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 |
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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 Specification
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:  |
|---|---|---|---|---|
  MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
  status |
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 |
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] |
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 |
1..1 | Reference(Patient | Group) | Who or group medication request is for | |
| 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 v7.4 |
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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | A set of rules under which this content was created | ||
| language |
0..0 | Language of the resource content | ||
| text |
0..0 | Text summary of the resource, for human interpretation | ||
| contained |
0..0 | Contained, inline Resources | ||
 extension |
0..0 | Extension | ||
 modifierExtension |
0..0 | Extension | ||
| statusReason |
0..0 | Reason for current status | ||
| category |
0..0 | Type of medication usage | ||
| priority |
0..0 | routine | urgent | asap | stat | ||
| doNotPerform |
0..0 | True if request is prohibiting action | ||
| reported[x] |
0..0 | Reported rather than primary record | ||
| authoredOn |
0..0 | When request was initially authored | ||
| performer |
0..0 | Intended performer of administration | ||
| performerType |
0..0 | Desired kind of performer of the medication administration | ||
| recorder |
0..0 | Person who entered the request | ||
| reasonCode |
0..0 | Reason or indication for ordering or not ordering the medication | ||
| reasonReference |
0..0 | Condition or observation that supports why the prescription is being written | ||
| instantiatesCanonical |
0..0 | Instantiates FHIR protocol or definition | ||
| instantiatesUri |
0..0 | Instantiates external protocol or definition | ||
| basedOn |
0..0 | What request fulfills | ||
| groupIdentifier |
0..0 | Composite request this is part of | ||
| courseOfTherapyType |
0..0 | Overall pattern of medication administration | ||
| insurance |
0..0 | Associated insurance coverage | ||
| note |
0..0 | Information about the prescription | ||
| dosageInstruction |
||||
| id |
0..0 | Unique id for inter-element referencing | ||
| extension |
0..0 | Extension | ||
| modifierExtension |
0..0 | Extension | ||
| sequence |
0..0 | The order of the dosage instructions | ||
| text |
0..0 | Free text dosage instructions e.g. SIG | ||
| additionalInstruction |
0..0 | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" | ||
| patientInstruction |
0..0 | Patient or consumer oriented instructions | ||
| asNeeded[x] |
0..0 | Take "as needed" (for x) | ||
| site |
0..0 | Body site to administer to | ||
| method |
0..0 | Technique for administering medication | ||
| doseAndRate |
||||
| id |
0..0 | Unique id for inter-element referencing | ||
| extension |
0..0 | Extension | ||
| type |
0..0 | The kind of dose or rate specified | ||
| 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 | Upper limit on medication per unit of time | ||
| maxDosePerAdministration |
0..0 | Upper limit on medication per administration | ||
| maxDosePerLifetime |
0..0 | Upper limit on medication per lifetime of the patient | ||
| dispenseRequest |
||||
| id |
0..0 | Unique id for inter-element referencing | ||
| extension |
0..0 | Extension | ||
| modifierExtension |
0..0 | Extension | ||
| initialFill |
0..0 | First fill details | ||
| dispenseInterval |
0..0 | Minimum period of time between dispenses | ||
| validityPeriod |
0..0 | Time period supply is authorized for | ||
| numberOfRepeatsAllowed |
0..0 | Number of refills authorized | ||
| expectedSupplyDuration |
0..0 | Number of days supply per dispense | ||
| performer |
0..0 | Intended dispenser | ||
| substitution |
0..0 | Any restrictions on medication substitution | ||
| priorPrescription |
0..0 | An order/prescription that is being replaced | ||
| detectedIssue |
0..0 | Clinical Issue with action | ||
| eventHistory |
0..0 | A list of events of interest in the lifecycle | ||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
| id |
0..1 | id | Logical id of this artifact | |
| meta |
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 |
0..1 | id | Version specific identifier | |
| lastUpdated |
0..1 | instant | When the resource was uploaded to the NHDR. | |
| source |
0..1 | uri | Identifies where the resource comes from | |
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | |
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |
| tag |
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 | |
| status |
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 |
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] |
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 |
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 |
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 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| timing |
0..1 | Timing | When medication should be administered | |
| route |
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 |
0..* | Element | Amount of medication administered | |
 extension |
0..0 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| dose[x] |
0..1 | SimpleQuantity  |
Amount of medication per dose | |
| rate[x] |
0..1 | SimpleQuantity |
Amount of medication per unit of time | |
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization | |
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 |
| 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 v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
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()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationRequest
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
