Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide
0.1.0 - ci-build Kenya flag

Kenya National Cancer Control Programme (NCCP) FHIR Implementation Guide, published by Digital Health Agency (DHA), Kenya. 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/IntelliSOFT-Consulting/nccpFHIRIG/ and changes regularly. See the Directory of published versions

Resource Profile: NCCP Chemotherapy Medication Request

Official URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-chemotherapy-medication-request Version: 0.1.0
Draft as of 2026-06-04 Computable Name: ChemotherapyMedicationRequest

Electronic prescription for a chemotherapy agent, including dose, route, cycle timing and BSA-based dosing details.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... meta Σ 0..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycleNumber S 0..* integer Cycle Number Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-number-extension
.... extension:cycleDayStart S 1..1 integer Cycle Day Start Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-start-extension
.... extension:cycleDayEnd S 1..1 integer Cycle Day End Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-end-extension
.... extension:appliesFromCycle S 0..1 integer Applies From Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-from-cycle-extension
.... extension:appliesToCycle S 0..1 integer Applies To Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-to-cycle-extension
.... extension:clinicalCategory S 1..1 code Clinical Category Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-clinical-category-extension
Binding: Kenya Medication Clinical Category Value Set (required)
.... extension:bsaBasedDose S 0..1 boolean BSA Based Dose Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-bsa-based-dose-extension
.... extension:dosePerUnit S 0..1 Quantity Dose Per Unit Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-dose-per-unit-extension
.... extension:treatmentIntent S 0..1 code Treatment Intent Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-intent-extension
Binding: Kenya Treatment Intent Value Set (required)
... identifier S 1..* Identifier External ids for this request
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required)
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Kenya MedicationRequest Status Reason Value Set (required)
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required)
... category S 1..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (required)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] SΣ 1..1 CodeableConcept Medication to be taken
Binding: Kenya Generic Oncology Products Value Set (required)
... subject SΣ 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... reasonReference S 1..* Reference(NCCP Oncology Diagnosis Condition) Condition or observation that supports why the prescription is being written
... basedOn SΣ 1..* Reference(CarePlan) What request fulfills
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage How the 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 Σ 0..1 Timing When medication should be administered
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat ΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... frequency SΣ 0..1 positiveInt Event occurs frequency times per period
...... period SΣ 0..1 decimal Event occurs frequency times per period
...... periodUnit SΣ 1..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
.... route SΣ 1..1 CodeableConcept How drug should enter body
Binding: Kenya PPB Route of Administration Value Set (required)
.... method SΣ 0..1 CodeableConcept Technique for administering medication
Binding: Kenya PPB Route of Administration Value Set (required)
.... doseAndRate Σ 0..* Element Amount of medication administered
..... Slices for dose[x] Σ 1..1 SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity SΣ 1..1 SimpleQuantity Amount of medication per dose
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity S 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.statusReason Base required Kenya MedicationRequest Status Reason Value Set 📦0.1.0 This IG
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📦4.0.1 FHIR Std.
MedicationRequest.medication[x] Base required Kenya Generic Oncology Products Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​method Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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()
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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... meta
.... profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycleNumber S 0..* integer Cycle Number Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-number-extension
.... extension:cycleDayStart S 1..1 integer Cycle Day Start Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-start-extension
.... extension:cycleDayEnd S 1..1 integer Cycle Day End Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-end-extension
.... extension:appliesFromCycle S 0..1 integer Applies From Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-from-cycle-extension
.... extension:appliesToCycle S 0..1 integer Applies To Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-to-cycle-extension
.... extension:clinicalCategory S 1..1 code Clinical Category Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-clinical-category-extension
Binding: Kenya Medication Clinical Category Value Set (required)
.... extension:bsaBasedDose S 0..1 boolean BSA Based Dose Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-bsa-based-dose-extension
.... extension:dosePerUnit S 0..1 Quantity Dose Per Unit Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-dose-per-unit-extension
.... extension:treatmentIntent S 0..1 code Treatment Intent Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-intent-extension
Binding: Kenya Treatment Intent Value Set (required)
... identifier S 1..* Identifier External ids for this request
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Kenya MedicationRequest Status Reason Value Set (required)
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required)
... category S 1..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (required)
... priority S 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required)
... medication[x] S 1..1 CodeableConcept Medication to be taken
Binding: Kenya Generic Oncology Products Value Set (required)
... subject S 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... authoredOn S 1..1 dateTime When request was initially authored
... requester S 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... reasonReference S 1..* Reference(NCCP Oncology Diagnosis Condition) Condition or observation that supports why the prescription is being written
... basedOn S 1..* Reference(CarePlan) What request fulfills
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage How the medication should be taken
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... timing
..... repeat
...... frequency S 0..1 positiveInt Event occurs frequency times per period
...... period S 0..1 decimal Event occurs frequency times per period
...... periodUnit S 1..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
.... route S 1..1 CodeableConcept How drug should enter body
Binding: Kenya PPB Route of Administration Value Set (required)
.... method S 0..1 CodeableConcept Technique for administering medication
Binding: Kenya PPB Route of Administration Value Set (required)
.... doseAndRate
..... Slices for dose[x] 1..1 SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S 1..1 SimpleQuantity Amount of medication per dose
... dispenseRequest
.... quantity S 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.statusReason Base required Kenya MedicationRequest Status Reason Value Set 📦0.1.0 This IG
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📦4.0.1 FHIR Std.
MedicationRequest.medication[x] Base required Kenya Generic Oncology Products Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​route Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​method Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycleNumber S 0..* integer Cycle Number Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-number-extension
