CH EMED EPR
1.0.1-ci-build - ci-build Switzerland flag

CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 1.0.1-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/CARA-ch/ch-emed-epr/ and changes regularly. See the Directory of published versions

Resource Profile: PADV Changed MedicationRequest

Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationrequest-changed Version: 1.0.1-ci-build
Draft as of 2024-04-05 Computable Name: CHEMEDEPRChangedMedicationRequest

Copyright/Legal: CC0-1.0

Definition of the changed medication request for the pharmaceutical advice document

Usage:

Formal Views of Profile Content

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

This structure is derived from CHEMEDMedicationRequestChanged

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest CHEMEDMedicationRequestChanged
... meta
.... extension D 0..* Extension ✕ This element is not supported
.... versionId D 0..1 id ✕ This element is not supported
.... lastUpdated D 0..1 instant ✕ This element is not supported
.... source D 0..1 uri ✕ This element is not supported
.... security D 0..* Coding ✕ This element is not supported
.... tag D 0..* Coding ✕ This element is not supported
... implicitRules 0..0
... extension 1..* Extension Extension
... extension:treatmentplan 1..1 CHEMEDExtTreatmentPlan A reference to the MedicationStatement that introduced this medication
... modifierExtension 0..0
... status 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Required Pattern: active
... statusReason D 0..1 CodeableConcept ✕ This element is not supported
... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Required Pattern: order
... category D 0..* CodeableConcept ✕ This element is not supported
... priority D 0..1 code ✕ This element is not supported
... doNotPerform 0..0
... reported[x] D 0..1 boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) ✕ This element is not supported
... medication[x] 1..1 Reference(CH Core Medication) Medication to be taken
... medication[x]:medicationReference 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
... subject 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
... encounter D 0..1 Reference(Encounter) ✕ This element is not supported
... supportingInformation:partOf 1..1 Reference(PADV Observation) {r, b} Reference to the Observation from type 'CHANGE'
... requester 1..1 Reference(CH EMED EPR PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
... performer D 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) ✕ This element is not supported
... performerType D 0..1 CodeableConcept ✕ This element is not supported
... reasonCode 0..1 CodeableConcept The treatment reason(s) as text, and optionally coded
.... extension D 0..* Extension ✕ This element is not supported
.... text 1..1 string Plain text representation of the treatment reason(s)
... reasonReference D 0..* Reference(Condition | Observation) ✕ This element is not supported
... instantiatesCanonical D 0..* canonical() ✕ This element is not supported
... instantiatesUri D 0..* uri ✕ This element is not supported
... basedOn D 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) ✕ This element is not supported
... groupIdentifier D 0..1 Identifier ✕ This element is not supported
... courseOfTherapyType D 0..1 CodeableConcept ✕ This element is not supported
... insurance D 0..* Reference(Coverage | ClaimResponse) ✕ This element is not supported
... note
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
.... author[x] D 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string ✕ The note author is ignored, as it cannot be different than the document and/or entry's author
.... time D 0..1 dateTime ✕ This element is not supported
.... text 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... dosageInstruction:baseEntry 1..1 CHEMEDEPRDosageMedicationRequest CH EMED Dosage (MedicationRequest)
... dosageInstruction:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
... dispenseRequest
.... modifierExtension 0..0
.... initialFill D 0..1 BackboneElement ✕ This element is not supported
..... modifierExtension 0..0
..... quantity 0..1 CHEMEDEPRAmountQuantity A fixed quantity (no comparator)
.... quantity 0..1 CHEMEDEPRAmountQuantity A fixed quantity (no comparator)
.... expectedSupplyDuration D 0..1 Duration ✕ This element is not supported
.... performer D 0..1 Reference(Organization) ✕ This element is not supported
... substitution
.... modifierExtension 0..0
.... allowed[x]:allowedCodeableConcept 0..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (required)
.... reason D 0..1 CodeableConcept ✕ This element is not supported
... priorPrescription D 0..1 Reference(MedicationRequest) ✕ This element is not supported
... detectedIssue D 0..* Reference(DetectedIssue) ✕ This element is not supported
... eventHistory D 0..* Reference(Provenance) ✕ This element is not supported

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C 0..* CHEMEDMedicationRequestChanged CH EMED MedicationRequest Changed (PADV)
ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
... contained 1..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
... treatmentplan 1..1 (Complex) A reference to the MedicationStatement that introduced this medication
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... identifier 1..1 Identifier MedicationRequest Identifier
.... 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: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... 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.


