Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
Da Vinci Prior Authorization Support (PAS) FHIR IG
2.2.1 - STU 2.2
Da Vinci Prior Authorization Support (PAS) FHIR IG, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.2.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pas/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/davinci-pas/StructureDefinition/profile-medicationrequest | Version: 2.2.1 | ||||
| Standards status: Trial-use | Maturity Level: 4 | Computable Name: PASMedicationRequest | |||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.24.42.61 | |||||
PAS constraints on MedicationRequest resource mandating support for elements relevant to the prescriptions being requested on a prior authorization request
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||
|---|---|---|---|---|---|---|---|---|
  MedicationRequest |
C | 0..* | USCoreMedicationRequestProfile(7.0.0) | Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (6.1.0) Constraints: us-core-21 | ||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
  Slices for extension |
Content/Rules for all slices | |||||||
   extension:medicationAdherence |
0..* | (Complex) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence | |||||
 extension:coverage |
0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information | |||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: active | |||||
| intent |
C | 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: order | ||||
| Slices for category |
0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:us-core |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
 reported[x] |
0..1 | Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
  reportedReference |
Reference (US Core Practitioner Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0)) | |||||||
| medication[x] |
1..1 | Medication to be taken Binding: MedicationClinicalDrug (20240606)  (extensible) | ||||||
 medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(US Core Medication Profile(7.0.0)) | |||||||
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Who or group medication request is for | |||||
| encounter |
0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter created as part of encounter/admission/stay | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
C | 0..1 | Reference(US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0) | Device) | Who/What requested the Request | ||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| timing |
0..1 | PASTiming(2.2.1) | When medication should be administered | |||||
 doseAndRate |
0..* | Element | Amount of medication administered | |||||
 dose[x] |
0..1 | Amount of medication per dose Binding: Common UCUM units (preferred)
| ||||||
| doseQuantity |
Quantity (SimpleQuantity) | |||||||
| doseRange |
Range | |||||||
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||
| quantity |
C | 0..1 | SimpleQuantity | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📦4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:us-core | Base | required | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | extensible |
Medication Clinical Drug
|
📍20240606 | VSAC v0.19 |
| MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from USCoreMedicationRequestProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | USCoreMedicationRequestProfile(7.0.0) | Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (6.1.0) | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:coverage |
0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information | |
 status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Fixed Value: active | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order | |
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Who or group medication request is for | |
| dosageInstruction |
||||
| timing |
0..1 | PASTiming(2.2.1) | When medication should be administered | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | USCoreMedicationRequestProfile(7.0.0) | Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (6.1.0) Constraints: us-core-21 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:medicationAdherence |
0..* | (Complex) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence | |||||
| extension:coverage |
0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: active | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
C | 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: order | ||||
| Slices for category |
0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:us-core |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
| reported[x] |
0..1 | Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference (US Core Practitioner Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0)) | |||||||
| medication[x] |
1..1 | Medication to be taken Binding: MedicationClinicalDrug (20240606) (extensible) | ||||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(US Core Medication Profile(7.0.0)) | |||||||
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Who or group medication request is for | |||||
| encounter |
0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
C | 0..1 | Reference(US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0) | Device) | Who/What requested the Request | ||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType |
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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication Binding: USCoreConditionCodes (7.0.0) (extensible) | |||||
| reasonReference |
0..* | Reference(Condition | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription | |||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||
| groupIdentifier |
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 |
0..* | Dosage | How the medication should be taken | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | PASTiming(2.2.1) | When medication should be administered | |||||
| asNeeded[x] |
0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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. | ||||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
