description: Negation profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
package_name: hl7.fhir.us.qicore
derivation: constraint
name: QICoreMedicationNotRequested
type: MedicationRequest
elements:
  encounter:
    type: Reference
    short: (QI) Encounter created as part of encounter/admission/stay
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-encounter']
    index: 12
  medication[x]:
    extensions:
      notDoneValueSet: {url: 'http://hl7.org/fhir/StructureDefinition/cqf-notDoneValueSet', min: 0, max: 1, type: Extension, short: (QI) What was not requested, index: 10}
    elements:
      extension:
        type: Extension
        short: (QI) What was not requested
        url: http://hl7.org/fhir/StructureDefinition/cqf-notDoneValueSet
        index: 10
        slicing:
          slices:
            notDoneValueSet:
              match: {}
              schema: {type: Extension, short: (QI) What was not requested, url: 'http://hl7.org/fhir/StructureDefinition/cqf-notDoneValueSet', index: 10}
              min: 0
              max: 1
  reported:
    short: (QI) Reported rather than primary record
    choices: [reportedReference]
    index: 4
  reasonCode:
    short: (QI) Reason or indication for ordering or not ordering the medication
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/qicore/ValueSet/qicore-negation-reason'}
    index: 15
  medicationCodeableConcept: {type: CodeableConcept, short: (QI) Medication to be taken, choiceOf: medication, index: 8}
  authoredOn: {short: (QI) When request was initially authored, index: 13}
  requester:
    type: Reference
    short: (QI) Who/What requested the Request
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole']
    index: 14
  reportedReference:
    type: Reference
    short: (QI) Reported rather than primary record
    choiceOf: reported
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitioner', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-practitionerrole', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-relatedperson']
    index: 5
  status: {short: (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown, index: 0}
  doNotPerform:
    type: boolean
    short: (QI) True if medication was not requested
    pattern: {type: Boolean, value: true}
    index: 2
  intent: {short: (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option, index: 1}
  medicationReference:
    type: Reference
    short: (QI) Medication to be taken
    choiceOf: medication
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medication']
    index: 9
  subject:
    type: Reference
    short: (QI) Who or group medication request is for
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-patient']
    index: 11
  medication:
    short: (QI) Medication to be taken
    choices: [medicationCodeableConcept, medicationReference]
    index: 7
  reasonReference:
    isModifier: false
    short: (QI) US Core Condition or Observation that supports the prescription
    refers: ['http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-encounter-diagnosis', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-condition-problems-health-concerns', 'http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-simple-observation']
    type: Reference
    array: true
    base: {max: '*', min: 0, path: MedicationRequest.reasonReference}
    isSummary: false
    index: 16
package_version: 7.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest
version: 7.0.0-ballot
required: [authoredOn, reasonCode, doNotPerform]