Consumer Real-Time Pharmacy Benefit Check FHIR IG
2.0.0 - CI Build United States of America flag

Consumer Real-Time Pharmacy Benefit Check FHIR IG, published by HL7 International / Pharmacy. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/carin-rtpbc/ and changes regularly. See the Directory of published versions

Resource Profile: RTPBC Medication Request

Official URL: http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-medicationrequest Version: 2.0.0
Standards status: Trial-use Maturity Level: 4 Computable Name: RtpbcMedicationRequest

This profile constrains the MedicationRequest resource to convey a subset of prescription information required in the consumer real-time pharmacy benefit check (RTPBC) process. The content specifies the prescribed product and quantity, and references the prescribing practitioner and the patient's preferred pharmacy.

This profile differs from the US Core MedicationRequest in that it doesn't set the encounter or dosageInstruction elements as Must Support, because clients in the exchange will typically be mobile consumer applications that do not posess this information, and because that information is not pertinent to this use case.



The function of the MedicationRequest resource in this exchange is to convey information from the patient's prescription that has a bearing on pricing and coverage. This limited set of information consists of…

  • the medication name and identifier
  • prescribed quantity and unit of measure
  • identification of the prescriber
  • identification of the pharmacy
  • whether product substitutions are allowed
  • optionally, the days supply represented by the quantity

Must Support elements in this profile

Client systems
All of the elements identified above are marked Must Support…

  • all of these except for days supply (.expectedSupplyDuration) have a minimum cardinality of 1 and MUST be populated in order to enable reliable results from the processor
  • substitutions.allowed is expected to be populated as false, indicating that the processor must provide pricing and coverage for the specific requested medication. (The processor may additionally return information about alternative medications)
  • dosageInstruction SHOULD be used when determining days supply

Client and Responding systems

  • days supply (.expectedSupplyDuration) can impact cost and coverage for a medication; however, patients may not be able to reliably provide it. Implementing partners MUST determine how or whether the element is to be used.

Responding systems

  • MUST make use of all pertinent required MedicationRequest elements when determining pricing and coverage
  • MAY use dosageInstruction when determining pricing and coverage


Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Request Status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Fixed Value: draft
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] SΣ 1..1 boolean Reported rather than primary record
... medication[x] SΣ 1..1 CodeableConcept Prescribed Product
Binding: RTPBC Prescribable Product Code Value Set (extensible): RTPBC prescribable product codes (NDC11 and RxNorm)
... subject SΣ 1..1 Reference(RTPBC Patient) Patient
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(US Core Practitioner Profile) Prescriber
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... dosageInstruction S 0..* Dosage How the medication should be taken
... dispenseRequest S 1..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity S 1..1 SimpleQuantity Prescribed Quantity
..... value SΣ 1..1 decimal Quantity in Billing Units
..... unit SΣ 1..1 string Billing unit of measure
Binding: RTPBC Billing Unit Value Set (extensible): Billing quantity unity of measure
.... expectedSupplyDuration S 0..1 Duration Days Supply
..... value SΣ 0..1 decimal Days Supply Value
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.... performer S 1..1 Reference(RTPBC Pharmacy Organization) Pharmacy
... substitution S 1..1 BackboneElement Substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] S 1..1 boolean Substitution Allowed

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.statusrequiredFixed Value: draft
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From the FHIR Standard
MedicationRequest.intentrequiredFixed Value: proposal
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]extensibleRTPBCPrescribableProductCodeValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-prescribable-product-code
From this IG
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
MedicationRequest.dispenseRequest.quantity.unitextensibleRtbpcBillingUnitValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-billing-unit
From this IG
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... status S 1..1 code Request Status
Fixed Value: draft
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: proposal
... reported[x] S 1..1 boolean Reported rather than primary record
... subject S 1..1 Reference(RTPBC Patient) Patient
... authoredOn S 1..1 dateTime When request was initially authored
... requester S 1..1 Reference(US Core Practitioner Profile) Prescriber
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
... dosageInstruction S 0..* Dosage How the medication should be taken
... dispenseRequest S 1..1 BackboneElement Medication supply authorization
.... quantity S 1..1 SimpleQuantity Prescribed Quantity
..... value S 1..1 decimal Quantity in Billing Units
..... unit S 1..1 string Billing unit of measure
Binding: RTPBC Billing Unit Value Set (extensible): Billing quantity unity of measure
.... expectedSupplyDuration S 0..1 Duration Days Supply
..... value S 0..1 decimal Days Supply Value
.... performer S 1..1 Reference(RTPBC Pharmacy Organization) Pharmacy
... substitution S 1..1 BackboneElement Substitution
.... allowed[x] S 1..1 boolean Substitution Allowed

