Profile Comparison between http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest vs http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-medicationrequest

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationRequest
copyright
date	2019-08-19T00:00:00+10:00	2020-05-23T00:00:00-05:00	Values Differ
description	Defines constraints and extensions on the MedicationRequest resource for the minimal set of data to query and retrieve prescription information.	This profile constrains the MedicationRequest resource to convey a subset of prescription information required in the consumer real-time pharmacy benefit check (RTPBC) process. The content specifies the prescribed product and quantity, and references the prescribing practitioner and the patient's preferred pharmacy. This profile differs from the US Core MedicationRequest in that it doesn't set the encounter or dosageInstruction elements as Must Support, because clients in the exchange will typically be mobile consumer applications that do not posess this information, and because that information is not pertinent to this use case.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreMedicationRequestProfile	RtpbcMedicationRequest	Values Differ
publisher	HL7 US Realm Steering Committee	HL7 International - Pharmacy	Values Differ
purpose
status	active
title	US Core MedicationRequest Profile	RTPBC Medication Request	Values Differ
type	MedicationRequest
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest	http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-medicationrequest	Values Differ
version	3.1.0	1.0.0	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
MedicationRequest	I				I				Elements differ in definition: "The US Core Medication Request (Order) Profile is based upon the core FHIR MedicationRequest Resource and created to meet the 2015 Edition Common Clinical Data Set 'Medications' requirements." "An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns."
id	Σ				Σ
meta	ΣI				ΣI
implicitRules	?!ΣI				?!ΣI
language	I				I
text	I				I
contained
extension	I		Extension		I		Extension
modifierExtension	?!I				?!I
identifier	I				I
status	?!SΣI				?!SΣI				Elements differ in short: "active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown" "Request Status" Elements differ in definition: "A code specifying the current state of the order. Generally, this will be active or completed state." "Status of the request for dispensing" Elements differ in comments: "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." "Always equals 'draft'" Elements differ in description: "A code specifying the state of the prescribing event. Describes the lifecycle of the prescription." "A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription." Elements differ in description: "A code specifying the state of the prescribing event. Describes the lifecycle of the prescription." "A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription."
statusReason	I				I
intent	?!SΣI				?!SΣI				Elements differ in definition: "Whether the request is a proposal, plan, or an original order." "Intent of the request for dispensing" Elements differ in comments: "It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable." "Always equals 'proposal'"
category	I				I
priority	ΣI				ΣI
doNotPerform	?!ΣI				?!ΣI
reported[x]	SΣI				SΣI				Elements differ in definition: "Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report." "Indicates whether the prescription information has been reported by the patient or other party (.reported = true) or is the original prescription record (.reported = false)."
medication[x]	SΣI				SΣI				Elements differ in short: "Medication to be taken" "Prescribed Product" Elements differ in definition: "Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications." "A product identifier for the prescribed medication. Either an NDC11 or an RxNorm code for a prescribable product (representing drug name, strength and dose form)" Elements differ in comments: "If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource." "The NDC11 is an 11-digit normalized format consisting of a 5-digit labeler segment, 4-digit product segment, and 2-digit package segment, with no dashes" Elements differ in description: "Prescribable medications" "RTPBC prescribable product codes (NDC11 and RxNorm)" Elements differ in description: "Prescribable medications" "RTPBC prescribable product codes (NDC11 and RxNorm)"
subject	SΣI				SΣI				Elements differ in short: "Who or group medication request is for" "Patient" Elements differ in definition: "A link to a resource representing the person or set of individuals to whom the medication will be given." "The patient for whom this medication is being requested"
encounter	SI				I				Elements differ in definition for mustSupport: "true" "false"
supportingInformation	I				I
authoredOn	SΣI				SΣI				Elements differ in definition: "The date (and perhaps time) when the prescription was initially written or authored on." "The actual or approximate date on which the prescription was written."
