| Left: | US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest) |
| Right: | CRD Medication Request (http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest) |
| Error | StructureDefinition.url | Values for url differ: 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest' vs 'http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest' |
| Error | StructureDefinition.version | Values for version differ: '7.0.0-ballot' vs '2.0.1' |
| Information | StructureDefinition.name | Values for name differ: 'USCoreMedicationRequestProfile' vs 'MedicationRequest' |
| Information | StructureDefinition.title | Values for title differ: 'US Core MedicationRequest Profile' vs 'CRD Medication Request' |
| Information | StructureDefinition.date | Values for date differ: '2023-10-17' vs '2023-05-30T11:47:53-07:00' |
| Information | StructureDefinition.publisher | Values for publisher differ: 'HL7 International / Cross-Group Projects' vs 'HL7 International / Financial Management' |
| Information | StructureDefinition.definition | Values for definition differ: '\-' vs '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.' |
| Warning | MedicationRequest.identifier | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | MedicationRequest.category | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Information | MedicationRequest.doNotPerform | Element maximum cardinalities differ: '1' vs '0' |
| Information | StructureDefinition.comment | Values for comment differ: 'This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter.' If there is a need to link to episodes of care they will be handled with an extension.' vs 'potentially relevant for CRD in some situations.' |
| Information | MedicationRequest.authoredOn | Element minimum cardinalities differ: '0' vs '1' |
| Information | MedicationRequest.requester | Element minimum cardinalities differ: '0' vs '1' |
| Warning | MedicationRequest.performer | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication' vs 'Reason or indication for ordering or not ordering the medication' |
| Information | StructureDefinition.comment | Values for comment differ: 'This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference.' vs 'potentially relevant for CRD in some situations.' |
| Warning | MedicationRequest.reasonCode | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Information | StructureDefinition.short | Values for short differ: '𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription' vs 'Condition or observation that supports why the prescription is being written' |
| Information | StructureDefinition.comment | Values for comment differ: 'This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode.' vs 'potentially relevant for CRD in some situations.' |
| Warning | MedicationRequest.reasonReference | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Error | MedicationRequest.basedOn | Type Mismatch: Reference([CanonicalType[http://hl7.org/fhir/StructureDefinition/CarePlan], CanonicalType[http://hl7.org/fhir/StructureDefinition/MedicationRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ServiceRequest], CanonicalType[http://hl7.org/fhir/StructureDefinition/ImmunizationRecommendation]]) vs Reference([CanonicalType[http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest], CanonicalType[http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-servicerequest]]) |
| Warning | MedicationRequest.dosageInstruction.timing | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | MedicationRequest.dosageInstruction.doseAndRate | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | MedicationRequest.dispenseRequest.quantity | Elements differ in definition for mustSupport: 'true' vs 'false' |
| Warning | MedicationRequest.substitution | Elements differ in definition for mustSupport: 'false' vs 'true' |
| Warning | MedicationRequest.priorPrescription | Elements differ in definition for mustSupport: 'false' vs 'true' |
| 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 | 2023-10-17 | 2023-05-30T11:47:53-07:00 |
|
| description | 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. | This profile specifies additional constraints on the US Core MedicationRequest profile to support coverage requirements discovery. |
|
| experimental | false | ||
| fhirVersion | 4.0.1 | ||
| jurisdiction | |||
 jurisdiction[0] | urn:iso:std:iso:3166#US | ||
| kind | resource | ||
| name | USCoreMedicationRequestProfile | MedicationRequest |
|
| publisher | HL7 International / Cross-Group Projects | HL7 International / Financial Management |
|
| purpose | |||
| status | active | ||
| title | US Core MedicationRequest Profile | CRD Medication Request |
|
| type | MedicationRequest | ||
| url | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | http://hl7.org/fhir/us/davinci-crd/StructureDefinition/profile-medicationrequest |
|
| version | 7.0.0-ballot | 2.0.1 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
 MedicationRequest | C | 0..* | MedicationRequest | Ordering of medication for patient or group us-core-21: requester SHALL be present if intent is "order" | 0..* | MedicationRequest | Ordering of medication for patient or group | ||||||||||
 id | Σ | 0..1 | id | 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.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||
| 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 | |||||||||||
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||||||||
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||
| identifier | 0..* | Identifier | External ids for this request | S | 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 | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: draft | |||||||||
| 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 | ?!SΣC | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | |||||||||
| Slices for category | S | 0..* | CodeableConcept | 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. | 0..* | CodeableConcept | Type of medication usage 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. |
| |||||||||
| 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..0 |
| ||||||||||
| 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 | US Core RelatedPerson Profile) | Reported rather than primary record | SΣ | 0..1 | boolean, Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | 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) | Medication to be taken Binding: ?? (extensible) | |||||||||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile S | Group) | Who or group medication request is for | SΣ | 1..1 | Reference(CRD Patient) | 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(CRD Encounter) | 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 | 1..1 | dateTime | When request was initially authored |
| ||||||||
| requester | 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) | Who/What requested the Request | SΣ | 1..1 | Reference(CRD Practitioner | US Core PractitionerRole Profile) | Who/What requested the Request |
| ||||||||
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | S | 0..1 | Reference(CRD Practitioner | US Core PractitionerRole Profile) | 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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication Binding: ?? (extensible) | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. |
| |||||||||
| reasonReference | 0..* | Reference(Condition | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription | S | 0..* | Reference(US Core Condition Profile | US Core Laboratory Result Observation Profile) | Condition or observation that supports why the prescription is being written |
| |||||||||
| 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(CRD Medication Request | CRD Service Request) | 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 | 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 | 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 | SΣ | 0..1 | Timing | When medication should be administered | Σ | 0..1 | Timing | When medication should be administered |
| ||||||||
| 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 | SΣ | 0..* | Element | Amount of medication administered | Σ | 0..* | Element | Amount of medication administered |
| ||||||||
| 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] | SΣ | 0..1 | Quantity S, Range | Amount of medication per dose Binding: ?? (preferred)
| Σ | 0..1 | Range, ?? | Amount of medication per dose |
| ||||||||
| 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 | S | 0..1 | BackboneElement | Medication supply authorization | S | 0..1 | BackboneElement | Medication supply authorization | |||||||||
| 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 | S | 0..1 | unsignedInt | Number of refills authorized | 0..1 | unsignedInt | Number of refills authorized |
| |||||||||
| quantity | S | 0..1 | ?? | Amount of medication to supply per dispense | 0..1 | ?? | Amount of medication to supply per dispense |
| |||||||||
| 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 | S | 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 | S | 0..1 | Reference(CRD Medication Request) | 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 | |||||||||||
| Documentation for this format | |||||||||||||||||