Medication Prescription and Dispense (MPD)
0.1.0 - ci-build
Medication Prescription and Dispense (MPD), published by Integrating the Healthcare Enterprise (IHE). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/pharm-mpd/tree/master and changes regularly. See the Directory of published versions
Official URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/IHEMedicationOrder | Version: 0.1.0 | |||
Active as of 2025-03-30 | Computable Name: IHEMedicationOrder | |||
Copyright/Legal: IHE http://www.ihe.net/Governance/#Intellectual_Property |
IHE Medication Order profile
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | MedicationRequest | Ordering of medication for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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0..* | Resource | Contained, inline Resources | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | (Complex) | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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0..* | Identifier | Prescription/prescribed item ID ele-1: All FHIR elements must have a @value or children | |
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SΣ | 0..1 | Identifier | Prescription this is part of. Not needed if a presciption includes only one prescribed item. ele-1: All FHIR elements must have a @value or children |
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?!SΣ | 1..1 | code | Status of the order Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodeableConcept | Reason for current status Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children |
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?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children |
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S | 0..* | CodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered. ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | boolean | True if patient is to stop taking or not to start taking the medication ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | CodeableReference(IHE Medication) | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | dateTime | When request was initially authored ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request ele-1: All FHIR elements must have a @value or children |
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S | 0..* | CodeableReference(Condition | Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered. ele-1: All FHIR elements must have a @value or children |
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S | 0..* | Annotation | Information about the prescription ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | Period | Period over which the medication is to be taken ele-1: All FHIR elements must have a @value or children |
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S | 0..* | Dosage | How the medication should be taken. ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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Σ | 0..1 | string | Free text dosage instructions ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | string | Patient or consumer oriented instructions ele-1: All FHIR elements must have a @value or children |
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Σ | 0..1 | Timing | Administration schedule ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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Σ | 0..1 | CodeableConcept | A code for the timing schedule. Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. ele-1: All FHIR elements must have a @value or children |
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Σ | 0..1 | CodeableConcept | Route of administration Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. ele-1: All FHIR elements must have a @value or children |
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0..1 | BackboneElement | Medication supply authorization ele-1: All FHIR elements must have a @value or children | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 0..1 | Period | Time period supply is authorized for ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | BackboneElement | Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed. ele-1: All FHIR elements must have a @value or children | ||
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boolean | |||
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CodeableConcept | |||
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Path | Conformance | ValueSet | URI |
MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0 from the FHIR Standard | |
MedicationRequest.statusReason | example | MedicationRequestStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | |
MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0 from the FHIR Standard | |
MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard | |
MedicationRequest.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.reason | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | |
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | |
MedicationRequest.substitution.allowed[x] | preferred | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | MedicationRequest | Ordering of medication for patient or group | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel | |
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0..* | Identifier | Prescription/prescribed item ID | |
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S | 0..1 | Identifier | Prescription this is part of. Not needed if a presciption includes only one prescribed item. |
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S | 1..1 | code | Status of the order |
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S | 0..1 | CodeableConcept | Reason for current status |
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S | 0..* | CodeableConcept | Grouping or category of medication request |
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S | 1..1 | CodeableReference(IHE Medication) | Medication to be taken |
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S | 1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested |
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S | 1..1 | dateTime | When request was initially authored |
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1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | |
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S | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request |
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S | 0..* | CodeableReference(Condition | Observation) | Reason or indication for ordering or not ordering the medication |
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S | 0..* | Annotation | Information about the prescription |
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S | 0..1 | Period | Period over which the medication is to be taken |
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S | 0..* | Dosage | How the medication should be taken. |
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0..1 | string | Free text dosage instructions | |
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S | 0..1 | string | Patient or consumer oriented instructions |
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0..1 | Timing | Administration schedule | |
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0..1 | decimal | Duration of the treatment | |
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0..1 | positiveInt | Frequency times per period | |
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0..1 | decimal | Duration of time over which repetitions are to occur | |
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0..1 | code | Unit of the period (e.g. day) | |
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0..1 | CodeableConcept | A code for the timing schedule. | |
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0..1 | CodeableConcept | Route of administration | |
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0..1 | Range, SimpleQuantity | Amount of medication per dose Slice: Unordered, Open by type:$this | |
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0..1 | SimpleQuantity | Amount of medication per dose | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity | |
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S | 0..1 | Period | Time period supply is authorized for |
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S | 0..1 | BackboneElement | Any restrictions on medication substitution |
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Name | Flags | Card. | Type | Description & Constraints![]() | ||||
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0..* | MedicationRequest | Ordering of medication for patient or group | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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0..* | Identifier | Prescription/prescribed item ID | |||||
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Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | A plan or request that is fulfilled in whole or in part by this medication request | ||||
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0..1 | Reference(MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest | |||||
