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: fhir.onc.us-quality-core
derivation: constraint
name: USQualityCoreMedicationNotRequested
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: 11
  medication[x]:
    extensions:
      notDoneValueSet: {url: 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet', min: 0, max: 1, type: Extension, short: What was not requested, index: 8}
    elements:
      extension:
        type: Extension
        short: What was not requested
        url: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet
        index: 8
        slicing:
          slices:
            notDoneValueSet:
              match: {}
              schema: {type: Extension, short: What was not requested, url: 'http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-notDoneValueSet', index: 8}
              min: 0
              max: 1
      coding: {mustSupport: false, index: 9}
  dispenseRequest:
    elements:
      quantity: {short: (USCDI) Amount of medication to supply per dispense, index: 25}
      expectedSupplyDuration: {short: Number of days supply per dispense, index: 26}
  reported:
    short: (USCDI) Reported rather than primary record
    choices: [reportedReference]
    index: 3
  reasonCode:
    short: (USCDI+ Quality) (USCDI) Reason or indication for ordering or not ordering the medication
    binding: {strength: extensible, valueSet: 'http://fhir.org/guides/onc/us-quality-core/ValueSet/us-quality-core-negation-reason'}
    index: 14
  medicationCodeableConcept: {type: CodeableConcept, short: (USCDI) Medication to be taken, choiceOf: medication, index: 7}
  authoredOn: {short: (USCDI) When request was initially authored, index: 12}
  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: 13
  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: 4
  status: {short: (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown, index: 0}
  dosageInstruction:
    short: (USCDI) How the medication should be taken
    index: 16
    elements:
      text: {short: (USCDI) Free text dosage instructions e.g. SIG, index: 17}
      timing: {short: (USCDI) When medication should be administered, index: 18}
      asNeeded:
        short: Take "as needed" (for x)
        choices: []
        index: 20
      route: {short: How drug should enter body, index: 21}
      doseAndRate:
        short: (USCDI) Amount of medication administered
        index: 22
        elements:
          dose:
            short: (USCDI) Amount of medication per dose
            choices: []
            index: 24
  doNotPerform:
    type: boolean
    short: (USCDI+ Quality) True if medication was not requested
    pattern: {type: Boolean, value: true}
    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: 10
  medication:
    short: (USCDI) Medication to be taken
    choices: [medicationCodeableConcept]
    index: 6
  reasonReference:
    isModifier: false
    short: (USCDI) US 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']
    type: Reference
    array: true
    base: {max: '*', min: 0, path: MedicationRequest.reasonReference}
    isSummary: false
    index: 15
package_version: 0.5.0
class: profile
kind: resource
url: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationnotrequested
base: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest|6.1.0
version: 0.5.0
required: [authoredOn, reasonCode, doNotPerform]