NHDR Implementation Guide Release 1.0
0.1.0 - ci-build

NHDR Implementation Guide Release 1.0, published by NHDR. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/UP-Manila-SILab/PhilHealth-NHDR-IG-Review/ and changes regularly. See the Directory of published versions

Resource Profile: PH MedicationRequest

Official URL: https://nhdr.gov.ph/fhir/StructureDefinition/PH-MedicationRequest Version: 0.1.0
Standards status: Draft Computable Name: PH_MedicationRequest

Copyright/Legal: Used by permission of HL7 International, all rights reserved Creative Commons License

An order or request for both supply of the medication and the instructions for administration of the medication to a patient.

Usages:

  • This Profile is not used by any profiles in this Implementation Guide

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... meta
.... Slices for extension Content/Rules for all slices
..... extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
..... extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
.... lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
... implicitRules 0..0
... language 0..0
... text 0..0
... contained 0..0
... extension 0..0
... modifierExtension 0..0
... statusReason 0..0
... category 0..0
... priority 0..0
... doNotPerform 0..0
... reported[x] 0..0
... authoredOn 0..0
... performer 0..0
... performerType 0..0
... recorder 0..0
... reasonCode 0..0
... reasonReference 0..0
... instantiatesCanonical 0..0
... instantiatesUri 0..0
... basedOn 0..0
... groupIdentifier 0..0
... courseOfTherapyType 0..0
... insurance 0..0
... note 0..0
... dosageInstruction
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... sequence 0..0
.... text 0..0
.... additionalInstruction 0..0
.... patientInstruction 0..0
.... asNeeded[x] 0..0
.... site 0..0
.... method 0..0
.... doseAndRate
..... id 0..0
..... extension 0..0
..... type 0..0
..... dose[x] 0..1 SimpleQuantity Amount of medication per dose
..... rate[x] 0..1 SimpleQuantity Amount of medication per unit of time
.... maxDosePerPeriod 0..0
.... maxDosePerAdministration 0..0
.... maxDosePerLifetime 0..0
... dispenseRequest
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... initialFill 0..0
.... dispenseInterval 0..0
.... validityPeriod 0..0
.... numberOfRepeatsAllowed 0..0
.... expectedSupplyDuration 0..0
.... performer 0..0
... substitution 0..0
... priorPrescription 0..0
... detectedIssue 0..0
... eventHistory 0..0

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
..... extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource was uploaded to the NHDR.
.... 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: All Security Labels (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".
... identifier 0..* Identifier External ids for this request
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... dosageInstruction 0..* Dosage How the medication should be taken
.... extension 0..0
.... timing Σ 0..1 Timing When medication should be administered
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... extension 0..0
..... dose[x] Σ 0..1 SimpleQuantity Amount of medication per dose
..... rate[x] Σ 0..1 SimpleQuantity Amount of medication per unit of time
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... quantity 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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

Summary

Prohibited: 53 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... status ?!Σ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... meta
.... Slices for extension Content/Rules for all slices
..... extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
..... extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
.... lastUpdated 0..1 instant When the resource was uploaded to the NHDR.
... implicitRules 0..0
... language 0..0
... text 0..0
... contained 0..0
... extension 0..0
... modifierExtension 0..0
... statusReason 0..0
... category 0..0
... priority 0..0
... doNotPerform 0..0
... reported[x] 0..0
... authoredOn 0..0
... performer 0..0
... performerType 0..0
... recorder 0..0
... reasonCode 0..0
... reasonReference 0..0
... instantiatesCanonical 0..0
... instantiatesUri 0..0
... basedOn 0..0
... groupIdentifier 0..0
... courseOfTherapyType 0..0
... insurance 0..0
... note 0..0
... dosageInstruction
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... sequence 0..0
.... text 0..0
.... additionalInstruction 0..0
.... patientInstruction 0..0
.... asNeeded[x] 0..0
.... site 0..0
.... method 0..0
.... doseAndRate
..... id 0..0
..... extension 0..0
..... type 0..0
..... dose[x] 0..1 SimpleQuantity Amount of medication per dose
..... rate[x] 0..1 SimpleQuantity Amount of medication per unit of time
.... maxDosePerPeriod 0..0
.... maxDosePerAdministration 0..0
.... maxDosePerLifetime 0..0
... dispenseRequest
.... id 0..0
.... extension 0..0
.... modifierExtension 0..0
.... initialFill 0..0
.... dispenseInterval 0..0
.... validityPeriod 0..0
.... numberOfRepeatsAllowed 0..0
.... expectedSupplyDuration 0..0
.... performer 0..0
... substitution 0..0
... priorPrescription 0..0
... detectedIssue 0..0
... eventHistory 0..0

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:hfRecordedDate 0..1 dateTime The recorded date indicating when the record was uploaded by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFRecordedDate
..... extension:hfLastUpdated 0..* dateTime The date indicating when the record was last updated by the health facility.
URL: https://nhdr.gov.ph/fhir/StructureDefinition/HFLastUpdated
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource was uploaded to the NHDR.
.... 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: All Security Labels (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".
... identifier 0..* Identifier External ids for this request
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... medication[x] Σ 1..1 Medication to be taken
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
... subject Σ 1..1 Reference(Patient | Group) Who or group medication request is for
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... dosageInstruction 0..* Dosage How the medication should be taken
.... extension 0..0
.... timing Σ 0..1 Timing When medication should be administered
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
.... doseAndRate Σ 0..* Element Amount of medication administered
..... extension 0..0
..... dose[x] Σ 0..1 SimpleQuantity Amount of medication per dose
..... rate[x] Σ 0..1 SimpleQuantity Amount of medication per unit of time
... dispenseRequest 0..1 BackboneElement Medication supply authorization
.... quantity 0..1 SimpleQuantity(4.0.1) Amount of medication to supply per dispense

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.meta.​security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationRequest.meta.​tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationRequest.status Base required Medicationrequest status 📍4.0.1 FHIR Std.
MedicationRequest.intent Base required Medication request intent 📍4.0.1 FHIR Std.
MedicationRequest.medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base example ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(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

Summary

Prohibited: 53 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

 

Other representations of profile: CSV, Excel, Schematron