KR Core Implementation Guide
2.0.0 - STU 2 Korea, Republic of

KR Core Implementation Guide, published by HL7 Korea. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7korea/krcore/ and changes regularly. See the Directory of published versions

Resource Profile: KR Core MedicationRequest Profile

Official URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-medicationrequest Version: 2.0.0
Standards status: Trial-use Computable Name: KRCore_MedicationRequest

KR Core MedicationRequest Profile은 KR Core Server와 KR Core Client가 진료정보를 교류할 때 약품 처방 정보를 표현하는 데 사용되며, 이 경우 가능한 한(SHOULD) 본 Profile을 준수해야 한다. 약품 처방 정보를 표현할 때 본 Profile을 적용하지 않을 수 있는 경우는 특수한 상황에 한정된다. 이 경우 반드시 해당 진료정보교류 도메인 내에서 사전 합의가 이루어져야 한다.

KR CDI V2 약물 정보 클래스에서 정의한 약품 처방 정보 관련 항목들과 주요 추가 정보를 구조화하기 위해 정의한 Profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest KR Core MedicationRequest Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code 처방 상태: 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.
Example Value (Preferred): completed
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for medication[x] SΣ 1..1 처방 약품 정보
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(KR Core Medication Profile) 약품 정보 참조
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept 약품 제품 정보
Binding: KR Core EDI Medication Codes (extensible)
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:krcore-medicationIngredient S 1..* CodeableConcept 약품 성분명
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-medicationIngredient
Binding: ATC Codes (preferred)
..... coding Σ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(KR Core Patient Profile) 처방 대상
... authoredOn Σ 0..1 dateTime 처방 일시
... dosageInstruction S 1..* Dosage 약물 투여 및 복용 지침
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string 용법
.... timing SΣ 0..1 Timing 약품 투여 및 복용 일정
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat SΣC 0..1 Element 약품 투여 및 복용 반복 정보
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... frequency SΣ 0..1 positiveInt 주기 당 약품 투여 및 복용 횟수
...... period SΣ 0..1 decimal 약품 투여 및 복용 주기 수치
...... periodUnit SΣ 0..1 code 약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
.... doseAndRate SΣ 1..* Element 투여 및 복용량
..... Slices for dose[x] SΣ 1..1 1회량, 1회량 단위
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity 단위를 포함한 투여 및 복용량
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange SΣ 0..1 Range 범위로 지정된 투여 및 복용량
....... low Σ 0..1 SimpleQuantity(4.0.1) 최소
Binding: UCUMCodes (preferred)
....... high Σ 0..1 SimpleQuantity(4.0.1) 최대
Binding: UCUMCodes (preferred)
... dispenseRequest S 0..1 BackboneElement 처방 요청
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity 0..1 SimpleQuantity(4.0.1) 단위를 포함한 처방 총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S 0..1 Duration 처방 기간: s | min | h | d | wk | mo | a
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... code Σ 0..1 code 처방 기간 단위 코드
Binding: UnitsOfTime (required)
Example Value (Preferred): d

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.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base extensible KR Core EDI Medication Codes 📦1.0.2 This IG
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​low Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​high Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​quantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​code Base required UnitsOfTime 📍4.0.1 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()

