Package | hl7.ehrs.ehrsfmr21 |
Type | Requirements |
Id | Id |
FHIR Version | R5 |
Source | http://hl7.org/ehrs/https://build.fhir.org/ig/mvdzel/ehrsfm-fhir-r5/Requirements-EHRSFMR2.1-CP.4.2.2.html |
Url | http://hl7.org/ehrs/Requirements/EHRSFMR2.1-CP.4.2.2 |
Version | 2.1.0 |
Status | active |
Date | 2024-11-26T16:30:50+00:00 |
Name | CP_4_2_2_Patient_Specific_Medication_Dosing_and_Warnings |
Title | CP.4.2.2 Patient-Specific Medication Dosing and Warnings (Function) |
Experimental | False |
Realm | uv |
Authority | hl7 |
Description | Render medication dosing and warnings related to a medication order based on patient-specific parameters. |
Purpose | Provide parameter-based (e.g., weight, lean body mass, age, sensitivity, genomics, body surface area) medication dosing recommendations and warnings for simple medications and compounded medications at the time of order entry. |
No resources found
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Note: links and images are rebased to the (stated) source
Render medication dosing and warnings related to a medication order based on patient-specific parameters.
Provide parameter-based (e.g., weight, lean body mass, age, sensitivity, genomics, body surface area) medication dosing recommendations and warnings for simple medications and compounded medications at the time of order entry.
CP.4.2.2#01 | SHALL |
The system SHALL conform to function [[CPS.4.2.2]] (Support for Patient-Specific Dosing and Warnings) to determine potential adverse reactions and render alerts or notifications when new medications are ordered. |
CP.4.2.2#02 | SHOULD |
The system SHOULD provide the ability to determine and render weight-specific dose suggestions and auto-populate (e.g., default) medication orders based on the suggested dosage. |
CP.4.2.2#03 | MAY |
The system MAY provide the ability to capture alternative patient dosing weight(s) (e.g., ideal body weight or dry weight vs. actual patient weight) for the purpose of dose calculation. |
CP.4.2.2#04 | conditional SHOULD |
IF the system provides the ability to capture alternative patient dosing weight(s), THEN the system SHOULD provide the ability to determine and render alternative weight-specific dose recommendations and auto-populate medication orders based on the suggested dosage. |
CP.4.2.2#05 | SHOULD |
The system SHOULD provide the ability to render patient-specific medication dosing recommendations based on the patient's age and weight/body surface area. |
CP.4.2.2#06 | MAY |
The system MAY provide the ability to render patient-specific medication dosing recommendations based on previous patient experience (e.g., adverse reaction, type, and severity) with the same medication. |
CP.4.2.2#07 | SHOULD |
The system SHOULD provide the ability to determine weight-based medication dosing when doses are based on the patient's weight (e.g., mg/kg). |
CP.4.2.2#08 | MAY |
The system MAY provide the ability to determine and render medication orders in which the weight-specific dose suggested employs a starting range with incremental changes toward a target range (e.g., a target therapeutic index). |
CP.4.2.2#09 | MAY |
The system MAY render a notification requesting the parameters (e.g., coefficients, exponents, formulas) required to calculate the body surface area. |
CP.4.2.2#10 | MAY |
The system MAY provide the ability to determine and present dose ranges based on patient age. |
CP.4.2.2#11 | MAY |
The system MAY provide the ability to manage complex medication orders that include dosing based on either physical status or laboratory values. |
CP.4.2.2#12 | SHALL |
The system SHALL provide the ability to determine and present drug dosing based on custom compounded medication components. |
CP.4.2.2#13 | SHOULD |
The system SHOULD provide the ability to manage medication orders with patient-specific dose calculations (e.g., by weight, body surface area or genotype). |
{
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"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <span id=\"description\"><b>Statement <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b> <div><p>Render medication dosing and warnings related to a medication order based on patient-specific parameters.</p>\n</div></span>\n\n \n <span id=\"purpose\"><b>Description <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Informative Content\" class=\"informative-flag\">I</a>:</b> <div><p>Provide parameter-based (e.g., weight, lean body mass, age, sensitivity, genomics, body surface area) medication dosing recommendations and warnings for simple medications and compounded medications at the time of order entry.</p>\n</div></span>\n \n\n \n\n \n <span id=\"requirements\"><b>Criteria <a href=\"https://hl7.org/fhir/versions.html#std-process\" title=\"Normative Content\" class=\"normative-flag\">N</a>:</b></span>\n \n <table id=\"statements\" class=\"grid dict\">\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#01</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL conform to function [[CPS.4.2.2]] (Support for Patient-Specific Dosing and Warnings) to determine potential adverse reactions and render alerts or notifications when new medications are ordered.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#02</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD provide the ability to determine and render weight-specific dose suggestions and auto-populate (e.g., default) medication orders based on the suggested dosage.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#03</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to capture alternative patient dosing weight(s) (e.g., ideal body weight or dry weight vs. actual patient weight) for the purpose of dose calculation.