requester	SΣI				SΣI				Elements differ in short: "Who/What requested the Request" "Prescriber" Elements differ in definition: "The individual, organization, or device that initiated the request and has responsibility for its activation." "The prescriber of the medication being requested"
performer	I				I
performerType	ΣI				ΣI
recorder	I				I
reasonCode	I				I
reasonReference	I				I
instantiatesCanonical	ΣI				ΣI
instantiatesUri	ΣI				ΣI
basedOn	ΣI				ΣI
groupIdentifier	ΣI				ΣI
courseOfTherapyType	I				I
insurance	I				I
note	I				I
dosageInstruction	SI				SI
id
extension	I		Extension		I		Extension
modifierExtension	?!ΣI				?!ΣI
sequence	ΣI				ΣI
text	SΣI				ΣI				Elements differ in definition for mustSupport: "true" "false"
additionalInstruction	ΣI				ΣI
patientInstruction	ΣI				ΣI
timing	ΣI				ΣI
asNeeded[x]	ΣI				ΣI
site	ΣI				ΣI
route	ΣI				ΣI
method	ΣI				ΣI
doseAndRate	ΣI				ΣI
id
extension	I		Extension		I		Extension
type	ΣI				ΣI
dose[x]	ΣI				ΣI
rate[x]	ΣI				ΣI
maxDosePerPeriod	ΣI				ΣI
maxDosePerAdministration	ΣI				ΣI
maxDosePerLifetime	ΣI				ΣI
dispenseRequest	I				SI				Elements differ in definition for mustSupport: "false" "true"
id
extension	I		Extension		I		Extension
modifierExtension	?!ΣI				?!ΣI
initialFill	I				I
id
extension	I		Extension		I		Extension
modifierExtension	?!ΣI				?!ΣI
quantity	I				I
duration	I				I
dispenseInterval	I				I
validityPeriod	I				I
numberOfRepeatsAllowed	I				I
quantity	I				SI				Elements differ in short: "Amount of medication to supply per dispense" "Prescribed Quantity" Elements differ in definition for mustSupport: "false" "true"
id
extension	I		Extension		I		Extension
value	ΣI				SΣI				Elements differ in short: "Numerical value (with implicit precision)" "Quantity in Billing Units" Elements differ in definition: "The value of the measured amount. The value includes an implicit precision in the presentation of the value." "The prescribed quantity in terms of the applicable billing unit of measure" Elements differ in definition for mustSupport: "false" "true"
comparator	?!ΣI				?!ΣI				Elements differ in definition: "How the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value." "Not allowed to be used in this context"
unit	ΣI				SΣI				Elements differ in short: "Unit representation" "Billing unit of measure" Elements differ in definition: "A human-readable form of the unit." "Pharmacy metric billing unit: GM (gram), ML (milliliter) or EA (each)" Elements differ in definition for mustSupport: "false" "true"
system	ΣI				ΣI
code	ΣI				ΣI
expectedSupplyDuration	I				SI				Elements differ in short: "Number of days supply per dispense" "Days Supply" Elements differ in definition for mustSupport: "false" "true"
id
extension	I		Extension		I		Extension
value	ΣI				SΣI				Elements differ in short: "Numerical value (with implicit precision)" "Days Supply Value" Elements differ in definition: "The value of the measured amount. The value includes an implicit precision in the presentation of the value." "The number of days the requested dispense quantity is intended to last" Elements differ in definition for mustSupport: "false" "true"
comparator	?!ΣI				?!ΣI
unit	ΣI				ΣI
system	ΣI				ΣI
code	ΣI				ΣI
performer	I				SI				Elements differ in short: "Intended dispenser" "Pharmacy" Elements differ in definition: "Indicates the intended dispensing Organization specified by the prescriber." "Proposed dispensing pharmacy." Elements differ in definition for mustSupport: "false" "true"
substitution	I				SI				Elements differ in short: "Any restrictions on medication substitution" "Substitution" Elements differ in definition for mustSupport: "false" "true"
id
extension	I		Extension		I		Extension
modifierExtension	?!ΣI				?!ΣI
allowed[x]	I				SI				Elements differ in short: "Whether substitution is allowed or not" "Substitution Allowed" Elements differ in definition: "True if the prescriber allows a different drug to be dispensed from what was prescribed." "Whether or not the pharmacy may dispense a substitutable generic product instead of a requested branded product" Elements differ in definition for mustSupport: "false" "true"
reason	I				I
priorPrescription	I				I
detectedIssue	I				I
eventHistory	I				I
Documentation for this format