Medication Scheme Implementation Guide, published by TEHIK. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/TEHIK-EE/ig-ee-medication-scheme/ and changes regularly. See the Directory of published versions

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Resource Profile: EETISPrescription

Retsept. This is a profile for medication prescription.

Usage:

• Refer to this Resource Profile: EETISComposition, EETISMedicationStatement and EETISPrescriptionDispense
• Examples for this Resource Profile: MedicationRequest/prescription-adrenalin-pos-dec, MedicationRequest/prescription-adrenalin, MedicationRequest/prescription-alprazolam, MedicationRequest/prescription-cancelled... Show 3 more, MedicationRequest/prescription-dexamethason, MedicationRequest/prescription-metformin and MedicationRequest/prescription-ospen

Formal Views of Profile Content

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

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lockStatus		0..1	(Complex)	Used only when requesting unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-lock-status ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISUnauthorizedProductRequest		0..*	(Complex)	Used for requesting marketing permit for unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier		0..1	Identifier	Identifier for the prescription. ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	0..1	uri	Identifier system uri for Estonian Prescription Centre prescriptions ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/retseptikeskus-retsept
value	ΣC	0..1	string	Prescription number ele-1: All FHIR elements must have a @value or children Example General: 123456
assigner	Σ	0..1	Reference(EETISOrganization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..1	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	A plan or request that is fulfilled in whole or in part by this medication request ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (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
statusReason		0..1	CodeableConcept	Reason for current status. Used only when prescription is "cancelled". Binding: ER_Annulleerimise põhjendused (required): Annulleerimise põhjus loend ele-1: All FHIR elements must have a @value or children
intent	?!Σ	1..1	code	By default all requests are "order", unauthorized medication requests are initially "proposal" and when positively solved change to "order" Binding: MedicationRequestIntent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children
Slices for category		0..*	CodeableConcept	Grouping or category of medication request Slice: Unordered, Open by value:coding.system Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered. ele-1: All FHIR elements must have a @value or children
category:prescriptionCategory		0..1	CodeableConcept	tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: ER_Retsepti liik (required): RETSEPTI LIIK. LOEND. ele-1: All FHIR elements must have a @value or children
category:repeatCategory		0..1	CodeableConcept	1-kordne | 2-kordne | 3-kordne| 6-kordne Binding: ER_Retsepti kordsus (required): Retsepti kordsuse loend ele-1: All FHIR elements must have a @value or children
medication	Σ	1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal) {r}	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
subject	Σ	1..1	Reference(EE MPI Patient Verified) {r}	Patient for who is the request made for. ele-1: All FHIR elements must have a @value or children
informationSource		0..*	Reference(EETISPractitionerRole | EETISPractitioner)	If prescription is cancelled by someone else than original prescriber it must be filled here. Original prescriber remains in requester field. ele-1: All FHIR elements must have a @value or children
authoredOn	Σ	1..1	dateTime	When the prescription was made. ele-1: All FHIR elements must have a @value or children
requester	Σ	0..1	Reference(EETISPractitionerRole | EETISPractitioner) {c}	Who/What requested the Request. Initial author of the request. NB! See also the differenece between informationSource ele-1: All FHIR elements must have a @value or children
reason		1..1	CodeableReference(Condition | Observation)	​Diagnosis according to ICD-10. Reason or indication for ordering or not ordering the medication Binding: https://fhir.ee/ValueSet/rhk-10 (preferred): RHK-10 ele-1: All FHIR elements must have a @value or children
courseOfTherapyType		0..1	CodeableConcept	pidev | fikseeritud | vajadusel | muutuv | ühekordne Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. Loend ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	pidev | fikseeritud | vajadusel | muutuv | ühekordne ele-1: All FHIR elements must have a @value or children
