CH EMED EPR
2.0.0-ci-build - ci-build
CH EMED EPR, published by CARA. This guide is not an authorized publication; it is the continuous build for version 2.0.0-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
Draft as of 2024-12-20 |
Definitions for the ch-emed-epr-medicationrequest resource profile.
Guidance on how to interpret the contents of this table can be found here
0. MedicationRequest | |
Invariants | 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. ((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).count() = 1 ) |
2. MedicationRequest.meta | |
4. MedicationRequest.meta.extension | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
6. MedicationRequest.meta.versionId | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
8. MedicationRequest.meta.lastUpdated | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
10. MedicationRequest.meta.source | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
12. MedicationRequest.meta.security | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
14. MedicationRequest.meta.tag | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
16. MedicationRequest.implicitRules | |
Comments | ...All modifiers SHALL be documented in the profile, in order to be usable. |
Control | 0..0 |
18. MedicationRequest.extension | |
Control | 1..? |
20. MedicationRequest.extension:treatmentplan | |
Slice Name | treatmentplan |
Short | A reference to the MedicationStatement that introduced this medication |
Control | 1..? |
22. MedicationRequest.modifierExtension | |
Comments | ...All modifiers SHALL be documented in the profile, in order to be usable. |
Control | 0..0 |
24. MedicationRequest.status | |
Pattern Value | active |
26. MedicationRequest.statusReason | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
28. MedicationRequest.intent | |
Pattern Value | order |
30. MedicationRequest.category | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
32. MedicationRequest.priority | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
34. MedicationRequest.doNotPerform | |
Comments | Use a PADV CANCEL/SUSPEND/REFUSE instead |
Control | 0..0 |
36. MedicationRequest.reported[x] | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Standard Status | Draft (from Draft) |
38. MedicationRequest.medication[x] | |
Type | Reference(CH Core Medication), CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
40. MedicationRequest.medication[x]:medicationReference | |
Slice Name | medicationReference |
Type | Reference(CH EMED EPR Medication)contained |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
42. MedicationRequest.subject | |
Type | Reference(CH EMED EPR Patient)referenced, bundled |
44. MedicationRequest.encounter | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
46. MedicationRequest.supportingInformation | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Control | 0..0 |
Standard Status | Draft (from Draft) |
48. MedicationRequest.requester | |
Type | Reference(CH EMED EPR PractitionerRole) |
50. MedicationRequest.performer | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
52. MedicationRequest.performerType | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
54. MedicationRequest.reasonCode | |
Definition | ...Content creators should keep it as simple and short as possible (e.g. 'blood clog', 'hypertension'). |
Short | The treatment reason(s) as text, and optionally coded |
56. MedicationRequest.reasonCode.extension | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
58. MedicationRequest.reasonCode.text | |
Short | Plain text representation of the treatment reason(s) |
Control | 1..? |
60. MedicationRequest.reasonReference | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
62. MedicationRequest.instantiatesCanonical | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
64. MedicationRequest.instantiatesUri | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
66. MedicationRequest.basedOn | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
68. MedicationRequest.groupIdentifier | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
70. MedicationRequest.courseOfTherapyType | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
72. MedicationRequest.insurance | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
74. MedicationRequest.note | |
76. MedicationRequest.note.id | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
78. MedicationRequest.note.extension | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
80. MedicationRequest.note.author[x] | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Standard Status | Draft (from Draft) |
82. MedicationRequest.note.time | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
84. MedicationRequest.note.text | |
Short | The annotation text content (as raw text, no markdown allowed). |
86. MedicationRequest.dosageInstruction:baseEntry | |
Slice Name | baseEntry |
Type | Dosage(Dosage (MedicationRequest)) |
88. MedicationRequest.dosageInstruction:additionalEntry | |
Slice Name | additionalEntry |
Type | Dosage(Dosage Split) |
90. MedicationRequest.dispenseRequest | |
92. MedicationRequest.dispenseRequest.modifierExtension | |
Comments | ...All modifiers SHALL be documented in the profile, in order to be usable. |
Control | 0..0 |
94. MedicationRequest.dispenseRequest.initialFill | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
96. MedicationRequest.dispenseRequest.initialFill.modifierExtension | |
Comments | ...All modifiers SHALL be documented in the profile, in order to be usable. |
Control | 0..0 |
98. MedicationRequest.dispenseRequest.initialFill.quantity | |
Type | Quantity(Amount Quantity) |
100. MedicationRequest.dispenseRequest.dispenseInterval | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
102. MedicationRequest.dispenseRequest.quantity | |
Type | Quantity(Amount Quantity) |
104. MedicationRequest.dispenseRequest.expectedSupplyDuration | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
106. MedicationRequest.dispenseRequest.performer | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
108. MedicationRequest.substitution | |
Short | If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed). |
110. MedicationRequest.substitution.modifierExtension | |
Comments | ...All modifiers SHALL be documented in the profile, in order to be usable. |
Control | 0..0 |
112. MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | |
Slice Name | allowedCodeableConcept |
Binding | The codes SHALL be taken from Substance Administration Substitution Codes (required to http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code ) |
Type | CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
114. MedicationRequest.substitution.allowed[x]:allowedCodeableConcept.coding | |
Pattern Value | { |
116. MedicationRequest.substitution.reason | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
118. MedicationRequest.priorPrescription | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Comments | Use the XDS mechanism to replace a prescription |
Standard Status | Draft (from Draft) |
120. MedicationRequest.detectedIssue | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
122. MedicationRequest.eventHistory | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. |
Short | ✕ This element is not supported |
Standard Status | Draft (from Draft) |
Guidance on how to interpret the contents of this table can be found here
0. MedicationRequest | |
Definition | An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns. |
Short | CH EMED MedicationRequest (PRE)Ordering of medication for patient or group |
Control | 0..* |
Is Modifier | false |
Summary | false |
Alternate Names | Prescription, Order |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) 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 (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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) 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. ( (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()) )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. ( (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).count() = 1 ) |