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SΣ | 0..1 | Identifier | Prescription this is part of. Not needed if a presciption includes only one prescribed item. | ||||
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?!SΣ | 1..1 | code | Status of the order Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
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S | 0..1 | CodeableConcept | Reason for current status Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status. | ||||
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0..1 | dateTime | When the status was changed | |||||
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?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order. | ||||
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S | 0..* | CodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered. | ||||
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Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
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?!Σ | 0..1 | boolean | True if patient is to stop taking or not to start taking the medication | ||||
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SΣ | 1..1 | CodeableReference(IHE Medication) | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||
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SΣ | 1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested | ||||
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0..* | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor | |||||
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0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
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0..* | Reference(Resource) | Information to support fulfilling of the medication | |||||
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SΣ | 1..1 | dateTime | When request was initially authored | ||||
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | ||||
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Σ | 0..1 | boolean | Reported rather than primary record | ||||
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Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication. | ||||
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0..* | Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) | Intended performer of administration | |||||
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0..* | CodeableReference(DeviceDefinition) | Intended type of device for the administration | |||||
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S | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | ||||
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S | 0..* | CodeableReference(Condition | Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered. | ||||
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0..1 | CodeableConcept | Overall pattern of medication administration Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio. | |||||
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0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
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S | 0..* | Annotation | Information about the prescription | ||||
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0..1 | markdown | Full representation of the dosage instructions | |||||
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S | 0..1 | Period | Period over which the medication is to be taken | ||||
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S | 0..* | Dosage | How the medication should be taken. | ||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | integer | The order of the dosage instructions | ||||
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Σ | 0..1 | string | Free text dosage instructions | ||||
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Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
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SΣ | 0..1 | string | Patient or consumer oriented instructions | ||||
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Σ | 0..1 | Timing | Administration schedule | ||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..* | dateTime | When the event occurs | ||||
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ΣC | 0..1 | Element | When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |||||
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Duration | |||||||
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Range | |||||||
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Period | |||||||
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ΣC | 0..1 | positiveInt | Number of times to repeat | ||||
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ΣC | 0..1 | positiveInt | Maximum number of times to repeat | ||||
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ΣC | 0..1 | decimal | Duration of the treatment | ||||
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ΣC | 0..1 | decimal | How long when it happens (Max) | ||||
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ΣC | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
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Σ | 0..1 | positiveInt | Frequency times per period | ||||
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Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period | ||||
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ΣC | 0..1 | decimal | Duration of time over which repetitions are to occur | ||||
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ΣC | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
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ΣC | 0..1 | code | Unit of the period (e.g. day) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
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Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | ||||
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ΣC | 0..* | time | Time of day for action | ||||
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ΣC | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real-world event relating to the schedule. | ||||
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ΣC | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
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Σ | 0..1 | CodeableConcept | A code for the timing schedule. Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | ||||
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ΣC | 0..1 | boolean | Take "as needed" | ||||
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ΣC | 0..* | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
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Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
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Σ | 0..1 | CodeableConcept | Route of administration Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
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Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
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Σ | 0..* | Element | Amount of medication administered, to be administered or typical amount to be administered | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
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Σ | 0..1 | Amount of medication per dose Slice: Unordered, Open by type:$this | |||||
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Range | |||||||
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Quantity(SimpleQuantity) | |||||||
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Σ | 0..1 | SimpleQuantity | Amount of medication per dose | ||||
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Σ | 0..1 | Amount of medication per unit of time | |||||
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Ratio | |||||||
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Range | |||||||
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Quantity(SimpleQuantity) | |||||||
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Σ | 0..* | Ratio | Upper limit on medication per unit of time | ||||
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Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
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Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
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0..1 | BackboneElement | Medication supply authorization | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | BackboneElement | First fill details | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | SimpleQuantity | First fill quantity | |||||
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0..1 | Duration | First fill duration | |||||
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0..1 | Duration | Minimum period of time between dispenses | |||||
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S | 0..1 | Period | Time period supply is authorized for | ||||
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0..1 | unsignedInt | Number of refills authorized | |||||
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0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
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0..1 | Duration | Number of days supply per dispense | |||||