Required Pattern: active
... statusReason 0..1 CodeableConcept ✕ This element is not supported
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Required Pattern: order
... category 0..* CodeableConcept ✕ This element is not supported
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 ✕ This element is not supported
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... reported[x] Σ 0..1 ✕ This element is not supported
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] Σ 1..1 Reference(CH Core Medication) Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter 0..1 Reference(Encounter) ✕ This element is not supported
... Slices for supportingInformation 1..* Reference(Resource) Information to support ordering of the medication
Slice: Unordered, Open by profile:resolve()
.... supportingInformation:partOf 1..1 Reference(PADV Observation) {r, b} Reference to the Observation from type 'CHANGE'
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(CH EMED EPR PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) ✕ This element is not supported
... performerType Σ 0..1 CodeableConcept ✕ This element is not supported
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... reasonCode 0..1 CodeableConcept The treatment reason(s) as text, and optionally coded
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... text Σ 1..1 string Plain text representation of the treatment reason(s)
... reasonReference 0..* Reference(Condition | Observation) ✕ This element is not supported
... instantiatesCanonical Σ 0..* canonical() ✕ This element is not supported
... instantiatesUri Σ 0..* uri ✕ This element is not supported
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) ✕ This element is not supported
... groupIdentifier Σ 0..1 Identifier ✕ This element is not supported
... courseOfTherapyType 0..1 CodeableConcept ✕ This element is not supported
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) ✕ This element is not supported
... Slices for dosageInstruction 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosageInstruction:baseEntry C 1..1 CHEMEDEPRDosageMedicationRequest CH EMED Dosage (MedicationRequest)
ch-dosage-4: For split dosage timing event and dose/rate are required
ch-dosage-3: Patient instruction/free text dosage instruction, timing or as needed has to be specified
base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
.... dosageInstruction:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
... priorPrescription 0..1 Reference(MedicationRequest) ✕ This element is not supported
... detectedIssue 0..* Reference(DetectedIssue) ✕ This element is not supported
... eventHistory 0..* Reference(Provenance) ✕ This element is not supported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
base-dosage-textwarningMedicationRequest.dosageInstruction:baseEntryIt is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
: text.exists() and text.trim().length() > 0
ch-dosage-3errorMedicationRequest.dosageInstruction:baseEntryPatient instruction/free text dosage instruction, timing or as needed has to be specified
: patientInstruction.exists() or timing.exists() or asNeeded.exists()
ch-dosage-4errorMedicationRequest.dosageInstruction:baseEntryFor split dosage timing event and dose/rate are required
: sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medreqerrorMedicationRequestIf one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
: (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-medicationrequest') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C 0..* CHEMEDMedicationRequestChanged CH EMED MedicationRequest Changed (PADV)
ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id ✕ This element is not supported
.... lastUpdated Σ 0..1 instant ✕ This element is not supported
.... source Σ 0..1 uri ✕ This element is not supported
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding ✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding ✕ This element is not supported
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... 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
... contained 1..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
... treatmentplan 1..1 (Complex) A reference to the MedicationStatement that introduced this medication
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... identifier 1..1 Identifier MedicationRequest Identifier
.... 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: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... 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)
... 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.


