QI-Core Implementation Guide, published by HL7 International / Clinical Quality Information. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-qi-core/ and changes regularly. See the Directory of published versions
Official URL: http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest | Version: 7.0.0-ballot | |||
Active as of 2018-08-22 | Computable Name: QICoreMedicationRequest |
Profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
To create an expression specifically requesting information that a MedicationRequest intentionally did not occur for a medical, patient or system reason, use the profile QICore-Medicationnotrequested.
The following example illustrates the use of the MedicationRequest profile:
define "Antithrombotic Therapy at Discharge":
["MedicationRequest": medication in "Antithrombotic Therapy"] Antithrombotic
where (Antithrombotic.isCommunity() or Antithrombotic.isDischarge())
and Antithrombotic.status in { 'active', 'completed' }
and Antithrombotic.intent = 'order'
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreMedicationRequestProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group dom-7: if doNotPerform is present, it SHALL be false | |
status | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown | |
intent | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option | |
doNotPerform | 0..1 | boolean | (QI) True if medication was not requested Fixed Value: false | |
reported[x] | S | 0..1 | (QI) Reported rather than primary record | |
reportedBoolean | boolean | |||
reportedReference | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson) | |||
medication[x] | 1..1 | CodeableConcept, Reference(US Core Medication Profile) | (QI) Medication to be taken | |
subject | 1..1 | Reference(QICore Patient) | (QI) Who or group medication request is for | |
encounter | 0..1 | Reference(QICore Encounter) | (QI) Encounter created as part of encounter/admission/stay | |
authoredOn | 0..1 | dateTime | (QI) When request was initially authored | |
requester | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient) | (QI) Who/What requested the Request | |
reasonCode | 0..* | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication | |
reasonReference | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation) | (QI) QI-Core Condition or Observation that supports the prescription | |
dosageInstruction | 0..* | Dosage | (QI) How medication should be taken | |
timing | 0..1 | Timing | (QI) When medication should be administered | |
repeat | 0..1 | Element | (QI) When the event is to occur | |
bounds[x] | 0..1 | Duration, Range, Period | (QI) Length/Range of lengths, or (Start and/or end) limits | |
frequency | 0..1 | positiveInt | (QI) Event occurs frequency times per period | |
frequencyMax | 0..1 | positiveInt | (QI) Event occurs frequencyMax times per period | |
period | 0..1 | decimal | (QI) Event occurs frequency times per period | |
periodMax | 0..1 | decimal | (QI) Upper limit of period (3-4 hours) | |
periodUnit | 0..1 | code | (QI) s | min | h | d | wk | mo | a - unit of time (UCUM) | |
asNeeded[x] | 0..1 | boolean, CodeableConcept | (QI) Take "as needed" (for x) | |
doseAndRate | 0..* | Element | (QI) Amount of medication administered | |
dose[x] | 0..1 | SimpleQuantity, Range | (QI) Amount of medication per dose | |
dispenseRequest | 0..1 | BackboneElement | (QI) Medication supply authorization | |
initialFill | 0..0 | |||
dispenseInterval | 0..1 | Duration | (QI) Minimum period of time between dispenses | |
validityPeriod | 0..1 | Period | (QI) Time period supply is authorized for | |
numberOfRepeatsAllowed | 0..1 | unsignedInt | (QI) Number of refills authorized | |
quantity | 0..1 | SimpleQuantity | (QI) Amount of medication to supply per dispense | |
expectedSupplyDuration | 0..1 | Duration | (QI) Number of days supply per dispense | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
dom-7 | error | MedicationRequest | if doNotPerform is present, it SHALL be false : doNotPerform.empty() or doNotPerform=false |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | C | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group us-core-21: requester SHALL be present if intent is "order" dom-7: if doNotPerform is present, it SHALL be false | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
Slices for extension | Content/Rules for all slices | |||||||
medicationAdherence | 0..* | (Complex) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
status | ?!SΣ | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
intent | ?!SΣC | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
Slices for category | S | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | ||||
category:us-core | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
doNotPerform | ?!Σ | 0..1 | boolean | (QI) True if medication was not requested Fixed Value: false | ||||
reported[x] | SΣ | 0..1 | (QI) Reported rather than primary record | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson) | |||||||
medication[x] | SΣ | 1..1 | (QI) Medication to be taken Binding: Medication Clinical Drug (extensible) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who or group medication request is for | ||||
encounter | S | 0..1 | Reference(QICore Encounter) | (QI) Encounter created as part of encounter/admission/stay | ||||
authoredOn | SΣ | 0..1 | dateTime | (QI) When request was initially authored | ||||
requester | SΣC | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient) | (QI) Who/What requested the Request | ||||
reasonCode | 0..* | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible) | |||||