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0..1 | Reference(Organization) | Intended performer of dispense | |||||
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0..* | Annotation | Additional information for the dispenser | |||||
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0..1 | CodeableConcept | Type of adherence packaging to use for the dispense Binding: MedicationDoseAids (example) | |||||
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S | 0..1 | BackboneElement | Any restrictions on medication substitution | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed. | ||||||
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boolean | |||||||
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CodeableConcept | |||||||
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0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason | |||||
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0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
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Path | Conformance | ValueSet | URI |
MedicationRequest.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0 from the FHIR Standard | |
MedicationRequest.statusReason | example | MedicationRequestStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | |
MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0 from the FHIR Standard | |
MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard | |
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard | |
MedicationRequest.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.performerType | extensible | MedicationIntendedPerformerRolehttp://hl7.org/fhir/ValueSet/medication-intended-performer-role from the FHIR Standard | |
MedicationRequest.reason | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
MedicationRequest.courseOfTherapyType | extensible | MedicationRequestCourseOfTherapyCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | |
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|5.0.0 from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|5.0.0 from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | |
MedicationRequest.dosageInstruction.asNeededFor | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | |
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureAdministrationSiteshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | |
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | |
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | |
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://terminology.hl7.org/ValueSet/dose-rate-type | |
MedicationRequest.dispenseRequest.doseAdministrationAid | example | MedicationDoseAidshttp://hl7.org/fhir/ValueSet/medication-dose-aid from the FHIR Standard | |
MedicationRequest.substitution.allowed[x] | preferred | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse()) | |
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from MedicationRequest
Summary
Mandatory: 2 elements
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
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0..* | MedicationRequest | Ordering of medication for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
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?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
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0..* | Resource | Contained, inline Resources | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | (Complex) | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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0..* | Identifier | Prescription/prescribed item ID ele-1: All FHIR elements must have a @value or children | |
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SΣ | 0..1 | Identifier | Prescription this is part of. Not needed if a presciption includes only one prescribed item. ele-1: All FHIR elements must have a @value or children |
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?!SΣ | 1..1 | code | Status of the order Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | CodeableConcept | Reason for current status Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children |
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?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children |
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S | 0..* | CodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered. ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..1 | boolean | True if patient is to stop taking or not to start taking the medication ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | CodeableReference(IHE Medication) | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested ele-1: All FHIR elements must have a @value or children |
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SΣ | 1..1 | dateTime | When request was initially authored ele-1: All FHIR elements must have a @value or children |
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request ele-1: All FHIR elements must have a @value or children |
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S | 0..* | CodeableReference(Condition | Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered. ele-1: All FHIR elements must have a @value or children |
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S | 0..* | Annotation | Information about the prescription ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | Period | Period over which the medication is to be taken ele-1: All FHIR elements must have a @value or children |
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S | 0..* | Dosage | How the medication should be taken. ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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Σ | 0..1 | string | Free text dosage instructions ele-1: All FHIR elements must have a @value or children |
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SΣ | 0..1 | string | Patient or consumer oriented instructions ele-1: All FHIR elements must have a @value or children |
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Σ | 0..1 | Timing | Administration schedule ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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Σ | 0..1 | CodeableConcept | A code for the timing schedule. Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. ele-1: All FHIR elements must have a @value or children |
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Σ | 0..1 | CodeableConcept | Route of administration Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. ele-1: All FHIR elements must have a @value or children |
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0..1 | BackboneElement | Medication supply authorization ele-1: All FHIR elements must have a @value or children | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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S | 0..1 | Period | Time period supply is authorized for ele-1: All FHIR elements must have a @value or children |
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S | 0..1 | BackboneElement | Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children |
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
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1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed. ele-1: All FHIR elements must have a @value or children | ||
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boolean | |||
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CodeableConcept | |||
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Path | Conformance | ValueSet | URI |
MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0 from the FHIR Standard | |
MedicationRequest.statusReason | example | MedicationRequestStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | |
MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0 from the FHIR Standard | |
MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard | |
MedicationRequest.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.reason | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | |
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | |
MedicationRequest.substitution.allowed[x] | preferred | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
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0..* | MedicationRequest | Ordering of medication for patient or group | |
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | (Complex) | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel | |
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0..* | Identifier | Prescription/prescribed item ID | |
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S | 0..1 | Identifier | Prescription this is part of. Not needed if a presciption includes only one prescribed item. |
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S | 1..1 | code | Status of the order |
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S | 0..1 | CodeableConcept | Reason for current status |
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S | 0..* | CodeableConcept | Grouping or category of medication request |
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S | 1..1 | CodeableReference(IHE Medication) | Medication to be taken |
