| Package | hl7.ehrs.uv.ehrsfmr2 |
| Resource Type | Requirements |
| Id | EHRSFMR2-CP.4.2.2 |
| FHIR Version | R5 |
| Source | http://hl7.org/ehrs/uv/ehrsfmr2/https://build.fhir.org/ig/mvdzel/ehrsfm-fhir-r5/Requirements-EHRSFMR2-CP.4.2.2.html |
| URL | http://hl7.org/ehrs/uv/ehrsfmr2/Requirements/EHRSFMR2-CP.4.2.2 |
| Version | 2.1.1-ballot |
| Status | active |
| Date | 2025-05-13T15:11:00+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 | 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. |
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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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"date": "2025-05-13T15:11:00+00:00",
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