reasonReference | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation) | (QI) QI-Core Condition or Observation that supports the prescription | |||||
dosageInstruction | S | 0..* | Dosage | (QI) How medication should be taken | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
timing | SΣ | 0..1 | Timing | (QI) When medication should be administered | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
repeat | ΣC | 0..1 | Element | (QI) 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 | ||||
bounds[x] | Σ | 0..1 | (QI) Length/Range of lengths, or (Start and/or end) limits | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
frequency | Σ | 0..1 | positiveInt | (QI) Event occurs frequency times per period | ||||
frequencyMax | Σ | 0..1 | positiveInt | (QI) Event occurs frequencyMax times per period | ||||
period | Σ | 0..1 | decimal | (QI) Event occurs frequency times per period | ||||
periodMax | Σ | 0..1 | decimal | (QI) Upper limit of period (3-4 hours) | ||||
periodUnit | Σ | 0..1 | code | (QI) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
asNeeded[x] | Σ | 0..1 | (QI) 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. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered | ||||
dose[x] | SΣ | 0..1 | (QI) Amount of medication per dose Binding: Common UCUM units (preferred)
| |||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
dispenseRequest | S | 0..1 | BackboneElement | (QI) Medication supply authorization | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
dispenseInterval | 0..1 | Duration | (QI) Minimum period of time between dispenses | |||||
validityPeriod | 0..1 | Period | (QI) Time period supply is authorized for | |||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | (QI) Number of refills authorized | ||||
quantity | S | 0..1 | SimpleQuantity | (QI) Amount of medication to supply per dispense | ||||
expectedSupplyDuration | 0..1 | Duration | (QI) Number of days supply per dispense | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.category:us-core | required | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
MedicationRequest.reasonCode | extensible | USCoreConditionCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.dose[x] | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard |
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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() | |
dom-7 | error | MedicationRequest | if doNotPerform is present, it SHALL be false : doNotPerform.empty() or doNotPerform=false | |
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 in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
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() | |
us-core-21 | error | MedicationRequest | requester SHALL be present if intent is "order" : (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | C | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group us-core-21: requester SHALL be present if intent is "order" dom-7: if doNotPerform is present, it SHALL be false | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
medicationAdherence | 0..* | (Complex) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External ids for this request | |||||
status | ?!SΣ | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
intent | ?!SΣC | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
Slices for category | S | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | ||||
category:us-core | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
doNotPerform | ?!Σ | 0..1 | boolean | (QI) True if medication was not requested Fixed Value: false | ||||
reported[x] | SΣ | 0..1 | (QI) Reported rather than primary record | |||||
reportedBoolean | boolean S | |||||||
reportedReference | Reference S(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson) | |||||||
medication[x] | SΣ | 1..1 | (QI) Medication to be taken Binding: Medication Clinical Drug (extensible) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who or group medication request is for | ||||
encounter | S | 0..1 | Reference(QICore Encounter) | (QI) Encounter created as part of encounter/admission/stay | ||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
authoredOn | SΣ | 0..1 | dateTime | (QI) When request was initially authored | ||||
requester | SΣC | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient) | (QI) Who/What requested the Request | ||||
performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
reasonCode | 0..* | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible) | |||||
reasonReference | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation) | (QI) QI-Core Condition or Observation that supports the prescription | |||||
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | 0..* | Annotation | Information about the prescription | |||||
dosageInstruction | S | 0..* | Dosage | (QI) How medication should be taken | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | 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". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | SΣ | 0..1 | Timing | (QI) When medication should be administered | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
event | Σ | 0..* | dateTime | When the event occurs | ||||
repeat | ΣC | 0..1 | Element | (QI) 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
bounds[x] | Σ | 0..1 | (QI) Length/Range of lengths, or (Start and/or end) limits | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
count | Σ | 0..1 | positiveInt | Number of times to repeat | ||||
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat | ||||
duration | Σ | 0..1 | decimal | How long when it happens | ||||
durationMax | Σ | 0..1 | decimal | How long when it happens (Max) | ||||
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
frequency | Σ | 0..1 | positiveInt | (QI) Event occurs frequency times per period | ||||
frequencyMax | Σ | 0..1 | positiveInt | (QI) Event occurs frequencyMax times per period | ||||
period | Σ | 0..1 | decimal | (QI) Event occurs frequency times per period | ||||
periodMax | Σ | 0..1 | decimal | (QI) Upper limit of period (3-4 hours) | ||||
periodUnit | Σ | 0..1 | code | (QI) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | ||||
timeOfDay | Σ | 0..* | time | Time of day for action | ||||
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | ||||
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | ||||
asNeeded[x] | Σ | 0..1 | (QI) 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. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body 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. | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
dose[x] | SΣ | 0..1 | (QI) Amount of medication per dose Binding: Common UCUM units (preferred)
| |||||
doseQuantity | Quantity S(SimpleQuantity) | |||||||
doseRange | Range | |||||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
dispenseRequest | S | 0..1 | BackboneElement | (QI) Medication supply authorization | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
dispenseInterval | 0..1 | Duration | (QI) Minimum period of time between dispenses | |||||
validityPeriod | 0..1 | Period | (QI) Time period supply is authorized for | |||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | (QI) Number of refills authorized | ||||
quantity | S | 0..1 | SimpleQuantity | (QI) Amount of medication to supply per dispense | ||||
expectedSupplyDuration | 0..1 | Duration | (QI) Number of days supply per dispense | |||||
performer | 0..1 | Reference(Organization) | Intended dispenser | |||||
substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept | |||||||
reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.category:us-core | required | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | USCoreConditionCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://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|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://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://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.dose[x] | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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() | |
dom-7 | error | MedicationRequest | if doNotPerform is present, it SHALL be false : doNotPerform.empty() or doNotPerform=false | |
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 in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
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() | |
us-core-21 | error | MedicationRequest | requester SHALL be present if intent is "order" : (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists() |
This structure is derived from USCoreMedicationRequestProfile
Summary
Must-Support: 1 element
Fixed: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Differential View
This structure is derived from USCoreMedicationRequestProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group dom-7: if doNotPerform is present, it SHALL be false | |
status | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown | |
intent | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option | |
doNotPerform | 0..1 | boolean | (QI) True if medication was not requested Fixed Value: false | |
reported[x] | S | 0..1 | (QI) Reported rather than primary record | |
reportedBoolean | boolean | |||
reportedReference | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson) | |||
medication[x] | 1..1 | CodeableConcept, Reference(US Core Medication Profile) | (QI) Medication to be taken | |
subject | 1..1 | Reference(QICore Patient) | (QI) Who or group medication request is for | |
encounter | 0..1 | Reference(QICore Encounter) | (QI) Encounter created as part of encounter/admission/stay | |
authoredOn | 0..1 | dateTime | (QI) When request was initially authored | |
requester | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient) | (QI) Who/What requested the Request | |
reasonCode | 0..* | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication | |
reasonReference | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation) | (QI) QI-Core Condition or Observation that supports the prescription | |
dosageInstruction | 0..* | Dosage | (QI) How medication should be taken | |
timing | 0..1 | Timing | (QI) When medication should be administered | |
repeat | 0..1 | Element | (QI) When the event is to occur | |
bounds[x] | 0..1 | Duration, Range, Period | (QI) Length/Range of lengths, or (Start and/or end) limits | |
frequency | 0..1 | positiveInt | (QI) Event occurs frequency times per period | |
frequencyMax | 0..1 | positiveInt | (QI) Event occurs frequencyMax times per period | |
period | 0..1 | decimal | (QI) Event occurs frequency times per period | |
periodMax | 0..1 | decimal | (QI) Upper limit of period (3-4 hours) | |
periodUnit | 0..1 | code | (QI) s | min | h | d | wk | mo | a - unit of time (UCUM) | |
asNeeded[x] | 0..1 | boolean, CodeableConcept | (QI) Take "as needed" (for x) | |
doseAndRate | 0..* | Element | (QI) Amount of medication administered | |
dose[x] | 0..1 | SimpleQuantity, Range | (QI) Amount of medication per dose | |
dispenseRequest | 0..1 | BackboneElement | (QI) Medication supply authorization | |
initialFill | 0..0 | |||
dispenseInterval | 0..1 | Duration | (QI) Minimum period of time between dispenses | |
validityPeriod | 0..1 | Period | (QI) Time period supply is authorized for | |
numberOfRepeatsAllowed | 0..1 | unsignedInt | (QI) Number of refills authorized | |
quantity | 0..1 | SimpleQuantity | (QI) Amount of medication to supply per dispense | |
expectedSupplyDuration | 0..1 | Duration | (QI) Number of days supply per dispense | |
Documentation for this format |
Id | Grade | Path(s) | Details | Requirements |
dom-7 | error | MedicationRequest | if doNotPerform is present, it SHALL be false : doNotPerform.empty() or doNotPerform=false |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | C | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group us-core-21: requester SHALL be present if intent is "order" dom-7: if doNotPerform is present, it SHALL be false | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
Slices for extension | Content/Rules for all slices | |||||||
medicationAdherence | 0..* | (Complex) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
status | ?!SΣ | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
intent | ?!SΣC | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
Slices for category | S | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | ||||
category:us-core | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
doNotPerform | ?!Σ | 0..1 | boolean | (QI) True if medication was not requested Fixed Value: false | ||||
reported[x] | SΣ | 0..1 | (QI) Reported rather than primary record | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson) | |||||||
medication[x] | SΣ | 1..1 | (QI) Medication to be taken Binding: Medication Clinical Drug (extensible) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who or group medication request is for | ||||
encounter | S | 0..1 | Reference(QICore Encounter) | (QI) Encounter created as part of encounter/admission/stay | ||||
authoredOn | SΣ | 0..1 | dateTime | (QI) When request was initially authored | ||||
requester | SΣC | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient) | (QI) Who/What requested the Request | ||||
reasonCode | 0..* | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible) | |||||
reasonReference | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation) | (QI) QI-Core Condition or Observation that supports the prescription | |||||
dosageInstruction | S | 0..* | Dosage | (QI) How medication should be taken | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
timing | SΣ | 0..1 | Timing | (QI) When medication should be administered | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
repeat | ΣC | 0..1 | Element | (QI) 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 | ||||
bounds[x] | Σ | 0..1 | (QI) Length/Range of lengths, or (Start and/or end) limits | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
frequency | Σ | 0..1 | positiveInt | (QI) Event occurs frequency times per period | ||||
frequencyMax | Σ | 0..1 | positiveInt | (QI) Event occurs frequencyMax times per period | ||||
period | Σ | 0..1 | decimal | (QI) Event occurs frequency times per period | ||||
periodMax | Σ | 0..1 | decimal | (QI) Upper limit of period (3-4 hours) | ||||
periodUnit | Σ | 0..1 | code | (QI) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
asNeeded[x] | Σ | 0..1 | (QI) 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. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered | ||||
dose[x] | SΣ | 0..1 | (QI) Amount of medication per dose Binding: Common UCUM units (preferred)
| |||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
dispenseRequest | S | 0..1 | BackboneElement | (QI) Medication supply authorization | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
dispenseInterval | 0..1 | Duration | (QI) Minimum period of time between dispenses | |||||
validityPeriod | 0..1 | Period | (QI) Time period supply is authorized for | |||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | (QI) Number of refills authorized | ||||
quantity | S | 0..1 | SimpleQuantity | (QI) Amount of medication to supply per dispense | ||||
expectedSupplyDuration | 0..1 | Duration | (QI) Number of days supply per dispense | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.category:us-core | required | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
MedicationRequest.reasonCode | extensible | USCoreConditionCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.dose[x] | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard |
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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() | |
dom-7 | error | MedicationRequest | if doNotPerform is present, it SHALL be false : doNotPerform.empty() or doNotPerform=false | |
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 in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
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() | |
us-core-21 | error | MedicationRequest | requester SHALL be present if intent is "order" : (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | C | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group us-core-21: requester SHALL be present if intent is "order" dom-7: if doNotPerform is present, it SHALL be false | ||||
id | Σ | 0..1 | id | Logical id of this artifact | ||||
meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
medicationAdherence | 0..* | (Complex) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | 0..* | Identifier | External ids for this request | |||||
status | ?!SΣ | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
intent | ?!SΣC | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
Slices for category | S | 0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | ||||
category:us-core | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
doNotPerform | ?!Σ | 0..1 | boolean | (QI) True if medication was not requested Fixed Value: false | ||||