note		0..1	Annotation	Comment from the request author only. ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
dosageInstruction		1..*	EETISDosage	Specific instructions for how the medication should be taken ele-1: All FHIR elements must have a @value or children
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
text	Σ	0..1	string	Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children Max Length:1000
asNeededFor	ΣC	0..1	CodeableConcept	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. ele-1: All FHIR elements must have a @value or children
doseAndRate	Σ	1..1	Element	Amount of medication administered, to be administered or typical amount to be administered ele-1: All FHIR elements must have a @value or children
dose[x]	Σ	0..1	SimpleQuantity	Amount of medication per dose ele-1: All FHIR elements must have a @value or children
dispenseRequest		0..1	BackboneElement	Indicates the specific details for the dispense or medication supply part of a medication request. ele-1: All FHIR elements must have a @value or children
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
validityPeriod		1..1	Period	Time period supply is authorized for ele-1: All FHIR elements must have a @value or children
dispenser		0..1	Reference(EETISOrganization) {r}	Intended performer of dispense ele-1: All FHIR elements must have a @value or children
substitution		0..1	BackboneElement	Asendamine. Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children
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	boolean	True if the prescriber allows a different drug to be dispensed from what was prescribed. ele-1: All FHIR elements must have a @value or children
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ER_Asendamatuse põhjus (preferred): Asendamatuse põhjus. Loend ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ER_Asendamatuse põhjus (preferred): Asendamise keelamise loend ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
MedicationRequest.status	required	MedicationrequestStatus http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0 from the FHIR Standard
MedicationRequest.statusReason	required	RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused) https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjus from this IG
MedicationRequest.intent	required	MedicationRequestIntent http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0 from the FHIR Standard
MedicationRequest.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard
MedicationRequest.category:prescriptionCategory	required	RetseptiLiik (a valid code from ER_Retsepti liik) https://fhir.ee/ValueSet/retsepti-liik from this IG
MedicationRequest.category:repeatCategory	required	RetseptiKordsus (a valid code from ER_Retsepti kordsus) https://fhir.ee/ValueSet/retsepti-kordsus from this IG
MedicationRequest.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.reason	preferred	​https://fhir.ee/ValueSet/rhk-10 https://fhir.ee/ValueSet/rhk-10
MedicationRequest.courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationRequest.dosageInstruction.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.substitution.reason	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG
MedicationRequest.substitution.reason.coding	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MedicationRequest
meta
lastUpdated		0..1	instant	When the resource version last changed Example ajanäidis: 2023-09-25T12:12:12+00:01
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
dispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
lockStatus		0..1	(Complex)	Used only when requesting unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-lock-status
extensionEETISUnauthorizedProductRequest		0..*	(Complex)	Used for requesting marketing permit for unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change
identifier		0..1	Identifier	Identifier for the prescription.
system		0..1	uri	Identifier system uri for Estonian Prescription Centre prescriptions Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/retseptikeskus-retsept
value		0..1	string	Prescription number
assigner		0..1	Reference(EETISOrganization)	Organization that issued id (may be just text)
basedOn		0..1	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription		0..0
status		1..1	code	active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
statusReason		0..1	CodeableConcept	Reason for current status. Used only when prescription is "cancelled". Binding: ER_Annulleerimise põhjendused (required): Annulleerimise põhjus loend
intent		1..1	code	By default all requests are "order", unauthorized medication requests are initially "proposal" and when positively solved change to "order"
