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

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationRequest
copyright	Used by permission of HL7 International, all rights reserved Creative Commons License
date	2020-06-26
description	Defines constraints and extensions on the MedicationRequest resource for the minimal set of data to query and retrieve prescription information.	The US Core Medication Request Profile is based upon the core FHIR MedicationRequest Resource and meets the U.S. Core Data for Interoperability (USCDI) v2 *Medications* requirements. The MedicationRequest resource can be used to record a patient's medication prescription or order. This profile sets minimum expectations for the MedicationRequest resource to record, search, and fetch a patient's medication to promote interoperability and adoption through common implementation. It identifies which core elements, extensions, vocabularies, and value sets **SHALL** be present in the resource and constrains the way the elements are used when using this profile. It provides the floor for standards development for specific use cases.	Values Differ
experimental	false
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	USCoreMedicationRequestProfile
publisher	HL7 International - US Realm Steering Committee	HL7 International - Cross-Group Projects	Values Differ
purpose
status	active
title	US Core MedicationRequest Profile
type	MedicationRequest
url	http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
version	4.0.0	6.1.0-snapshot1	Values Differ

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	L Type	L Description & Constraints	Comments
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group	C	0..*	MedicationRequest	Ordering of medication for patient or group us-core-21: requester SHALL be present if intent is "order"	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.' vs '\-'
id	Σ	0..1	string	Logical id of this artifact	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request		0..*	Identifier	External ids for this request
status	?!SΣ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.	?!SΣ	1..1	code	(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.	Elements differ in short: 'active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown' vs '(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown'
statusReason		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.		0..1	CodeableConcept	Reason for current status Binding: ?? (example): Identifies the reasons for a given status.
intent	?!SΣ	1..1	code	proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.	?!SΣC	1..1	code	(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order.	Elements differ in short: 'proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option' vs '(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option'
category	S	0..*	CodeableConcept	Type of medication usage Binding: ?? (preferred): The type of medication order.	S	0..*	CodeableConcept	(USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.	Elements differ in short: 'Type of medication usage' vs '(USCDI) Type of medication usage' Elements differ in binding.description: 'The type of medication order.' vs 'A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.'
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.	Σ	0..1	code	routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action	?!Σ	0..1	boolean	True if request is prohibiting action
reported[x]	SΣ	0..1	boolean S, Reference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | RelatedPerson)	Reported rather than primary record	SΣ	0..1	boolean S, Reference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile)	(USCDI) Reported rather than primary record	Elements differ in short: 'Reported rather than primary record' vs '(USCDI) Reported rather than primary record'
medication[x]	SΣ	1..1	CodeableConcept, Reference(US Core Medication Profile)	Medication to be taken Binding: ?? (extensible)	SΣ	1..1	CodeableConcept, Reference(US Core Medication Profile)	(USCDI) Medication to be taken Binding: ?? (extensible)	Elements differ in short: 'Medication to be taken' vs '(USCDI) Medication to be taken'
subject	SΣ	1..1	Reference(US Core Patient Profile)	Who or group medication request is for	SΣ	1..1	Reference(US Core Patient Profile)	(USCDI) Who or group medication request is for	Elements differ in short: 'Who or group medication request is for' vs '(USCDI) Who or group medication request is for'
encounter	S	0..1	Reference(US Core Encounter Profile)	Encounter created as part of encounter/admission/stay	S	0..1	Reference(US Core Encounter Profile)	(USCDI) Encounter created as part of encounter/admission/stay	Elements differ in short: 'Encounter created as part of encounter/admission/stay' vs '(USCDI) Encounter created as part of encounter/admission/stay'
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	SΣ	0..1	dateTime	When request was initially authored	SΣ	0..1	dateTime	(USCDI) When request was initially authored	Elements differ in short: 'When request was initially authored' vs '(USCDI) When request was initially authored'
requester	SΣ	1..1	Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | RelatedPerson | Device)	Who/What requested the Request	SΣC	0..1	Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)	(USCDI) Who/What requested the Request	Elements differ in short: 'Who/What requested the Request' vs '(USCDI) Who/What requested the Request' Element minimum cardinalities differ: '1' vs '0'
performer		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration		0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	Intended performer of administration
performerType	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.	Σ	0..1	CodeableConcept	Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.
recorder		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request		0..1	Reference(Practitioner | PractitionerRole)	Person who entered the request
reasonCode		0..*	CodeableConcept	Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered.		0..*	CodeableConcept	(USCDI) Reason or indication for ordering or not ordering the medication Binding: ?? (extensible)	Elements differ in short: 'Reason or indication for ordering or not ordering the medication' vs '(USCDI) Reason or indication for ordering or not ordering the medication'
reasonReference		0..*	Reference(Condition | Observation)	Condition or observation that supports why the prescription is being written		0..*	Reference(Condition | Observation)	(USCDI) US Core Condition or Observation that supports the prescription	Elements differ in short: 'Condition or observation that supports why the prescription is being written' vs '(USCDI) US Core Condition or Observation that supports the prescription'
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition	Σ	0..*	uri	Instantiates external protocol or definition
basedOn	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills	Σ	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	What request fulfills
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of	Σ	0..1	Identifier	Composite request this is part of
courseOfTherapyType		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.		0..1	CodeableConcept	Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio.