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]extensibleRTPBCPrescribableProductCodeValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-prescribable-product-code
From this IG
MedicationRequest.dispenseRequest.quantity.unitextensibleRtbpcBillingUnitValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-billing-unit
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code Request Status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Fixed Value: draft
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
Fixed Value: proposal
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] SΣ 1..1 boolean Reported rather than primary record
... medication[x] SΣ 1..1 CodeableConcept Prescribed Product
Binding: RTPBC Prescribable Product Code Value Set (extensible): RTPBC prescribable product codes (NDC11 and RxNorm)
... subject SΣ 1..1 Reference(RTPBC Patient) Patient
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(US Core Practitioner Profile) Prescriber
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..* Dosage How the medication should be taken
... dispenseRequest S 1..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity S 1..1 SimpleQuantity Prescribed Quantity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Quantity in Billing Units
..... unit SΣ 1..1 string Billing unit of measure
Binding: RTPBC Billing Unit Value Set (extensible): Billing quantity unity of measure
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... expectedSupplyDuration S 0..1 Duration Days Supply
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Days Supply Value
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... performer S 1..1 Reference(RTPBC Pharmacy Organization) Pharmacy
... substitution S 1..1 BackboneElement Substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] S 1..1 boolean Substitution Allowed
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredFixed Value: draft
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredFixed Value: proposal
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]extensibleRTPBCPrescribableProductCodeValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-prescribable-product-code
From this IG
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dispenseRequest.quantity.unitextensibleRtbpcBillingUnitValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-billing-unit
From this IG
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code Request Status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Fixed Value: draft
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] SΣ 1..1 boolean Reported rather than primary record
... medication[x] SΣ 1..1 CodeableConcept Prescribed Product
Binding: RTPBC Prescribable Product Code Value Set (extensible): RTPBC prescribable product codes (NDC11 and RxNorm)
... subject SΣ 1..1 Reference(RTPBC Patient) Patient
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(US Core Practitioner Profile) Prescriber
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... dosageInstruction S 0..* Dosage How the medication should be taken
... dispenseRequest S 1..1 BackboneElement Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity S 1..1 SimpleQuantity Prescribed Quantity
..... value SΣ 1..1 decimal Quantity in Billing Units
..... unit SΣ 1..1 string Billing unit of measure
Binding: RTPBC Billing Unit Value Set (extensible): Billing quantity unity of measure
.... expectedSupplyDuration S 0..1 Duration Days Supply
..... value SΣ 0..1 decimal Days Supply Value
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
.... performer S 1..1 Reference(RTPBC Pharmacy Organization) Pharmacy
... substitution S 1..1 BackboneElement Substitution
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] S 1..1 boolean Substitution Allowed

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.statusrequiredFixed Value: draft
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From the FHIR Standard
MedicationRequest.intentrequiredFixed Value: proposal
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]extensibleRTPBCPrescribableProductCodeValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-prescribable-product-code
From this IG
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
MedicationRequest.dispenseRequest.quantity.unitextensibleRtbpcBillingUnitValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-billing-unit
From this IG
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... status S 1..1 code Request Status
Fixed Value: draft
... intent S 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: proposal
... reported[x] S 1..1 boolean Reported rather than primary record
... subject S 1..1 Reference(RTPBC Patient) Patient
... authoredOn S 1..1 dateTime When request was initially authored
... requester S 1..1 Reference(US Core Practitioner Profile) Prescriber
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
... dosageInstruction S 0..* Dosage How the medication should be taken
... dispenseRequest S 1..1 BackboneElement Medication supply authorization
.... quantity S 1..1 SimpleQuantity Prescribed Quantity
..... value S 1..1 decimal Quantity in Billing Units
..... unit S 1..1 string Billing unit of measure
Binding: RTPBC Billing Unit Value Set (extensible): Billing quantity unity of measure
.... expectedSupplyDuration S 0..1 Duration Days Supply
..... value S 0..1 decimal Days Supply Value
.... performer S 1..1 Reference(RTPBC Pharmacy Organization) Pharmacy
... substitution S 1..1 BackboneElement Substitution
.... allowed[x] S 1..1 boolean Substitution Allowed

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]extensibleRTPBCPrescribableProductCodeValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-prescribable-product-code
From this IG
MedicationRequest.dispenseRequest.quantity.unitextensibleRtbpcBillingUnitValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-billing-unit
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code Request Status
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Fixed Value: draft
... statusReason 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.
... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
Fixed Value: proposal
... category 0..* CodeableConcept Type of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] SΣ 1..1 boolean Reported rather than primary record
... medication[x] SΣ 1..1 CodeableConcept Prescribed Product
Binding: RTPBC Prescribable Product Code Value Set (extensible): RTPBC prescribable product codes (NDC11 and RxNorm)
... subject SΣ 1..1 Reference(RTPBC Patient) Patient
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 1..1 dateTime When request was initially authored
... requester SΣ 1..1 Reference(US Core Practitioner Profile) Prescriber
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..* Dosage How the medication should be taken
... dispenseRequest S 1..1 BackboneElement Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity S 1..1 SimpleQuantity Prescribed Quantity
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Quantity in Billing Units
..... unit SΣ 1..1 string Billing unit of measure
Binding: RTPBC Billing Unit Value Set (extensible): Billing quantity unity of measure
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... expectedSupplyDuration S 0..1 Duration Days Supply
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 0..1 decimal Days Supply Value
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... performer S 1..1 Reference(RTPBC Pharmacy Organization) Pharmacy
... substitution S 1..1 BackboneElement Substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] S 1..1 boolean Substitution Allowed
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredFixed Value: draft
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
From the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredFixed Value: proposal
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
From the FHIR Standard
MedicationRequest.categoryexamplemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]extensibleRTPBCPrescribableProductCodeValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-prescribable-product-code
From this IG
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dispenseRequest.quantity.unitextensibleRtbpcBillingUnitValueSet
http://hl7.org/fhir/us/carin-rtpbc/ValueSet/rtpbc-billing-unit
From this IG
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
From the FHIR Standard
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

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