑0..1CodeableConceptTechnique for administering medication
Binding: (unbound) (example)
.... dose[x] S ∑0..1Range, SimpleQuantityAmount of medication per dose
.... rate[x] S ∑0..1Ratio, Range, SimpleQuantityAmount 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(Medication)Product to be supplied
.... validityPeriod S ∑0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S ∑0..1positiveIntNumber of refills authorized
.... quantity S ∑0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration S ∑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