2. MedicationRequest.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. |
Short | A set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. All modifiers SHALL be documented in the profile, in order to be usable. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. |
Control | 0..01 |
Type | uri |
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
4. MedicationRequest.contained | |
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. |
Short | Contained, inline Resources |
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. |
Control | 10..* |
Type | Resource |
Is Modifier | false |
Summary | false |
Alternate Names | inline resources, anonymous resources, contained resources |
6. MedicationRequest.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 10..* |
Type | Extension |
Is Modifier | false |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on MedicationRequest.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
8. MedicationRequest.extension:treatmentplan | |
Slice Name | treatmentplan |
Definition | An Extension |
Short | A reference to the MedicationStatement that introduced this medication |
Control | 1..1 This element is affected by the following invariants: ele-1 |
Type | Extension(CH EMED Extension Treatment Plan) (Complex Extension) |
Is Modifier | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
10. MedicationRequest.modifierExtension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | ExtensionExtensions that cannot be ignored |
Comments | All modifiers SHALL be documented in the profile, in order to be usable. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..0* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them |
Summary | false |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
12. MedicationRequest.identifier | |
Definition | Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. |
Short | MedicationRequest IdentifierExternal ids for this request |
Comments | This is a business identifier, not a resource identifier. |
Note | This is a business identifier, not a resource identifier (see discussion) |
Control | 10..1* |
Type | Identifier |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
14. MedicationRequest.identifier.use | |
Definition | The purpose of this identifier. |
Short | usual | official | temp | secondary | old (If known) |
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. |
Control | 0..1 |
Binding | The codes SHALL be taken from IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . |
Type | code |
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
16. MedicationRequest.identifier.system | |
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. |
Short | The namespace for the identifier value |
Comments | Identifier.system is always case sensitive. |
Control | 10..1 |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. |
Fixed Value | urn:ietf:rfc:3986 |
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
18. MedicationRequest.identifier.value | |
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. |
Short | Identifier value as UUIDThe value that is unique |
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. |
Control | 10..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Example | <br/><b>General</b>:123456 <br/><b>CH EMED</b>:urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
20. MedicationRequest.status | |
Definition | A code specifying the current state of the order. Generally, this will be active or completed state. |
Short | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown |
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. |
Control | 1..1 |
Binding | The codes SHALL be taken from medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 (required to http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 )A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
Type | code |
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Pattern Value | active |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
22. MedicationRequest.statusReason | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Captures the reason for the current state of the MedicationRequest. |
Short | ✕ This element is not supportedReason for current status |
Comments | This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here. |
Control | 0..1 |
Binding | For example codes, see medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason (example to http://hl7.org/fhir/ValueSet/medicationrequest-status-reason )Identifies the reasons for a given status. |
Type | CodeableConcept |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
24. MedicationRequest.intent | |
Definition | Whether the request is a proposal, plan, or an original order. |
Short | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option |
Comments | It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. |
Control | 1..1 |
Binding | The codes SHALL be taken from medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 (required to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 )The kind of medication order. |
Type | code |
Is Modifier | true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Pattern Value | order |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
26. MedicationRequest.category | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Indicates the type of medication request (for example, where the medication is expected to be consumed or administered (i.e. inpatient or outpatient)). |
Short | ✕ This element is not supportedType of medication usage |
Comments | The category can be used to include where the medication is expected to be consumed or other types of requests. |
Control | 0..* |
Binding | For example codes, see medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category (example to http://hl7.org/fhir/ValueSet/medicationrequest-category )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. |
Type | CodeableConcept |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
28. MedicationRequest.priority | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Indicates how quickly the Medication Request should be addressed with respect to other requests. |
Short | ✕ This element is not supportedroutine | urgent | asap | stat |
Control | 0..1 |
Binding | The codes SHALL be taken from RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 )Identifies the level of importance to be assigned to actioning the request. |
Type | code |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Standard Status | Draft (from Trial Use) |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
30. MedicationRequest.doNotPerform | |
Definition | If true indicates that the provider is asking for the medication request not to occur. |
Short | True if request is prohibiting action |
Comments | Use a PADV CANCEL/SUSPEND/REFUSE instead If do not perform is not specified, the request is a positive request e.g. "do perform". |
Control | 0..01 |
Type | boolean |
Is Modifier | true because This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc) |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
32. MedicationRequest.reported[x] | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Indicates if this record was captured as a secondary 'reported' record rather than as an original primary source-of-truth record. It may also indicate the source of the report. |
Short | ✕ This element is not supportedReported rather than primary record |
Control | 0..1 |
Type | Choice of: boolean, Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization) |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Standard Status | Draft (from Trial Use) |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
34. MedicationRequest.medication[x] | |
Definition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. |
Short | Medication to be taken |
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. |
