This is the set of resources that conform to both QICore MedicationRequest (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest) and QICore MedicationRequest (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest).
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | C | 0..* | 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 us-core-21: requester SHALL be present if intent is "order" dom-7: if doNotPerform is present, it SHALL be false | |||||
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children | ||||
implicitRules | ?!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 | ||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
ele-1: All FHIR elements must have a @value or children | |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?! | 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 | ||||
identifier | 0..* | Identifier | External ids for this request ele-1: All FHIR elements must have a @value or children | |||||
status | ?!SΣ | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. ele-1: All FHIR elements must have a @value or children | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children | |||||
intent | ?!SΣ | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children | ||||
category | S | 0..* | CodeableConcept | Type of medication usage Binding: ?? (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. ele-1: All FHIR elements must have a @value or children | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children | ||||
doNotPerform | ?!Σ | 0..1 | boolean | left: (QI) True if medication was not requested; right: (QI) True if the order is not to provide the medication ele-1: All FHIR elements must have a @value or children | ||||
reported[x] | SΣ | 0..1 | (QI) Reported rather than primary record ele-1: All FHIR elements must have a @value or children | |||||
reportedBoolean | boolean S | |||||||
reportedReference | Reference S(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson | #sd-qicore-practitioner-qicore-practitioner) | |||||||
medication[x] | SΣ | 1..1 | (QI) Medication to be taken Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile) | |||||||
subject | SΣ | 1..1 | Reference(QICore Patient | #sd-qicore-patient-qicore-patient) | (QI) Who or group medication request is for ele-1: All FHIR elements must have a @value or children | ||||
encounter | S | 0..1 | Reference(QICore Encounter | #sd-qicore-encounter-qicore-encounter) | (QI) Encounter created as part of encounter/admission/stay ele-1: All FHIR elements must have a @value or children | ||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication ele-1: All FHIR elements must have a @value or children | |||||
authoredOn | SΣ | 0..1 | dateTime | (QI) When request was initially authored ele-1: All FHIR elements must have a @value or children | ||||
requester | SΣ | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient | #sd-qicore-practitioner-qicore-practitioner) | (QI) Who/What requested the Request ele-1: All FHIR elements must have a @value or children | ||||
performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration ele-1: All FHIR elements must have a @value or children | |||||
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. ele-1: All FHIR elements must have a @value or children | ||||
recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request ele-1: All FHIR elements must have a @value or children | |||||
reasonCode | 0..* | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children | |||||
reasonReference | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation | #sd-qicore-condition-encounter-diagnosis-qicore-condition-encounter-diagnosis) | (QI) QI-Core Condition or Observation that supports the prescription ele-1: All FHIR elements must have a @value or children | |||||
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition ele-1: All FHIR elements must have a @value or children | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition ele-1: All FHIR elements must have a @value or children | ||||
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills ele-1: All FHIR elements must have a @value or children | ||||
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of ele-1: All FHIR elements must have a @value or children | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. ele-1: All FHIR elements must have a @value or children | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage ele-1: All FHIR elements must have a @value or children | |||||
note | 0..* | Annotation | Information about the prescription ele-1: All FHIR elements must have a @value or children | |||||
dosageInstruction | S | 0..* | Dosage | (QI) How medication should be taken ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!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 | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions ele-1: All FHIR elements must have a @value or children | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". ele-1: All FHIR elements must have a @value or children | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions ele-1: All FHIR elements must have a @value or children | ||||
timing | SΣ | 0..1 | Timing | (QI) When medication should be administered ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!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 | ||||
event | Σ | 0..* | dateTime | When the event occurs ele-1: All FHIR elements must have a @value or children | ||||
repeat | ΣC | 0..1 | Element | (QI) When the event is to occur ele-1: All FHIR elements must have a @value or children 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 | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