| status |
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 |
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] |
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 |
1..1 | Reference(Patient | Group) | Who or group medication request is for | |
| 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 v7.4 |
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
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | A set of rules under which this content was created | ||
| language |
0..0 | Language of the resource content | ||
| text |
0..0 | Text summary of the resource, for human interpretation | ||
| contained |
0..0 | Contained, inline Resources | ||
| extension |
0..0 | Extension | ||
| modifierExtension |
0..0 | Extension | ||
| statusReason |
0..0 | Reason for current status | ||
| category |
0..0 | Type of medication usage | ||
| priority |
0..0 | routine | urgent | asap | stat | ||
| doNotPerform |
0..0 | True if request is prohibiting action | ||
| reported[x] |
0..0 | Reported rather than primary record | ||
| authoredOn |
0..0 | When request was initially authored | ||
| performer |
0..0 | Intended performer of administration | ||
| performerType |
0..0 | Desired kind of performer of the medication administration | ||
| recorder |
0..0 | Person who entered the request | ||
| reasonCode |
0..0 | Reason or indication for ordering or not ordering the medication | ||
| reasonReference |
0..0 | Condition or observation that supports why the prescription is being written | ||
| instantiatesCanonical |
0..0 | Instantiates FHIR protocol or definition | ||
| instantiatesUri |
0..0 | Instantiates external protocol or definition | ||
| basedOn |
0..0 | What request fulfills | ||
| groupIdentifier |
0..0 | Composite request this is part of | ||
| courseOfTherapyType |
0..0 | Overall pattern of medication administration | ||
| insurance |
0..0 | Associated insurance coverage | ||
| note |
0..0 | Information about the prescription | ||
| dosageInstruction |
||||
| id |
0..0 | Unique id for inter-element referencing | ||
| extension |
0..0 | Extension | ||
| modifierExtension |
0..0 | Extension | ||
| sequence |
0..0 | The order of the dosage instructions | ||
| text |
0..0 | Free text dosage instructions e.g. SIG | ||
| additionalInstruction |
0..0 | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" | ||
| patientInstruction |
0..0 | Patient or consumer oriented instructions | ||
| asNeeded[x] |
0..0 | Take "as needed" (for x) | ||
| site |
0..0 | Body site to administer to | ||
| method |
0..0 | Technique for administering medication | ||
| doseAndRate |
||||
| id |
0..0 | Unique id for inter-element referencing | ||
| extension |
0..0 | Extension | ||
| type |
0..0 | The kind of dose or rate specified | ||
| 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 | Upper limit on medication per unit of time | ||
| maxDosePerAdministration |
0..0 | Upper limit on medication per administration | ||
| maxDosePerLifetime |
0..0 | Upper limit on medication per lifetime of the patient | ||
| dispenseRequest |
||||
| id |
0..0 | Unique id for inter-element referencing | ||
| extension |
0..0 | Extension | ||
| modifierExtension |
0..0 | Extension | ||
| initialFill |
0..0 | First fill details | ||
| dispenseInterval |
0..0 | Minimum period of time between dispenses | ||
| validityPeriod |
0..0 | Time period supply is authorized for | ||
| numberOfRepeatsAllowed |
0..0 | Number of refills authorized | ||
| expectedSupplyDuration |
0..0 | Number of days supply per dispense | ||
| performer |
0..0 | Intended dispenser | ||
| substitution |
0..0 | Any restrictions on medication substitution | ||
| priorPrescription |
0..0 | An order/prescription that is being replaced | ||
| detectedIssue |
0..0 | Clinical Issue with action | ||
| eventHistory |
0..0 | A list of events of interest in the lifecycle | ||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | MedicationRequest | Ordering of medication for patient or group | |
| id |
0..1 | id | Logical id of this artifact | |
| meta |
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 |
0..1 | id | Version specific identifier | |
| lastUpdated |
0..1 | instant | When the resource was uploaded to the NHDR. | |
| source |
0..1 | uri | Identifies where the resource comes from | |
| profile |
0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | |
| security |
0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | |
| tag |
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 | |
| status |
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 |
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] |
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 |
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 |
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 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| timing |
0..1 | Timing | When medication should be administered | |
| route |
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 |
0..* | Element | Amount of medication administered | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||
| dose[x] |
0..1 | SimpleQuantity |
Amount of medication per dose | |
| rate[x] |
0..1 | SimpleQuantity |
Amount of medication per unit of time | |
| dispenseRequest |
0..1 | BackboneElement | Medication supply authorization | |
| quantity |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication to supply per dispense Constraints: sqty-1 |
| 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 v7.4 |
| MedicationRequest.substitution.reason | Base | example | SubstanceAdminSubstitutionReason | 📦3.0.0 | THO v7.4 |
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()
|
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
This structure is derived from MedicationRequest
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