| Left: | MedicationRequest (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips) |
| Right: | MedicationRequest (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips) |
| Error | StructureDefinition.version | Values for version differ: '2.0.0' vs '2.0.1' |
| Error | StructureDefinition.baseDefinition | Values for baseDefinition differ: 'http://hl7.org/fhir/StructureDefinition/MedicationRequest' vs 'http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1' |
| Information | MedicationRequest.medication[x] | Example/preferred bindings differ at MedicationRequest.medication[x] using binding from MedicationRequestIPS |
| Information | MedicationRequest.dosageInstruction.route | Example/preferred bindings differ at MedicationRequest.dosageInstruction.route using binding from MedicationRequestIPS |
| Name | Value | Comments | |
|---|---|---|---|
abstract | false | ||
baseDefinition | http://hl7.org/fhir/StructureDefinition/MedicationRequest | http://hl7.org/fhir/StructureDefinition/MedicationRequest|4.0.1 |
|
copyright | |||
date | 2021-05-14T21:56:28-05:00 | ||
description | This profile represents the constraints applied to the MedicationRequest resource by the International Patient Summary (IPS) FHIR Implementation Guide, based on FHIR R4. A record of a medication request is represented in the patient summary as an instance of a MedicationRequest resource constrained by this profile. | ||
experimental | |||
fhirVersion | 4.0.1 | ||
jurisdiction | |||
![]() jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#001 | ||
kind | resource | ||
name | MedicationRequestIPS | ||
publisher | HL7 International / Patient Care | ||
purpose | This profile constrains the representation of a medication request related to the patient, in the context of the international patient summary as specified by the IPS project of HL7 International. | ||
status | active | ||
title | MedicationRequest (IPS) | ||
type | MedicationRequest | ||
url | http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips | ||
version | 2.0.0 | 2.0.1 |
|
| Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments![]() | ||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() | 0..* | MedicationRequest | Ordering of medication for patient or group | 0..* | MedicationRequest(4.0.1) | Ordering of medication for patient or group | |||||||||||||||||||
![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact | |||||||||||||||||
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource | |||||||||||||||||
![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created | |||||||||||||||||
![]() ![]() | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
| |||||||||||||||||||
![]() ![]() | 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 | 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 | |||||||||||||||||||
![]() ![]() | 0..* | Resource | Contained, inline Resources | 0..* | Resource | Contained, inline Resources | |||||||||||||||||||
![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 0..* | Extension | Extensions that cannot be ignored | |||||||||||||||||
![]() ![]() | 0..* | Identifier | External ids for this request | 0..* | Identifier | External ids for this request | |||||||||||||||||||
![]() ![]() | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | |||||||||||||||||
![]() ![]() | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. | |||||||||||||||||||
![]() ![]() | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. | |||||||||||||||||
![]() ![]() | 0..* | CodeableConcept | Type of medication usage Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | 0..* | CodeableConcept | Type of medication usage Binding: ?? (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||||||||||||||||
![]() ![]() | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | |||||||||||||||||
![]() ![]() | ?!Σ | 0..1 | boolean | True if request is prohibiting action Required Pattern: false | ?!Σ | 0..1 | boolean | True if request is prohibiting action Required Pattern: false | |||||||||||||||||
![]() ![]() | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record | Σ | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | Reported rather than primary record | |||||||||||||||||
![]() ![]() | SOΣ | 1..1 | ??, Reference(Medication (IPS)) | Medication to be taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
| SOΣ | 1..1 | ??, Reference(Medication (IPS)(2.0.1)) | Medication to be taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
|
| ||||||||||||||||
![]() ![]() | SOΣ | 1..1 | Reference(Patient (IPS)) | Who or group medication request is for
| SOΣ | 1..1 | Reference(Patient (IPS)(2.0.1)) | Who or group medication request is for
| |||||||||||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
![]() ![]() ![]() | SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | string | Text alternative for the resource | Σ | 0..1 | string | Text alternative for the resource | |||||||||||||||||
![]() ![]() | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||||||||||||||||
![]() ![]() | 0..* | Reference(Resource) | Information to support ordering of the medication | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||||||||||||||||
![]() ![]() | Σ | 0..1 | dateTime | When request was initially authored | Σ | 0..1 | dateTime | When request was initially authored | |||||||||||||||||
![]() ![]() | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | |||||||||||||||||
![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||||||||||
![]() ![]() | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. | |||||||||||||||||
![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||||||||||
![]() ![]() | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. | |||||||||||||||||||
![]() ![]() | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||||||||||||||||
![]() ![]() | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | |||||||||||||||||
![]() ![]() | Σ | 0..* | uri | Instantiates external protocol or definition | Σ | 0..* | uri | Instantiates external protocol or definition | |||||||||||||||||
![]() ![]() | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | |||||||||||||||||
![]() ![]() | Σ | 0..1 | Identifier | Composite request this is part of | Σ | 0..1 | Identifier | Composite request this is part of | |||||||||||||||||
![]() ![]() | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. | |||||||||||||||||||
![]() ![]() | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||||||||||
![]() ![]() | 0..* | Annotation | Information about the prescription | 0..* | Annotation | Information about the prescription | |||||||||||||||||||
![]() ![]() | SO | 0..* | Dosage | How the medication should be taken
| SO | 0..* | Dosage | How the medication should be taken
| |||||||||||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | integer | The order of the dosage instructions | Σ | 0..1 | integer | The order of the dosage instructions | |||||||||||||||||
![]() ![]() ![]() | SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| SOΣ | 0..1 | string | Free text dosage instructions e.g. SIG
| |||||||||||||||||
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | string | Patient or consumer oriented instructions | Σ | 0..1 | string | Patient or consumer oriented instructions | |||||||||||||||||
![]() ![]() ![]() | SOΣ | 0..1 | Timing | When medication should be administered
| SOΣ | 0..1 | Timing | When medication should be administered
| |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | Σ | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (preferred): SNOMED Route Terms
| Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (preferred): SNOMED Route Terms
|
| ||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..* | Element | Amount of medication administered | Σ | 0..* | Element | Amount of medication administered | |||||||||||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | |||||||||||||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Range, ?? | Amount of medication per dose | Σ | 0..1 | Range, ?? | Amount of medication per dose | |||||||||||||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | Σ | 0..1 | Ratio, Range, ?? | Amount of medication per unit of time | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | ?? | Upper limit on medication per administration | Σ | 0..1 | ?? | Upper limit on medication per administration | |||||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | |||||||||||||||||
![]() ![]() | 0..1 | BackboneElement | Medication supply authorization | 0..1 | BackboneElement | Medication supply authorization | |||||||||||||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||||
![]() ![]() ![]() | 0..1 | BackboneElement | First fill details | 0..1 | BackboneElement | First fill details | |||||||||||||||||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||||
![]() ![]() ![]() ![]() | 0..1 | ?? | First fill quantity | 0..1 | ?? | First fill quantity | |||||||||||||||||||
![]() ![]() ![]() ![]() | 0..1 | Duration | First fill duration | 0..1 | Duration | First fill duration | |||||||||||||||||||
![]() ![]() ![]() | 0..1 | Duration | Minimum period of time between dispenses | 0..1 | Duration | Minimum period of time between dispenses | |||||||||||||||||||
![]() ![]() ![]() | 0..1 | Period | Time period supply is authorized for | 0..1 | Period | Time period supply is authorized for | |||||||||||||||||||
![]() ![]() ![]() | 0..1 | unsignedInt | Number of refills authorized | 0..1 | unsignedInt | Number of refills authorized | |||||||||||||||||||
![]() ![]() ![]() | 0..1 | ?? | Amount of medication to supply per dispense | 0..1 | ?? | Amount of medication to supply per dispense | |||||||||||||||||||
![]() ![]() ![]() | 0..1 | Duration | Number of days supply per dispense | 0..1 | Duration | Number of days supply per dispense | |||||||||||||||||||
![]() ![]() ![]() | 0..1 | Reference(Organization) | Intended dispenser | 0..1 | Reference(Organization) | Intended dispenser | |||||||||||||||||||
![]() ![]() | 0..1 | BackboneElement | Any restrictions on medication substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||||||||||||||||
![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | 0..1 | string | Unique id for inter-element referencing | |||||||||||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | 0..* | Extension | Additional content defined by implementations | |||||||||||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||||||||||
![]() ![]() ![]() | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. | |||||||||||||||||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||||||||||||||||
![]() ![]() | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||||||||||||||||
![]() ![]() | 0..* | Reference(DetectedIssue) | Clinical Issue with action | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||||||||||
![]() ![]() | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||||||||||
Documentation for this format | |||||||||||||||||||||||||