Slices for category		0..*	CodeableConcept	Grouping or category of medication request Slice: Unordered, Open by value:coding.system
category:prescriptionCategory		0..1	CodeableConcept	tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: ER_Retsepti liik (required): RETSEPTI LIIK. LOEND.
coding
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ee/CodeSystem/retsepti-liik
category:repeatCategory		0..1	CodeableConcept	1-kordne | 2-kordne | 3-kordne| 6-kordne Binding: ER_Retsepti kordsus (required): Retsepti kordsuse loend
coding
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ee/CodeSystem/retsepti-kordsus
priority		0..0
doNotPerform		0..0
medication		1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal) {r}	Medication to be taken
subject		1..1	Reference(EE MPI Patient Verified) {r}	Patient for who is the request made for.
informationSource		0..*	Reference(EETISPractitionerRole | EETISPractitioner)	If prescription is cancelled by someone else than original prescriber it must be filled here. Original prescriber remains in requester field.
encounter		0..0
authoredOn		1..1	dateTime	When the prescription was made.
requester		0..1	Reference(EETISPractitionerRole | EETISPractitioner) {c}	Who/What requested the Request. Initial author of the request. NB! See also the differenece between informationSource
reported		0..0
performerType		0..0
performer		0..0
device		0..0
recorder		0..0
reason		1..1	CodeableReference(Condition | Observation)	​Diagnosis according to ICD-10. Reason or indication for ordering or not ordering the medication Binding: https://fhir.ee/ValueSet/rhk-10 (preferred): RHK-10
courseOfTherapyType		0..1	CodeableConcept	pidev | fikseeritud | vajadusel | muutuv | ühekordne Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. Loend
coding		0..*	Coding	pidev | fikseeritud | vajadusel | muutuv | ühekordne
insurance		0..0
note		0..1	Annotation	Comment from the request author only.
author[x]		0..0
time		0..0
renderedDosageInstruction		0..0
effectiveDosePeriod		0..0
dosageInstruction		1..*	EETISDosage	Specific instructions for how the medication should be taken
sequence		0..0
additionalInstruction		0..0
timing
event		0..0
repeat
countMax		0..0
duration		0..0
durationMax		0..0
frequency		0..1	positiveInt	Mitu korda (ajaühikus).
frequencyMax		0..0
period		0..1	decimal	The duration to which the frequency applies. I.e. Event occurs frequency times per period
periodMax		0..0
periodUnit		0..1	code	The units of time for the period in UCUM units
dayOfWeek		0..0
when		0..0
offset		0..0
code		0..0
asNeeded		0..0
site		0..0
route		0..0
method		0..0
doseAndRate		1..1	Element	Amount of medication administered, to be administered or typical amount to be administered
type		0..0
dose[x]		0..1	SimpleQuantity	Amount of medication per dose
rate[x]		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
dispenseRequest		0..1	BackboneElement	Indicates the specific details for the dispense or medication supply part of a medication request.
id		0..0
initialFill		0..0
dispenseInterval		0..0
validityPeriod		1..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..0
quantity		0..0
expectedSupplyDuration		0..0
dispenser		0..1	Reference(EETISOrganization) {r}	Intended performer of dispense
dispenserInstruction		0..0
doseAdministrationAid		0..0
substitution		0..1	BackboneElement	Asendamine. Any restrictions on medication substitution
allowed[x]		1..1	boolean	True if the prescriber allows a different drug to be dispensed from what was prescribed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ER_Asendamatuse põhjus (preferred): Asendamatuse põhjus. Loend
coding		0..*	Coding	Code defined by a terminology system Binding: ER_Asendamatuse põhjus (preferred): Asendamise keelamise loend
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.statusReason	required	RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused) https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjus from this IG
MedicationRequest.category:prescriptionCategory	required	RetseptiLiik (a valid code from ER_Retsepti liik) https://fhir.ee/ValueSet/retsepti-liik from this IG
MedicationRequest.category:repeatCategory	required	RetseptiKordsus (a valid code from ER_Retsepti kordsus) https://fhir.ee/ValueSet/retsepti-kordsus from this IG
MedicationRequest.reason	preferred	​https://fhir.ee/ValueSet/rhk-10 https://fhir.ee/ValueSet/rhk-10
MedicationRequest.courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationRequest.substitution.reason	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG
MedicationRequest.substitution.reason.coding	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG

