description: Profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
package_name: fhir.onc.us-quality-core
derivation: constraint
name: USQualityCoreMedicationRequest
type: MedicationRequest
elements:
  encounter:
    type: Reference
    short: (USCDI) Encounter created as part of encounter/admission/stay
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-encounter']
    index: 9
  dispenseRequest:
    short: (USCDI+ Quality) (USCDI) Medication supply authorization
    index: 31
    elements:
      initialFill: {index: 32}
      dispenseInterval: {short: Minimum period of time between dispenses, index: 33}
      validityPeriod: {short: (USCDI+ Quality) Time period supply is authorized for, index: 34}
      numberOfRepeatsAllowed: {short: (USCDI+ Quality) (USCDI) Number of refills authorized, index: 35}
      quantity: {short: (USCDI+ Quality) (USCDI) Amount of medication to supply per dispense, index: 36}
      expectedSupplyDuration: {short: (USCDI+ Quality) Number of days supply per dispense, index: 37}
  reported:
    short: (USCDI) Reported rather than primary record
    choices: [reportedReference]
    index: 4
  reasonCode: {short: (USCDI+ Quality) (USCDI) Reason or indication for ordering or not ordering the medication, index: 12}
  authoredOn: {short: (USCDI+ Quality) (USCDI) When request was initially authored, index: 10}
  requester:
    type: Reference
    short: (USCDI) Who/What requested the Request
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitioner', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitionerrole']
    index: 11
  reportedReference:
    type: Reference
    short: (USCDI) Reported rather than primary record
    choiceOf: reported
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitioner', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-practitionerrole', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-relatedperson']
    index: 5
  status: {short: (USCDI+ Quality) (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown, index: 0}
  dosageInstruction:
    short: (USCDI+ Quality) (USCDI) How medication should be taken
    index: 14
    elements:
      text: {short: (USCDI+ Quality) (USCDI) Free text dosage instructions e.g. SIG, index: 15}
      timing:
        short: (USCDI+ Quality) (USCDI) When medication should be administered
        index: 16
        elements:
          repeat:
            short: (USCDI+ Quality) When the event is to occur
            index: 17
            elements:
              bounds:
                short: (USCDI+ Quality) Length/Range of lengths, or (Start and/or end) limits
                choices: []
                index: 19
              frequency: {short: (USCDI+ Quality) Event occurs frequency times per period, index: 20}
              frequencyMax: {short: (USCDI+ Quality) Event occurs frequencyMax times per period, index: 21}
              period: {short: (USCDI+ Quality) Event occurs frequency times per period, index: 22}
              periodMax: {short: (USCDI+ Quality) Upper limit of period (3-4 hours), index: 23}
              periodUnit: {short: (USCDI+ Quality) s | min | h | d | wk | mo | a - unit of time (UCUM), index: 24}
      asNeeded:
        short: (USCDI+ Quality) Take "as needed" (for x)
        choices: []
        index: 26
      route: {short: (USCDI+ Quality) How drug should enter body, index: 27}
      doseAndRate:
        short: (USCDI+ Quality) (USCDI) Amount of medication administered
        index: 28
        elements:
          dose:
            short: (USCDI+ Quality) (USCDI) Amount of medication per dose
            choices: []
            index: 30
  doNotPerform:
    type: boolean
    short: True if medication was not requested
    pattern: {type: Boolean, value: false}
    index: 2
  intent: {short: (USCDI+ Quality) (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option, index: 1}
  subject:
    type: Reference
    short: (USCDI) Who or group medication request is for
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-patient']
    index: 8
  medication:
    short: (USCDI+ Quality) (USCDI) Medication to be taken
    choices: []
    index: 7
  reasonReference:
    type: Reference
    short: (USCDI+ Quality) (USCDI) US Quality Core Condition or Observation that supports the prescription
    refers: ['http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-encounter-diagnosis', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-condition-problems-health-concerns', 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-simple-observation']
    index: 13
package_version: 0.5.0
class: profile
kind: resource
url: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationrequest
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|6.1.0
version: 0.5.0