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest KR Core MedicationRequest Profile
... status S 1..1 code 처방 상태: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Example Value (Preferred): completed
... intent S 1..1 code 처방 의도: order | proposal | plan +
Example Value (Preferred): order
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) 처방 약품 정보
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference S 0..1 Reference(KR Core Medication Profile) 약품 정보 참조
.... medication[x]:medicationCodeableConcept S 0..1 CodeableConcept 약품 제품 정보
Binding: KR Core EDI Medication Codes (extensible)
..... extension 1..* Extension Extension
..... Slices for extension Content/Rules for all slices
...... extension:krcore-medicationIngredient S 1..* CodeableConcept 약품 성분명
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-medicationIngredient
Binding: ATC Codes (preferred)
..... coding
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
... authoredOn 0..1 dateTime 처방 일시
... dosageInstruction S 1..* Dosage 약물 투여 및 복용 지침
.... text S 0..1 string 용법
.... timing S 0..1 Timing 약품 투여 및 복용 일정
..... repeat S 0..1 Element 약품 투여 및 복용 반복 정보
...... frequency S 0..1 positiveInt 주기 당 약품 투여 및 복용 횟수
...... period S 0..1 decimal 약품 투여 및 복용 주기 수치
...... periodUnit S 0..1 code 약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
.... doseAndRate S 1..* Element 투여 및 복용량
..... Slices for dose[x] S 1..1 Range, SimpleQuantity(4.0.1) 1회량, 1회량 단위
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S 0..1 SimpleQuantity 단위를 포함한 투여 및 복용량
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange S 0..1 Range 범위로 지정된 투여 및 복용량
....... low 0..1 SimpleQuantity(4.0.1) 최소
Binding: UCUMCodes (preferred)
....... high 0..1 SimpleQuantity(4.0.1) 최대
Binding: UCUMCodes (preferred)
... dispenseRequest S 0..1 BackboneElement 처방 요청
.... quantity 0..1 SimpleQuantity(4.0.1) 단위를 포함한 처방 총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S 0..1 Duration 처방 기간: s | min | h | d | wk | mo | a
..... code 0..1 code 처방 기간 단위 코드
Binding: UnitsOfTime (required)
Example Value (Preferred): d

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationRequest.medication[x]:medicationCodeableConcept Base extensible KR Core EDI Medication Codes 📦1.0.2 This IG
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​low Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​high Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​quantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​code Base required UnitsOfTime 📍4.0.1 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest KR Core MedicationRequest Profile
... 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 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code 처방 상태: 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.
Example Value (Preferred): completed
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!SΣ 1..1 code 처방 의도: order | proposal | plan +
Binding: medicationRequest Intent (required): The kind of medication order.
Example Value (Preferred): 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] SΣ 1..1 처방 약품 정보
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 SΣ 0..1 Reference(KR Core Medication Profile) 약품 정보 참조
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept 약품 제품 정보
Binding: KR Core EDI Medication Codes (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:krcore-medicationIngredient S 1..* CodeableConcept 약품 성분명
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-medicationIngredient
Binding: ATC Codes (preferred)
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(KR Core Patient Profile) 처방 대상
... 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 처방 일시
... requester Σ 0..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 0..* Reference(Condition | Observation) 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 Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage 약물 투여 및 복용 지침
.... 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 용법
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 Timing 약품 투여 및 복용 일정
..... 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 SΣC 0..1 Element 약품 투여 및 복용 반복 정보
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 주기 당 약품 투여 및 복용 횟수
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal 약품 투여 및 복용 주기 수치
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code 약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
...... 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 Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 1..* Element 투여 및 복용량
..... 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] SΣ 1..1 1회량, 1회량 단위
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity 단위를 포함한 투여 및 복용량
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange SΣ 0..1 Range 범위로 지정된 투여 및 복용량
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low Σ 0..1 SimpleQuantity(4.0.1) 최소
Binding: UCUMCodes (preferred)
....... high Σ 0..1 SimpleQuantity(4.0.1) 최대
Binding: UCUMCodes (preferred)
..... 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 S 0..1 BackboneElement 처방 요청
.... 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 0..1 SimpleQuantity(4.0.1) 단위를 포함한 처방 총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S 0..1 Duration 처방 기간: s | min | h | d | wk | mo | a
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code 처방 기간 단위 코드
Binding: UnitsOfTime (required)
Example Value (Preferred): d
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 example Medication request status reason codes 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base extensible KR Core EDI Medication Codes 📦1.0.2 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 example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​low Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​high Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​quantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​code Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.0
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.0

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()