Control | 1..1 |
Type | Reference(CH Core Medication, Medication), CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on MedicationRequest.medication[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
36. MedicationRequest.medication[x]:medicationReference | |
Slice Name | medicationReference |
Definition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. |
Short | Reference to the contained medicationMedication to be taken |
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. |
Control | 01..1 |
Type | Reference(CH EMED EPR Medication, Medication)contained, CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
38. MedicationRequest.subject | |
Definition | A link to a resource representing the person or set of individuals to whom the medication will be given. |
Short | PatientWho or group medication request is for |
Comments | The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified. |
Control | 1..1 |
Type | Reference(CH EMED EPR Patient, Patient, Group)referenced, bundled |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
40. MedicationRequest.subject.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Short | Literal reference, Relative, internal or absolute URL |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Control | 10..1 This element is affected by the following invariants: ref-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
42. MedicationRequest.encounter | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. The Encounter during which this [x] was created or to which the creation of this record is tightly associated. |
Short | ✕ This element is not supportedEncounter created as part of encounter/admission/stay |
Comments | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension. |
Control | 0..1 |
Type | Reference(Encounter) |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
44. MedicationRequest.supportingInformation | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Include additional information (for example, patient height and weight) that supports the ordering of the medication. |
Short | ✕ This element is not supportedInformation to support ordering of the medication |
Control | 0..0* |
Type | Reference(Resource) |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
46. MedicationRequest.authoredOn | |
Definition | The date (and perhaps time) when the prescription was initially written or authored on. |
Short | When request was initially authored |
Control | 10..1 |
Type | dateTime |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
48. MedicationRequest.requester | |
Definition | The individual, organization, or device that initiated the request and has responsibility for its activation. |
Short | The author of the medical decision, see also 'Guidance - Authorship'Who/What requested the Request |
Control | 10..1 |
Type | Reference(CH EMED EPR PractitionerRole, Practitioner, PractitionerRole, Organization, Patient, RelatedPerson, Device) |
Is Modifier | false |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
50. MedicationRequest.requester.reference | |
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. |
Short | Literal reference, Relative, internal or absolute URL |
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. |
Control | 10..1 This element is affected by the following invariants: ref-1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
52. MedicationRequest.performer | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. The specified desired performer of the medication treatment (e.g. the performer of the medication administration). |
Short | ✕ This element is not supportedIntended performer of administration |
Control | 0..1 |
Type | Reference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson, CareTeam) |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
54. MedicationRequest.performerType | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Indicates the type of performer of the administration of the medication. |
Short | ✕ This element is not supportedDesired kind of performer of the medication administration |
Comments | If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available. |
Control | 0..1 |
Binding | For example codes, see ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role (example to http://hl7.org/fhir/ValueSet/performer-role )Identifies the type of individual that is desired to administer the medication. |
Type | CodeableConcept |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
56. MedicationRequest.reasonCode | |
Definition | The reason or the indication for ordering or not ordering the medication. Content creators should keep it as simple and short as possible (e.g. 'blood clog', 'hypertension'). The reason or the indication for ordering or not ordering the medication. |
Short | The treatment reason(s) as text, and optionally codedReason or indication for ordering or not ordering the medication |
Comments | This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference. |
Control | 0..* |
Binding | For example codes, see Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code (example to http://hl7.org/fhir/ValueSet/condition-code )A coded concept indicating why the medication was ordered. |
Type | CodeableConcept |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
58. MedicationRequest.reasonCode.extension | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ✕ This element is not supportedAdditional content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Alternate Names | extensions, user content |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
Slicing | This element introduces a set of slices on MedicationRequest.reasonCode.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
60. MedicationRequest.reasonCode.text | |
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. |
Short | Plain text representation of the treatment reason(s)Plain text representation of the concept |
Comments | Very often the text is the same as a displayName of one of the codings. |
Control | 10..1 |
Type | string |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
62. MedicationRequest.reasonReference | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Condition or observation that supports why the medication was ordered. |
Short | ✕ This element is not supportedCondition or observation that supports why the prescription is being written |
Comments | This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode. |
Control | 0..* |
Type | Reference(Condition, Observation) |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
64. MedicationRequest.instantiatesCanonical | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. The URL pointing to a protocol, guideline, orderset, or other definition that is adhered to in whole or in part by this MedicationRequest. |
Short | ✕ This element is not supportedInstantiates FHIR protocol or definition |
Control | 0..* |
Type | canonical |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Standard Status | Draft (from Trial Use) |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
66. MedicationRequest.instantiatesUri | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. The URL pointing to an externally maintained protocol, guideline, orderset or other definition that is adhered to in whole or in part by this MedicationRequest. |
Short | ✕ This element is not supportedInstantiates external protocol or definition |
Control | 0..* |
Type | uri |
Is Modifier | false |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Standard Status | Draft (from Trial Use) |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
68. MedicationRequest.basedOn | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. A plan or request that is fulfilled in whole or in part by this medication request. |
Short | ✕ This element is not supportedWhat request fulfills |
Control | 0..* |
Type | Reference(CarePlan, MedicationRequest, ServiceRequest, ImmunizationRecommendation) |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
