Medication Scheme Implementation Guide
1.0.0 - draft
Medication Scheme Implementation Guide
1.0.0 - draft
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
| Official URL: https://fhir.ee/StructureDefinition/ee-tis-prescription | Version: 1.0.0 | |||
| Draft as of 2024-02-21 | Computable Name: EETISPrescription | |||
Retsept. This is a profile for medication prescription.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest |
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 | Dosage | |
| 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 | A fixed quantity (no comparator) | |
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.statusReason | required | RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused)https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjusfrom this IG | |
| MedicationRequest.category:prescriptionCategory | required | RetseptiLiik (a valid code from ER_Retsepti liik)https://fhir.ee/ValueSet/retsepti-liikfrom this IG | |
| MedicationRequest.category:repeatCategory | required | RetseptiKordsus (a valid code from ER_Retsepti kordsus)https://fhir.ee/ValueSet/retsepti-kordsusfrom this IG | |
| MedicationRequest.reason | preferred | https://fhir.ee/ValueSet/rhk-10https://fhir.ee/ValueSet/rhk-10 | |
| MedicationRequest.courseOfTherapyType | required | RavikuuriTyyp (a valid code from ER_Ravikuuritüüp)https://fhir.ee/ValueSet/ravikuuri-tyypfrom this IG | |
| MedicationRequest.substitution.reason | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG | |
| MedicationRequest.substitution.reason.coding | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| 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. | |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| 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 |
| 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 |
| 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 | |
| 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. | |
| category:repeatCategory |
0..1 | CodeableConcept | 1-kordne | 2-kordne | 3-kordne| 6-kordne Binding: ER_Retsepti kordsus (required): Retsepti kordsuse loend | |
| 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. | |
| 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 | |
| coding |
Σ | 0..* | Coding | pidev | fikseeritud | vajadusel | muutuv | ühekordne |
| note |
0..1 | Annotation | Comment from the request author only. | |
| text |
Σ | 1..1 | markdown | The annotation - text content (as markdown) |
| dosageInstruction |
C | 1..* | EETISDosage | Dosage dos-1: AsNeededFor can only be set if AsNeeded is empty or true |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| 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 |
| dose[x] |
C | 0..1 | SimpleQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
| dispenseRequest |
0..1 | BackboneElement | Indicates the specific details for the dispense or medication supply part of a medication request. | |
| 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 | |
| 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 | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: ER_Asendamatuse põhjus (preferred): Asendamise keelamise loend |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0from the FHIR Standard | |
| MedicationRequest.statusReason | required | RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused)https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjusfrom this IG | |
| MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0from the FHIR Standard | |
| MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-locationfrom the FHIR Standard | |
| MedicationRequest.category:prescriptionCategory | required | RetseptiLiik (a valid code from ER_Retsepti liik)https://fhir.ee/ValueSet/retsepti-liikfrom this IG | |
| MedicationRequest.category:repeatCategory | required | RetseptiKordsus (a valid code from ER_Retsepti kordsus)https://fhir.ee/ValueSet/retsepti-kordsusfrom this IG | |
| MedicationRequest.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationRequest.reason | preferred | https://fhir.ee/ValueSet/rhk-10https://fhir.ee/ValueSet/rhk-10 | |
| MedicationRequest.courseOfTherapyType | required | RavikuuriTyyp (a valid code from ER_Ravikuuritüüp)https://fhir.ee/ValueSet/ravikuuri-tyypfrom this IG | |
| MedicationRequest.dosageInstruction.asNeededFor | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | |
| MedicationRequest.substitution.reason | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG | |
| MedicationRequest.substitution.reason.coding | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dos-1 | error | MedicationRequest.dosageInstruction | AsNeededFor can only be set if AsNeeded is empty or true : asNeededFor.empty() or asNeeded.empty() or asNeeded | |
| 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() | |
| qty-3 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| sqty-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | The comparator is not used on a SimpleQuantity : comparator.empty() |
| 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
| |||||
| 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 |
C | 1..* | EETISDosage | Dosage dos-1: AsNeededFor can only be set if AsNeeded is empty or true | ||||
| 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] |
C | 0..1 | SimpleQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.meta.security | extensible | AllSecurityLabelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | |
| MedicationRequest.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | |
| MedicationRequest.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0from the FHIR Standard | |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| MedicationRequest.identifier.type | extensible | IdentifierTypeCodeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0from the FHIR Standard | |
| MedicationRequest.statusReason | required | RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused)https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjusfrom this IG | |
| MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0from the FHIR Standard | |
| MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-locationfrom the FHIR Standard | |
| MedicationRequest.category:prescriptionCategory | required | RetseptiLiik (a valid code from ER_Retsepti liik)https://fhir.ee/ValueSet/retsepti-liikfrom this IG | |
| MedicationRequest.category:repeatCategory | required | RetseptiKordsus (a valid code from ER_Retsepti kordsus)https://fhir.ee/ValueSet/retsepti-kordsusfrom this IG | |
| MedicationRequest.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationRequest.reason | preferred | https://fhir.ee/ValueSet/rhk-10https://fhir.ee/ValueSet/rhk-10 | |
| MedicationRequest.courseOfTherapyType | required | RavikuuriTyyp (a valid code from ER_Ravikuuritüüp)https://fhir.ee/ValueSet/ravikuuri-tyypfrom this IG | |
| MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0from the FHIR Standard | |
| MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0from the FHIR Standard | |
| MedicationRequest.dosageInstruction.asNeededFor | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | |
| MedicationRequest.substitution.reason | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG | |
| MedicationRequest.substitution.reason.coding | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dos-1 | error | MedicationRequest.dosageInstruction | AsNeededFor can only be set if AsNeeded is empty or true : asNeededFor.empty() or asNeeded.empty() or asNeeded | |
| 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() | |
| qty-3 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| sqty-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | The comparator is not used on a SimpleQuantity : comparator.empty() | |
| 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:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
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 | Dosage | |
| 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 | A fixed quantity (no comparator) | |
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.statusReason | required | RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused)https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjusfrom this IG | |
| MedicationRequest.category:prescriptionCategory | required | RetseptiLiik (a valid code from ER_Retsepti liik)https://fhir.ee/ValueSet/retsepti-liikfrom this IG | |
| MedicationRequest.category:repeatCategory | required | RetseptiKordsus (a valid code from ER_Retsepti kordsus)https://fhir.ee/ValueSet/retsepti-kordsusfrom this IG | |
| MedicationRequest.reason | preferred | https://fhir.ee/ValueSet/rhk-10https://fhir.ee/ValueSet/rhk-10 | |
| MedicationRequest.courseOfTherapyType | required | RavikuuriTyyp (a valid code from ER_Ravikuuritüüp)https://fhir.ee/ValueSet/ravikuuri-tyypfrom this IG | |
| MedicationRequest.substitution.reason | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG | |
| MedicationRequest.substitution.reason.coding | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| 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. | |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| 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 |
| 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 |
| 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 | |
| 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. | |
| category:repeatCategory |
0..1 | CodeableConcept | 1-kordne | 2-kordne | 3-kordne| 6-kordne Binding: ER_Retsepti kordsus (required): Retsepti kordsuse loend | |
| 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. | |
| 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 | |
| coding |
Σ | 0..* | Coding | pidev | fikseeritud | vajadusel | muutuv | ühekordne |
| note |
0..1 | Annotation | Comment from the request author only. | |
| text |
Σ | 1..1 | markdown | The annotation - text content (as markdown) |
| dosageInstruction |
C | 1..* | EETISDosage | Dosage dos-1: AsNeededFor can only be set if AsNeeded is empty or true |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| 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 |
| dose[x] |
C | 0..1 | SimpleQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity |
| dispenseRequest |
0..1 | BackboneElement | Indicates the specific details for the dispense or medication supply part of a medication request. | |
| 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 | |
| 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 | |
| coding |
Σ | 0..* | Coding | Code defined by a terminology system Binding: ER_Asendamatuse põhjus (preferred): Asendamise keelamise loend |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0from the FHIR Standard | |
| MedicationRequest.statusReason | required | RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused)https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjusfrom this IG | |
| MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0from the FHIR Standard | |
| MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-locationfrom the FHIR Standard | |
| MedicationRequest.category:prescriptionCategory | required | RetseptiLiik (a valid code from ER_Retsepti liik)https://fhir.ee/ValueSet/retsepti-liikfrom this IG | |
| MedicationRequest.category:repeatCategory | required | RetseptiKordsus (a valid code from ER_Retsepti kordsus)https://fhir.ee/ValueSet/retsepti-kordsusfrom this IG | |
| MedicationRequest.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationRequest.reason | preferred | https://fhir.ee/ValueSet/rhk-10https://fhir.ee/ValueSet/rhk-10 | |
| MedicationRequest.courseOfTherapyType | required | RavikuuriTyyp (a valid code from ER_Ravikuuritüüp)https://fhir.ee/ValueSet/ravikuuri-tyypfrom this IG | |
| MedicationRequest.dosageInstruction.asNeededFor | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | |
| MedicationRequest.substitution.reason | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG | |
| MedicationRequest.substitution.reason.coding | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dos-1 | error | MedicationRequest.dosageInstruction | AsNeededFor can only be set if AsNeeded is empty or true : asNeededFor.empty() or asNeeded.empty() or asNeeded | |
| 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() | |
| qty-3 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| sqty-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | The comparator is not used on a SimpleQuantity : comparator.empty() |
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
| |||||
| 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 |
C | 1..* | EETISDosage | Dosage dos-1: AsNeededFor can only be set if AsNeeded is empty or true | ||||
| 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] |
C | 0..1 | SimpleQuantity | A fixed quantity (no comparator) qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity | ||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.meta.security | extensible | AllSecurityLabelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | |
| MedicationRequest.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | |
| MedicationRequest.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0from the FHIR Standard | |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|5.0.0from the FHIR Standard | |
| MedicationRequest.identifier.type | extensible | IdentifierTypeCodeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | |
| MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0from the FHIR Standard | |
| MedicationRequest.statusReason | required | RetseptiAnnulleerimisePohjus (a valid code from ER_Annulleerimise põhjendused)https://fhir.ee/ValueSet/retsepti-annulleerimise-pohjusfrom this IG | |
| MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0from the FHIR Standard | |
| MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-locationfrom the FHIR Standard | |
| MedicationRequest.category:prescriptionCategory | required | RetseptiLiik (a valid code from ER_Retsepti liik)https://fhir.ee/ValueSet/retsepti-liikfrom this IG | |
| MedicationRequest.category:repeatCategory | required | RetseptiKordsus (a valid code from ER_Retsepti kordsus)https://fhir.ee/ValueSet/retsepti-kordsusfrom this IG | |
| MedicationRequest.medication | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationRequest.reason | preferred | https://fhir.ee/ValueSet/rhk-10https://fhir.ee/ValueSet/rhk-10 | |
| MedicationRequest.courseOfTherapyType | required | RavikuuriTyyp (a valid code from ER_Ravikuuritüüp)https://fhir.ee/ValueSet/ravikuuri-tyypfrom this IG | |
| MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0from the FHIR Standard | |
| MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|5.0.0from the FHIR Standard | |
| MedicationRequest.dosageInstruction.asNeededFor | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | |
| MedicationRequest.substitution.reason | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG | |
| MedicationRequest.substitution.reason.coding | preferred | RavimiAsendamatusePohjus (a valid code from ER_Asendamatuse põhjus)https://fhir.ee/ValueSet/ravimi-asendamatuse-pohjusfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| dos-1 | error | MedicationRequest.dosageInstruction | AsNeededFor can only be set if AsNeeded is empty or true : asNeededFor.empty() or asNeeded.empty() or asNeeded | |
| 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() | |
| qty-3 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| sqty-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | The comparator is not used on a SimpleQuantity : comparator.empty() | |
| 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:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron