Virtually Healthcare HL7 FHIR R4 Implementation Guide
0.1.0-current - ci-build United Kingdom flag

Virtually Healthcare HL7 FHIR R4 Implementation Guide, published by Virtually Healthcare. This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/Virtually-Healthcare/HL7-FHIR-Implementation-Guide/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationRequest

Official URL: https://fhir.virtually.healthcare/StructureDefinition/MedicationRequest Version: 0.1.0-current
Draft as of 2024-11-20 Computable Name: MedicationRequest

Extension of UKCore-MedicationRequest and includes elements from HL7 International Patient Access

Usage:

Formal Views of Profile Content

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

This structure is derived from UKCoreMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* UKCoreMedicationRequest Ordering of medication for patient or group
... Slices for extension Content/Rules for all slices
.... extensionCourses 0..1 (Complex) EMIS PFS Courses
URL: https://fhir.virtually.healthcare/StructureDefinition/ExtensionCourses
... identifier 1..* CommonResourceIdentifiers An identifier intended for computation
... medication[x] ON 1..1 CodeableConcept Identifies the medication being requested.
Binding: VH Medication Code (extensible)
ObligationsActor
SHALL:populate-if-known Clinical Data Repository
SHALL:populate-if-known https://fhir.virtually.healthcare/ActorDefinition/ClinicalDataService
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 NHSNumbers An identifier intended for computation
... performer 0..1 Reference(Practitioner) Intended performer of administration
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 ProfessionalLicense, StaffEnterpriseNumber An identifier intended for computation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]extensibleVHMedicationCode
https://fhir.virtually.healthcare/ValueSet/VHMedicationCode
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* UKCoreMedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... medicationRepeatInformation N 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
.... extensionCourses 0..1 (Complex) EMIS PFS Courses
URL: https://fhir.virtually.healthcare/StructureDefinition/ExtensionCourses
... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... status ?!SΣ 1..1 code A code specifying the current state of the order.
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... intent ?!SΣ 1..1 code Whether the request is a proposal, plan, or an original order.
Binding: medicationRequest Intent (required): The kind of medication order.

... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] SOΣ 1..1 CodeableConcept Identifies the medication being requested.
Binding: VH Medication Code (extensible)
ObligationsActor
SHALL:populate-if-known Clinical Data Repository
SHALL:populate-if-known https://fhir.virtually.healthcare/ActorDefinition/ClinicalDataService
... subject SΣC 1..1 Reference(Patient | Group) Who the medication request is for.
ref-1: SHALL have a contained resource if a local reference is provided
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 NHSNumbers An identifier intended for computation
... authoredOn SΣ 0..1 dateTime The date / time that the medication request was initially authored.
... requester SΣC 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
ref-1: SHALL have a contained resource if a local reference is provided
... performer C 0..1 Reference(Practitioner) Intended performer of administration
ref-1: SHALL have a contained resource if a local reference is provided
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 ProfessionalLicense, StaffEnterpriseNumber An identifier intended for computation
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Free text dosage instructions.
.... timing SΣ 0..1 Timing When the medication should be administered.
.... doseAndRate SΣ 0..* Element Dosage instructions for the requested medication.
..... dose[x] SΣ 0..1 Quantity of requested medication to be administered.
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] SΣ 0..1 Rate at which the requested medication is to be administered.
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
... dispenseRequest S 0..1 BackboneElement Specific dispensing quantity instructions.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity SC 0..1 SimpleQuantity >Amount of medication to supply per dispense.
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
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
MedicationRequest.medication[x]extensibleVHMedicationCode
https://fhir.virtually.healthcare/ValueSet/VHMedicationCode
from this IG
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* UKCoreMedicationRequest 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
... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... medicationRepeatInformation N 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
.... extensionCourses 0..1 (Complex) EMIS PFS Courses
URL: https://fhir.virtually.healthcare/StructureDefinition/ExtensionCourses
... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... status ?!SΣ 1..1 code A code specifying the current state of the order.
Binding: medicationrequest Status (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
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ 1..1 code Whether the request is a proposal, plan, or an original order.
Binding: medicationRequest Intent (required): The kind of medication order.

... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] SOΣ 1..1 CodeableConcept Identifies the medication being requested.
Binding: VH Medication Code (extensible)
ObligationsActor
SHALL:populate-if-known Clinical Data Repository
SHALL:populate-if-known https://fhir.virtually.healthcare/ActorDefinition/ClinicalDataService
... subject SΣC 1..1 Reference(Patient | Group) Who the medication request is for.
ref-1: SHALL have a contained resource if a local reference is provided
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier 0..1 NHSNumbers An identifier intended for computation
.... display Σ 0..1 string Text alternative for the resource
... encounter C 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
ref-1: SHALL have a contained resource if a local reference is provided
... supportingInformation C 0..* Reference(Resource) Information to support ordering of the medication
ref-1: SHALL have a contained resource if a local reference is provided
... authoredOn SΣ 0..1 dateTime The date / time that the medication request was initially authored.
... requester SΣC 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
ref-1: SHALL have a contained resource if a local reference is provided
... performer C 0..1 Reference(Practitioner) Intended performer of administration
ref-1: SHALL have a contained resource if a local reference is provided
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier 0..1 ProfessionalLicense, StaffEnterpriseNumber An identifier intended for computation
.... display Σ 0..1 string Text alternative for the resource
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder C 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
ref-1: SHALL have a contained resource if a local reference is provided
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference C 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
ref-1: SHALL have a contained resource if a local reference is provided
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn ΣC 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
ref-1: SHALL have a contained resource if a local reference is provided
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept A course of therapy for a medication request
Binding: UK Core Medication Request Course Of Therapy (extensible): Identifies the overall pattern of medication administratio.

... insurance C 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
ref-1: SHALL have a contained resource if a local reference is provided
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... id 0..1 string Unique id for inter-element referencing
.... extension N 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
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Free text dosage instructions.
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 Timing When the medication should be administered.
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): 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.

..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: UK Core Body Site (preferred): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: UK Core Substance Or Product Administration Route (preferred): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: UK Core Medication Dosage Method (preferred): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate SΣ 0..* Element Dosage instructions for the requested medication.
..... id 0..1 string Unique id for inter-element referencing
..... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] SΣ 0..1 Quantity of requested medication to be administered.
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] SΣ 0..1 Rate at which the requested medication is to be administered.
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod ΣC 0..1 Ratio Upper limit on medication per unit of time
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
.... maxDosePerAdministration ΣC 0..1 SimpleQuantity Upper limit on medication per administration
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
.... maxDosePerLifetime ΣC 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
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 S 0..1 BackboneElement Specific dispensing quantity instructions.
.... id 0..1 string Unique id for inter-element referencing
.... extension N 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
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension N 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
..... quantity C 0..1 SimpleQuantity First fill quantity
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
..... duration C 0..1 Duration First fill duration
qty-3: If a code for the unit is present, the system SHALL also be present
drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
.... dispenseInterval C 0..1 Duration Minimum period of time between dispenses
qty-3: If a code for the unit is present, the system SHALL also be present
drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
.... validityPeriod C 0..1 Period Time period supply is authorized for
per-1: If present, start SHALL have a lower value than end
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity SC 0..1 SimpleQuantity >Amount of medication to supply per dispense.
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
.... expectedSupplyDuration C 0..1 Duration Number of days supply per dispense
qty-3: If a code for the unit is present, the system SHALL also be present
drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
.... performer C 0..1 Reference(Organization) Intended dispenser
ref-1: SHALL have a contained resource if a local reference is provided
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... id 0..1 string Unique id for inter-element referencing
.... extension N 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
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription C 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
ref-1: SHALL have a contained resource if a local reference is provided
... detectedIssue C 0..* Reference(DetectedIssue) Clinical Issue with action
ref-1: SHALL have a contained resource if a local reference is provided
... eventHistory C 0..* Reference(Provenance) A list of events of interest in the lifecycle
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]extensibleVHMedicationCode
https://fhir.virtually.healthcare/ValueSet/VHMedicationCode
from this IG
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleUKCoreMedicationRequestCourseOfTherapy
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]preferredSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.sitepreferredUKCoreBodySite
https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite
MedicationRequest.dosageInstruction.routepreferredUKCoreSubstanceOrProductAdministrationRoute
https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute
MedicationRequest.dosageInstruction.methodpreferredUKCoreMedicationDosageMethod
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Differential View

This structure is derived from UKCoreMedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* UKCoreMedicationRequest Ordering of medication for patient or group
... Slices for extension Content/Rules for all slices
.... extensionCourses 0..1 (Complex) EMIS PFS Courses
URL: https://fhir.virtually.healthcare/StructureDefinition/ExtensionCourses
... identifier 1..* CommonResourceIdentifiers An identifier intended for computation
... medication[x] ON 1..1 CodeableConcept Identifies the medication being requested.
Binding: VH Medication Code (extensible)
ObligationsActor
SHALL:populate-if-known Clinical Data Repository
SHALL:populate-if-known https://fhir.virtually.healthcare/ActorDefinition/ClinicalDataService
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 NHSNumbers An identifier intended for computation
... performer 0..1 Reference(Practitioner) Intended performer of administration
.... reference 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 ProfessionalLicense, StaffEnterpriseNumber An identifier intended for computation