70. MedicationRequest.groupIdentifier | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. A shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription. |
Short | ✕ This element is not supportedComposite request this is part of |
Control | 0..1 |
Type | Identifier |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | true |
Requirements | Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation. |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
72. MedicationRequest.courseOfTherapyType | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. The description of the overall patte3rn of the administration of the medication to the patient. |
Short | ✕ This element is not supportedOverall pattern of medication administration |
Comments | This attribute should not be confused with the protocol of the medication. |
Control | 0..1 |
Binding | For example codes, see medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy (example to http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy )Identifies the overall pattern of medication administratio. |
Type | CodeableConcept |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
74. MedicationRequest.insurance | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Insurance plans, coverage extensions, pre-authorizations and/or pre-determinations that may be required for delivering the requested service. |
Short | ✕ This element is not supportedAssociated insurance coverage |
Control | 0..* |
Type | Reference(Coverage, ClaimResponse) |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
76. MedicationRequest.dosageInstruction | |
Definition | Indicates how the medication is/was taken or should be taken by the patient. Indicates how the medication is to be used by the patient. |
Short | How the medication should be taken |
Comments | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. |
Control | 10..* |
Type | Dosage(CH Core Dosage) |
Is Modifier | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
78. MedicationRequest.dosageInstruction:baseEntry | |
Slice Name | baseEntry |
Definition | Indicates how the medication is/was taken or should be taken by the patient. Indicates how the medication is to be used by the patient. |
Short | CH EMED Dosage (MedicationRequest)How the medication should be taken |
Comments | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. |
Control | 10..1* |
Type | Dosage(Dosage (MedicationRequest)) |
Is Modifier | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ch-dosage-4: For split dosage timing event and dose/rate are required ( sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) )ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified ( patientInstruction.exists() or (timing.exists() and doseAndRate.exists()) )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. ( text.exists() and text.trim().length() > 0 ) |
80. MedicationRequest.dosageInstruction:additionalEntry | |
Slice Name | additionalEntry |
Definition | Indicates how the medication is/was taken or should be taken by the patient. Indicates how the medication is to be used by the patient. |
Short | CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest)How the medication should be taken |
Comments | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. |
Control | 0..* |
Type | Dosage(Dosage Split) |
Is Modifier | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
82. MedicationRequest.substitution | |
Definition | Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done. |
Short | If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed).Any restrictions on medication substitution |
Control | 0..1 |
Type | BackboneElement |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
84. MedicationRequest.substitution.modifierExtension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). |
Short | ExtensionExtensions that cannot be ignored even if unrecognized |
Comments | All modifiers SHALL be documented in the profile, in order to be usable. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..0* |
Type | Extension |
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them |
Summary | true |
Requirements | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. |
Alternate Names | extensions, user content, modifiers |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists()) |
86. MedicationRequest.substitution.allowed[x] | |
Definition | True if the prescriber allows a different drug to be dispensed from what was prescribed. |
Short | Whether substitution is allowed or not |
Comments | This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. |
Control | 1..1 |
Binding | For example codes, see ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode (example to http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode )Identifies the type of substitution allowed. |
Type | CodeableConcept, boolean |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Slicing | This element introduces a set of slices on MedicationRequest.substitution.allowed[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
88. MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | |
Slice Name | allowedCodeableConcept |
Definition | True if the prescriber allows a different drug to be dispensed from what was prescribed. |
Short | Whether substitution is allowed or not |
Comments | This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. |
Control | 01..1 |
Binding | The codes SHALL be taken from For example codes, see Substance Administration Substitution Codeshttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode (required to http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code ) |
Type | CodeableConcept, boolean |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Is Modifier | false |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
90. MedicationRequest.substitution.allowed[x]:allowedCodeableConcept.coding | |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 0..* |
Type | Coding |
Is Modifier | false |
Summary | true |
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. |
Pattern Value | { |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
92. MedicationRequest.substitution.reason | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Indicates the reason for the substitution, or why substitution must or must not be performed. |
Short | ✕ This element is not supportedWhy should (not) substitution be made |
Control | 0..1 |
Binding | For example codes, see SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason (example to http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason )A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. |
Type | CodeableConcept |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
94. MedicationRequest.priorPrescription | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. A link to a resource representing an earlier order related order or prescription. |
Short | ✕ This element is not supportedAn order/prescription that is being replaced |
Comments | Use the XDS mechanism to replace a prescription |
Control | 0..1 |
Type | Reference(MedicationRequest) |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
96. MedicationRequest.detectedIssue | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Indicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc. |
Short | ✕ This element is not supportedClinical Issue with action |
Comments | This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue. |
Control | 0..* |
Type | Reference(DetectedIssue) |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Alternate Names | Contraindication, Drug Utilization Review (DUR), Alert |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
98. MedicationRequest.eventHistory | |
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. Links to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource. |
Short | ✕ This element is not supportedA list of events of interest in the lifecycle |
