# DAPL MedicationRequest - De-identified, Anonymized FHIR Profiles Library v1.0.0-ballot

* [**Table of Contents**](toc.md)
* [**Artifacts Summary**](artifacts.md)
* **DAPL MedicationRequest**

## Resource Profile: DAPL MedicationRequest 

| | | |
| :--- | :--- | :--- |
| *Official URL*:http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-medicationrequest | *Version*:1.0.0-ballot | |
| * Standards status: *[Trial-use](http://hl7.org/fhir/R4/versions.html#std-process) | [Maturity Level](http://hl7.org/fhir/versions.html#maturity): 2 | *Computable Name*:DAPLMedicationRequest |

 
The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentifeid or anonymized MedicationRequest. 

### Introduction

This profile is used to represent de-identified MedicationRequest information. The de-identification process has to remove all data elements not explicitly identified as "SUPPORTED" in the profile.

The [HHS De-identification Guidance](https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/coveredentities/De-identification/hhs_deid_guidance.pdf) is to be followed to ensure appropriate level of de-identification is performed.

According to the HHS guidance, dates should not have a precision of more than the year. This means month and day cannot be included. This includes MedicationRequest.authoredOn.

In FHIR Resources, text elements and reference.display elements which provide human readable information to the providers may be generated using programs and tools from the data present within the resource. For e.g a MedicationRequest resource text element may contain information such as the MedicationRequest date, patient information. This type of information will enable identification of the individuals. In order to avoid inadvertent revealing of PII/PHI, text elements cannot be included in the De-identified FHIR resource and the submission will be rejected when text elements are present by the validation process.

**Ids and References**

The original MedicationRequest resource id should not be included in the De-identified MedicationRequest instance. Instead a new id should be created and provided as part of the FHIR resource. The Data Submitter should be capable of using the generated id to relink the data to the original MedicationRequest. All resource references to the MedicationRequest submitted as part of the data exchange should refer to newly generated id.

Resource references cannot contain text element as it may contain PHI/PII. The text element for following references are not allowed

* subject
* encounter

**Date Truncation**

The DARTS Service Provider has to truncate the following dates to only have a precision of year

* authoredOn

**Usages:**

* Examples for this Profile: [MedicationRequest/de-identified-example](MedicationRequest-de-identified-example.md)

You can also check for [usages in the FHIR IG Statistics](https://packages2.fhir.org/xig/hl7.fhir.us.dapl|current/StructureDefinition/dapl-medicationrequest)

### Formal Views of Profile Content

 [Description of Profiles, Differentials, Snapshots and how the different presentations work](http://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#structure-definitions). 

 

Other representations of profile: [CSV](StructureDefinition-dapl-medicationrequest.csv), [Excel](StructureDefinition-dapl-medicationrequest.xlsx), [Schematron](StructureDefinition-dapl-medicationrequest.sch) 



## Resource Content

```json
{
  "resourceType" : "StructureDefinition",
  "id" : "dapl-medicationrequest",
  "meta" : {
    "versionId" : "12",
    "lastUpdated" : "2026-03-27T02:03:11.293+00:00"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode" : "cgp"
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger" : 2,
    "_valueInteger" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/dapl/ImplementationGuide/dapl"
      }]
    }
  },
  {
    "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode" : "trial-use",
    "_valueCode" : {
      "extension" : [{
        "url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
        "valueCanonical" : "http://hl7.org/fhir/us/dapl/ImplementationGuide/dapl"
      }]
    }
  }],
  "url" : "http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-medicationrequest",
  "version" : "1.0.0-ballot",
  "name" : "DAPLMedicationRequest",
  "title" : "DAPL MedicationRequest",
  "status" : "active",
  "experimental" : false,
  "date" : "2026-05-08T05:01:52+10:00",
  "publisher" : "HL7 International / Cross-Group Projects",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/cgp"
    }]
  }],
  "description" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentifeid or anonymized MedicationRequest.",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "urn:iso:std:iso:3166",
      "code" : "US"
    }]
  }],
  "fhirVersion" : "4.0.1",
  "mapping" : [{
    "identity" : "workflow",
    "uri" : "http://hl7.org/fhir/workflow",
    "name" : "Workflow Pattern"
  },
  {
    "identity" : "script10.6",
    "uri" : "http://ncpdp.org/SCRIPT10_6",
    "name" : "Mapping to NCPDP SCRIPT 10.6"
  },
  {
    "identity" : "rim",
    "uri" : "http://hl7.org/v3",
    "name" : "RIM Mapping"
  },
  {
    "identity" : "w5",
    "uri" : "http://hl7.org/fhir/fivews",
    "name" : "FiveWs Pattern Mapping"
  },
  {
    "identity" : "v2",
    "uri" : "http://hl7.org/v2",
    "name" : "HL7 v2 Mapping"
  }],
  "kind" : "resource",
  "abstract" : false,
  "type" : "MedicationRequest",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/MedicationRequest",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "id" : "MedicationRequest",
      "path" : "MedicationRequest",
      "short" : "DAPL MedicationRequest",
      "definition" : "The profile establishes the core elements, extensions, vocabularies and value sets for representing deidentifeid or anonymized MedicationRequest."
    },
    {
      "id" : "MedicationRequest.id",
      "path" : "MedicationRequest.id",
      "short" : "The MedicationRequest identifier generated by the DARTS deidentification or anonymization service",
      "definition" : "DAPL MedicationRequest resource identifier.",
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.text",
      "path" : "MedicationRequest.text",
      "short" : "Cannot include any text in the resource as part of the deidentified or anonymized data.",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    },
    {
      "id" : "MedicationRequest.contained",
      "path" : "MedicationRequest.contained",
      "short" : "Cannot include any contained resources in the resource as part of the deidentified or anonymized data.",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    },
    {
      "id" : "MedicationRequest.status",
      "path" : "MedicationRequest.status",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.intent",
      "path" : "MedicationRequest.intent",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.medication[x]",
      "path" : "MedicationRequest.medication[x]",
      "min" : 1,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.subject",
      "path" : "MedicationRequest.subject",
      "min" : 1,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-deidentified-patient"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.subject.display",
      "path" : "MedicationRequest.subject.display",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    },
    {
      "id" : "MedicationRequest.encounter",
      "path" : "MedicationRequest.encounter",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "Reference",
        "targetProfile" : ["http://hl7.org/fhir/us/dapl/StructureDefinition/dapl-deidentified-encounter"]
      }],
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.encounter.display",
      "path" : "MedicationRequest.encounter.display",
      "min" : 0,
      "max" : "0",
      "mustSupport" : false
    },
    {
      "id" : "MedicationRequest.authoredOn",
      "path" : "MedicationRequest.authoredOn",
      "min" : 0,
      "max" : "1",
      "type" : [{
        "code" : "dateTime"
      }],
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.requester",
      "path" : "MedicationRequest.requester",
      "min" : 0,
      "max" : "1",
      "mustSupport" : true
    },
    {
      "id" : "MedicationRequest.dosageInstruction",
      "path" : "MedicationRequest.dosageInstruction",
      "min" : 0,
      "max" : "*",
      "mustSupport" : true
    }]
  }
}

```