insurance		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage		0..*	Reference(Coverage | ClaimResponse)	Associated insurance coverage
note		0..*	Annotation	Information about the prescription		0..*	Annotation	Information about the prescription
dosageInstruction	S	0..*	Dosage	How the medication should be taken	S	0..*	Dosage	(USCDI) How the medication should be taken	Elements differ in short: 'How the medication should be taken' vs '(USCDI) How the medication should be taken'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
sequence	Σ	0..1	integer	The order of the dosage instructions	Σ	0..1	integer	The order of the dosage instructions
text	SΣ	0..1	string	Free text dosage instructions e.g. SIG	SΣ	0..1	string	(USCDI) Free text dosage instructions e.g. SIG	Elements differ in short: 'Free text dosage instructions e.g. SIG' vs '(USCDI) Free text dosage instructions e.g. SIG'
additionalInstruction	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".	Σ	0..*	CodeableConcept	Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered	SΣ	0..1	Timing	(USCDI) When medication should be administered	Elements differ in short: 'When medication should be administered' vs '(USCDI) When medication should be administered' Elements differ in definition for mustSupport: 'false' vs 'true'
asNeeded[x]	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.	Σ	0..1	boolean, CodeableConcept	Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.
site	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.	Σ	0..1	CodeableConcept	Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
route	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.	Σ	0..1	CodeableConcept	How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	Σ	0..1	CodeableConcept	Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
doseAndRate	Σ	0..*	Element	Amount of medication administered	SΣ	0..*	Element	(USCDI) Amount of medication administered	Elements differ in short: 'Amount of medication administered' vs '(USCDI) Amount of medication administered' Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.	Σ	0..1	CodeableConcept	The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified.
dose[x]	Σ	0..1	Range, ??	Amount of medication per dose	SΣ	0..1	Quantity S, Range	(USCDI) Amount of medication per dose Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding	Elements differ in short: 'Amount of medication per dose' vs '(USCDI) Amount of medication per dose' Elements differ in definition for mustSupport: 'false' vs 'true'
rate[x]	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time	Σ	0..1	Ratio, Range, ??	Amount of medication per unit of time
maxDosePerPeriod	Σ	0..1	Ratio	Upper limit on medication per unit of time	Σ	0..1	Ratio	Upper limit on medication per unit of time
maxDosePerAdministration	Σ	0..1	??	Upper limit on medication per administration	Σ	0..1	??	Upper limit on medication per administration
maxDosePerLifetime	Σ	0..1	??	Upper limit on medication per lifetime of the patient	Σ	0..1	??	Upper limit on medication per lifetime of the patient
dispenseRequest		0..1	BackboneElement	Medication supply authorization	S	0..1	BackboneElement	(USCDI) Medication supply authorization	Elements differ in short: 'Medication supply authorization' vs '(USCDI) Medication supply authorization' Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
initialFill		0..1	BackboneElement	First fill details		0..1	BackboneElement	First fill details
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
quantity		0..1	??	First fill quantity		0..1	??	First fill quantity
duration		0..1	Duration	First fill duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Time period supply is authorized for		0..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized	S	0..1	unsignedInt	(USCDI) Number of refills authorized	Elements differ in short: 'Number of refills authorized' vs '(USCDI) Number of refills authorized' Elements differ in definition for mustSupport: 'false' vs 'true'
quantity		0..1	??	Amount of medication to supply per dispense	S	0..1	??	(USCDI) Amount of medication to supply per dispense	Elements differ in short: 'Amount of medication to supply per dispense' vs '(USCDI) Amount of medication to supply per dispense' Elements differ in definition for mustSupport: 'false' vs 'true'
expectedSupplyDuration		0..1	Duration	Number of days supply per dispense		0..1	Duration	Number of days supply per dispense
performer		0..1	Reference(Organization)	Intended dispenser		0..1	Reference(Organization)	Intended dispenser
substitution		0..1	BackboneElement	Any restrictions on medication substitution		0..1	BackboneElement	Any restrictions on medication substitution
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
allowed[x]		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.		1..1	boolean, CodeableConcept	Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.		0..1	CodeableConcept	Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
priorPrescription		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced		0..1	Reference(MedicationRequest)	An order/prescription that is being replaced
detectedIssue		0..*	Reference(DetectedIssue)	Clinical Issue with action		0..*	Reference(DetectedIssue)	Clinical Issue with action
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
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