Comments | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.). |
Control | 0..* |
Type | Reference(Provenance) |
Is Modifier | false |
Standard Status | Draft (from Trial Use) |
Summary | false |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) |
Guidance on how to interpret the contents of this table can be found here
0. MedicationRequest | |||||
Definition | An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns. | ||||
Short | CH EMED MedicationRequest (PRE) | ||||
Control | 0..* | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | Prescription, Order | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )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 ( 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label ( contained.meta.security.empty() )dom-6: A resource should have narrative for robust management ( text.`div`.exists() )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. ( (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()) )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. ( (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).count() = 1 ) | ||||
2. MedicationRequest.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Summary | true | ||||
4. MedicationRequest.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
6. MedicationRequest.meta.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
8. MedicationRequest.meta.extension | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.meta.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
10. MedicationRequest.meta.versionId | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes. | ||||
Control | 0..1 | ||||
Type | id | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
12. MedicationRequest.meta.lastUpdated | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction. | ||||
Control | 0..1 | ||||
Type | instant | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
14. MedicationRequest.meta.source | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
16. MedicationRequest.meta.profile | |||||
Definition | A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. | ||||
Short | Profiles this resource claims to conform to | ||||
Comments | It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. | ||||
Control | 0..* | ||||
Type | canonical(StructureDefinition) | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
18. MedicationRequest.meta.security | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to http://hl7.org/fhir/ValueSet/security-labels )Security Labels from the Healthcare Privacy and Security Classification System. | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
20. MedicationRequest.meta.tag | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. | ||||
Control | 0..* | ||||
Binding | For example codes, see CommonTags (example to http://hl7.org/fhir/ValueSet/common-tags )Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
22. MedicationRequest.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. All modifiers SHALL be documented in the profile, in order to be usable. | ||||
Control | 0..0 | ||||
Type | uri | ||||
Is Modifier | true because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
24. MedicationRequest.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | The codes SHOULD be taken from CommonLanguages (preferred to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
26. MedicationRequest.text | |||||
Definition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. | ||||
Control | 0..1 | ||||
Type | Narrative | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | narrative, html, xhtml, display | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
28. MedicationRequest.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. | ||||
Control | 1..* | ||||
Type | Resource | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
30. MedicationRequest.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 1..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
32. MedicationRequest.extension:treatmentplan | |||||
Slice Name | treatmentplan | ||||
Definition | An Extension | ||||
Short | A reference to the MedicationStatement that introduced this medication | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(CH EMED Extension Treatment Plan) (Complex Extension) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
34. MedicationRequest.modifierExtension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Comments | All modifiers SHALL be documented in the profile, in order to be usable. | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
36. MedicationRequest.identifier | |||||
Definition | Identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. | ||||
Short | MedicationRequest Identifier | ||||
Comments | This is a business identifier, not a resource identifier. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 1..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
38. MedicationRequest.identifier.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
40. MedicationRequest.identifier.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.identifier.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
42. MedicationRequest.identifier.use | |||||
Definition | The purpose of this identifier. | ||||
Short | usual | official | temp | secondary | old (If known) | ||||
Comments | Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from IdentifierUse (required to http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 )Identifies the purpose for this identifier, if known . | ||||
Type | code | ||||
Is Modifier | true because This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
44. MedicationRequest.identifier.type | |||||
Definition | A coded type for the identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Short | Description of identifier | ||||
Comments | This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Identifier Type Codes (extensible to http://hl7.org/fhir/ValueSet/identifier-type )A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows users to make use of identifiers when the identifier system is not known. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
46. MedicationRequest.identifier.system | |||||
Definition | Establishes the namespace for the value - that is, a URL that describes a set values that are unique. | ||||
Short | The namespace for the identifier value | ||||
Comments | Identifier.system is always case sensitive. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. | ||||
Fixed Value | urn:ietf:rfc:3986 | ||||
Example | <br/><b>General</b>:http://www.acme.com/identifiers/patient | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
48. MedicationRequest.identifier.value | |||||
Definition | The portion of the identifier typically relevant to the user and which is unique within the context of the system. | ||||
Short | Identifier value as UUID | ||||
Comments | If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Example | <br/><b>General</b>:123456 <br/><b>CH EMED</b>:urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
50. MedicationRequest.identifier.period | |||||
Definition | Time period during which identifier is/was valid for use. | ||||
Short | Time period when id is/was valid for use | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
52. MedicationRequest.identifier.assigner | |||||
Definition | Organization that issued/manages the identifier. | ||||
Short | Organization that issued id (may be just text) | ||||
Comments | The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization. | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
54. MedicationRequest.status | |||||
Definition | A code specifying the current state of the order. Generally, this will be active or completed state. | ||||
Short | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown | ||||
Comments | This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from medicationrequest Status (required to http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 )A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