Required Pattern: active
... statusReason 0..1 CodeableConcept ✕ This element is not supported
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Required Pattern: order
... category 0..* CodeableConcept ✕ This element is not supported
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 ✕ This element is not supported
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... reported[x] Σ 0..1 ✕ This element is not supported
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] Σ 1..1 Reference(CH Core Medication) Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
.... 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 1..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 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) ✕ This element is not supported
... Slices for supportingInformation 1..* Reference(Resource) Information to support ordering of the medication
Slice: Unordered, Open by profile:resolve()
.... supportingInformation:partOf 1..1 Reference(PADV Observation) {r, b} Reference to the Observation from type 'CHANGE'
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(CH EMED EPR PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
.... 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 1..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 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) ✕ This element is not supported
... performerType Σ 0..1 CodeableConcept ✕ This element is not supported
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..1 CodeableConcept The treatment reason(s) as text, and optionally coded
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 ✕ This element is not supported
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 1..1 string Plain text representation of the treatment reason(s)
... reasonReference 0..* Reference(Condition | Observation) ✕ This element is not supported
... instantiatesCanonical Σ 0..* canonical() ✕ This element is not supported
... instantiatesUri Σ 0..* uri ✕ This element is not supported
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) ✕ This element is not supported
... groupIdentifier Σ 0..1 Identifier ✕ This element is not supported
... courseOfTherapyType 0..1 CodeableConcept ✕ This element is not supported
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) ✕ This element is not supported
... note 0..* Annotation Information about the prescription
.... id 0..1 string ✕ This element is not supported
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 ✕ The note author is ignored, as it cannot be different than the document and/or entry's author
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime ✕ This element is not supported
.... text Σ 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... Slices for dosageInstruction 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosageInstruction:baseEntry C 1..1 CHEMEDEPRDosageMedicationRequest CH EMED Dosage (MedicationRequest)
ch-dosage-4: For split dosage timing event and dose/rate are required
ch-dosage-3: Patient instruction/free text dosage instruction, timing or as needed has to be specified
base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
.... dosageInstruction:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... initialFill 0..1 BackboneElement ✕ This element is not supported
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... quantity C 0..1 CHEMEDEPRAmountQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Period of validity of the prescription
.... numberOfRepeatsAllowed 0..1 unsignedInt Repeated supply per medication (without initial dispense)
.... quantity C 0..1 CHEMEDEPRAmountQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
.... expectedSupplyDuration 0..1 Duration ✕ This element is not supported
.... performer 0..1 Reference(Organization) ✕ This element is not supported
... 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
.... 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 0..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (required)
.... reason 0..1 CodeableConcept ✕ This element is not supported
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) ✕ This element is not supported
... detectedIssue 0..* Reference(DetectedIssue) ✕ This element is not supported
... eventHistory 0..* Reference(Provenance) ✕ This element is not supported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.requester.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
base-dosage-textwarningMedicationRequest.dosageInstruction:baseEntryIt is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
: text.exists() and text.trim().length() > 0
ch-dosage-3errorMedicationRequest.dosageInstruction:baseEntryPatient instruction/free text dosage instruction, timing or as needed has to be specified
: patientInstruction.exists() or timing.exists() or asNeeded.exists()
ch-dosage-4errorMedicationRequest.dosageInstruction:baseEntryFor split dosage timing event and dose/rate are required
: sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medreqerrorMedicationRequestIf one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
: (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-medicationrequest') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantityThe comparator is not used on a SimpleQuantity
: comparator.empty()

Differential View

This structure is derived from CHEMEDMedicationRequestChanged

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest CHEMEDMedicationRequestChanged
... meta
.... extension D 0..* Extension ✕ This element is not supported
.... versionId D 0..1 id ✕ This element is not supported
.... lastUpdated D 0..1 instant ✕ This element is not supported
.... source D 0..1 uri ✕ This element is not supported
.... security D 0..* Coding ✕ This element is not supported
.... tag D 0..* Coding ✕ This element is not supported
... implicitRules 0..0
... extension 1..* Extension Extension
... extension:treatmentplan 1..1 CHEMEDExtTreatmentPlan A reference to the MedicationStatement that introduced this medication
... modifierExtension 0..0
... status 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Required Pattern: active
... statusReason D 0..1 CodeableConcept ✕ This element is not supported
... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Required Pattern: order
... category D 0..* CodeableConcept ✕ This element is not supported
... priority D 0..1 code ✕ This element is not supported
... doNotPerform 0..0
... reported[x] D 0..1 boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) ✕ This element is not supported
... medication[x] 1..1 Reference(CH Core Medication) Medication to be taken
... medication[x]:medicationReference 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
... subject 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
... encounter D 0..1 Reference(Encounter) ✕ This element is not supported
... supportingInformation:partOf 1..1 Reference(PADV Observation) {r, b} Reference to the Observation from type 'CHANGE'
... requester 1..1 Reference(CH EMED EPR PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
... performer D 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) ✕ This element is not supported
... performerType D 0..1 CodeableConcept ✕ This element is not supported
... reasonCode 0..1 CodeableConcept The treatment reason(s) as text, and optionally coded
.... extension D 0..* Extension ✕ This element is not supported
.... text 1..1 string Plain text representation of the treatment reason(s)
... reasonReference D 0..* Reference(Condition | Observation) ✕ This element is not supported
... instantiatesCanonical D 0..* canonical() ✕ This element is not supported
... instantiatesUri D 0..* uri ✕ This element is not supported
... basedOn D 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) ✕ This element is not supported
... groupIdentifier D 0..1 Identifier ✕ This element is not supported
... courseOfTherapyType D 0..1 CodeableConcept ✕ This element is not supported
... insurance D 0..* Reference(Coverage | ClaimResponse) ✕ This element is not supported
... note
.... id D 0..1 string ✕ This element is not supported
.... extension D 0..* Extension ✕ This element is not supported
.... author[x] D 0..1 Reference(Practitioner | Patient | RelatedPerson | Organization), string ✕ The note author is ignored, as it cannot be different than the document and/or entry's author
.... time D 0..1 dateTime ✕ This element is not supported
.... text 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... dosageInstruction:baseEntry 1..1 CHEMEDEPRDosageMedicationRequest CH EMED Dosage (MedicationRequest)
... dosageInstruction:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
... dispenseRequest
.... modifierExtension 0..0
.... initialFill D 0..1 BackboneElement ✕ This element is not supported
..... modifierExtension 0..0
..... quantity 0..1 CHEMEDEPRAmountQuantity A fixed quantity (no comparator)
.... quantity 0..1 CHEMEDEPRAmountQuantity A fixed quantity (no comparator)
.... expectedSupplyDuration D 0..1 Duration ✕ This element is not supported
.... performer D 0..1 Reference(Organization) ✕ This element is not supported
... substitution
.... modifierExtension 0..0
.... allowed[x]:allowedCodeableConcept 0..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (required)
.... reason D 0..1 CodeableConcept ✕ This element is not supported
... priorPrescription D 0..1 Reference(MedicationRequest) ✕ This element is not supported
... detectedIssue D 0..* Reference(DetectedIssue) ✕ This element is not supported
... eventHistory D 0..* Reference(Provenance) ✕ This element is not supported

