Canadian Baseline
1.2.0 - CI Build
Canadian Baseline
1.2.0 - CI Build
Canadian Baseline, published by HL7 Canada - FHIR Implementation Work Group. This guide is not an authorized publication; it is the continuous build for version 1.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-Canada/ca-baseline/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest | Version: 1.2.0 | |||
| Draft as of 2024-08-09 | Computable Name: MedicationRequestProfile | |||
Proposed constraints and extensions on the MedicationRequest resource. Generated as a first step toward creating a set of Canadian Baseline FHIR profiles.
This profile was generated from HL7 StructureDefinition on 2019-03-28 and constrained during a review of US Core against Canadian sources.
Key differences from USCoreR4 MedicationRequest:
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest |
0..* | MedicationRequest | MedicationRequest Profile dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| status |
?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. ele-1: All FHIR elements must have a @value or children |
| intent |
?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children |
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action ele-1: All FHIR elements must have a @value or children |
  reported[x] |
Σ | 0..1 | Reported rather than primary record ele-1: All FHIR elements must have a @value or children | |
 reportedBoolean |
boolean | |||
  reportedReference |
Reference(Patient Profile | Practitioner Profile (General) | PractitionerRole Profile (General) | RelatedPerson | Organization Profile) | |||
| medication[x] |
SΣ | 1..1 | Medication to be taken Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time. ele-1: All FHIR elements must have a @value or children | |
 medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medication Profile) | |||
| subject |
SΣ | 1..1 | Reference(Patient Profile) | Who or group medication request is for ele-1: All FHIR elements must have a @value or children |
| encounter |
0..1 | Reference(Encounter Profile) | Encounter created as part of encounter/admission/stay ele-1: All FHIR elements must have a @value or children | |
| authoredOn |
SΣ | 0..1 | dateTime | When request was initially authored ele-1: All FHIR elements must have a @value or children |
| requester |
Σ | 0..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile | Patient Profile | RelatedPerson | Device Profile (Implantable)) | Who/What requested the Request ele-1: All FHIR elements must have a @value or children |
| performer |
0..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Organization Profile | Patient Profile | Device Profile (Implantable) | RelatedPerson | CareTeam) | Intended performer of administration ele-1: All FHIR elements must have a @value or children | |
| recorder |
0..1 | Reference(Practitioner Profile (General) | PractitionerRole Profile (General)) | Person who entered the request ele-1: All FHIR elements must have a @value or children | |
| reasonReference |
0..* | Reference(Condition Profile | Observation Profile (General Use)) | Condition or observation that supports why the prescription is being written ele-1: All FHIR elements must have a @value or children | |
| basedOn |
Σ | 0..* | Reference(CarePlan | MedicationRequest Profile | ServiceRequest | ImmunizationRecommendation Profile) | What request fulfills ele-1: All FHIR elements must have a @value or children |
| dosageInstruction |
S | 0..* | Dosage | How the medication should be taken ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| text |
SΣ | 0..1 | string | Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children |
| priorPrescription |
0..1 | Reference(MedicationRequest Profile) | An order/prescription that is being replaced ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |
| MedicationRequest.medication[x] | preferred | https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproducthttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Other representations of profile: CSV, Excel, Schematron