Type | code | ||||
Is Modifier | true because This element is labeled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Pattern Value | active | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
56. MedicationRequest.statusReason | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | This is generally only used for "exception" statuses such as "suspended" or "cancelled". The reason why the MedicationRequest was created at all is captured in reasonCode, not here. | ||||
Control | 0..1 | ||||
Binding | For example codes, see medicationRequest Status Reason Codes (example to http://hl7.org/fhir/ValueSet/medicationrequest-status-reason )Identifies the reasons for a given status. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
58. MedicationRequest.intent | |||||
Definition | Whether the request is a proposal, plan, or an original order. | ||||
Short | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option | ||||
Comments | It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from medicationRequest Intent (required to http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 )The kind of medication order. | ||||
Type | code | ||||
Is Modifier | true because This element changes the interpretation of all descriptive attributes. For example "the time the request is recommended to occur" vs. "the time the request is authorized to occur" or "who is recommended to perform the request" vs. "who is authorized to perform the request | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Pattern Value | order | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
60. MedicationRequest.category | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | The category can be used to include where the medication is expected to be consumed or other types of requests. | ||||
Control | 0..* | ||||
Binding | For example codes, see medicationRequest Category Codes (example to http://hl7.org/fhir/ValueSet/medicationrequest-category )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. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
62. MedicationRequest.priority | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from RequestPriority (required to http://hl7.org/fhir/ValueSet/request-priority|4.0.1 )Identifies the level of importance to be assigned to actioning the request. | ||||
Type | code | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
64. MedicationRequest.doNotPerform | |||||
Definition | If true indicates that the provider is asking for the medication request not to occur. | ||||
Short | True if request is prohibiting action | ||||
Comments | Use a PADV CANCEL/SUSPEND/REFUSE instead | ||||
Control | 0..0 | ||||
Type | boolean | ||||
Is Modifier | true because This element is labeled as a modifier because this element negates the request to occur (ie, this is a request for the medication not to be ordered or prescribed, etc) | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
66. MedicationRequest.reported[x] | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..1 | ||||
Type | Choice of: boolean, Reference(Patient, Practitioner, PractitionerRole, RelatedPerson, Organization) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
68. MedicationRequest.medication[x] | |||||
Definition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. | ||||
Short | Medication to be taken | ||||
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. | ||||
Control | 1..1 | ||||
Type | Reference(CH Core Medication) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.medication[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
70. MedicationRequest.medication[x]:medicationReference | |||||
Slice Name | medicationReference | ||||
Definition | Identifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. | ||||
Short | Reference to the contained medication | ||||
Comments | If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the Medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. | ||||
Control | 0..1 | ||||
Type | Reference(CH EMED EPR Medication)contained | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
72. MedicationRequest.subject | |||||
Definition | A link to a resource representing the person or set of individuals to whom the medication will be given. | ||||
Short | Patient | ||||
Comments | The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified. | ||||
Control | 1..1 | ||||
Type | Reference(CH EMED EPR Patient)referenced, bundled | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
74. MedicationRequest.subject.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
76. MedicationRequest.subject.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.subject.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
78. MedicationRequest.subject.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
80. MedicationRequest.subject.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types )Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
82. MedicationRequest.subject.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
84. MedicationRequest.subject.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
86. MedicationRequest.encounter | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | This will typically be the encounter the event occurred within, but some activities may be initiated prior to or after the official completion of an encounter but still be tied to the context of the encounter." If there is a need to link to episodes of care they will be handled with an extension. | ||||
Control | 0..1 | ||||
Type | Reference(Encounter) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
88. MedicationRequest.supportingInformation | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..0 | ||||
Type | Reference(Resource) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
90. MedicationRequest.authoredOn | |||||
Definition | The date (and perhaps time) when the prescription was initially written or authored on. | ||||
Short | When request was initially authored | ||||
Control | 1..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
92. MedicationRequest.requester | |||||
Definition | The individual, organization, or device that initiated the request and has responsibility for its activation. | ||||
Short | The author of the medical decision, see also 'Guidance - Authorship' | ||||
Control | 1..1 | ||||
Type | Reference(CH EMED EPR PractitionerRole) | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
94. MedicationRequest.requester.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
96. MedicationRequest.requester.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.requester.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
98. MedicationRequest.requester.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 1..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
100. MedicationRequest.requester.type | |||||
Definition | The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent. The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources). | ||||
Short | Type the reference refers to (e.g. "Patient") | ||||
Comments | This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified. | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ResourceType (extensible to http://hl7.org/fhir/ValueSet/resource-types )Aa resource (or, for logical models, the URI of the logical model). | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
102. MedicationRequest.requester.identifier | |||||
Definition | An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any). | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
104. MedicationRequest.requester.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
106. MedicationRequest.performer | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..1 | ||||
Type | Reference(Practitioner, PractitionerRole, Organization, Patient, Device, RelatedPerson, CareTeam) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