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C 0..* CHEMEDMedicationRequestChanged CH EMED MedicationRequest Changed (PADV)
ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
... contained 1..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
... treatmentplan 1..1 (Complex) A reference to the MedicationStatement that introduced this medication
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... identifier 1..1 Identifier MedicationRequest Identifier
.... 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: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... 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.


Required Pattern: active
... statusReason 0..1 CodeableConcept ✕ This element is not supported
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Required Pattern: order
... category 0..* CodeableConcept ✕ This element is not supported
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 ✕ This element is not supported
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... reported[x] Σ 0..1 ✕ This element is not supported
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] Σ 1..1 Reference(CH Core Medication) Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter 0..1 Reference(Encounter) ✕ This element is not supported
... Slices for supportingInformation 1..* Reference(Resource) Information to support ordering of the medication
Slice: Unordered, Open by profile:resolve()
.... supportingInformation:partOf 1..1 Reference(PADV Observation) {r, b} Reference to the Observation from type 'CHANGE'
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(CH EMED EPR PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) ✕ This element is not supported
... performerType Σ 0..1 CodeableConcept ✕ This element is not supported
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... reasonCode 0..1 CodeableConcept The treatment reason(s) as text, and optionally coded
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... text Σ 1..1 string Plain text representation of the treatment reason(s)
... reasonReference 0..* Reference(Condition | Observation) ✕ This element is not supported
... instantiatesCanonical Σ 0..* canonical() ✕ This element is not supported
... instantiatesUri Σ 0..* uri ✕ This element is not supported
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) ✕ This element is not supported
... groupIdentifier Σ 0..1 Identifier ✕ This element is not supported
... courseOfTherapyType 0..1 CodeableConcept ✕ This element is not supported
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) ✕ This element is not supported
... Slices for dosageInstruction 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosageInstruction:baseEntry C 1..1 CHEMEDEPRDosageMedicationRequest CH EMED Dosage (MedicationRequest)
ch-dosage-4: For split dosage timing event and dose/rate are required
ch-dosage-3: Patient instruction/free text dosage instruction, timing or as needed has to be specified
base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
.... dosageInstruction:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
... priorPrescription 0..1 Reference(MedicationRequest) ✕ This element is not supported
... detectedIssue 0..* Reference(DetectedIssue) ✕ This element is not supported
... eventHistory 0..* Reference(Provenance) ✕ This element is not supported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
base-dosage-textwarningMedicationRequest.dosageInstruction:baseEntryIt is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
: text.exists() and text.trim().length() > 0
ch-dosage-3errorMedicationRequest.dosageInstruction:baseEntryPatient instruction/free text dosage instruction, timing or as needed has to be specified
: patientInstruction.exists() or timing.exists() or asNeeded.exists()
ch-dosage-4errorMedicationRequest.dosageInstruction:baseEntryFor split dosage timing event and dose/rate are required
: sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medreqerrorMedicationRequestIf one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
: (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-medicationrequest') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest C 0..* CHEMEDMedicationRequestChanged CH EMED MedicationRequest Changed (PADV)
ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id ✕ This element is not supported
.... lastUpdated Σ 0..1 instant ✕ This element is not supported
.... source Σ 0..1 uri ✕ This element is not supported
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding ✕ This element is not supported
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... tag Σ 0..* Coding ✕ This element is not supported
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".