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
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed Example ajanäidis: 2023-09-25T12:12:12+00:01
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
dispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
lockStatus		0..1	(Complex)	Used only when requesting unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-lock-status
extensionEETISUnauthorizedProductRequest		0..*	(Complex)	Used for requesting marketing permit for unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..1	Identifier	Identifier for the prescription.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Identifier system uri for Estonian Prescription Centre prescriptions Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/retseptikeskus-retsept
value	ΣC	0..1	string	Prescription number Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(EETISOrganization)	Organization that issued id (may be just text)
basedOn	Σ	0..1	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	A plan or request that is fulfilled in whole or in part by this medication request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	1..1	code	active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (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. Used only when prescription is "cancelled". Binding: ER_Annulleerimise põhjendused (required): Annulleerimise põhjus loend
statusChanged		0..1	dateTime	When the status was changed
intent	?!Σ	1..1	code	By default all requests are "order", unauthorized medication requests are initially "proposal" and when positively solved change to "order" Binding: MedicationRequestIntent (required): The kind of medication order.
Slices for category		0..*	CodeableConcept	Grouping or category of medication request Slice: Unordered, Open by value:coding.system Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
category:prescriptionCategory		0..1	CodeableConcept	tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: ER_Retsepti liik (required): RETSEPTI LIIK. LOEND.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ee/CodeSystem/retsepti-liik
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:repeatCategory		0..1	CodeableConcept	1-kordne | 2-kordne | 3-kordne| 6-kordne Binding: ER_Retsepti kordsus (required): Retsepti kordsuse loend
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ee/CodeSystem/retsepti-kordsus
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
medication	Σ	1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal) {r}	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
subject	Σ	1..1	Reference(EE MPI Patient Verified) {r}	Patient for who is the request made for.
informationSource		0..*	Reference(EETISPractitionerRole | EETISPractitioner)	If prescription is cancelled by someone else than original prescriber it must be filled here. Original prescriber remains in requester field.
supportingInformation		0..*	Reference(Resource)	Information to support fulfilling of the medication
authoredOn	Σ	1..1	dateTime	When the prescription was made.
requester	Σ	0..1	Reference(EETISPractitionerRole | EETISPractitioner) {c}	Who/What requested the Request. Initial author of the request. NB! See also the differenece between informationSource
reason		1..1	CodeableReference(Condition | Observation)	​Diagnosis according to ICD-10. Reason or indication for ordering or not ordering the medication Binding: https://fhir.ee/ValueSet/rhk-10 (preferred): RHK-10
courseOfTherapyType		0..1	CodeableConcept	pidev | fikseeritud | vajadusel | muutuv | ühekordne Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. Loend
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	pidev | fikseeritud | vajadusel | muutuv | ühekordne
text	Σ	0..1	string	Plain text representation of the concept
note		0..1	Annotation	Comment from the request author only.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
text	Σ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction		1..*	EETISDosage	Specific instructions for how the medication should be taken
id		0..1	id	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
text	Σ	0..1	string	Free text dosage instructions e.g. SIG Max Length:1000
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	id	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
repeat	ΣC	0..1	Element	When the event is to occur. tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits. Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	ΣC	0..1	positiveInt	Number of times to repeat
durationUnit	ΣC	0..1	code	The units of time for the duration. Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Mitu korda (ajaühikus).
period	ΣC	0..1	decimal	The duration to which the frequency applies. I.e. Event occurs frequency times per period
periodUnit	ΣC	0..1	code	The units of time for the period in UCUM units Binding: UnitsOfTime (required): A unit of time (units from UCUM).
timeOfDay	ΣC	0..*	time	Specified time of day for action to take place.
asNeededFor	ΣC	0..1	CodeableConcept	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.
doseAndRate	Σ	1..1	Element	Amount of medication administered, to be administered or typical amount to be 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
dose[x]	Σ	0..1	SimpleQuantity	Amount of medication per dose
dispenseRequest		0..1	BackboneElement	Indicates the specific details for the dispense or medication supply part of a medication request.
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod		1..1	Period	Time period supply is authorized for
dispenser		0..1	Reference(EETISOrganization) {r}	Intended performer of dispense
substitution		0..1	BackboneElement	Asendamine. 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	boolean	True if the prescriber allows a different drug to be dispensed from what was prescribed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ER_Asendamatuse põhjus (preferred): Asendamatuse põhjus. Loend
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ER_Asendamatuse põhjus (preferred): Asendamise keelamise loend
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
MedicationRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
MedicationRequest.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.status	required	MedicationrequestStatus http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0 from the FHIR Standard
MedicationRequest.statusReason	required	RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused) https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjus from this IG
MedicationRequest.intent	required	MedicationRequestIntent http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0 from the FHIR Standard
MedicationRequest.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard
MedicationRequest.category:prescriptionCategory	required	RetseptiLiik (a valid code from ER_Retsepti liik) https://fhir.ee/ValueSet/retsepti-liik from this IG
MedicationRequest.category:repeatCategory	required	RetseptiKordsus (a valid code from ER_Retsepti kordsus) https://fhir.ee/ValueSet/retsepti-kordsus from this IG
MedicationRequest.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.reason	preferred	​https://fhir.ee/ValueSet/rhk-10 https://fhir.ee/ValueSet/rhk-10
MedicationRequest.courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard
MedicationRequest.dosageInstruction.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.substitution.reason	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG
MedicationRequest.substitution.reason.coding	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 6 elements(3 nested mandatory elements)
Prohibited: 44 elements

