This is the set of resources that conform to either of the profiles QICore Medication Not Requested (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested) and QICore Medication Not Requested (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationnotrequested). E.g. what you have to deal with if you get resources conforming to one of them
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | C | 0..* | 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 us-core-21: requester SHALL be present if intent is "order" mnr-1: To indicate what medication was not requested, either at least one coding in the medication or a notDoneValueSet extension shall be provided | |
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children |
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 |
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language. ele-1: All FHIR elements must have a @value or children | |
text | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |
contained | 0..* | Resource | Contained, inline Resources | |
extension | 0..* | Extension | Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
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 |
identifier | 0..* | Identifier | External ids for this request ele-1: All FHIR elements must have a @value or children | |
status | ?!SΣ | 1..1 | code | (QI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. ele-1: All FHIR elements must have a @value or children |
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children | |
intent | ?!SΣ | 1..1 | code | (QI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children |
category | S | 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. ele-1: All FHIR elements must have a @value or children |
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children |
doNotPerform | ?!Σ | 1..1 | boolean | (QI) True if medication was not requested ele-1: All FHIR elements must have a @value or children |
reported[x] | SΣ | 0..1 | Reference S(QICore Practitioner | QICore PractitionerRole | QICore Patient | QICore RelatedPerson | #sd-qicore-practitioner-qicore-practitioner) | (QI) Reported rather than primary record ele-1: All FHIR elements must have a @value or children |
medication[x] | SΣ | 1..1 | (QI) Medication to be taken Binding: ?? (preferred) ele-1: All FHIR elements must have a @value or children | |
medication[x]All Types | Content/Rules for all Types | |||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(QICore Medication | #sd-qicore-medication-qicore-medication) | |||
subject | SΣ | 1..1 | Reference(QICore Patient | #sd-qicore-patient-qicore-patient) | (QI) Who or group medication request is for ele-1: All FHIR elements must have a @value or children |
encounter | S | 0..1 | Reference(QICore Encounter | #sd-qicore-encounter-qicore-encounter) | (QI) Encounter created as part of encounter/admission/stay ele-1: All FHIR elements must have a @value or children |
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication ele-1: All FHIR elements must have a @value or children | |
authoredOn | SΣ | 1..1 | dateTime | (QI) When request was initially authored ele-1: All FHIR elements must have a @value or children |
requester | SΣ | 0..1 | Reference(QICore Practitioner | QICore PractitionerRole | QICore Patient | #sd-qicore-practitioner-qicore-practitioner) | (QI) Who/What requested the Request ele-1: All FHIR elements must have a @value or children |
performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration ele-1: All FHIR elements must have a @value or children | |
performerType | 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. ele-1: All FHIR elements must have a @value or children |
recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request ele-1: All FHIR elements must have a @value or children | |
reasonCode | 1..1 | CodeableConcept | (QI) Reason or indication for ordering or not ordering the medication Binding: ?? (extensible): The reason the medication was not requested ele-1: All FHIR elements must have a @value or children | |
reasonReference | 0..* | Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation | #sd-qicore-condition-encounter-diagnosis-qicore-condition-encounter-diagnosis) | (QI) US Core Condition or Observation that supports the prescription ele-1: All FHIR elements must have a @value or children | |
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition ele-1: All FHIR elements must have a @value or children |
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition ele-1: All FHIR elements must have a @value or children |
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills ele-1: All FHIR elements must have a @value or children |
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of ele-1: All FHIR elements must have a @value or children |
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. ele-1: All FHIR elements must have a @value or children | |
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage ele-1: All FHIR elements must have a @value or children | |
note | 0..* | Annotation | Information about the prescription ele-1: All FHIR elements must have a @value or children | |
dosageInstruction | S | 0..* | Dosage | How the medication should be taken ele-1: All FHIR elements must have a @value or children |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
sequence | Σ | 0..1 | integer | The order of the dosage instructions ele-1: All FHIR elements must have a @value or children |
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children |
additionalInstruction | 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". ele-1: All FHIR elements must have a @value or children |
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions ele-1: All FHIR elements must have a @value or children |
timing | SΣ | 0..1 | Timing | When medication should be administered ele-1: All FHIR elements must have a @value or children |
asNeeded[x] | Σ | 0..1 | 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. ele-1: All FHIR elements must have a @value or children | |
asNeededBoolean | boolean | |||
asNeededCodeableConcept | CodeableConcept | |||
site | 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. ele-1: All FHIR elements must have a @value or children |
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. ele-1: All FHIR elements must have a @value or children |
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. ele-1: All FHIR elements must have a @value or children |
doseAndRate | SΣ | 0..* | Element | Amount of medication administered ele-1: All FHIR elements must have a @value or children |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. ele-1: All FHIR elements must have a @value or children |
dose[x] | SΣ | 0..1 | Amount of medication per dose Binding: ?? (preferred) ele-1: All FHIR elements must have a @value or children | |
doseQuantity | Quantity S(SimpleQuantity) | |||
doseRange | Range | |||
rate[x] | Σ | 0..1 | Amount of medication per unit of time ele-1: All FHIR elements must have a @value or children | |
rateRatio | Ratio | |||
rateRange | Range | |||
rateQuantity | Quantity(SimpleQuantity) | |||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time ele-1: All FHIR elements must have a @value or children |
maxDosePerAdministration | Σ | 0..1 | ?? | Upper limit on medication per administration ele-1: All FHIR elements must have a @value or children |
maxDosePerLifetime | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient ele-1: All FHIR elements must have a @value or children |
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization ele-1: All FHIR elements must have a @value or children |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
initialFill | 0..1 | BackboneElement | First fill details ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
quantity | 0..1 | ?? | First fill quantity ele-1: All FHIR elements must have a @value or children | |
duration | 0..1 | Duration | First fill duration ele-1: All FHIR elements must have a @value or children | |
dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses ele-1: All FHIR elements must have a @value or children | |
validityPeriod | 0..1 | Period | Time period supply is authorized for ele-1: All FHIR elements must have a @value or children | |
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized ele-1: All FHIR elements must have a @value or children |
quantity | S | 0..1 | ?? | Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children |
expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense ele-1: All FHIR elements must have a @value or children | |
performer | 0..1 | Reference(Organization) | Intended dispenser ele-1: All FHIR elements must have a @value or children | |
substitution | 0..1 | BackboneElement | Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children | |
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. ele-1: All FHIR elements must have a @value or children | ||
allowedBoolean | boolean | |||
allowedCodeableConcept | CodeableConcept | |||
reason | 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. ele-1: All FHIR elements must have a @value or children | |
priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced ele-1: All FHIR elements must have a @value or children | |
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action ele-1: All FHIR elements must have a @value or children | |
eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle ele-1: All FHIR elements must have a @value or children | |
Documentation for this format |