bounds[x] | Σ | 0..1 | (QI) Length/Range of lengths, or (Start and/or end) limits ele-1: All FHIR elements must have a @value or children | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
count | Σ | 0..1 | positiveInt | Number of times to repeat ele-1: All FHIR elements must have a @value or children | ||||
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat ele-1: All FHIR elements must have a @value or children | ||||
duration | Σ | 0..1 | decimal | How long when it happens ele-1: All FHIR elements must have a @value or children | ||||
durationMax | Σ | 0..1 | decimal | How long when it happens (Max) ele-1: All FHIR elements must have a @value or children | ||||
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM). ele-1: All FHIR elements must have a @value or children | ||||
frequency | Σ | 0..1 | positiveInt | (QI) Event occurs frequency times per period ele-1: All FHIR elements must have a @value or children | ||||
frequencyMax | Σ | 0..1 | positiveInt | (QI) Event occurs frequencyMax times per period ele-1: All FHIR elements must have a @value or children | ||||
period | Σ | 0..1 | decimal | (QI) Event occurs frequency times per period ele-1: All FHIR elements must have a @value or children | ||||
periodMax | Σ | 0..1 | decimal | (QI) Upper limit of period (3-4 hours) ele-1: All FHIR elements must have a @value or children | ||||
periodUnit | Σ | 0..1 | code | (QI) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM). ele-1: All FHIR elements must have a @value or children | ||||
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: ?? (required) ele-1: All FHIR elements must have a @value or children | ||||
timeOfDay | Σ | 0..* | time | Time of day for action ele-1: All FHIR elements must have a @value or children | ||||
when | Σ | 0..* | code | Code for time period of occurrence Binding: ?? (required): Real world event relating to the schedule. ele-1: All FHIR elements must have a @value or children | ||||
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after) ele-1: All FHIR elements must have a @value or children | ||||
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: ?? (preferred): Code for a known / defined timing pattern. ele-1: All FHIR elements must have a @value or children | ||||
asNeeded[x] | Σ | 0..1 | (QI) Take "as needed" (for x) Binding: ?? (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. ele-1: All FHIR elements must have a @value or children | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. ele-1: All FHIR elements must have a @value or children | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (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 | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. ele-1: All FHIR elements must have a @value or children | ||||
doseAndRate | SΣ | 0..* | Element | (QI) Amount of medication administered ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. ele-1: All FHIR elements must have a @value or children | ||||
dose[x] | SΣ | 0..1 | (QI) Amount of medication per dose Binding: ?? (preferred)
ele-1: All FHIR elements must have a @value or children | |||||
doseQuantity | Quantity S(SimpleQuantity | ?gen-e2?) | |||||||
doseRange | Range(SimpleQuantity) | |||||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time ele-1: All FHIR elements must have a @value or children | |||||
rateRatio | Ratio(SimpleQuantity) | |||||||
rateRange | Range(SimpleQuantity) | |||||||
rateQuantity | Quantity(SimpleQuantity | ?gen-e2?) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time ele-1: All FHIR elements must have a @value or children | ||||
maxDosePerAdministration | Σ | 0..1 | ??, ?? | Upper limit on medication per administration ele-1: All FHIR elements must have a @value or children | ||||
maxDosePerLifetime | Σ | 0..1 | ??, ?? | Upper limit on medication per lifetime of the patient ele-1: All FHIR elements must have a @value or children | ||||
dispenseRequest | S | 0..1 | BackboneElement | (QI) Medication supply authorization ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!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 | ||||
dispenseInterval | 0..1 | Duration | (QI) Minimum period of time between dispenses ele-1: All FHIR elements must have a @value or children | |||||
validityPeriod | 0..1 | Period | (QI) Time period supply is authorized for ele-1: All FHIR elements must have a @value or children | |||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | (QI) Number of refills authorized ele-1: All FHIR elements must have a @value or children | ||||
quantity | S | 0..1 | ??, ?? | (QI) Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children | ||||
expectedSupplyDuration | 0..1 | Duration | (QI) Number of days supply per dispense ele-1: All FHIR elements must have a @value or children | |||||
performer | 0..1 | Reference(Organization) | Intended dispenser ele-1: All FHIR elements must have a @value or children | |||||
substitution | 0..1 | BackboneElement | Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!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 | ||||
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. ele-1: All FHIR elements must have a @value or children | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept | |||||||
reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. ele-1: All FHIR elements must have a @value or children | |||||
priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced ele-1: All FHIR elements must have a @value or children | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action ele-1: All FHIR elements must have a @value or children | |||||
eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle ele-1: All FHIR elements must have a @value or children | |||||
Documentation for this format |