Structures

This structure refers to these other structures:

• EETISOrganization (https://fhir.ee/StructureDefinition/ee-tis-organization)
• EETISMedicationEPC (https://fhir.ee/StructureDefinition/ee-tis-medication-epc)
• EETISMedicationExtemporal (https://fhir.ee/StructureDefinition/ee-tis-medication-extemporal)
• EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)
• EETISPractitionerRole (https://fhir.ee/StructureDefinition/ee-tis-practitioner-role)
• EETISPractitioner (https://fhir.ee/StructureDefinition/ee-tis-practitioner)
• EETISDosage (https://fhir.ee/StructureDefinition/ee-tis-dosage)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization
• https://fhir.ee/StructureDefinition/ee-tis-lock-status
• https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
• https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
• https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
• https://fhir.ee/StructureDefinition/ee-tis-prescription-change

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.category

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
lockStatus		0..1	(Complex)	Used only when requesting unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-lock-status ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISUnauthorizedProductRequest		0..*	(Complex)	Used for requesting marketing permit for unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change 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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier		0..1	Identifier	Identifier for the prescription. ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	0..1	uri	Identifier system uri for Estonian Prescription Centre prescriptions ele-1: All FHIR elements must have a @value or children Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/retseptikeskus-retsept
value	ΣC	0..1	string	Prescription number ele-1: All FHIR elements must have a @value or children Example General: 123456
assigner	Σ	0..1	Reference(EETISOrganization)	Organization that issued id (may be just text) ele-1: All FHIR elements must have a @value or children
basedOn	Σ	0..1	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	A plan or request that is fulfilled in whole or in part by this medication request ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (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
statusReason		0..1	CodeableConcept	Reason for current status. Used only when prescription is "cancelled". Binding: ER_Annulleerimise põhjendused (required): Annulleerimise põhjus loend ele-1: All FHIR elements must have a @value or children
intent	?!Σ	1..1	code	By default all requests are "order", unauthorized medication requests are initially "proposal" and when positively solved change to "order" Binding: MedicationRequestIntent (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children
Slices for category		0..*	CodeableConcept	Grouping or category of medication request Slice: Unordered, Open by value:coding.system Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered. ele-1: All FHIR elements must have a @value or children
category:prescriptionCategory		0..1	CodeableConcept	tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: ER_Retsepti liik (required): RETSEPTI LIIK. LOEND. ele-1: All FHIR elements must have a @value or children
category:repeatCategory		0..1	CodeableConcept	1-kordne | 2-kordne | 3-kordne| 6-kordne Binding: ER_Retsepti kordsus (required): Retsepti kordsuse loend ele-1: All FHIR elements must have a @value or children
medication	Σ	1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal) {r}	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
subject	Σ	1..1	Reference(EE MPI Patient Verified) {r}	Patient for who is the request made for. ele-1: All FHIR elements must have a @value or children
informationSource		0..*	Reference(EETISPractitionerRole | EETISPractitioner)	If prescription is cancelled by someone else than original prescriber it must be filled here. Original prescriber remains in requester field. ele-1: All FHIR elements must have a @value or children
authoredOn	Σ	1..1	dateTime	When the prescription was made. ele-1: All FHIR elements must have a @value or children
requester	Σ	0..1	Reference(EETISPractitionerRole | EETISPractitioner) {c}	Who/What requested the Request. Initial author of the request. NB! See also the differenece between informationSource ele-1: All FHIR elements must have a @value or children
reason		1..1	CodeableReference(Condition | Observation)	​Diagnosis according to ICD-10. Reason or indication for ordering or not ordering the medication Binding: https://fhir.ee/ValueSet/rhk-10 (preferred): RHK-10 ele-1: All FHIR elements must have a @value or children
courseOfTherapyType		0..1	CodeableConcept	pidev | fikseeritud | vajadusel | muutuv | ühekordne Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. Loend ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	pidev | fikseeritud | vajadusel | muutuv | ühekordne ele-1: All FHIR elements must have a @value or children
note		0..1	Annotation	Comment from the request author only. ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
dosageInstruction		1..*	EETISDosage	Specific instructions for how the medication should be taken ele-1: All FHIR elements must have a @value or children
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
text	Σ	0..1	string	Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children Max Length:1000
asNeededFor	ΣC	0..1	CodeableConcept	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. ele-1: All FHIR elements must have a @value or children
doseAndRate	Σ	1..1	Element	Amount of medication administered, to be administered or typical amount to be administered ele-1: All FHIR elements must have a @value or children
dose[x]	Σ	0..1	SimpleQuantity	Amount of medication per dose ele-1: All FHIR elements must have a @value or children
dispenseRequest		0..1	BackboneElement	Indicates the specific details for the dispense or medication supply part of a medication request. ele-1: All FHIR elements must have a @value or children
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
validityPeriod		1..1	Period	Time period supply is authorized for ele-1: All FHIR elements must have a @value or children
dispenser		0..1	Reference(EETISOrganization) {r}	Intended performer of dispense ele-1: All FHIR elements must have a @value or children
substitution		0..1	BackboneElement	Asendamine. Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children
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	boolean	True if the prescriber allows a different drug to be dispensed from what was prescribed. ele-1: All FHIR elements must have a @value or children
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ER_Asendamatuse põhjus (preferred): Asendamatuse põhjus. Loend ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ER_Asendamatuse põhjus (preferred): Asendamise keelamise loend ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
MedicationRequest.status	required	MedicationrequestStatus http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0 from the FHIR Standard
MedicationRequest.statusReason	required	RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused) https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjus from this IG
MedicationRequest.intent	required	MedicationRequestIntent http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0 from the FHIR Standard
MedicationRequest.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard
MedicationRequest.category:prescriptionCategory	required	RetseptiLiik (a valid code from ER_Retsepti liik) https://fhir.ee/ValueSet/retsepti-liik from this IG
MedicationRequest.category:repeatCategory	required	RetseptiKordsus (a valid code from ER_Retsepti kordsus) https://fhir.ee/ValueSet/retsepti-kordsus from this IG
MedicationRequest.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.reason	preferred	​https://fhir.ee/ValueSet/rhk-10 https://fhir.ee/ValueSet/rhk-10
MedicationRequest.courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationRequest.dosageInstruction.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.substitution.reason	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG
MedicationRequest.substitution.reason.coding	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Differential View