.... extension:cycleDayStart S 1..1 integer Cycle Day Start Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-start-extension
.... extension:cycleDayEnd S 1..1 integer Cycle Day End Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-end-extension
.... extension:appliesFromCycle S 0..1 integer Applies From Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-from-cycle-extension
.... extension:appliesToCycle S 0..1 integer Applies To Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-to-cycle-extension
.... extension:clinicalCategory S 1..1 code Clinical Category Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-clinical-category-extension
Binding: Kenya Medication Clinical Category Value Set (required)
.... extension:bsaBasedDose S 0..1 boolean BSA Based Dose Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-bsa-based-dose-extension
.... extension:dosePerUnit S 0..1 Quantity Dose Per Unit Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-dose-per-unit-extension
.... extension:treatmentIntent S 0..1 code Treatment Intent Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-intent-extension
Binding: Kenya Treatment Intent Value Set (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 1..* Identifier External ids for this request
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required)
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Kenya MedicationRequest Status Reason Value Set (required)
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required)
... category S 1..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (required)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] SΣ 1..1 CodeableConcept Medication to be taken
Binding: Kenya Generic Oncology Products Value Set (required)
... subject SΣ 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) 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 Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference S 1..* Reference(NCCP Oncology Diagnosis Condition) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 1..* Reference(CarePlan) 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 S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage How the 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 Σ 0..1 Timing 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 When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... 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 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 SΣ 0..1 positiveInt Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Event occurs frequency times per period
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 1..1 code 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 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 SΣ 1..1 CodeableConcept How drug should enter body
Binding: Kenya PPB Route of Administration Value Set (required)
.... method SΣ 0..1 CodeableConcept Technique for administering medication
Binding: Kenya PPB Route of Administration Value Set (required)
.... doseAndRate Σ 0..* Element 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.
..... Slices for dose[x] Σ 1..1 SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity SΣ 1..1 SimpleQuantity Amount of medication per dose
..... 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(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement 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
.... initialFill 0..1 BackboneElement First fill details
..... 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
..... quantity 0..1 SimpleQuantity(4.0.1) First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity S 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration 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: V3 Value SetActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: V3 Value SetSubstanceAdminSubstitutionReason (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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.statusReason Base required Kenya MedicationRequest Status Reason Value Set 📦0.1.0 This IG
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📦4.0.1 FHIR Std.
MedicationRequest.medication[x] Base required Kenya Generic Oncology Products Value Set 📦0.1.0 This IG
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​method Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example V3 Value SetActSubstanceAdminSubstitutionCode 📦2014-03-26 FHIR Std.
MedicationRequest.substitution.​reason Base example V3 Value SetSubstanceAdminSubstitutionReason 📦2014-03-26 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... meta Σ 0..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycleNumber S 0..* integer Cycle Number Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-number-extension
.... extension:cycleDayStart S 1..1 integer Cycle Day Start Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-start-extension
.... extension:cycleDayEnd S 1..1 integer Cycle Day End Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-end-extension
.... extension:appliesFromCycle S 0..1 integer Applies From Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-from-cycle-extension
.... extension:appliesToCycle S 0..1 integer Applies To Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-to-cycle-extension
.... extension:clinicalCategory S 1..1 code Clinical Category Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-clinical-category-extension
Binding: Kenya Medication Clinical Category Value Set (required)
.... extension:bsaBasedDose S 0..1 boolean BSA Based Dose Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-bsa-based-dose-extension
.... extension:dosePerUnit S 0..1 Quantity Dose Per Unit Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-dose-per-unit-extension
.... extension:treatmentIntent S 0..1 code Treatment Intent Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-intent-extension
Binding: Kenya Treatment Intent Value Set (required)
... identifier S 1..* Identifier External ids for this request
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required)
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Kenya MedicationRequest Status Reason Value Set (required)
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required)
... category S 1..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (required)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] SΣ 1..1 CodeableConcept Medication to be taken
Binding: Kenya Generic Oncology Products Value Set (required)
... subject SΣ 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... reasonReference S 1..* Reference(NCCP Oncology Diagnosis Condition) Condition or observation that supports why the prescription is being written
... basedOn SΣ 1..* Reference(CarePlan) What request fulfills
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage How the 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 Σ 0..1 Timing When medication should be administered
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat ΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... frequency SΣ 0..1 positiveInt Event occurs frequency times per period
...... period SΣ 0..1 decimal Event occurs frequency times per period
...... periodUnit SΣ 1..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
.... route SΣ 1..1 CodeableConcept How drug should enter body
Binding: Kenya PPB Route of Administration Value Set (required)
.... method SΣ 0..1 CodeableConcept Technique for administering medication
Binding: Kenya PPB Route of Administration Value Set (required)
.... doseAndRate Σ 0..* Element Amount of medication administered
..... Slices for dose[x] Σ 1..1 SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity SΣ 1..1 SimpleQuantity Amount of medication per dose
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity S 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.statusReason Base required Kenya MedicationRequest Status Reason Value Set 📦0.1.0 This IG
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📦4.0.1 FHIR Std.
MedicationRequest.medication[x] Base required Kenya Generic Oncology Products Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​method Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG

Constraints

Id Grade Path(s) Description Expression
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()
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()

Differential View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... meta
.... profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycleNumber S 0..* integer Cycle Number Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-number-extension
.... extension:cycleDayStart S 1..1 integer Cycle Day Start Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-start-extension
.... extension:cycleDayEnd S 1..1 integer Cycle Day End Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-end-extension
.... extension:appliesFromCycle S 0..1 integer Applies From Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-from-cycle-extension
.... extension:appliesToCycle S 0..1 integer Applies To Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-to-cycle-extension
.... extension:clinicalCategory S 1..1 code Clinical Category Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-clinical-category-extension
Binding: Kenya Medication Clinical Category Value Set (required)
.... extension:bsaBasedDose S 0..1 boolean BSA Based Dose Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-bsa-based-dose-extension
.... extension:dosePerUnit S 0..1 Quantity Dose Per Unit Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-dose-per-unit-extension
.... extension:treatmentIntent S 0..1 code Treatment Intent Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-intent-extension
Binding: Kenya Treatment Intent Value Set (required)
... identifier S 1..* Identifier External ids for this request
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Kenya MedicationRequest Status Reason Value Set (required)
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required)
... category S 1..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (required)
... priority S 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required)
... medication[x] S 1..1 CodeableConcept Medication to be taken
Binding: Kenya Generic Oncology Products Value Set (required)
... subject S 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... authoredOn S 1..1 dateTime When request was initially authored
... requester S 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... reasonReference S 1..* Reference(NCCP Oncology Diagnosis Condition) Condition or observation that supports why the prescription is being written
... basedOn S 1..* Reference(CarePlan) What request fulfills
... note S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage How the medication should be taken
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... timing
..... repeat
...... frequency S 0..1 positiveInt Event occurs frequency times per period
...... period S 0..1 decimal Event occurs frequency times per period
...... periodUnit S 1..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
.... route S 1..1 CodeableConcept How drug should enter body
Binding: Kenya PPB Route of Administration Value Set (required)
.... method S 0..1 CodeableConcept Technique for administering medication
Binding: Kenya PPB Route of Administration Value Set (required)
.... doseAndRate
..... Slices for dose[x] 1..1 SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S 1..1 SimpleQuantity Amount of medication per dose
... dispenseRequest
.... quantity S 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration Number of days supply per dispense

