Left: | QICore Medication Not Requested (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested) |
Right: | QICore Medication Not Requested (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested) |
Error | StructureDefinition.version | Values for version differ: '6.0.0-ballot' vs '6.0.0' |
Information | StructureDefinition.publisher | Values for publisher differ: 'http://www.hl7.org/Special/committees/cqi/index.cfm' vs 'HL7 International / Clinical Quality Information' |
Information | StructureDefinition.short | Values for short differ: '(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown' vs '(QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown' |
Information | StructureDefinition.short | Values for short differ: 'True if medication was not requested' vs '(QI-Core) True if medication was not requested' |
Warning | MedicationRequest.doNotPerform | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | StructureDefinition.short | Values for short differ: '(USCDI) Reported rather than primary record' vs '(QI-Core)(USCDI) Reported rather than primary record' |
Information | StructureDefinition.short | Values for short differ: '(USCDI) Medication to be taken' vs '(QI-Core)(USCDI) Medication to be taken' |
Information | StructureDefinition.short | Values for short differ: '(USCDI) Who or group medication request is for' vs '(QI-Core)(USCDI) Who or group medication request is for' |
Information | StructureDefinition.short | Values for short differ: '(USCDI) Encounter created as part of encounter/admission/stay' vs '(QI-Core)(USCDI) Encounter created as part of encounter/admission/stay' |
Information | StructureDefinition.short | Values for short differ: '(USCDI) When request was initially authored' vs '(QI-Core)(USCDI) When request was initially authored' |
Information | StructureDefinition.short | Values for short differ: '(USCDI) Who/What requested the Request' vs '(QI-Core)(USCDI) Who/What requested the Request' |
Information | StructureDefinition.short | Values for short differ: '(USCDI) Reason or indication for ordering or not ordering the medication' vs '(QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication' |
Warning | MedicationRequest.reasonCode | Elements differ in definition for mustSupport: 'true' vs 'false' |
Information | StructureDefinition.short | Values for short differ: '(USCDI) US Core Condition or Observation that supports the prescription' vs '(QI-Core)(USCDI) US Core Condition or Observation that supports the prescription' |
Name | Value | Comments | |
---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest | ||
copyright | |||
date | 2018-08-22 | ||
description | Negation profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. | ||
experimental | false | ||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
jurisdiction[0] | urn:iso:std:iso:3166#US | ||
kind | resource | ||
name | QICoreMedicationNotRequested | ||
publisher | http://www.hl7.org/Special/committees/cqi/index.cfm | HL7 International / Clinical Quality Information |
|
purpose | |||
status | active | ||
title | QICore Medication Not Requested | ||
type | MedicationRequest | ||
url | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested | ||
version | 6.0.0-ballot | 6.0.0 |
|
Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | L Type | L Description & Constraints | Comments | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
MedicationRequest | C | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group us-core-21: requester SHALL be present if intent is "order" mnr-1: To indicate what medication was not requested, either at least one coding in the medication or a notDoneValueSet extension shall be provided | C | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group us-core-21: requester SHALL be present if intent is "order" mnr-1: To indicate what medication was not requested, either at least one coding in the medication or a notDoneValueSet extension shall be provided | |||||||||
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 | |||||||||||
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 | (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. | ?!SΣ | 1..1 | code | (QI-Core)(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. | |||||||||
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 | (USCDI) 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. | |||||||||
Slices for category | S | 0..* | CodeableConcept | (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$this Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | S | 0..* | CodeableConcept | (USCDI) Type of medication usage Slice: Unordered, Open by pattern:$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. | |||||||||
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 | ?!SΣ | 1..1 | boolean | True if medication was not requested Fixed Value: true | ?!Σ | 1..1 | boolean | (QI-Core) True if medication was not requested Fixed Value: true |
| ||||||||
reported[x] | SΣ | 0..1 | Reference(QICore Practitioner S | QICore PractitionerRole | QICore Patient S | QICore RelatedPerson S) | (USCDI) Reported rather than primary record | SΣ | 0..1 | Reference S(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson) | (QI-Core)(USCDI) Reported rather than primary record | |||||||||
medication[x] | SΣ | 1..1 | CodeableConcept | (USCDI) Medication to be taken Binding: ?? (preferred) | SΣ | 1..1 | CodeableConcept | (QI-Core)(USCDI) Medication to be taken Binding: ?? (preferred) | |||||||||
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 | |||||||||||
coding | ΣC | 0..* | Coding | Code defined by a terminology system | ΣC | 0..* | Coding | Code defined by a terminology system | |||||||||
text | Σ | 0..1 | string | Plain text representation of the concept | Σ | 0..1 | string | Plain text representation of the concept | |||||||||
subject | SΣ | 1..1 | Reference(QICore Patient) | (USCDI) Who or group medication request is for | SΣ | 1..1 | Reference(QICore Patient) | (QI-Core)(USCDI) Who or group medication request is for | |||||||||
encounter | S | 0..1 | Reference(QICore Encounter) | (USCDI) Encounter created as part of encounter/admission/stay | S | 0..1 | Reference(QICore Encounter) | (QI-Core)(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 | 1..1 | dateTime | (USCDI) When request was initially authored | SΣ | 1..1 | dateTime | (QI-Core)(USCDI) When request was initially authored | |||||||||
requester | SΣC | 0..1 | Reference(QICore Practitioner S | QICore PractitionerRole | QICore Patient) | (USCDI) Who/What requested the Request | SΣC | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient) | (QI-Core)(USCDI) Who/What requested the Request | |||||||||
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 | S | 1..1 | CodeableConcept | (USCDI) Reason or indication for ordering or not ordering the medication Binding: ?? (extensible): The reason the medication was not requested | 1..1 | CodeableConcept | (QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication Binding: ?? (extensible): The reason the medication was not requested |
| |||||||||
reasonReference | 0..* | Reference(Condition | Observation) | (USCDI) US Core Condition or Observation that supports the prescription | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation) | (QI-Core)(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 | (USCDI) How the medication should be taken | S | 0..* | Dosage | (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 | (USCDI) Free text dosage instructions e.g. SIG | SΣ | 0..1 | string | (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 | SΣ | 0..1 | Timing | (USCDI) When medication should be administered | SΣ | 0..1 | Timing | (USCDI) 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 | (USCDI) Amount of medication administered | SΣ | 0..* | Element | (USCDI) 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 | (USCDI) Amount of medication per dose Binding: ?? (preferred)
| SΣ | 0..1 | Quantity S, Range | (USCDI) Amount of medication per dose Binding: ?? (preferred)
| |||||||||
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 | (USCDI) Medication supply authorization | S | 0..1 | BackboneElement | (USCDI) 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 | (USCDI) Number of refills authorized | S | 0..1 | unsignedInt | (USCDI) Number of refills authorized | |||||||||
quantity | S | 0..1 | ?? | (USCDI) Amount of medication to supply per dispense | S | 0..1 | ?? | (USCDI) 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 | 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 | |||||||||||
Documentation for this format |