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#04</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n <i>conditional</i>\n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>IF the system provides the ability to capture alternative patient dosing weight(s), THEN the system SHOULD provide the ability to determine and render alternative weight-specific dose recommendations and auto-populate medication orders based on the suggested dosage.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#05</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD provide the ability to render patient-specific medication dosing recommendations based on the patient's age and weight/body surface area.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#06</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to render patient-specific medication dosing recommendations based on previous patient experience (e.g., adverse reaction, type, and severity) with the same medication.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#07</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD provide the ability to determine weight-based medication dosing when doses are based on the patient's weight (e.g., mg/kg).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#08</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to determine and render medication orders in which the weight-specific dose suggested employs a starting range with incremental changes toward a target range (e.g., a target therapeutic index).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#09</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY render a notification requesting the parameters (e.g., coefficients, exponents, formulas) required to calculate the body surface area.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#10</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to determine and present dose ranges based on patient age.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#11</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>MAY</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system MAY provide the ability to manage complex medication orders that include dosing based on either physical status or laboratory values.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#12</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHALL</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHALL provide the ability to determine and present drug dosing based on custom compounded medication components.</p>\n</div></span>\n \n \n </td>\n </tr>\n \n <tr>\n <td style=\"padding-left: 4px;\">\n \n <span>CP.4.2.2#13</span>\n \n </td>\n <td style=\"padding-left: 4px;\">\n \n \n \n <span>SHOULD</span>\n \n </td>\n <td style=\"padding-left: 4px;\" class=\"requirement\">\n \n <span><div><p>The system SHOULD provide the ability to manage medication orders with patient-specific dose calculations (e.g., by weight, body surface area or genotype).</p>\n</div></span>\n \n \n </td>\n </tr>\n \n </table>\n</div>"
},
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"version" : "2.1.0",
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"title" : "CP.4.2.2 Patient-Specific Medication Dosing and Warnings (Function)",
"status" : "active",
"date" : "2024-11-26T16:30:50+00:00",
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"key" : "EHRSFMR2.1-CP.4.2.2-09",
"label" : "CP.4.2.2#09",
"conformance" : [
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"conditionality" : false,
"requirement" : "The system MAY render a notification requesting the parameters (e.g., coefficients, exponents, formulas) required to calculate the body surface area."
},
{
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"valueBoolean" : false
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"key" : "EHRSFMR2.1-CP.4.2.2-10",
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"conditionality" : false,
"requirement" : "The system MAY provide the ability to determine and present dose ranges based on patient age."
},
{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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"key" : "EHRSFMR2.1-CP.4.2.2-11",
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"conditionality" : false,
"requirement" : "The system MAY provide the ability to manage complex medication orders that include dosing based on either physical status or laboratory values."
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{
"extension" : [
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"url" : "http://hl7.org/ehrs/StructureDefinition/requirements-dependent",
"valueBoolean" : false
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],
"key" : "EHRSFMR2.1-CP.4.2.2-12",
"label" : "CP.4.2.2#12",
"conformance" : [
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],
"conditionality" : false,
"requirement" : "The system SHALL provide the ability to determine and present drug dosing based on custom compounded medication components."
},
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"extension" : [
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"valueBoolean" : false
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"conformance" : [
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"conditionality" : false,
"requirement" : "The system SHOULD provide the ability to manage medication orders with patient-specific dose calculations (e.g., by weight, body surface area or genotype)."
}
]
}
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