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.statusReason Base required Kenya MedicationRequest Status Reason Value Set 📦0.1.0 This IG
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📦4.0.1 FHIR Std.
MedicationRequest.medication[x] Base required Kenya Generic Oncology Products Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​route Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​method Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... Slices for extension 3..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:cycleNumber S 0..* integer Cycle Number Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-number-extension
.... extension:cycleDayStart S 1..1 integer Cycle Day Start Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-start-extension
.... extension:cycleDayEnd S 1..1 integer Cycle Day End Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-cycle-day-end-extension
.... extension:appliesFromCycle S 0..1 integer Applies From Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-from-cycle-extension
.... extension:appliesToCycle S 0..1 integer Applies To Cycle Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-applies-to-cycle-extension
.... extension:clinicalCategory S 1..1 code Clinical Category Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-clinical-category-extension
Binding: Kenya Medication Clinical Category Value Set (required)
.... extension:bsaBasedDose S 0..1 boolean BSA Based Dose Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-bsa-based-dose-extension
.... extension:dosePerUnit S 0..1 Quantity Dose Per Unit Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-dose-per-unit-extension
.... extension:treatmentIntent S 0..1 code Treatment Intent Extension
URL: https://nshr-uat.sha.go.ke/fhir/StructureDefinition/nccp-treatment-intent-extension
Binding: Kenya Treatment Intent Value Set (required)
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 1..* Identifier External ids for this request
... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required)
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: Kenya MedicationRequest Status Reason Value Set (required)
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required)
... category S 1..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (required)
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] SΣ 1..1 CodeableConcept Medication to be taken
Binding: Kenya Generic Oncology Products Value Set (required)
... subject SΣ 1..1 Reference(Patient) Who or group medication request is for
... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) 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 Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference S 1..* Reference(NCCP Oncology Diagnosis Condition) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn SΣ 1..* Reference(CarePlan) 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 S 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage How the 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 Σ 0..1 Timing 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 When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... 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 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 SΣ 0..1 positiveInt Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal Event occurs frequency times per period
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 1..1 code 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 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 SΣ 1..1 CodeableConcept How drug should enter body
Binding: Kenya PPB Route of Administration Value Set (required)
.... method SΣ 0..1 CodeableConcept Technique for administering medication
Binding: Kenya PPB Route of Administration Value Set (required)
.... doseAndRate Σ 0..* Element 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.
..... Slices for dose[x] Σ 1..1 SimpleQuantity(4.0.1) Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity SΣ 1..1 SimpleQuantity Amount of medication per dose
..... 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(4.0.1) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(4.0.1) Upper limit on medication per lifetime of the patient
... dispenseRequest 0..1 BackboneElement 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
.... initialFill 0..1 BackboneElement First fill details
..... 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
..... quantity 0..1 SimpleQuantity(4.0.1) First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity S 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense
.... expectedSupplyDuration S 0..1 Duration 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: V3 Value SetActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: V3 Value SetSubstanceAdminSubstitutionReason (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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationRequest.language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📦4.0.1 FHIR Std.
MedicationRequest.statusReason Base required Kenya MedicationRequest Status Reason Value Set 📦0.1.0 This IG
MedicationRequest.intent Base required Medication request intent 📦4.0.1 FHIR Std.
MedicationRequest.category Base required Medication request category codes 📦4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📦4.0.1 FHIR Std.
MedicationRequest.medication[x] Base required Kenya Generic Oncology Products Value Set 📦0.1.0 This IG
MedicationRequest.performerType Base example Procedure Performer Role Codes 📍4.0.1 FHIR Std.
MedicationRequest.reasonCode Base example Condition/Problem/Diagnosis Codes 📍4.0.1 FHIR Std.
MedicationRequest.courseOfTherapyType Base example Medication request course of therapy codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required DaysOfWeek 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​asNeeded[x] Base example SNOMED CT Medication As Needed Reason Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​method Base required Kenya PPB Route of Administration Value Set 📦0.1.0 This IG
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example V3 Value SetActSubstanceAdminSubstitutionCode 📦2014-03-26 FHIR Std.
MedicationRequest.substitution.​reason Base example V3 Value SetSubstanceAdminSubstitutionReason 📦2014-03-26 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
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()
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()

 

Other representations of profile: CSV, Excel, Schematron