Union of http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest and http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest

This is the set of resources that conform to either of the profiles IPA-MedicationRequest (http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest) and MedicationRequest Profile (http://hl7.org/fhir/ca/baseline/StructureDefinition/profile-medicationrequest). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*left: Ordering of medication for patient or group; right: 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
... meta Σ0..1MetaMetadata about the resource
ele-1: All FHIR elements must have a @value or children
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.


ele-1: All FHIR elements must have a @value or children
... text 0..1NarrativeText summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... modifierExtension ?!0..*ExtensionExtensions 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
... identifier 0..*IdentifierExternal ids for this request
ele-1: All FHIR elements must have a @value or children
... status ?!SΣ1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: ?? (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
... statusReason 0..1CodeableConceptReason for current status
Binding: ?? (example): Identifies the reasons for a given status.


ele-1: All FHIR elements must have a @value or children
... intent ?!SΣ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: ?? (required): The kind of medication order.


ele-1: All FHIR elements must have a @value or children
... category 0..*CodeableConceptType of medication usage
Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


ele-1: All FHIR elements must have a @value or children
... priority Σ0..1coderoutine | urgent | asap | stat
Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.


ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
ele-1: All FHIR elements must have a @value or children
... reported[x] SΣ0..1Reported rather than primary record
ele-1: All FHIR elements must have a @value or children
.... reportedBooleanboolean
.... reportedReferenceReference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole | #sd-ipa-patient-profile-patient)
... medication[x] SΣ1..1Medication to be taken
Binding: ?? (preferred): left: A coded concept identifying substance or product that can be ordered.; right: 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
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(IPA-Medication | #sd-ipa-medication-profile-medication)
... subject SΣ1..1Reference(IPA-Patient | #sd-ipa-patient-profile-patient)Who or group medication request is for
ele-1: All FHIR elements must have a @value or children
... encounter S0..1Reference(Encounter)Encounter created as part of encounter/admission/stay
ele-1: All FHIR elements must have a @value or children
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
ele-1: All FHIR elements must have a @value or children
... authoredOn SΣ0..1dateTimeWhen request was initially authored
ele-1: All FHIR elements must have a @value or children
... requester SΣ0..1Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-Patient | RelatedPerson | Device | #sd-ipa-practitioner-profile-practitioner)Who/What requested the Request
ele-1: All FHIR elements must have a @value or children
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
ele-1: All FHIR elements must have a @value or children
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.


ele-1: All FHIR elements must have a @value or children
... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
ele-1: All FHIR elements must have a @value or children
... reasonCode 0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: ?? (example): A coded concept indicating why the medication was ordered.


ele-1: All FHIR elements must have a @value or children
... reasonReference 0..*Reference(Condition | Observation)Condition or observation that supports why the prescription is being written
ele-1: All FHIR elements must have a @value or children
... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
ele-1: All FHIR elements must have a @value or children
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
ele-1: All FHIR elements must have a @value or children
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
ele-1: All FHIR elements must have a @value or children
... groupIdentifier Σ0..1IdentifierComposite request this is part of
ele-1: All FHIR elements must have a @value or children
... courseOfTherapyType 0..1CodeableConceptOverall pattern of medication administration
Binding: ?? (example): Identifies the overall pattern of medication administratio.


ele-1: All FHIR elements must have a @value or children
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
ele-1: All FHIR elements must have a @value or children
... note 0..*AnnotationInformation about the prescription
ele-1: All FHIR elements must have a @value or children
... dosageInstruction S0..*DosageHow the medication should be taken
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions 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
.... sequence Σ0..1integerThe order of the dosage instructions
ele-1: All FHIR elements must have a @value or children
.... text SΣ0..1stringFree text dosage instructions e.g. SIG
ele-1: All FHIR elements must have a @value or children
.... additionalInstruction Σ0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


ele-1: All FHIR elements must have a @value or children
.... patientInstruction Σ0..1stringPatient or consumer oriented instructions
ele-1: All FHIR elements must have a @value or children
.... timing Σ0..1TimingWhen medication should be administered
ele-1: All FHIR elements must have a @value or children
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc.


ele-1: All FHIR elements must have a @value or children
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.


ele-1: All FHIR elements must have a @value or children
.... route Σ0..1CodeableConceptHow drug should enter body
Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.


ele-1: All FHIR elements must have a @value or children
.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.


ele-1: All FHIR elements must have a @value or children
.... doseAndRate Σ0..*ElementAmount of medication administered
ele-1: All FHIR elements must have a @value or children
..... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... type Σ0..1CodeableConceptThe kind of dose or rate specified
Binding: ?? (example): The kind of dose or rate specified.


ele-1: All FHIR elements must have a @value or children
..... dose[x] Σ0..1Amount of medication per dose
ele-1: All FHIR elements must have a @value or children
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
..... rate[x] Σ0..1Amount of medication per unit of time
ele-1: All FHIR elements must have a @value or children
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
ele-1: All FHIR elements must have a @value or children
.... maxDosePerAdministration Σ0..1??Upper limit on medication per administration
ele-1: All FHIR elements must have a @value or children
.... maxDosePerLifetime Σ0..1??Upper limit on medication per lifetime of the patient
ele-1: All FHIR elements must have a @value or children
... dispenseRequest 0..1BackboneElementMedication supply authorization
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions 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
.... initialFill 0..1BackboneElementFirst fill details
ele-1: All FHIR elements must have a @value or children
..... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... modifierExtension ?!Σ0..*ExtensionExtensions 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
..... quantity 0..1??First fill quantity
ele-1: All FHIR elements must have a @value or children
..... duration 0..1DurationFirst fill duration
ele-1: All FHIR elements must have a @value or children
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
ele-1: All FHIR elements must have a @value or children
.... validityPeriod 0..1PeriodTime period supply is authorized for
ele-1: All FHIR elements must have a @value or children
.... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized
ele-1: All FHIR elements must have a @value or children
.... quantity 0..1??Amount of medication to supply per dispense
ele-1: All FHIR elements must have a @value or children
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
ele-1: All FHIR elements must have a @value or children
.... performer 0..1Reference(Organization)Intended dispenser
ele-1: All FHIR elements must have a @value or children
... substitution 0..1BackboneElementAny restrictions on medication substitution
ele-1: All FHIR elements must have a @value or children
.... extension 0..*ExtensionAdditional content defined by implementations
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... modifierExtension ?!Σ0..*ExtensionExtensions 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
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ?? (example): Identifies the type of substitution allowed.


ele-1: All FHIR elements must have a @value or children
..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.


ele-1: All FHIR elements must have a @value or children
... priorPrescription 0..1Reference(MedicationRequest)An order/prescription that is being replaced
ele-1: All FHIR elements must have a @value or children
... detectedIssue 0..*Reference(DetectedIssue)Clinical Issue with action
ele-1: All FHIR elements must have a @value or children
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format