This structure is derived from MedicationRequest

Summary

Mandatory: 3 elements(5 nested mandatory elements)
Must-Support: 23 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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.dosageInstruction.doseAndRate.dose[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest KR Core MedicationRequest Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code 처방 상태: 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.
Example Value (Preferred): completed
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... Slices for medication[x] SΣ 1..1 처방 약품 정보
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(KR Core Medication Profile) 약품 정보 참조
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept 약품 제품 정보
Binding: KR Core EDI Medication Codes (extensible)
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:krcore-medicationIngredient S 1..* CodeableConcept 약품 성분명
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-medicationIngredient
Binding: ATC Codes (preferred)
..... coding Σ 0..* Coding Code defined by a terminology system
...... system SΣ 1..1 uri Identity of the terminology system
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
... subject SΣ 1..1 Reference(KR Core Patient Profile) 처방 대상
... authoredOn Σ 0..1 dateTime 처방 일시
... dosageInstruction S 1..* Dosage 약물 투여 및 복용 지침
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string 용법
.... timing SΣ 0..1 Timing 약품 투여 및 복용 일정
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat SΣC 0..1 Element 약품 투여 및 복용 반복 정보
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... frequency SΣ 0..1 positiveInt 주기 당 약품 투여 및 복용 횟수
...... period SΣ 0..1 decimal 약품 투여 및 복용 주기 수치
...... periodUnit SΣ 0..1 code 약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
.... doseAndRate SΣ 1..* Element 투여 및 복용량
..... Slices for dose[x] SΣ 1..1 1회량, 1회량 단위
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity 단위를 포함한 투여 및 복용량
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange SΣ 0..1 Range 범위로 지정된 투여 및 복용량
....... low Σ 0..1 SimpleQuantity(4.0.1) 최소
Binding: UCUMCodes (preferred)
....... high Σ 0..1 SimpleQuantity(4.0.1) 최대
Binding: UCUMCodes (preferred)
... dispenseRequest S 0..1 BackboneElement 처방 요청
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity 0..1 SimpleQuantity(4.0.1) 단위를 포함한 처방 총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S 0..1 Duration 처방 기간: s | min | h | d | wk | mo | a
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... code Σ 0..1 code 처방 기간 단위 코드
Binding: UnitsOfTime (required)
Example Value (Preferred): d

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.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base extensible KR Core EDI Medication Codes 📦1.0.2 This IG
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​low Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​high Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​quantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​code Base required UnitsOfTime 📍4.0.1 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()

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest KR Core MedicationRequest Profile
... status S 1..1 code 처방 상태: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Example Value (Preferred): completed
... intent S 1..1 code 처방 의도: order | proposal | plan +
Example Value (Preferred): order
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) 처방 약품 정보
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference S 0..1 Reference(KR Core Medication Profile) 약품 정보 참조
.... medication[x]:medicationCodeableConcept S 0..1 CodeableConcept 약품 제품 정보
Binding: KR Core EDI Medication Codes (extensible)
..... extension 1..* Extension Extension
..... Slices for extension Content/Rules for all slices
...... extension:krcore-medicationIngredient S 1..* CodeableConcept 약품 성분명
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-medicationIngredient
Binding: ATC Codes (preferred)
..... coding
...... system S 1..1 uri Identity of the terminology system
...... code S 1..1 code Symbol in syntax defined by the system
...... display S 1..1 string Representation defined by the system
... authoredOn 0..1 dateTime 처방 일시
... dosageInstruction S 1..* Dosage 약물 투여 및 복용 지침
.... text S 0..1 string 용법
.... timing S 0..1 Timing 약품 투여 및 복용 일정
..... repeat S 0..1 Element 약품 투여 및 복용 반복 정보
...... frequency S 0..1 positiveInt 주기 당 약품 투여 및 복용 횟수
...... period S 0..1 decimal 약품 투여 및 복용 주기 수치
...... periodUnit S 0..1 code 약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
.... doseAndRate S 1..* Element 투여 및 복용량
..... Slices for dose[x] S 1..1 Range, SimpleQuantity(4.0.1) 1회량, 1회량 단위
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity S 0..1 SimpleQuantity 단위를 포함한 투여 및 복용량
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange S 0..1 Range 범위로 지정된 투여 및 복용량
....... low 0..1 SimpleQuantity(4.0.1) 최소
Binding: UCUMCodes (preferred)
....... high 0..1 SimpleQuantity(4.0.1) 최대
Binding: UCUMCodes (preferred)
... dispenseRequest S 0..1 BackboneElement 처방 요청
.... quantity 0..1 SimpleQuantity(4.0.1) 단위를 포함한 처방 총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S 0..1 Duration 처방 기간: s | min | h | d | wk | mo | a
..... code 0..1 code 처방 기간 단위 코드
Binding: UnitsOfTime (required)
Example Value (Preferred): d