... 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
... contained 1..* Resource Contained, inline Resources
... Slices for extension 1..* Extension Extension
Slice: Unordered, Open by value:url
... treatmentplan 1..1 (Complex) A reference to the MedicationStatement that introduced this medication
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
... identifier 1..1 Identifier MedicationRequest Identifier
.... 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: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... 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)
... 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.


Required Pattern: active
... statusReason 0..1 CodeableConcept ✕ This element is not supported
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.


Required Pattern: order
... category 0..* CodeableConcept ✕ This element is not supported
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 ✕ This element is not supported
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... reported[x] Σ 0..1 ✕ This element is not supported
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... Slices for medication[x] Σ 1..1 Reference(CH Core Medication) Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ 0..1 Reference(CH EMED EPR Medication) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH EMED EPR Patient) {r, b} Patient
.... 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 1..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 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(Encounter) ✕ This element is not supported
... Slices for supportingInformation 1..* Reference(Resource) Information to support ordering of the medication
Slice: Unordered, Open by profile:resolve()
.... supportingInformation:partOf 1..1 Reference(PADV Observation) {r, b} Reference to the Observation from type 'CHANGE'
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 Reference(CH EMED EPR PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
.... 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 1..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 Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) ✕ This element is not supported
... performerType Σ 0..1 CodeableConcept ✕ This element is not supported
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..1 CodeableConcept The treatment reason(s) as text, and optionally coded
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 ✕ This element is not supported
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
.... text Σ 1..1 string Plain text representation of the treatment reason(s)
... reasonReference 0..* Reference(Condition | Observation) ✕ This element is not supported
... instantiatesCanonical Σ 0..* canonical() ✕ This element is not supported
... instantiatesUri Σ 0..* uri ✕ This element is not supported
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) ✕ This element is not supported
... groupIdentifier Σ 0..1 Identifier ✕ This element is not supported
... courseOfTherapyType 0..1 CodeableConcept ✕ This element is not supported
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) ✕ This element is not supported
... note 0..* Annotation Information about the prescription
.... id 0..1 string ✕ This element is not supported
.... extension 0..* Extension ✕ This element is not supported
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 ✕ The note author is ignored, as it cannot be different than the document and/or entry's author
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime ✕ This element is not supported
.... text Σ 1..1 markdown The annotation text content (as raw text, no markdown allowed).
... Slices for dosageInstruction 1..* CHCoreDosage How the medication should be taken
Slice: Unordered, Closed by profile:$this
.... dosageInstruction:baseEntry C 1..1 CHEMEDEPRDosageMedicationRequest CH EMED Dosage (MedicationRequest)
ch-dosage-4: For split dosage timing event and dose/rate are required
ch-dosage-3: Patient instruction/free text dosage instruction, timing or as needed has to be specified
base-dosage-text: It is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
.... dosageInstruction:additionalEntry 0..* CHEMEDEPRDosageSplit CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... initialFill 0..1 BackboneElement ✕ This element is not supported
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... quantity C 0..1 CHEMEDEPRAmountQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Period of validity of the prescription
.... numberOfRepeatsAllowed 0..1 unsignedInt Repeated supply per medication (without initial dispense)
.... quantity C 0..1 CHEMEDEPRAmountQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
.... expectedSupplyDuration 0..1 Duration ✕ This element is not supported
.... performer 0..1 Reference(Organization) ✕ This element is not supported
... 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
.... 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 0..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (required)
.... reason 0..1 CodeableConcept ✕ This element is not supported
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) ✕ This element is not supported
... detectedIssue 0..* Reference(DetectedIssue) ✕ This element is not supported
... eventHistory 0..* Reference(Provenance) ✕ This element is not supported

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
MedicationRequest.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags
from the FHIR Standard
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredPattern: order
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.requester.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConceptrequiredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
base-dosage-textwarningMedicationRequest.dosageInstruction:baseEntryIt is a strong recommendation that the base dosage should contain the whole dosage information as narrative, including the information from split dosage elements.
: text.exists() and text.trim().length() > 0
ch-dosage-3errorMedicationRequest.dosageInstruction:baseEntryPatient instruction/free text dosage instruction, timing or as needed has to be specified
: patientInstruction.exists() or timing.exists() or asNeeded.exists()
ch-dosage-4errorMedicationRequest.dosageInstruction:baseEntryFor split dosage timing event and dose/rate are required
: sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medreqerrorMedicationRequestIf one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
: (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-medicationrequest') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantityThe comparator is not used on a SimpleQuantity
: comparator.empty()