FHIR IG analytics| Package | hl7.ehrs.us.dhfpr2 |
| Resource Type | Requirements |
| Id | Requirements-DHFPR2-CP.4.2.2.json |
| FHIR Version | R5 |
| Source | https://build.fhir.org/ig/HL7/dhfp-ig/Requirements-DHFPR2-CP.4.2.2.html |
| URL | http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-CP.4.2.2 |
| Version | 2.0.0-ballot |
| Status | active |
| Date | 2025-12-19T08:44:27+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) |
| Realm | us |
| 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
No resources found
Note: links and images are rebased to the (stated) source
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 profiled |
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. Dental Note: According to scope of practice, organizational policy, and/or jurisdictional law, can be, but is not limited to, an API to Rx module. Could also be entered manually and then cross-checked manually. |
| 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 | SHOULD conditional |
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). |
{
"resourceType": "Requirements",
"id": "DHFPR2-CP.4.2.2",
"meta": {
"profile": [
"http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/FMFunction"
]
},
"language": "en",
"text": {
"status": "extensions",
"div": "<!-- snip (see above) -->"
},
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode": "informative"
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode": "ehr"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger": 1,
"_valueInteger": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical": "http://hl7.org/ehrs/us/dhfpr2/ImplementationGuide/hl7.ehrs.us.dhfpr2"
}
]
}
}
],
"url": "http://hl7.org/ehrs/us/dhfpr2/Requirements/DHFPR2-CP.4.2.2",
"version": "2.0.0-ballot",
"name": "CP_4_2_2_Patient_Specific_Medication_Dosing_and_Warnings",
"title": "CP.4.2.2 Patient-Specific Medication Dosing and Warnings (Function)",
"status": "active",
"date": "2025-12-19T08:44:27+00:00",
"publisher": "HL7 International / Electronic Health Records",
"contact": [
{
"telecom": [
{
"system": "url",
"value": "http://www.hl7.org/Special/committees/ehr"
}
]
}
],
"description": "Render medication dosing and warnings related to a medication order based on patient-specific parameters.",
"jurisdiction": [
{
"coding": [
{
"system": "urn:iso:std:iso:3166",
"code": "US"
}
]
}
],
"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.",
"derivedFrom": [
"http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CP.4.2.2"
],
"statement": [
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "C"
}
],
"key": "DHFPR2-CP.4.2.2-01",
"label": "CP.4.2.2#01",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL conform to function [CPS.4.2.2](Requirements-DHFPR2-CPS.4.2.2.html) (Support for Patient-Specific Dosing and Warnings) to determine potential adverse reactions and render alerts or notifications when new medications are ordered. Dental Note: According to scope of practice, organizational policy, and/or jurisdictional law, can be, but is not limited to, an API to Rx module. Could also be entered manually and then cross-checked manually.",
"derivedFrom": "CP.4.2.2#1"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-02",
"label": "CP.4.2.2#02",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "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.",
"derivedFrom": "CP.4.2.2#2"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-03",
"label": "CP.4.2.2#03",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "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.",
"derivedFrom": "CP.4.2.2#3"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-04",
"label": "CP.4.2.2#04",
"conformance": [
"SHOULD"
],
"conditionality": true,
"requirement": "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.",
"derivedFrom": "CP.4.2.2#4"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-05",
"label": "CP.4.2.2#05",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "The system SHOULD provide the ability to render patient-specific medication dosing recommendations based on the patient's age and weight/body surface area.",
"derivedFrom": "CP.4.2.2#5"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-06",
"label": "CP.4.2.2#06",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "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.",
"derivedFrom": "CP.4.2.2#6"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-07",
"label": "CP.4.2.2#07",
"conformance": [
"SHOULD"
],
"conditionality": false,
"requirement": "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).",
"derivedFrom": "CP.4.2.2#7"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-08",
"label": "CP.4.2.2#08",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "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).",
"derivedFrom": "CP.4.2.2#8"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-09",
"label": "CP.4.2.2#09",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "The system MAY render a notification requesting the parameters (e.g., coefficients, exponents, formulas) required to calculate the body surface area.",
"derivedFrom": "CP.4.2.2#9"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-10",
"label": "CP.4.2.2#10",
"conformance": [
"MAY"
],
"conditionality": false,
"requirement": "The system MAY provide the ability to determine and present dose ranges based on patient age.",
"derivedFrom": "CP.4.2.2#10"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-11",
"label": "CP.4.2.2#11",
"conformance": [
"MAY"
],
"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.",
"derivedFrom": "CP.4.2.2#11"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-12",
"label": "CP.4.2.2#12",
"conformance": [
"SHALL"
],
"conditionality": false,
"requirement": "The system SHALL provide the ability to determine and present drug dosing based on custom compounded medication components.",
"derivedFrom": "CP.4.2.2#12"
},
{
"extension": [
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-dependent",
"valueBoolean": false
},
{
"url": "http://hl7.org/ehrs/uv/ehrsfmr2/StructureDefinition/requirements-change-info",
"valueCode": "NC"
}
],
"key": "DHFPR2-CP.4.2.2-13",
"label": "CP.4.2.2#13",
"conformance": [
"SHOULD"
],
"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).",
"derivedFrom": "CP.4.2.2#13"
}
]
}