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationRequest.medication[x]:medicationCodeableConcept Base extensible KR Core EDI Medication Codes 📦1.0.2 This IG
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​low Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​high Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​quantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​code Base required UnitsOfTime 📍4.0.1 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest KR Core MedicationRequest Profile
... 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 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
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code 처방 상태: 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.
Example Value (Preferred): completed
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!SΣ 1..1 code 처방 의도: order | proposal | plan +
Binding: medicationRequest Intent (required): The kind of medication order.
Example Value (Preferred): 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] SΣ 1..1 처방 약품 정보
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 SΣ 0..1 Reference(KR Core Medication Profile) 약품 정보 참조
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept 약품 제품 정보
Binding: KR Core EDI Medication Codes (extensible)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
...... extension:krcore-medicationIngredient S 1..* CodeableConcept 약품 성분명
URL: http://www.hl7korea.or.kr/fhir/krcore/StructureDefinition/krcore-medicationIngredient
Binding: ATC Codes (preferred)
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 SΣ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code SΣ 1..1 code Symbol in syntax defined by the system
...... display SΣ 1..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(KR Core Patient Profile) 처방 대상
... 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 처방 일시
... requester Σ 0..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 0..* Reference(Condition | Observation) 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 Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 1..* Dosage 약물 투여 및 복용 지침
.... 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 용법
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 Timing 약품 투여 및 복용 일정
..... 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 SΣC 0..1 Element 약품 투여 및 복용 반복 정보
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 주기 당 약품 투여 및 복용 횟수
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period SΣ 0..1 decimal 약품 투여 및 복용 주기 수치
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit SΣ 0..1 code 약품 투여 및 복용 주기 단위: s | min | h | d | wk | mo | a
Binding: UnitsOfTime (required)
...... 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 Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 1..* Element 투여 및 복용량
..... 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] SΣ 1..1 1회량, 1회량 단위
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity SΣ 0..1 SimpleQuantity 단위를 포함한 투여 및 복용량
Binding: UCUMCodes (preferred)
...... dose[x]:doseRange SΣ 0..1 Range 범위로 지정된 투여 및 복용량
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low Σ 0..1 SimpleQuantity(4.0.1) 최소
Binding: UCUMCodes (preferred)
....... high Σ 0..1 SimpleQuantity(4.0.1) 최대
Binding: UCUMCodes (preferred)
..... 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 S 0..1 BackboneElement 처방 요청
.... 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 0..1 SimpleQuantity(4.0.1) 단위를 포함한 처방 총량
Binding: UCUMCodes (preferred)
.... expectedSupplyDuration S 0..1 Duration 처방 기간: s | min | h | d | wk | mo | a
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code 처방 기간 단위 코드
Binding: UnitsOfTime (required)
Example Value (Preferred): d
.... performer 0..1 Reference(Organization) Intended dispenser
... substitution 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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 example Medication request status reason codes 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.category Base example Medication request category codes 📍4.0.1 FHIR Std.
MedicationRequest.priority Base required Request priority 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.medication[x]:medicationCodeableConcept Base extensible KR Core EDI Medication Codes 📦1.0.2 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 example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseQuantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​low Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.dose[x]:doseRange.​high Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​quantity Base preferred UCUM Codes 📦4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationRequest.dispenseRequest.​expectedSupplyDuration.​code Base required UnitsOfTime 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v7.0
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v7.0

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()

This structure is derived from MedicationRequest

Summary

Mandatory: 3 elements(5 nested mandatory elements)
Must-Support: 23 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

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.dosageInstruction.doseAndRate.dose[x]

 

Other representations of profile: CSV, Excel, Schematron