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S | 1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested |
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S | 1..1 | dateTime | When request was initially authored |
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1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | |
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S | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request |
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S | 0..* | CodeableReference(Condition | Observation) | Reason or indication for ordering or not ordering the medication |
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S | 0..* | Annotation | Information about the prescription |
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S | 0..1 | Period | Period over which the medication is to be taken |
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S | 0..* | Dosage | How the medication should be taken. |
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0..1 | string | Free text dosage instructions | |
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S | 0..1 | string | Patient or consumer oriented instructions |
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0..1 | Timing | Administration schedule | |
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||||
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0..1 | decimal | Duration of the treatment | |
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0..1 | positiveInt | Frequency times per period | |
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0..1 | decimal | Duration of time over which repetitions are to occur | |
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0..1 | code | Unit of the period (e.g. day) | |
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0..1 | CodeableConcept | A code for the timing schedule. | |
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0..1 | CodeableConcept | Route of administration | |
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||||
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0..1 | Range, SimpleQuantity | Amount of medication per dose Slice: Unordered, Open by type:$this | |
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0..1 | SimpleQuantity | Amount of medication per dose | |
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||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |
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0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity | |
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S | 0..1 | Period | Time period supply is authorized for |
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S | 0..1 | BackboneElement | Any restrictions on medication substitution |
![]() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||
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Σ | 0..1 | id | Logical id of this artifact | ||||
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Σ | 0..1 | Meta | Metadata about the resource | ||||
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?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
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0..1 | code | Language of the resource content Binding: AllLanguages (required): IETF language tag for a human language
| |||||
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0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
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0..* | Resource | Contained, inline Resources | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | (Complex) | Indicates that the prescriber has knowingly prescribed the medication for an indication, age group, dosage, or route of administration that is not approved by the regulatory agencies and is not mentioned in the prescribing information for the product. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-offLabel | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
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0..* | Identifier | Prescription/prescribed item ID | |||||
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Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | A plan or request that is fulfilled in whole or in part by this medication request | ||||
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0..1 | Reference(MedicationRequest) | Reference to an order/prescription that is being replaced by this MedicationRequest | |||||
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SΣ | 0..1 | Identifier | Prescription this is part of. Not needed if a presciption includes only one prescribed item. | ||||
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?!SΣ | 1..1 | code | Status of the order Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
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S | 0..1 | CodeableConcept | Reason for current status Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status. | ||||
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0..1 | dateTime | When the status was changed | |||||
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?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: MedicationRequestIntent (required): The kind of medication order. | ||||
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S | 0..* | CodeableConcept | Grouping or category of medication request Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered. | ||||
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Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
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?!Σ | 0..1 | boolean | True if patient is to stop taking or not to start taking the medication | ||||
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SΣ | 1..1 | CodeableReference(IHE Medication) | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||
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SΣ | 1..1 | Reference(Patient | Group) | Individual or group for whom the medication has been requested | ||||
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0..* | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | The person or organization who provided the information about this request, if the source is someone other than the requestor | |||||
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0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
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0..* | Reference(Resource) | Information to support fulfilling of the medication | |||||
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SΣ | 1..1 | dateTime | When request was initially authored | ||||
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Σ | 1..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | ||||
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Σ | 0..1 | boolean | Reported rather than primary record | ||||
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Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication. | ||||
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0..* | Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) | Intended performer of administration | |||||
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0..* | CodeableReference(DeviceDefinition) | Intended type of device for the administration | |||||
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S | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | ||||
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S | 0..* | CodeableReference(Condition | Observation) | Reason or indication for ordering or not ordering the medication Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered. | ||||
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0..1 | CodeableConcept | Overall pattern of medication administration Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio. | |||||
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0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
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S | 0..* | Annotation | Information about the prescription | ||||
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0..1 | markdown | Full representation of the dosage instructions | |||||
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S | 0..1 | Period | Period over which the medication is to be taken | ||||
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S | 0..* | Dosage | How the medication should be taken. | ||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..1 | integer | The order of the dosage instructions | ||||
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Σ | 0..1 | string | Free text dosage instructions | ||||
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Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
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SΣ | 0..1 | string | Patient or consumer oriented instructions | ||||
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Σ | 0..1 | Timing | Administration schedule | ||||
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0..1 | id | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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Σ | 0..* | dateTime | When the event occurs | ||||