This structure is derived from MedicationRequest

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest			MedicationRequest
meta
lastUpdated		0..1	instant	When the resource version last changed Example ajanäidis: 2023-09-25T12:12:12+00:01
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
dispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
lockStatus		0..1	(Complex)	Used only when requesting unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-lock-status
extensionEETISUnauthorizedProductRequest		0..*	(Complex)	Used for requesting marketing permit for unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change
identifier		0..1	Identifier	Identifier for the prescription.
system		0..1	uri	Identifier system uri for Estonian Prescription Centre prescriptions Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/retseptikeskus-retsept
value		0..1	string	Prescription number
assigner		0..1	Reference(EETISOrganization)	Organization that issued id (may be just text)
basedOn		0..1	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	A plan or request that is fulfilled in whole or in part by this medication request
priorPrescription		0..0
status		1..1	code	active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
statusReason		0..1	CodeableConcept	Reason for current status. Used only when prescription is "cancelled". Binding: ER_Annulleerimise põhjendused (required): Annulleerimise põhjus loend
intent		1..1	code	By default all requests are "order", unauthorized medication requests are initially "proposal" and when positively solved change to "order"
Slices for category		0..*	CodeableConcept	Grouping or category of medication request Slice: Unordered, Open by value:coding.system
category:prescriptionCategory		0..1	CodeableConcept	tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: ER_Retsepti liik (required): RETSEPTI LIIK. LOEND.
coding
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ee/CodeSystem/retsepti-liik
category:repeatCategory		0..1	CodeableConcept	1-kordne | 2-kordne | 3-kordne| 6-kordne Binding: ER_Retsepti kordsus (required): Retsepti kordsuse loend
coding
system		1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ee/CodeSystem/retsepti-kordsus
priority		0..0
doNotPerform		0..0
medication		1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal) {r}	Medication to be taken
subject		1..1	Reference(EE MPI Patient Verified) {r}	Patient for who is the request made for.
informationSource		0..*	Reference(EETISPractitionerRole | EETISPractitioner)	If prescription is cancelled by someone else than original prescriber it must be filled here. Original prescriber remains in requester field.
encounter		0..0
authoredOn		1..1	dateTime	When the prescription was made.
requester		0..1	Reference(EETISPractitionerRole | EETISPractitioner) {c}	Who/What requested the Request. Initial author of the request. NB! See also the differenece between informationSource
reported		0..0
performerType		0..0
performer		0..0
device		0..0
recorder		0..0
reason		1..1	CodeableReference(Condition | Observation)	​Diagnosis according to ICD-10. Reason or indication for ordering or not ordering the medication Binding: https://fhir.ee/ValueSet/rhk-10 (preferred): RHK-10
courseOfTherapyType		0..1	CodeableConcept	pidev | fikseeritud | vajadusel | muutuv | ühekordne Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. Loend
coding		0..*	Coding	pidev | fikseeritud | vajadusel | muutuv | ühekordne
insurance		0..0
note		0..1	Annotation	Comment from the request author only.
author[x]		0..0
time		0..0
renderedDosageInstruction		0..0
effectiveDosePeriod		0..0
dosageInstruction		1..*	EETISDosage	Specific instructions for how the medication should be taken
sequence		0..0
additionalInstruction		0..0
timing
event		0..0
repeat
countMax		0..0
duration		0..0
durationMax		0..0
frequency		0..1	positiveInt	Mitu korda (ajaühikus).
frequencyMax		0..0
period		0..1	decimal	The duration to which the frequency applies. I.e. Event occurs frequency times per period
periodMax		0..0
periodUnit		0..1	code	The units of time for the period in UCUM units
dayOfWeek		0..0
when		0..0
offset		0..0
code		0..0
asNeeded		0..0
site		0..0
route		0..0
method		0..0
doseAndRate		1..1	Element	Amount of medication administered, to be administered or typical amount to be administered
type		0..0
dose[x]		0..1	SimpleQuantity	Amount of medication per dose
rate[x]		0..0
maxDosePerPeriod		0..0
maxDosePerAdministration		0..0
maxDosePerLifetime		0..0
dispenseRequest		0..1	BackboneElement	Indicates the specific details for the dispense or medication supply part of a medication request.
id		0..0
initialFill		0..0
dispenseInterval		0..0
validityPeriod		1..1	Period	Time period supply is authorized for
numberOfRepeatsAllowed		0..0
quantity		0..0
expectedSupplyDuration		0..0
dispenser		0..1	Reference(EETISOrganization) {r}	Intended performer of dispense
dispenserInstruction		0..0
doseAdministrationAid		0..0
substitution		0..1	BackboneElement	Asendamine. Any restrictions on medication substitution
allowed[x]		1..1	boolean	True if the prescriber allows a different drug to be dispensed from what was prescribed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ER_Asendamatuse põhjus (preferred): Asendamatuse põhjus. Loend
coding		0..*	Coding	Code defined by a terminology system Binding: ER_Asendamatuse põhjus (preferred): Asendamise keelamise loend
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.statusReason	required	RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused) https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjus from this IG
MedicationRequest.category:prescriptionCategory	required	RetseptiLiik (a valid code from ER_Retsepti liik) https://fhir.ee/ValueSet/retsepti-liik from this IG
MedicationRequest.category:repeatCategory	required	RetseptiKordsus (a valid code from ER_Retsepti kordsus) https://fhir.ee/ValueSet/retsepti-kordsus from this IG
MedicationRequest.reason	preferred	​https://fhir.ee/ValueSet/rhk-10 https://fhir.ee/ValueSet/rhk-10
MedicationRequest.courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationRequest.substitution.reason	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG
MedicationRequest.substitution.reason.coding	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG

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
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed Example ajanäidis: 2023-09-25T12:12:12+00:01
source	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: AllSecurityLabels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
dispensationAuthorization		1..1	CodeableConcept	Defines the authorization of the prescription. URL: https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization Binding: ER_Volituse liik (required)
lockStatus		0..1	(Complex)	Used only when requesting unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-lock-status
extensionEETISUnauthorizedProductRequest		0..*	(Complex)	Used for requesting marketing permit for unauthorized medication. URL: https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
extensionEETISTotalPrescribedAmount		0..*	SimpleQuantity	How much in total there is medication prescribed on one Medication Request. Used for calculating the current status of how much medication is left on one Medication Statement row. URL: https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
extensionEETISReimbursementRate		0..*	(Complex)	Reimbursement rate and reason of prescription medicine. URL: https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
extensionEETISPrescriptionChange		0..*	(Complex)	Changes on prescription - who changed, when and reason. URL: https://fhir.ee/StructureDefinition/ee-tis-prescription-change
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..1	Identifier	Identifier for the prescription.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: IdentifierTypeCodes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	Identifier system uri for Estonian Prescription Centre prescriptions Required Pattern: https://fhir.ee/CodeSystem/tis-fhir-identifikaatorid/retseptikeskus-retsept
value	ΣC	0..1	string	Prescription number Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(EETISOrganization)	Organization that issued id (may be just text)
basedOn	Σ	0..1	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	A plan or request that is fulfilled in whole or in part by this medication request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	1..1	code	active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown Binding: MedicationrequestStatus (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. Used only when prescription is "cancelled". Binding: ER_Annulleerimise põhjendused (required): Annulleerimise põhjus loend
statusChanged		0..1	dateTime	When the status was changed
intent	?!Σ	1..1	code	By default all requests are "order", unauthorized medication requests are initially "proposal" and when positively solved change to "order" Binding: MedicationRequestIntent (required): The kind of medication order.
Slices for category		0..*	CodeableConcept	Grouping or category of medication request Slice: Unordered, Open by value:coding.system Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
category:prescriptionCategory		0..1	CodeableConcept	tavaretsept | narkootilise ravimi retsept | meditsiiniseadme retsept Binding: ER_Retsepti liik (required): RETSEPTI LIIK. LOEND.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ee/CodeSystem/retsepti-liik
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
category:repeatCategory		0..1	CodeableConcept	1-kordne | 2-kordne | 3-kordne| 6-kordne Binding: ER_Retsepti kordsus (required): Retsepti kordsuse loend
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: https://fhir.ee/CodeSystem/retsepti-kordsus
version	Σ	0..1	string	Version of the system - if relevant
code	ΣC	0..1	code	Symbol in syntax defined by the system
display	ΣC	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
medication	Σ	1..1	CodeableReference(EETISMedicationEPC | EETISMedicationExtemporal) {r}	Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
subject	Σ	1..1	Reference(EE MPI Patient Verified) {r}	Patient for who is the request made for.
informationSource		0..*	Reference(EETISPractitionerRole | EETISPractitioner)	If prescription is cancelled by someone else than original prescriber it must be filled here. Original prescriber remains in requester field.
supportingInformation		0..*	Reference(Resource)	Information to support fulfilling of the medication
authoredOn	Σ	1..1	dateTime	When the prescription was made.
requester	Σ	0..1	Reference(EETISPractitionerRole | EETISPractitioner) {c}	Who/What requested the Request. Initial author of the request. NB! See also the differenece between informationSource
reason		1..1	CodeableReference(Condition | Observation)	​Diagnosis according to ICD-10. Reason or indication for ordering or not ordering the medication Binding: https://fhir.ee/ValueSet/rhk-10 (preferred): RHK-10
courseOfTherapyType		0..1	CodeableConcept	pidev | fikseeritud | vajadusel | muutuv | ühekordne Binding: ER_Ravikuuritüüp (required): RAVIKUURI TÜÜP. Loend
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	pidev | fikseeritud | vajadusel | muutuv | ühekordne
text	Σ	0..1	string	Plain text representation of the concept
note		0..1	Annotation	Comment from the request author only.
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
text	Σ	1..1	markdown	The annotation - text content (as markdown)
dosageInstruction		1..*	EETISDosage	Specific instructions for how the medication should be taken
id		0..1	id	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
text	Σ	0..1	string	Free text dosage instructions e.g. SIG Max Length:1000
patientInstruction	Σ	0..1	string	Patient or consumer oriented instructions
timing	Σ	0..1	Timing	When medication should be administered
id		0..1	id	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
repeat	ΣC	0..1	Element	When the event is to occur. tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
bounds[x]	Σ	0..1		Length/Range of lengths, or (Start and/or end) limits. Slice: Unordered, Open by type:$this
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	ΣC	0..1	positiveInt	Number of times to repeat
durationUnit	ΣC	0..1	code	The units of time for the duration. Binding: UnitsOfTime (required): A unit of time (units from UCUM).
frequency	Σ	0..1	positiveInt	Mitu korda (ajaühikus).