108. MedicationRequest.performerType | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | If specified without indicating a performer, this indicates that the performer must be of the specified type. If specified with a performer then it indicates the requirements of the performer if the designated performer is not available. | ||||
Control | 0..1 | ||||
Binding | For example codes, see ProcedurePerformerRoleCodes (example to http://hl7.org/fhir/ValueSet/performer-role )Identifies the type of individual that is desired to administer the medication. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
110. MedicationRequest.recorder | |||||
Definition | The person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. | ||||
Short | Person who entered the request | ||||
Control | 0..1 | ||||
Type | Reference(Practitioner, PractitionerRole) | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
112. MedicationRequest.reasonCode | |||||
Definition | The reason or the indication for ordering or not ordering the medication. Content creators should keep it as simple and short as possible (e.g. 'blood clog', 'hypertension'). | ||||
Short | The treatment reason(s) as text, and optionally coded | ||||
Comments | This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference. | ||||
Control | 0..* | ||||
Binding | For example codes, see Condition/Problem/DiagnosisCodes (example to http://hl7.org/fhir/ValueSet/condition-code )A coded concept indicating why the medication was ordered. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
114. MedicationRequest.reasonCode.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
116. MedicationRequest.reasonCode.extension | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.reasonCode.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
118. MedicationRequest.reasonCode.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
120. MedicationRequest.reasonCode.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the treatment reason(s) | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 1..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
122. MedicationRequest.reasonReference | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode. | ||||
Control | 0..* | ||||
Type | Reference(Condition, Observation) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
124. MedicationRequest.instantiatesCanonical | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..* | ||||
Type | canonical | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
126. MedicationRequest.instantiatesUri | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..* | ||||
Type | uri | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
128. MedicationRequest.basedOn | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..* | ||||
Type | Reference(CarePlan, MedicationRequest, ServiceRequest, ImmunizationRecommendation) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
130. MedicationRequest.groupIdentifier | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Requirements | Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
132. MedicationRequest.courseOfTherapyType | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | This attribute should not be confused with the protocol of the medication. | ||||
Control | 0..1 | ||||
Binding | For example codes, see medicationRequest Course of Therapy Codes (example to http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy )Identifies the overall pattern of medication administratio. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
134. MedicationRequest.insurance | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..* | ||||
Type | Reference(Coverage, ClaimResponse) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
136. MedicationRequest.note | |||||
Definition | Extra information about the prescription that could not be conveyed by the other attributes. | ||||
Short | Information about the prescription | ||||
Control | 0..* | ||||
Type | Annotation | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
138. MedicationRequest.note.id | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
140. MedicationRequest.note.extension | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.note.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
142. MedicationRequest.note.author[x] | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | ||||
Comments | Organization is used when there's no need for specific attribution as to who made the comment. | ||||
Control | 0..1 | ||||
Type | Choice of: Reference(Practitioner, Patient, RelatedPerson, Organization), string | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
144. MedicationRequest.note.time | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
146. MedicationRequest.note.text | |||||
Definition | The text of the annotation in markdown format. | ||||
Short | The annotation text content (as raw text, no markdown allowed). | ||||
Control | 1..1 | ||||
Type | markdown | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
148. MedicationRequest.dosageInstruction | |||||
Definition | Indicates how the medication is/was taken or should be taken by the patient. | ||||
Short | How the medication should be taken | ||||
Comments | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. | ||||
Control | 1..* | ||||
Type | Dosage(CH Core Dosage) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.dosageInstruction . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
150. MedicationRequest.dosageInstruction:baseEntry | |||||
Slice Name | baseEntry | ||||
Definition | Indicates how the medication is/was taken or should be taken by the patient. | ||||
Short | CH EMED Dosage (MedicationRequest) | ||||
Comments | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. | ||||
Control | 1..1 | ||||
Type | Dosage(Dosage (MedicationRequest)) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ch-dosage-4: For split dosage timing event and dose/rate are required ( sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) )ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified ( patientInstruction.exists() or (timing.exists() and doseAndRate.exists()) )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. ( text.exists() and text.trim().length() > 0 ) | ||||
152. MedicationRequest.dosageInstruction:additionalEntry | |||||
Slice Name | additionalEntry | ||||
Definition | Indicates how the medication is/was taken or should be taken by the patient. | ||||
Short | CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest) | ||||
Comments | There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed. | ||||
Control | 0..* | ||||
Type | Dosage(Dosage Split) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
154. MedicationRequest.dispenseRequest | |||||
Definition | Indicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department. | ||||
Short | Medication supply authorization | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
156. MedicationRequest.dispenseRequest.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
158. MedicationRequest.dispenseRequest.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
160. MedicationRequest.dispenseRequest.modifierExtension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Comments | All modifiers SHALL be documented in the profile, in order to be usable. | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
162. MedicationRequest.dispenseRequest.initialFill | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | If populating this element, either the quantity or the duration must be included. | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
164. MedicationRequest.dispenseRequest.initialFill.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
166. MedicationRequest.dispenseRequest.initialFill.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
168. MedicationRequest.dispenseRequest.initialFill.modifierExtension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Comments | All modifiers SHALL be documented in the profile, in order to be usable. | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