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ΣC | 0..1 | Element | When the event is to occur tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |||||
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Duration | |||||||
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Range | |||||||
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Period | |||||||
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ΣC | 0..1 | positiveInt | Number of times to repeat | ||||
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ΣC | 0..1 | positiveInt | Maximum number of times to repeat | ||||
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ΣC | 0..1 | decimal | Duration of the treatment | ||||
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ΣC | 0..1 | decimal | How long when it happens (Max) | ||||
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ΣC | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
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Σ | 0..1 | positiveInt | Frequency times per period | ||||
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Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period | ||||
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ΣC | 0..1 | decimal | Duration of time over which repetitions are to occur | ||||
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ΣC | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
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ΣC | 0..1 | code | Unit of the period (e.g. day) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
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Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | ||||
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ΣC | 0..* | time | Time of day for action | ||||
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ΣC | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real-world event relating to the schedule. | ||||
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ΣC | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
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Σ | 0..1 | CodeableConcept | A code for the timing schedule. Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | ||||
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ΣC | 0..1 | boolean | Take "as needed" | ||||
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ΣC | 0..* | CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||
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Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
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Σ | 0..1 | CodeableConcept | Route of administration Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
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Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
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Σ | 0..* | Element | Amount of medication administered, to be administered or typical amount to be administered | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
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Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
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Σ | 0..1 | Amount of medication per dose Slice: Unordered, Open by type:$this | |||||
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Range | |||||||
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Quantity(SimpleQuantity) | |||||||
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Σ | 0..1 | SimpleQuantity | Amount of medication per dose | ||||
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Σ | 0..1 | Amount of medication per unit of time | |||||
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Ratio | |||||||
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Range | |||||||
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Quantity(SimpleQuantity) | |||||||
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Σ | 0..* | Ratio | Upper limit on medication per unit of time | ||||
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Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
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Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
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0..1 | BackboneElement | Medication supply authorization | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
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0..1 | Quantity | Overall amount of product prescribed, independent from the number of repeats. URL: http://profiles.ihe.net/PHARM/MPD/StructureDefinition/ihe-ext-medicationrequest-prescribedQuantity | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | BackboneElement | First fill details | |||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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0..1 | SimpleQuantity | First fill quantity | |||||
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0..1 | Duration | First fill duration | |||||
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0..1 | Duration | Minimum period of time between dispenses | |||||
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S | 0..1 | Period | Time period supply is authorized for | ||||
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0..1 | unsignedInt | Number of refills authorized | |||||
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0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
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0..1 | Duration | Number of days supply per dispense | |||||
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0..1 | Reference(Organization) | Intended performer of dispense | |||||
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0..* | Annotation | Additional information for the dispenser | |||||
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0..1 | CodeableConcept | Type of adherence packaging to use for the dispense Binding: MedicationDoseAids (example) | |||||
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S | 0..1 | BackboneElement | Any restrictions on medication substitution | ||||
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0..1 | string | Unique id for inter-element referencing | |||||
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0..* | Extension | Additional content defined by implementations | |||||
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?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
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1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed. | ||||||
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boolean | |||||||
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CodeableConcept | |||||||
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0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason | |||||
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0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
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Path | Conformance | ValueSet | URI |
MedicationRequest.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard | |
MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0 from the FHIR Standard | |
MedicationRequest.statusReason | example | MedicationRequestStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | |
MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0 from the FHIR Standard | |
MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard | |
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard | |
MedicationRequest.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard | |
MedicationRequest.performerType | extensible | MedicationIntendedPerformerRolehttp://hl7.org/fhir/ValueSet/medication-intended-performer-role from the FHIR Standard | |
MedicationRequest.reason | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | |
MedicationRequest.courseOfTherapyType | extensible | MedicationRequestCourseOfTherapyCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | |
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|5.0.0 from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|5.0.0 from the FHIR Standard | |
MedicationRequest.dosageInstruction.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | |
MedicationRequest.dosageInstruction.asNeededFor | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | |
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureAdministrationSiteshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | |
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard | |
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | |
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://terminology.hl7.org/ValueSet/dose-rate-type | |
MedicationRequest.dispenseRequest.doseAdministrationAid | example | MedicationDoseAidshttp://hl7.org/fhir/ValueSet/medication-dose-aid from the FHIR Standard | |
MedicationRequest.substitution.allowed[x] | preferred | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse()) | |
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from MedicationRequest
Summary
Mandatory: 2 elements
Must-Support: 15 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron