Patient Cost Transparency Implementation Guide
2.0.0-draft - STU 2 - Draft United States of America flag

Patient Cost Transparency Implementation Guide, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.0.0-draft built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-pct/ and changes regularly. See the Directory of published versions

Resource Profile: PCT GFE MedicationRequest

Official URL: http://hl7.org/fhir/us/davinci-pct/StructureDefinition/davinci-pct-medicationrequest Version: 2.0.0-draft
Standards status: Draft Maturity Level: 0 Computable Name: PCTMedicationRequest
Other Identifiers: OID:2.16.840.1.113883.4.642.40.4.42.49

The PCT MedicationRequest including details about a medication for which a GFE is being requested.

The following profile relates to the GFE Coordination workflow and is marked as DRAFT. This content has not yet met the requisite level of testing to be balloted as trail-use. However, this part of the specification has been reviewed by the Da Vinci PCT open community of providers, payers, and health IT vendors and was determined to be at a sufficient level of development to be included in this publication for the purposes of soliciting feedback from, and enabling testing by, the larger implementation community with the intention of bringing the content related to the GFE Coordination workflow to full STU status in a future version. Feedback is welcome and may be submitted through the FHIR change tracker indicating "US Da Vinci Patient Cost Transparency (PCT)(FHIR)" as the specification.

Usage:

Changes since version 1.1.0:

  • New Content

    • Formal Views of Profile Content

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

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
    Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


    ele-1: All FHIR elements must have a @value or children
    Required Pattern: active
    ... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: medicationRequest Intent (required): The kind of medication order.


    ele-1: All FHIR elements must have a @value or children
    Required Pattern: proposal
    ... medication[x] SΣ 1..1 Medication to be taken
    Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.


    ele-1: All FHIR elements must have a @value or children
    .... medicationCodeableConcept CodeableConcept
    .... medicationReference Reference(Medication)
    ... subject Σ 1..1 Reference(HRex Patient Demographics) Who or group medication request is for
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    MedicationRequest.statusrequiredPattern: active
    http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
    from the FHIR Standard
    MedicationRequest.intentrequiredPattern: proposal
    http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
    from the FHIR Standard
    MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
    http://hl7.org/fhir/ValueSet/medication-codes
    from the FHIR Standard

    This structure is derived from MedicationRequest

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. MedicationRequest MedicationRequest
    ... status 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
    Required Pattern: active
    ... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Required Pattern: proposal
    ... doNotPerform 0..0
    ... medication[x] S 1..1 CodeableConcept, Reference(Medication) Medication to be taken
    ... subject 1..1 Reference(HRex Patient Demographics) Who or group medication request is for

    doco Documentation for this format
    NameFlagsCard.TypeDescription & Constraintsdoco
    .. 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
    ... 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 ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
    Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


    Required Pattern: active
    ... statusReason 0..1 CodeableConcept Reason for current status
    Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

    ... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: medicationRequest Intent (required): The kind of medication order.


    Required Pattern: 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.

    ... reported[x] Σ 0..1 Reported rather than primary record
    .... reportedBoolean boolean
    .... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
    ... medication[x] SΣ 1..1 Medication to be taken
    Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

    .... medicationCodeableConcept CodeableConcept
    .... medicationReference Reference(Medication)
    ... subject Σ 1..1 Reference(HRex Patient Demographics) Who or group medication request is for
    ... 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 Σ 0..1 dateTime When request was initially authored
    ... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
    ... 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 0..* Dosage How the medication should be taken
    ... 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 ?!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 0..1 SimpleQuantity Amount of medication to supply per dispense
    .... 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... allowed[x] 1..1 Whether substitution is allowed or not
    Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

    ..... allowedBoolean boolean
    ..... allowedCodeableConcept CodeableConcept
    .... 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.statusrequiredPattern: active
    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.intentrequiredPattern: 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]exampleSNOMEDCTMedicationCodes
    http://hl7.org/fhir/ValueSet/medication-codes
    from the FHIR Standard
    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.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
    http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
    MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
    http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

    This structure is derived from MedicationRequest

    Summary

    Must-Support: 1 element
    Prohibited: 1 element

    Structures

    This structure refers to these other structures:

    Maturity: 0

    Key Elements View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
    dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
    dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
    dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
    dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
    dom-6: A resource should have narrative for robust management
    ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
    ele-1: All FHIR elements must have a @value or children
    ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
    ele-1: All FHIR elements must have a @value or children
    ext-1: Must have either extensions or value[x], not both
    ... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
    Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


    ele-1: All FHIR elements must have a @value or children
    Required Pattern: active
    ... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: medicationRequest Intent (required): The kind of medication order.


    ele-1: All FHIR elements must have a @value or children
    Required Pattern: proposal
    ... medication[x] SΣ 1..1 Medication to be taken
    Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.


    ele-1: All FHIR elements must have a @value or children
    .... medicationCodeableConcept CodeableConcept
    .... medicationReference Reference(Medication)
    ... subject Σ 1..1 Reference(HRex Patient Demographics) Who or group medication request is for
    ele-1: All FHIR elements must have a @value or children

    doco Documentation for this format

    Terminology Bindings

    PathConformanceValueSet / CodeURI
    MedicationRequest.statusrequiredPattern: active
    http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
    from the FHIR Standard
    MedicationRequest.intentrequiredPattern: proposal
    http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
    from the FHIR Standard
    MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
    http://hl7.org/fhir/ValueSet/medication-codes
    from the FHIR Standard

    Differential View

    This structure is derived from MedicationRequest

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. MedicationRequest MedicationRequest
    ... status 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
    Required Pattern: active
    ... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Required Pattern: proposal
    ... doNotPerform 0..0
    ... medication[x] S 1..1 CodeableConcept, Reference(Medication) Medication to be taken
    ... subject 1..1 Reference(HRex Patient Demographics) Who or group medication request is for

    doco Documentation for this format

    Snapshot View

    NameFlagsCard.TypeDescription & Constraintsdoco
    .. 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
    ... 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 ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
    Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


    Required Pattern: active
    ... statusReason 0..1 CodeableConcept Reason for current status
    Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

    ... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
    Binding: medicationRequest Intent (required): The kind of medication order.


    Required Pattern: 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.

    ... reported[x] Σ 0..1 Reported rather than primary record
    .... reportedBoolean boolean
    .... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
    ... medication[x] SΣ 1..1 Medication to be taken
    Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

    .... medicationCodeableConcept CodeableConcept
    .... medicationReference Reference(Medication)
    ... subject Σ 1..1 Reference(HRex Patient Demographics) Who or group medication request is for
    ... 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 Σ 0..1 dateTime When request was initially authored
    ... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
    ... 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 0..* Dosage How the medication should be taken
    ... 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 ?!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 0..1 SimpleQuantity Amount of medication to supply per dispense
    .... 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 ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
    .... allowed[x] 1..1 Whether substitution is allowed or not
    Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

    ..... allowedBoolean boolean
    ..... allowedCodeableConcept CodeableConcept
    .... 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.statusrequiredPattern: active
    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.intentrequiredPattern: 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]exampleSNOMEDCTMedicationCodes
    http://hl7.org/fhir/ValueSet/medication-codes
    from the FHIR Standard
    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.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
    http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
    MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
    http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

    This structure is derived from MedicationRequest

    Summary

    Must-Support: 1 element
    Prohibited: 1 element

    Structures

    This structure refers to these other structures:

    Maturity: 0

     

    Other representations of profile: CSV, Excel, Schematron