HL7 FHIR Implementation Guide Dossier Farmaceutico, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/dossier-pharma/ and changes regularly. See the Directory of published versions

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Resource Profile: MedicationRequest - Dossier Farmaceutico

Profilo MedicationRequest per Dossier Farmaceutico

Usage:

• Use this Resource Profile: AlimentazioneDossierFarmaceutico - Dossier Farmaceutico
• Refer to this Resource Profile: MedicationDispense - Dossier Farmaceutico and Provenance - Dossier Farmaceutico
• Examples for this Resource Profile: MedicationRequest/22571f37-4ac6-4025-a6b7-afa05c2f5f3b, MedicationRequest/22571f37-4ac6-4025-a6b7-afa05c2f5f3f, MedicationRequest/MedicationRequest-it-dossierPharma-ex001, MedicationRequest/MedicationRequest-it-dossierPharma-ex002... Show 2 more, MedicationRequest/MedicationRequest-it-dossierPharma-ex003 and MedicationRequest/MedicationRequest-it-dossierPharma-ex004

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
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This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MedicationRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicoTitolare		0..1	(Complex)	Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare
value[x]		1..1	Reference(PractitionerRole - Medico Prescrittore)	Value of extension
intent		1..1	code	order Fixed Value: order
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	Medication to be taken Slice: Unordered, Open by type:$this
medication[x]:medicationReference		0..1	Reference(Medication - Dossier Farmaceutico)	Medication to be taken
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	Medication to be taken
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
coding:ATC		0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC		0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza		0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni		0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
text		0..1	string	Descrizione testuale del farmaco
subject		1..1	Reference(Patient - base)	Who or group medication request is for
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value		1..1	string	Codice Fiscale
requester		1..1	Reference(PractitionerRole - Medico Prescrittore)	Who/What requested the Request
identifier		0..1	Identifier	Valorizzato con identificativo del medico titolare o sostituto
reasonCode
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
coding:notaAIFA		0..1	Coding	Nota AIFA Binding: AIFA Note (required)
coding:codiceDiagnosi		0..1	Coding	Codice diagnosi Binding: WHO ICD-9-CM (required)
text		0..1	string	Descrizione diagnosi
reasonReference		0..*	Reference(Condition | Observation)	Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali)
groupIdentifier		1..1	Identifier	Identificativo della prescrizione (e.g. NRE)
system		1..1	uri	The namespace for the identifier value Binding: Sistemi di identificazione per prescrizioni (extensible)
value		0..1	string	Identificativo della prescrizione (e.g. NRE)
insurance		0..*	Reference(Coverage - base)	Associated insurance coverage
note		0..*	Annotation	Informazioni circa la prescrizione
dosageInstruction		0..*	Dosage	Modalità di assunzione del farmaco
dispenseRequest		1..1	BackboneElement	Medication supply authorization
validityPeriod		0..1	Period	Periodo di tempo per il quale è autorizzata la fornitura
quantity		1..1	SimpleQuantity	Amount of medication to supply per dispense
substitution
Slices for allowed[x]		1..1	CodeableConcept	Whether substitution is allowed or not Slice: Unordered, Open by type:$this
allowed[x]:allowedCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: Regole di sostituzione (required)
reason		0..1	CodeableConcept	Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio) http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG
MedicationRequest.reasonCode.coding:notaAIFA	required	VsNotaAifa (a valid code from AIFA - Indicazioni terapeutiche (Nota AIFA)) http://hl7.it/fhir/dossier-pharma/ValueSet/vs-aifa-nota from this IG
MedicationRequest.reasonCode.coding:codiceDiagnosi	required	VsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm) https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.system	extensible	VsGroupIdentifierUri http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	VsSubstitutionDossierPharma http://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma from this IG
MedicationRequest.substitution.reason	preferred	VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità) http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilita from this IG