170. MedicationRequest.dispenseRequest.initialFill.quantity | |||||
Definition | The comparator is not used on a SimpleQuantity | ||||
Short | A fixed quantity (no comparator) | ||||
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(Amount Quantity) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
172. MedicationRequest.dispenseRequest.initialFill.duration | |||||
Definition | The length of time that the first dispense is expected to last. | ||||
Short | First fill duration | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
174. MedicationRequest.dispenseRequest.dispenseInterval | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
176. MedicationRequest.dispenseRequest.validityPeriod | |||||
Definition | This indicates the validity period of a prescription (stale dating the Prescription). | ||||
Short | Period of validity of the prescription | ||||
Comments | It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Is Modifier | false | ||||
Summary | false | ||||
Requirements | Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
178. MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | |||||
Definition | An integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. A prescriber may explicitly say that zero refills are permitted after the initial dispense. | ||||
Short | Repeated supply per medication (without initial dispense) | ||||
Comments | If displaying "number of authorized fills", add 1 to this number. | ||||
Control | 0..1 | ||||
Type | unsignedInt | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
180. MedicationRequest.dispenseRequest.quantity | |||||
Definition | The comparator is not used on a SimpleQuantity | ||||
Short | A fixed quantity (no comparator) | ||||
Comments | The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Quantity(Amount Quantity) | ||||
Is Modifier | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )qty-3: If a code for the unit is present, the system SHALL also be present ( code.empty() or system.exists() )sqty-1: The comparator is not used on a SimpleQuantity ( comparator.empty() ) | ||||
182. MedicationRequest.dispenseRequest.expectedSupplyDuration | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage). When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors. | ||||
Control | 0..1 | ||||
Type | Duration | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
184. MedicationRequest.dispenseRequest.performer | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..1 | ||||
Type | Reference(Organization) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
186. MedicationRequest.substitution | |||||
Definition | Indicates whether or not substitution can or should be part of the dispense. In some cases, substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done. | ||||
Short | If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed). | ||||
Control | 0..1 | ||||
Type | BackboneElement | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
188. MedicationRequest.substitution.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
190. MedicationRequest.substitution.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
192. MedicationRequest.substitution.modifierExtension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Comments | All modifiers SHALL be documented in the profile, in order to be usable. | ||||
Control | 0..0 | ||||
Type | Extension | ||||
Is Modifier | true because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
194. MedicationRequest.substitution.allowed[x] | |||||
Definition | True if the prescriber allows a different drug to be dispensed from what was prescribed. | ||||
Short | Whether substitution is allowed or not | ||||
Comments | This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. | ||||
Control | 1..1 | ||||
Binding | For example codes, see ActSubstanceAdminSubstitutionCode (example to http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode )Identifies the type of substitution allowed. | ||||
Type | CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.substitution.allowed[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
196. MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | |||||
Slice Name | allowedCodeableConcept | ||||
Definition | True if the prescriber allows a different drug to be dispensed from what was prescribed. | ||||
Short | Whether substitution is allowed or not | ||||
Comments | This element is labeled as a modifier because whether substitution is allow or not, it cannot be ignored. | ||||
Control | 0..1 | ||||
Binding | The codes SHALL be taken from Substance Administration Substitution Codes (required to http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code ) | ||||
Type | CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Is Modifier | false | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
198. MedicationRequest.substitution.allowed[x]:allowedCodeableConcept.id | |||||
Definition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | Unique id for inter-element referencing | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Summary | false | ||||
200. MedicationRequest.substitution.allowed[x]:allowedCodeableConcept.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | false | ||||
Summary | false | ||||
Alternate Names | extensions, user content | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
Slicing | This element introduces a set of slices on MedicationRequest.substitution.allowed[x].extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
202. MedicationRequest.substitution.allowed[x]:allowedCodeableConcept.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 0..* | ||||
Type | Coding | ||||
Is Modifier | false | ||||
Summary | true | ||||
Requirements | Allows for alternative encodings within a code system, and translations to other code systems. | ||||
Pattern Value | { | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
204. MedicationRequest.substitution.allowed[x]:allowedCodeableConcept.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Is Modifier | false | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
206. MedicationRequest.substitution.reason | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Control | 0..1 | ||||
Binding | For example codes, see SubstanceAdminSubstitutionReason (example to http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason )A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | ||||
Type | CodeableConcept | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
208. MedicationRequest.priorPrescription | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | Use the XDS mechanism to replace a prescription | ||||
Control | 0..1 | ||||
Type | Reference(MedicationRequest) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
210. MedicationRequest.detectedIssue | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | This element can include a detected issue that has been identified either by a decision support system or by a clinician and may include information on the steps that were taken to address the issue. | ||||
Control | 0..* | ||||
Type | Reference(DetectedIssue) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Alternate Names | Contraindication, Drug Utilization Review (DUR), Alert | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) | ||||
212. MedicationRequest.eventHistory | |||||
Definition | Implementers should not set or read this element. This element is only kept as optional to allow submission of documents that would contain a value, since those documents are still readable by others. The meaning of this element is undefined in this profile. | ||||
Short | ✕ This element is not supported | ||||
Comments | This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.). | ||||
Control | 0..* | ||||
Type | Reference(Provenance) | ||||
Is Modifier | false | ||||
Standard Status | Draft (from Trial Use) | ||||
Summary | false | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()) ) |