period	ΣC	0..1	decimal	The duration to which the frequency applies. I.e. Event occurs frequency times per period
periodUnit	ΣC	0..1	code	The units of time for the period in UCUM units Binding: UnitsOfTime (required): A unit of time (units from UCUM).
timeOfDay	ΣC	0..*	time	Specified time of day for action to take place.
asNeededFor	ΣC	0..1	CodeableConcept	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.
doseAndRate	Σ	1..1	Element	Amount of medication administered, to be administered or typical amount to be 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
dose[x]	Σ	0..1	SimpleQuantity	Amount of medication per dose
dispenseRequest		0..1	BackboneElement	Indicates the specific details for the dispense or medication supply part of a medication request.
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
validityPeriod		1..1	Period	Time period supply is authorized for
dispenser		0..1	Reference(EETISOrganization) {r}	Intended performer of dispense
substitution		0..1	BackboneElement	Asendamine. 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	boolean	True if the prescriber allows a different drug to be dispensed from what was prescribed.
reason		0..1	CodeableConcept	Why should (not) substitution be made Binding: ER_Asendamatuse põhjus (preferred): Asendamatuse põhjus. Loend
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Binding: ER_Asendamatuse põhjus (preferred): Asendamise keelamise loend
text	Σ	0..1	string	Plain text representation of the concept
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.meta.security	extensible	AllSecurityLabels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
MedicationRequest.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|5.0.0 from the FHIR Standard
MedicationRequest.identifier.type	extensible	IdentifierTypeCodes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.status	required	MedicationrequestStatus http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0 from the FHIR Standard
MedicationRequest.statusReason	required	RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused) https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjus from this IG
MedicationRequest.intent	required	MedicationRequestIntent http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0 from the FHIR Standard
MedicationRequest.category	example	MedicationRequestAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medicationrequest-admin-location from the FHIR Standard
MedicationRequest.category:prescriptionCategory	required	RetseptiLiik (a valid code from ER_Retsepti liik) https://fhir.ee/ValueSet/retsepti-liik from this IG
MedicationRequest.category:repeatCategory	required	RetseptiKordsus (a valid code from ER_Retsepti kordsus) https://fhir.ee/ValueSet/retsepti-kordsus from this IG
MedicationRequest.medication	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationRequest.reason	preferred	​https://fhir.ee/ValueSet/rhk-10 https://fhir.ee/ValueSet/rhk-10
MedicationRequest.courseOfTherapyType	required	RavikuuriTyyp (a valid code from ER_Ravikuuritüüp) https://fhir.ee/ValueSet/ravikuuri-tyyp from this IG
MedicationRequest.dosageInstruction.timing.repeat.durationUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnit	required	UnitsOfTime http://hl7.org/fhir/ValueSet/units-of-time|5.0.0 from the FHIR Standard
MedicationRequest.dosageInstruction.asNeededFor	example	SNOMEDCTMedicationAsNeededReasonCodes http://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard
MedicationRequest.substitution.reason	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG
MedicationRequest.substitution.reason.coding	preferred	RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus) https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjus from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	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 : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
tim-1	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists()
tim-2	error	MedicationRequest.dosageInstruction.timing.repeat	if there's a period, there needs to be period units : period.empty() or periodUnit.exists()
tim-4	error	MedicationRequest.dosageInstruction.timing.repeat	duration SHALL be a non-negative value : duration.exists() implies duration >= 0
tim-5	error	MedicationRequest.dosageInstruction.timing.repeat	period SHALL be a non-negative value : period.exists() implies period >= 0
tim-6	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a periodMax, there must be a period : periodMax.empty() or period.exists()
tim-7	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists()
tim-8	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a countMax, there must be a count : countMax.empty() or count.exists()
tim-9	error	MedicationRequest.dosageInstruction.timing.repeat	If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())
tim-10	error	MedicationRequest.dosageInstruction.timing.repeat	If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 6 elements(3 nested mandatory elements)
Prohibited: 44 elements

Structures

This structure refers to these other structures:

• EETISOrganization (https://fhir.ee/StructureDefinition/ee-tis-organization)
• EETISMedicationEPC (https://fhir.ee/StructureDefinition/ee-tis-medication-epc)
• EETISMedicationExtemporal (https://fhir.ee/StructureDefinition/ee-tis-medication-extemporal)
• EE MPI Patient Verified (https://fhir.ee/mpi/StructureDefinition/ee-mpi-patient-verified)
• EETISPractitionerRole (https://fhir.ee/StructureDefinition/ee-tis-practitioner-role)
• EETISPractitioner (https://fhir.ee/StructureDefinition/ee-tis-practitioner)
• EETISDosage (https://fhir.ee/StructureDefinition/ee-tis-dosage)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• https://fhir.ee/StructureDefinition/ee-tis-dispensation-authorization
• https://fhir.ee/StructureDefinition/ee-tis-lock-status
• https://fhir.ee/StructureDefinition/ee-tis-unauthorized-product-request
• https://fhir.ee/StructureDefinition/ee-tis-total-prescribed-amount
• https://fhir.ee/StructureDefinition/ee-tis-reimbursement-rate
• https://fhir.ee/StructureDefinition/ee-tis-prescription-change

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationRequest.category