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicoTitolare		0..1	(Complex)	Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare
extension		0..0
url		1..1	uri	"http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare"
value[x]		1..1	Reference(PractitionerRole - Medico Prescrittore)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for medication[x]	Σ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication - Dossier Farmaceutico)	Medication to be taken
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:ATC	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
text	Σ	0..1	string	Descrizione testuale del farmaco
subject	Σ	1..1	Reference(Patient - base)	Who or group medication request is for
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	Σ	1..1	string	Codice Fiscale Example General: 123456
requester	Σ	1..1	Reference(PractitionerRole - Medico Prescrittore)	Who/What requested the Request
identifier	Σ	0..1	Identifier	Valorizzato con identificativo del medico titolare o sostituto
reasonReference		0..*	Reference(Condition | Observation)	Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali)
groupIdentifier	Σ	1..1	Identifier	Identificativo della prescrizione (e.g. NRE)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Binding: Sistemi di identificazione per prescrizioni (extensible) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	Identificativo della prescrizione (e.g. NRE) Example General: 123456
insurance		0..*	Reference(Coverage - base)	Associated insurance coverage
note		0..*	Annotation	Informazioni circa la prescrizione
dosageInstruction		0..*	Dosage	Modalità di assunzione del farmaco
dispenseRequest		1..1	BackboneElement	Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod		0..1	Period	Periodo di tempo per il quale è autorizzata la fornitura
quantity		1..1	SimpleQuantity	Amount of medication to supply per dispense
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio) http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG
MedicationRequest.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.groupIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.groupIdentifier.system	extensible	VsGroupIdentifierUri http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG

Name	Flags	Card.	Type	Description & Constraints
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
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 Bindings Purpose AllLanguages Max Binding
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
medicoTitolare		0..1	(Complex)	Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare"
value[x]		1..1	Reference(PractitionerRole - Medico Prescrittore)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept 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	?!Σ	1..1	code	order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
category		0..*	CodeableConcept	Type of medication usage 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.
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	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)
Slices for medication[x]	Σ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication - Dossier Farmaceutico)	Medication to be taken
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ATC	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descrizione testuale del farmaco
subject	Σ	1..1	Reference(Patient - base)	Who or group medication request is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	Σ	1..1	string	Codice Fiscale Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	0..1	dateTime	When request was initially authored
requester	Σ	1..1	Reference(PractitionerRole - Medico Prescrittore)	Who/What requested the Request
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Valorizzato con identificativo del medico titolare o sostituto
display	Σ	0..1	string	Text alternative for the resource
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:notaAIFA	Σ	0..1	Coding	Nota AIFA Binding: AIFA Note (required)
coding:codiceDiagnosi	Σ	0..1	Coding	Codice diagnosi Binding: WHO ICD-9-CM (required)
text	Σ	0..1	string	Descrizione diagnosi
reasonReference		0..*	Reference(Condition | Observation)	Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali)
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	1..1	Identifier	Identificativo della prescrizione (e.g. NRE)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Binding: Sistemi di identificazione per prescrizioni (extensible) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	Identificativo della prescrizione (e.g. NRE) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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 - base)	Associated insurance coverage
note		0..*	Annotation	Informazioni circa la prescrizione
dosageInstruction		0..*	Dosage	Modalità di assunzione del farmaco
dispenseRequest		1..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	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Periodo di tempo per il quale è autorizzata la fornitura
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity		1..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		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
Slices for allowed[x]		1..1	CodeableConcept	Whether substitution is allowed or not Slice: Unordered, Closed by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowed[x]:allowedCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: Regole di sostituzione (required)
reason		0..1	CodeableConcept	Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred)
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio) http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG
MedicationRequest.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.requester.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.reasonCode.coding:notaAIFA	required	VsNotaAifa (a valid code from AIFA - Indicazioni terapeutiche (Nota AIFA)) http://hl7.it/fhir/dossier-pharma/ValueSet/vs-aifa-nota from this IG
MedicationRequest.reasonCode.coding:codiceDiagnosi	required	VsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm) https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.groupIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.groupIdentifier.system	extensible	VsGroupIdentifierUri http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	VsSubstitutionDossierPharma http://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma from this IG
MedicationRequest.substitution.reason	preferred	VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità) http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilita from this IG