0..* | Element | Amount of medication administered | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | Amount of medication per dose Binding: Common UCUM units (preferred)
| ||||||
| doseQuantity |
Quantity (SimpleQuantity) | |||||||
| doseRange |
Range | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| quantity |
C | 0..1 | SimpleQuantity | First fill quantity Constraints: sqty-1 | ||||
| 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 |
C | 0..1 | SimpleQuantity | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📦4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:us-core | Base | required | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | extensible |
Medication Clinical Drug
|
📍20240606 | VSAC v0.19 |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0 |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | example | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.method | Base | example | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.type | Base | example | DoseAndRateType | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.4 |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from USCoreMedicationRequestProfile
Summary
Must-Support: 1 element
Fixed: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | USCoreMedicationRequestProfile(7.0.0) | Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (6.1.0) Constraints: us-core-21 | ||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||
| Slices for extension |
Content/Rules for all slices | |||||||
| extension:medicationAdherence |
0..* | (Complex) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence | |||||
| extension:coverage |
0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: active | |||||
| intent |
C | 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: order | ||||
| Slices for category |
0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:us-core |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
| reported[x] |
0..1 | Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference (US Core Practitioner Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0)) | |||||||
| medication[x] |
1..1 | Medication to be taken Binding: MedicationClinicalDrug (20240606) (extensible) | ||||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(US Core Medication Profile(7.0.0)) | |||||||
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Who or group medication request is for | |||||
| encounter |
0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter created as part of encounter/admission/stay | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
C | 0..1 | Reference(US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0) | Device) | Who/What requested the Request | ||||
| dosageInstruction |
0..* | Dosage | How the medication should be taken | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| timing |
0..1 | PASTiming(2.2.1) | When medication should be administered | |||||
| doseAndRate |
0..* | Element | Amount of medication administered | |||||
| dose[x] |
0..1 | Amount of medication per dose Binding: Common UCUM units (preferred)
| ||||||
| doseQuantity |
Quantity (SimpleQuantity) | |||||||
| doseRange |
Range | |||||||
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||
| quantity |
C | 0..1 | SimpleQuantity | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.status | Base | required | Medicationrequest status | 📦4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:us-core | Base | required | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | extensible |
Medication Clinical Drug
|
📍20240606 | VSAC v0.19 |
| MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
Differential View
This structure is derived from USCoreMedicationRequestProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | USCoreMedicationRequestProfile(7.0.0) | Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (6.1.0) | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:coverage |
0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information | |
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Fixed Value: active | |
| intent |
1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Fixed Value: order | |
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Who or group medication request is for | |
| dosageInstruction |
||||
| timing |
0..1 | PASTiming(2.2.1) | When medication should be administered | |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | USCoreMedicationRequestProfile(7.0.0) | Ordering of medication for patient or group This profile also complies with the profile US Core MedicationRequest Profile (6.1.0) Constraints: us-core-21 | ||||
| id |
0..1 | id | Logical id of this artifact | |||||
| meta |
0..1 | Meta | Metadata about the resource | |||||
| implicitRules |
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.
| |||||
| 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 | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:medicationAdherence |
0..* | (Complex) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Medication Adherence Extension URL: http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication-adherence | |||||
| extension:coverage |
0..1 | (Complex) | CoverageInfo URL: http://hl7.org/fhir/us/davinci-crd/StructureDefinition/ext-coverage-information | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. Fixed Value: active | |||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
C | 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: order | ||||
| Slices for category |
0..* | CodeableConcept | Type of medication usage Slice: Unordered, Open by pattern:$this 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. Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||
| category:us-core |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets | |||||
| priority |
0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | |||||
| doNotPerform |
0..1 | boolean | True if request is prohibiting action | |||||
| reported[x] |
0..1 | Reported rather than primary record | ||||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference (US Core Practitioner Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0)) | |||||||
| medication[x] |
