International Patient Access
1.1.0 - STU1
International Patient Access
1.1.0 - STU1
International Patient Access, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 1.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-ipa/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/uv/ipa/StructureDefinition/ipa-medicationrequest | Version: 1.1.0 | |||
| Standards status: Trial-use | Computable Name: IPAMedicationRequest | |||
Copyright/Legal: Used by permission of HL7 International all rights reserved Creative Commons License |
||||
Minimum expectations for a MedicationRequest resource when accessed via a International Patient Access API. The MedicationRequest resource represents an order or request for both supply of the medication and the instructions for administration of the medication to a patient.
The following data elements must always be present (in other words, mandatory resource properties where the minimum cardinality is 1) or must be supported (Must Support definition). Servers cannot restrict access to mandatory elements when authorizing an application. However, servers may choose to provide additional information or may be required to do so by national or other profiles that apply to the server's context.
Each MedicationRequest SHALL have:
* see guidance below
Applications must also support:
While the relationship between Medication Statement and Medication Request is clear in principle, in practice, when patients report medications, these may also be implicitly treated as statements of intent about what the patient should be taking. As such, information systems may record these statements as either Medication Requests or Medication Statements, or as both. The choice between these options may be influenced by many factors including wording in legislation and regulations.
For this reason, clients implementing the International Patient Access specification SHALL query for both MedicationStatement and MedicationRequest when fetching patient Medication information.
As noted there is currently no consensus how a patient can access their active, historical and future (planned) medications list. Feedback is welcome on what additional guidance can be given to promote more international alignment.
The MedicationRequest and MedicationStatement resources can represent a medication using either
a code or refer to the Medication resource. When referencing Medication, the
resource may be contained
or an external resource. The server application MAY choose any one way or
more than one method, but if an external reference to Medication is used, the
server SHALL support the _include parameter for searching this element.
The client application SHALL support all methods. For example, A server
SHALL be capable of returning all medications for a patient using one of
or both:
GET /MedicationStatement?patient=[id]
GET/MedicationStatement?patient=[id]&_include=MedicationStatement:medication
When representing a prescribed medication, servers SHOULD use codings at the level of a clinical drug rather than ingredient or dose form (e.g. “loratadine 10mg oral tablet”, rather than a bare ingredient like “loratadine” or a dose form like “loratadine oral tablet”).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
  MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||
  status |
SO | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
| ||||||
| intent |
SO | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
| ||||||
| doNotPerform |
O | 0..1 | boolean | True if request is prohibiting action
| ||||||
  reported[x] |
SO | 0..1 | Reported rather than primary record
| |||||||
  reportedBoolean |
boolean | |||||||||
  reportedReference |
Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||||||||
| medication[x] |
SO | 1..1 | Medication to be taken
| |||||||
 medicationCodeableConcept |
CodeableConcept | |||||||||
| medicationReference |
Reference(IPA-Medication) | |||||||||
| subject |
SO | 1..1 | Reference(IPA-Patient) | Who or group medication request is for
| ||||||
| encounter |
SO | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
| ||||||
| authoredOn |
SO | 0..1 | dateTime | When request was initially authored
| ||||||
| requester |
SO | 0..1 | Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-Patient | RelatedPerson | Device) | Who/What requested the Request
| ||||||
 dosageInstruction |
SO | 0..* | Dosage | How the medication should be taken
| ||||||
 text |
SO | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||
| Documentation for this format | ||||||||||
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
?!SOΣ | 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.
| ||||||
| intent |
?!SOΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||
| doNotPerform |
?!OΣ | 0..1 | boolean | True if request is prohibiting action
| ||||||
| reported[x] |
SOΣ | 0..1 | Reported rather than primary record
| |||||||
| reportedBoolean |
boolean | |||||||||
| reportedReference |
Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||||||||
| medication[x] |
SOΣ | 1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||
| medicationReference |
Reference(IPA-Medication) | |||||||||
| subject |
SOΣ | 1..1 | Reference(IPA-Patient) | Who or group medication request is for
| ||||||
| encounter |
SO | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
| ||||||
| authoredOn |
SOΣ | 0..1 | dateTime | When request was initially authored
| ||||||
| requester |
SOΣ | 0..1 | Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-Patient | RelatedPerson | Device) | Who/What requested the Request
| ||||||
| dosageInstruction |
SO | 0..* | Dosage | How the medication should be taken
| ||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| text |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||
| Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 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.
| |||||||
| 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 |
?!SOΣ | 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.