This structure is derived from MedicationRequest

Summary

Mandatory: 8 elements(6 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• PractitionerRole - Medico Prescrittore (http://hl7.it/fhir/dossier-pharma/StructureDefinition/PractitionerRole-prescrittore-it-dossierPharma)
• Medication - Dossier Farmaceutico (http://hl7.it/fhir/dossier-pharma/StructureDefinition/Medication-it-dossierPharma)
• Patient - base (http://hl7.it/fhir/StructureDefinition/Patient-it-base)
• Coverage - base (http://hl7.it/fhir/StructureDefinition/Coverage-it-base)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x]
• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding
• The element 1 is sliced based on the value of MedicationRequest.reasonCode.coding
• The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MedicationRequest
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicoTitolare		0..1	(Complex)	Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare
value[x]		1..1	Reference(PractitionerRole - Medico Prescrittore)	Value of extension
intent		1..1	code	order Fixed Value: order
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	Medication to be taken Slice: Unordered, Open by type:$this
medication[x]:medicationReference		0..1	Reference(Medication - Dossier Farmaceutico)	Medication to be taken
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	Medication to be taken
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
coding:ATC		0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC		0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza		0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni		0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
text		0..1	string	Descrizione testuale del farmaco
subject		1..1	Reference(Patient - base)	Who or group medication request is for
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
identifier		1..1	Identifier	Logical reference, when literal reference is not known
system		1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value		1..1	string	Codice Fiscale
requester		1..1	Reference(PractitionerRole - Medico Prescrittore)	Who/What requested the Request
identifier		0..1	Identifier	Valorizzato con identificativo del medico titolare o sostituto
reasonCode
Slices for coding		0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
coding:notaAIFA		0..1	Coding	Nota AIFA Binding: AIFA Note (required)
coding:codiceDiagnosi		0..1	Coding	Codice diagnosi Binding: WHO ICD-9-CM (required)
text		0..1	string	Descrizione diagnosi
reasonReference		0..*	Reference(Condition | Observation)	Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali)
groupIdentifier		1..1	Identifier	Identificativo della prescrizione (e.g. NRE)
system		1..1	uri	The namespace for the identifier value Binding: Sistemi di identificazione per prescrizioni (extensible)
value		0..1	string	Identificativo della prescrizione (e.g. NRE)
insurance		0..*	Reference(Coverage - base)	Associated insurance coverage
note		0..*	Annotation	Informazioni circa la prescrizione
dosageInstruction		0..*	Dosage	Modalità di assunzione del farmaco
dispenseRequest		1..1	BackboneElement	Medication supply authorization
validityPeriod		0..1	Period	Periodo di tempo per il quale è autorizzata la fornitura
quantity		1..1	SimpleQuantity	Amount of medication to supply per dispense
substitution
Slices for allowed[x]		1..1	CodeableConcept	Whether substitution is allowed or not Slice: Unordered, Open by type:$this
allowed[x]:allowedCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: Regole di sostituzione (required)
reason		0..1	CodeableConcept	Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio) http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG
MedicationRequest.reasonCode.coding:notaAIFA	required	VsNotaAifa (a valid code from AIFA - Indicazioni terapeutiche (Nota AIFA)) http://hl7.it/fhir/dossier-pharma/ValueSet/vs-aifa-nota from this IG
MedicationRequest.reasonCode.coding:codiceDiagnosi	required	VsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm) https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.system	extensible	VsGroupIdentifierUri http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	VsSubstitutionDossierPharma http://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma from this IG
MedicationRequest.substitution.reason	preferred	VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità) http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilita from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest		0..*	MedicationRequest	Ordering of medication for patient or group
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicoTitolare		0..1	(Complex)	Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare
extension		0..0
url		1..1	uri	"http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare"
value[x]		1..1	Reference(PractitionerRole - Medico Prescrittore)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for medication[x]	Σ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication - Dossier Farmaceutico)	Medication to be taken
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:ATC	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
text	Σ	0..1	string	Descrizione testuale del farmaco
subject	Σ	1..1	Reference(Patient - base)	Who or group medication request is for
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	Σ	1..1	string	Codice Fiscale Example General: 123456
requester	Σ	1..1	Reference(PractitionerRole - Medico Prescrittore)	Who/What requested the Request
identifier	Σ	0..1	Identifier	Valorizzato con identificativo del medico titolare o sostituto
reasonReference		0..*	Reference(Condition | Observation)	Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali)
groupIdentifier	Σ	1..1	Identifier	Identificativo della prescrizione (e.g. NRE)
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Binding: Sistemi di identificazione per prescrizioni (extensible) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	Identificativo della prescrizione (e.g. NRE) Example General: 123456
insurance		0..*	Reference(Coverage - base)	Associated insurance coverage
note		0..*	Annotation	Informazioni circa la prescrizione
dosageInstruction		0..*	Dosage	Modalità di assunzione del farmaco
dispenseRequest		1..1	BackboneElement	Medication supply authorization
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod		0..1	Period	Periodo di tempo per il quale è autorizzata la fornitura
quantity		1..1	SimpleQuantity	Amount of medication to supply per dispense
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio) http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG
MedicationRequest.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.groupIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.groupIdentifier.system	extensible	VsGroupIdentifierUri http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
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
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 Bindings Purpose AllLanguages Max Binding
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
medicoTitolare		0..1	(Complex)	Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare
id		0..1	string	Unique id for inter-element referencing
extension		0..0
url		1..1	uri	"http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare"
value[x]		1..1	Reference(PractitionerRole - Medico Prescrittore)	Value of extension
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External ids for this request
status	?!Σ	1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept 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	?!Σ	1..1	code	order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order
category		0..*	CodeableConcept	Type of medication usage 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.
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	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)
Slices for medication[x]	Σ	1..1		Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication - Dossier Farmaceutico)	Medication to be taken
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ATC	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descrizione testuale del farmaco
subject	Σ	1..1	Reference(Patient - base)	Who or group medication request is for
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	1..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale
value	Σ	1..1	string	Codice Fiscale Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
encounter		0..1	Reference(Encounter)	Encounter created as part of encounter/admission/stay
supportingInformation		0..*	Reference(Resource)	Information to support ordering of the medication
authoredOn	Σ	0..1	dateTime	When request was initially authored
requester	Σ	1..1	Reference(PractitionerRole - Medico Prescrittore)	Who/What requested the Request
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Valorizzato con identificativo del medico titolare o sostituto
display	Σ	0..1	string	Text alternative for the resource
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:notaAIFA	Σ	0..1	Coding	Nota AIFA Binding: AIFA Note (required)
coding:codiceDiagnosi	Σ	0..1	Coding	Codice diagnosi Binding: WHO ICD-9-CM (required)
text	Σ	0..1	string	Descrizione diagnosi
reasonReference		0..*	Reference(Condition | Observation)	Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali)
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	1..1	Identifier	Identificativo della prescrizione (e.g. NRE)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Binding: Sistemi di identificazione per prescrizioni (extensible) Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	Identificativo della prescrizione (e.g. NRE) Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
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 - base)	Associated insurance coverage
note		0..*	Annotation	Informazioni circa la prescrizione
dosageInstruction		0..*	Dosage	Modalità di assunzione del farmaco
dispenseRequest		1..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	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval		0..1	Duration	Minimum period of time between dispenses
validityPeriod		0..1	Period	Periodo di tempo per il quale è autorizzata la fornitura
numberOfRepeatsAllowed		0..1	unsignedInt	Number of refills authorized
quantity		1..1	SimpleQuantity	Amount of medication to supply per dispense
expectedSupplyDuration		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
Slices for allowed[x]		1..1	CodeableConcept	Whether substitution is allowed or not Slice: Unordered, Closed by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
allowed[x]:allowedCodeableConcept		1..1	CodeableConcept	Whether substitution is allowed or not Binding: Regole di sostituzione (required)
reason		0..1	CodeableConcept	Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred)
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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Fixed Value: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC (a valid code from AIFA - Autorizzazione Immissione in Commercio) http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-ge from this IG
MedicationRequest.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.requester.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.reasonCode.coding:notaAIFA	required	VsNotaAifa (a valid code from AIFA - Indicazioni terapeutiche (Nota AIFA)) http://hl7.it/fhir/dossier-pharma/ValueSet/vs-aifa-nota from this IG
MedicationRequest.reasonCode.coding:codiceDiagnosi	required	VsIcd9cm (a valid code from http://hl7.org/fhir/sid/icd-9-cm) https://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm
MedicationRequest.groupIdentifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.groupIdentifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.groupIdentifier.system	extensible	VsGroupIdentifierUri http://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharma from this IG
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	VsSubstitutionDossierPharma http://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharma from this IG
MedicationRequest.substitution.reason	preferred	VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità) http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilita from this IG

This structure is derived from MedicationRequest

Summary

Mandatory: 8 elements(6 nested mandatory elements)
Fixed: 3 elements

Structures

This structure refers to these other structures:

• PractitionerRole - Medico Prescrittore (http://hl7.it/fhir/dossier-pharma/StructureDefinition/PractitionerRole-prescrittore-it-dossierPharma)
• Medication - Dossier Farmaceutico (http://hl7.it/fhir/dossier-pharma/StructureDefinition/Medication-it-dossierPharma)
• Patient - base (http://hl7.it/fhir/StructureDefinition/Patient-it-base)
• Coverage - base (http://hl7.it/fhir/StructureDefinition/Coverage-it-base)

Extensions

This structure refers to these extensions:

• http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.medication[x]
• The element 1 is sliced based on the value of MedicationRequest.medication[x].coding
• The element 1 is sliced based on the value of MedicationRequest.reasonCode.coding
• The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]