1..1 | Medication to be taken Binding: MedicationClinicalDrug (20240606) (extensible) | ||||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(US Core Medication Profile(7.0.0)) | |||||||
| subject |
1..1 | Reference(PAS Beneficiary Patient(2.2.1)) | Who or group medication request is for | |||||
| encounter |
0..1 | Reference(US Core Encounter Profile(7.0.0)) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn |
0..1 | dateTime | When request was initially authored | |||||
| requester |
C | 0..1 | Reference(US Core Practitioner Profile(7.0.0) | US Core Patient Profile(7.0.0) | US Core Organization Profile(7.0.0) | US Core PractitionerRole Profile(7.0.0) | US Core RelatedPerson Profile(7.0.0) | Device) | Who/What requested the Request | ||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType |
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 | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication Binding: USCoreConditionCodes (7.0.0) (extensible) | |||||
| reasonReference |
0..* | Reference(Condition | Observation) | 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription | |||||
| instantiatesCanonical |
0..* | canonical() | Instantiates FHIR protocol or definition | |||||
| instantiatesUri |
0..* | uri | Instantiates external protocol or definition | |||||
| basedOn |
0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||
| groupIdentifier |
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 |
0..* | Dosage | How the medication should be taken | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| sequence |
0..1 | integer | The order of the dosage instructions | |||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| additionalInstruction |
0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||
| patientInstruction |
0..1 | string | Patient or consumer oriented instructions | |||||
| timing |
0..1 | PASTiming(2.2.1) | When medication should be administered | |||||
| asNeeded[x] |
0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (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. | ||||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
| method |
0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| doseAndRate |
0..* | Element | Amount of medication administered | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| type |
0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | |||||
| dose[x] |
0..1 | Amount of medication per dose Binding: Common UCUM units (preferred)
| ||||||
| doseQuantity |
Quantity (SimpleQuantity) | |||||||
| doseRange |
Range | |||||||
| rate[x] |
0..1 | Amount of medication per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
0..1 | Ratio | Upper limit on medication per unit of time | |||||
| maxDosePerAdministration |
C | 0..1 | SimpleQuantity | Upper limit on medication per administration Constraints: sqty-1 | ||||
| maxDosePerLifetime |
C | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient Constraints: sqty-1 | ||||
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
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 |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| quantity |
C | 0..1 | SimpleQuantity | First fill quantity Constraints: sqty-1 | ||||
| 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 |
C | 0..1 | SimpleQuantity | Amount of medication to supply per dispense Constraints: sqty-1 | ||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||
| allowed[x] |
1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean |
boolean | |||||||
| allowedCodeableConcept |
CodeableConcept | |||||||
| reason |
0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (3.0.0) (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 | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationRequest.language | Base | preferred | Common Languages | 📦4.0.1 | FHIR Std. |
| MedicationRequest.status | Base | required | Medicationrequest status | 📦4.0.1 | FHIR Std. |
| MedicationRequest.statusReason | Base | example | Medication request status reason codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.intent | Base | required | Medication request intent | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category | Base | example | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.category:us-core | Base | required | Medication request category codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.priority | Base | required | Request priority | 📍4.0.1 | FHIR Std. |
| MedicationRequest.medication[x] | Base | extensible |
Medication Clinical Drug
|
📍20240606 | VSAC v0.19 |
| MedicationRequest.performerType | Base | example | Procedure Performer Role Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.reasonCode | Base | extensible | US Core Condition Codes | 📍7.0.0 | US Core v7.0 |
| MedicationRequest.courseOfTherapyType | Base | example | Medication request course of therapy codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.additionalInstruction | Base | example | SNOMED CT Additional Dosage Instructions | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.asNeeded[x] | Base | example | SNOMED CT Medication As Needed Reason Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.route | Base | example | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.method | Base | example | SNOMED CT Administration Method Codes | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.type | Base | example | DoseAndRateType | 📦4.0.1 | FHIR Std. |
| MedicationRequest.dosageInstruction.doseAndRate.dose[x] | Base | preferred | Common UCUM units | 📦4.0.1 | FHIR Std. |
| MedicationRequest.substitution.allowed[x] | Base | example | ActSubstanceAdminSubstitutionCode | 📍3.0.0 | THO v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📍3.0.0 | THO v7.4 |
| Id | Grade | Path(s) | Description | Expression |
This structure is derived from USCoreMedicationRequestProfile
Summary
Must-Support: 1 element
Fixed: 2 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 4
Other representations of profile: CSV, Excel, Schematron
IG © 2020+ HL7 International / Financial Management.
Package hl7.fhir.us.davinci-pas#2.2.1 based on FHIR 4.0.1.
Generated
2026-10-09
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