| ||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||
| intent |
?!SOΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||
| 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 |
?!OΣ | 0..1 | boolean | True if request is prohibiting action
| ||||||
| reported[x] |
SOΣ | 0..1 | Reported rather than primary record
| |||||||
| reportedBoolean |
boolean | |||||||||
| reportedReference |
Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||||||||
| medication[x] |
SOΣ | 1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||
| medicationReference |
Reference(IPA-Medication) | |||||||||
| subject |
SOΣ | 1..1 | Reference(IPA-Patient) | Who or group medication request is for
| ||||||
| encounter |
SO | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
| ||||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||||
| authoredOn |
SOΣ | 0..1 | dateTime | When request was initially authored
| ||||||
| requester |
SOΣ | 0..1 | Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-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 |
SO | 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 |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | ||||||
| text |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||
| additionalInstruction |
Σ | 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 |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||||
| timing |
Σ | 0..1 | Timing | When medication should be administered | ||||||
| asNeeded[x] |
Σ | 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 |
Σ | 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 |
Σ | 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 |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||||
| doseAndRate |
Σ | 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 |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||||
| dose[x] |
Σ | 0..1 | Amount of medication per dose | |||||||
| doseRange |
Range | |||||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||||
| rate[x] |
Σ | 0..1 | Amount of medication per unit of time | |||||||
| rateRatio |
Ratio | |||||||||
| rateRange |
Range | |||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||||
| 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 | |||||||
| Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | ||||
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | ||||
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | ||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
This structure is derived from MedicationRequest
Summary
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |||||||
| status |
SO | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
| ||||||
| intent |
SO | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
| ||||||
| doNotPerform |
O | 0..1 | boolean | True if request is prohibiting action
| ||||||
| reported[x] |
SO | 0..1 | Reported rather than primary record
| |||||||
| reportedBoolean |
boolean | |||||||||
| reportedReference |
Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||||||||
| medication[x] |
SO | 1..1 | Medication to be taken
| |||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||
| medicationReference |
Reference(IPA-Medication) | |||||||||
| subject |
SO | 1..1 | Reference(IPA-Patient) | Who or group medication request is for
| ||||||
| encounter |
SO | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
| ||||||
| authoredOn |
SO | 0..1 | dateTime | When request was initially authored
| ||||||
| requester |
SO | 0..1 | Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-Patient | RelatedPerson | Device) | Who/What requested the Request
| ||||||
| dosageInstruction |
SO | 0..* | Dosage | How the medication should be taken
| ||||||
| text |
SO | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||
| Documentation for this format | ||||||||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
?!SOΣ | 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.
| ||||||
| intent |
?!SOΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||
| doNotPerform |
?!OΣ | 0..1 | boolean | True if request is prohibiting action
| ||||||
| reported[x] |
SOΣ | 0..1 | Reported rather than primary record
| |||||||
| reportedBoolean |
boolean | |||||||||
| reportedReference |
Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||||||||
| medication[x] |
SOΣ | 1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||
| medicationReference |
Reference(IPA-Medication) | |||||||||
| subject |
SOΣ | 1..1 | Reference(IPA-Patient) | Who or group medication request is for
| ||||||
| encounter |
SO | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
| ||||||
| authoredOn |
SOΣ | 0..1 | dateTime | When request was initially authored
| ||||||
| requester |
SOΣ | 0..1 | Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-Patient | RelatedPerson | Device) | Who/What requested the Request
| ||||||
| dosageInstruction |
SO | 0..* | Dosage | How the medication should be taken
| ||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| text |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||
| Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| 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.
| |||||||
| 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 |
?!SOΣ | 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.
| ||||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||||
| intent |
?!SOΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order.
| ||||||
| 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 |
?!OΣ | 0..1 | boolean | True if request is prohibiting action
| ||||||
| reported[x] |
SOΣ | 0..1 | Reported rather than primary record
| |||||||
| reportedBoolean |
boolean | |||||||||
| reportedReference |
Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||||||||
| medication[x] |
SOΣ | 1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
| |||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||
| medicationReference |
Reference(IPA-Medication) | |||||||||
| subject |
SOΣ | 1..1 | Reference(IPA-Patient) | Who or group medication request is for
| ||||||
| encounter |
SO | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay
| ||||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||||
| authoredOn |
SOΣ | 0..1 | dateTime | When request was initially authored
| ||||||
| requester |
SOΣ | 0..1 | Reference(IPA-Practitioner | IPA-PractitionerRole | Organization | IPA-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 |
SO | 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 |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | ||||||
| text |
SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| ||||||
| additionalInstruction |
Σ | 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 |
Σ | 0..1 | string | Patient or consumer oriented instructions | ||||||
| timing |
Σ | 0..1 | Timing | When medication should be administered | ||||||
| asNeeded[x] |
Σ | 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 |
Σ | 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 |
Σ | 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 |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||||
| doseAndRate |
Σ | 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 |
Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||||
| dose[x] |
Σ | 0..1 | Amount of medication per dose | |||||||
| doseRange |
Range | |||||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||||
| rate[x] |
Σ | 0..1 | Amount of medication per unit of time | |||||||
| rateRatio |
Ratio | |||||||||
| rateRange |
Range | |||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||||
| 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 | |||||||
| Documentation for this format | ||||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | ||||
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | ||||
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | ||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
This structure is derived from MedicationRequest
Summary
Must-Support: 10 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 International / Patient Care. Package hl7.fhir.uv.ipa#1.1.0 based on FHIR 4.0.1. Generated 2024-10-03
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