CH EMED EPR
2.0.1-ci-build - ci-build
CH EMED EPR
2.0.1-ci-build - ci-build
CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.1-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
| Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationrequest | Version: 2.0.1-ci-build | |||
| Draft as of 2025-01-23 | Computable Name: CHEMEDEPRMedicationRequest | |||
Copyright/Legal: CC0-1.0 |
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Definition of the medication request for the medication prescription document
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest |
C | 0..* | CHEMEDMedicationRequest | CH EMED MedicationRequest (PRE) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management 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. split-dosage-instruction-unit-must-match-base-dosage-instruction: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. |
 contained |
1..* | Resource | Contained, inline Resources | |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
   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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 identifier |
1..1 | Identifier | MedicationRequest Identifier ele-1: All FHIR elements must have a @value or children | |
 use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children |
| system |
Σ | 1..1 | uri | The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986 |
 value |
Σ | 1..1 | string | Identifier value as UUID ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: active |
| statusReason |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children |
| 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. ele-1: All FHIR elements must have a @value or children Required Pattern: order |
| category |
D | 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. ele-1: All FHIR elements must have a @value or children |
| priority |
ΣD | 0..1 | code | ✕ This element is not supported Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children |
 reported[x] |
ΣD | 0..1 | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children | |
| reportedBoolean |
boolean | |||
 reportedReference |
Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||
 Slices for medication[x] |
Σ | 1..1 | Reference(CH Core Medication(6.0.0-ballot-ci-build)) | Medication to be taken Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children |
| medication[x]:medicationReference |
Σ | 0..1 | Reference(CH EMED EPR Medication) {c} | Reference to the contained medication ele-1: All FHIR elements must have a @value or children |
| subject |
Σ | 1..1 | Reference(CH EMED EPR Patient) {r, b} | Patient ele-1: All FHIR elements must have a @value or children |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
| encounter |
D | 0..1 | Reference(Encounter) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| authoredOn |
Σ | 1..1 | dateTime | When request was initially authored ele-1: All FHIR elements must have a @value or children |
| requester |
Σ | 1..1 | Reference(CH EMED EPR PractitionerRole) | The author of the medical decision, see also 'Guidance - Authorship' ele-1: All FHIR elements must have a @value or children |
| reference |
ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children |
| performer |
D | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| performerType |
ΣD | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. ele-1: All FHIR elements must have a @value or children |
| reasonCode |
0..* | CodeableConcept | The treatment reason(s) as text, and optionally coded Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. ele-1: All FHIR elements must have a @value or children | |
| extension |
D | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| text |
Σ | 1..1 | string | Plain text representation of the treatment reason(s) ele-1: All FHIR elements must have a @value or children |
| reasonReference |
D | 0..* | Reference(Condition | Observation) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| instantiatesCanonical |
ΣD | 0..* | canonical() | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| instantiatesUri |
ΣD | 0..* | uri | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| basedOn |
ΣD | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| groupIdentifier |
ΣD | 0..1 | Identifier | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| courseOfTherapyType |
D | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. ele-1: All FHIR elements must have a @value or children |
| insurance |
D | 0..* | Reference(Coverage | ClaimResponse) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| Slices for dosageInstruction |
1..* | CHCoreDosage(6.0.0-ballot-ci-build) | How the medication should be taken Slice: Unordered, Closed by profile:$this ele-1: All FHIR elements must have a @value or children | |
 dosageInstruction:baseEntry |
C | 1..1 | CHEMEDEPRDosageMedicationRequest | Base entry of the dosage instruction ele-1: All FHIR elements must have a @value or children ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified |
| dosageInstruction:additionalEntry |
0..* | CHEMEDEPRDosageSplit | Additional entry of the dosage instruction ele-1: All FHIR elements must have a @value or children | |
| substitution |
0..1 | BackboneElement | If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed). ele-1: All FHIR elements must have a @value or children | |
| 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. ele-1: All FHIR elements must have a @value or children | |
 allowed[x]:allowedCodeableConcept |
0..1 | CodeableConcept | Whether substitution is allowed or not Binding: Substance Administration Substitution Codes (required) ele-1: All FHIR elements must have a @value or children | |
  coding |
Σ | 0..* | Coding | Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following |
 system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: N | |
| display |
1..1 | string | Representation defined by the system Fixed Value: none | |
| reason |
D | 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. ele-1: All FHIR elements must have a @value or children |
| priorPrescription |
D | 0..1 | Reference(MedicationRequest) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| detectedIssue |
D | 0..* | Reference(DetectedIssue) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| eventHistory |
D | 0..* | Reference(Provenance) | ✕ This element is not supported ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| MedicationRequest.status | required | Pattern: activehttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | |
| MedicationRequest.intent | required | Pattern: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | |
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | |
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard | |
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | CHEMEDEprActSubstanceAdminSubstitutionCodehttp://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-codefrom this IG | |
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
| Id | Grade | Path(s) | Details | Requirements |
| ch-dosage-3 | error | MedicationRequest.dosageInstruction:baseEntry | Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.exists()) | |
| ch-dosage-4 | error | MedicationRequest.dosageInstruction:baseEntry | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
| ch-dosage-medreq | error | MedicationRequest | 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. : (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-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() | |
| split-dosage-instruction-unit-must-match-base-dosage-instruction | error | MedicationRequest | The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1 |
Other representations of profile: CSV, Excel, Schematron