reported[x] | SΣ | 0..1 | (QI) Reported rather than primary record | |||||
reportedBoolean | boolean S | |||||||
reportedReference | Reference S(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson) | |||||||
medication[x] | SΣ | 1..1 | (QI) Medication to be taken Binding: Medication Clinical Drug (extensible) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(QICore Patient) | (QI) Who or group medication request is for | ||||
encounter | S | 0..1 | Reference(QICore Encounter) | (QI) Encounter created as part of encounter/admission/stay | ||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
authoredOn | SΣ | 0..1 | dateTime | (QI) When request was initially authored | ||||
requester | SΣC | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient) | (QI) Who/What requested the Request | ||||
performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
reasonCode | 0..* | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication Binding: US Core Condition Codes (extensible) | |||||
reasonReference | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation) | (QI) QI-Core Condition or Observation that supports the prescription | |||||
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | 0..* | Annotation | Information about the prescription | |||||
dosageInstruction | S | 0..* | Dosage | (QI) How medication should be taken | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | 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". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | SΣ | 0..1 | Timing | (QI) When medication should be administered | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
event | Σ | 0..* | dateTime | When the event occurs | ||||
repeat | ΣC | 0..1 | Element | (QI) 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 | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
bounds[x] | Σ | 0..1 | (QI) Length/Range of lengths, or (Start and/or end) limits | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
count | Σ | 0..1 | positiveInt | Number of times to repeat | ||||
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat | ||||
duration | Σ | 0..1 | decimal | How long when it happens | ||||
durationMax | Σ | 0..1 | decimal | How long when it happens (Max) | ||||
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
frequency | Σ | 0..1 | positiveInt | (QI) Event occurs frequency times per period | ||||
frequencyMax | Σ | 0..1 | positiveInt | (QI) Event occurs frequencyMax times per period | ||||
period | Σ | 0..1 | decimal | (QI) Event occurs frequency times per period | ||||
periodMax | Σ | 0..1 | decimal | (QI) Upper limit of period (3-4 hours) | ||||
periodUnit | Σ | 0..1 | code | (QI) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) | ||||
timeOfDay | Σ | 0..* | time | Time of day for action | ||||
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. | ||||
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after) | ||||
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. | ||||
asNeeded[x] | Σ | 0..1 | (QI) 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. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body 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. | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
dose[x] | SΣ | 0..1 | (QI) Amount of medication per dose Binding: Common UCUM units (preferred)
| |||||
doseQuantity | Quantity S(SimpleQuantity) | |||||||
doseRange | Range | |||||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
dispenseRequest | S | 0..1 | BackboneElement | (QI) Medication supply authorization | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
dispenseInterval | 0..1 | Duration | (QI) Minimum period of time between dispenses | |||||
validityPeriod | 0..1 | Period | (QI) Time period supply is authorized for | |||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | (QI) Number of refills authorized | ||||
quantity | S | 0..1 | SimpleQuantity | (QI) Amount of medication to supply per dispense | ||||
expectedSupplyDuration | 0..1 | Duration | (QI) Number of days supply per dispense | |||||
performer | 0..1 | Reference(Organization) | Intended dispenser | |||||
substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept | |||||||
reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent from the FHIR Standard | ||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.category:us-core | required | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | extensible | USCoreConditionCodeshttp://hl7.org/fhir/us/core/ValueSet/us-core-condition-code | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://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|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.timing.code | preferred | TimingAbbreviationhttp://hl7.org/fhir/ValueSet/timing-abbreviation from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://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://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.doseAndRate.dose[x] | preferred | Common UCUM units
http://hl7.org/fhir/ValueSet/ucum-common from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | 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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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() | |
dom-7 | error | MedicationRequest | if doNotPerform is present, it SHALL be false : doNotPerform.empty() or doNotPerform=false | |
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 in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
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() | |
us-core-21 | error | MedicationRequest | requester SHALL be present if intent is "order" : (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists() |