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medication[x]extensibleVHMedicationCode
https://fhir.virtually.healthcare/ValueSet/VHMedicationCode
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* UKCoreMedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension Content/Rules for all slices
.... medicationRepeatInformation N 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
.... extensionCourses 0..1 (Complex) EMIS PFS Courses
URL: https://fhir.virtually.healthcare/StructureDefinition/ExtensionCourses
... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... status ?!SΣ 1..1 code A code specifying the current state of the order.
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... intent ?!SΣ 1..1 code Whether the request is a proposal, plan, or an original order.
Binding: medicationRequest Intent (required): The kind of medication order.

... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... medication[x] SOΣ 1..1 CodeableConcept Identifies the medication being requested.
Binding: VH Medication Code (extensible)
ObligationsActor
SHALL:populate-if-known Clinical Data Repository
SHALL:populate-if-known https://fhir.virtually.healthcare/ActorDefinition/ClinicalDataService
... subject SΣC 1..1 Reference(Patient | Group) Who the medication request is for.
ref-1: SHALL have a contained resource if a local reference is provided
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 NHSNumbers An identifier intended for computation
... authoredOn SΣ 0..1 dateTime The date / time that the medication request was initially authored.
... requester SΣC 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
ref-1: SHALL have a contained resource if a local reference is provided
... performer C 0..1 Reference(Practitioner) Intended performer of administration
ref-1: SHALL have a contained resource if a local reference is provided
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... identifier 0..1 ProfessionalLicense, StaffEnterpriseNumber An identifier intended for computation
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string Free text dosage instructions.
.... timing SΣ 0..1 Timing When the medication should be administered.
.... doseAndRate SΣ 0..* Element Dosage instructions for the requested medication.
..... dose[x] SΣ 0..1 Quantity of requested medication to be administered.
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] SΣ 0..1 Rate at which the requested medication is to be administered.
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
... dispenseRequest S 0..1 BackboneElement Specific dispensing quantity instructions.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... quantity SC 0..1 SimpleQuantity >Amount of medication to supply per dispense.
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
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
MedicationRequest.medication[x]extensibleVHMedicationCode
https://fhir.virtually.healthcare/ValueSet/VHMedicationCode
from this IG
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* UKCoreMedicationRequest 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
... 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: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... medicationRepeatInformation N 0..1 (Complex) Allows the resource to be referenced within / by other resources.
URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation
.... extensionCourses 0..1 (Complex) EMIS PFS Courses
URL: https://fhir.virtually.healthcare/StructureDefinition/ExtensionCourses
... modifierExtension ?!N 0..* Extension Extensions that cannot be ignored
Slice: Unordered, Open by value:url
... identifier S 1..* CommonResourceIdentifiers An identifier intended for computation
... status ?!SΣ 1..1 code A code specifying the current state of the order.
Binding: medicationrequest Status (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
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!SΣ 1..1 code Whether the request is a proposal, plan, or an original order.
Binding: medicationRequest Intent (required): The kind of medication order.

... category S 0..* CodeableConcept Provides the business context for the relevant dispensing processes.
Binding: UK Core Medication Request Category (extensible): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] SOΣ 1..1 CodeableConcept Identifies the medication being requested.
Binding: VH Medication Code (extensible)
ObligationsActor
SHALL:populate-if-known Clinical Data Repository
SHALL:populate-if-known https://fhir.virtually.healthcare/ActorDefinition/ClinicalDataService
... subject SΣC 1..1 Reference(Patient | Group) Who the medication request is for.
ref-1: SHALL have a contained resource if a local reference is provided
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier 0..1 NHSNumbers An identifier intended for computation
.... display Σ 0..1 string Text alternative for the resource
... encounter C 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
ref-1: SHALL have a contained resource if a local reference is provided
... supportingInformation C 0..* Reference(Resource) Information to support ordering of the medication
ref-1: SHALL have a contained resource if a local reference is provided
... authoredOn SΣ 0..1 dateTime The date / time that the medication request was initially authored.
... requester SΣC 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who is requesting the medication.
ref-1: SHALL have a contained resource if a local reference is provided
... performer C 0..1 Reference(Practitioner) Intended performer of administration
ref-1: SHALL have a contained resource if a local reference is provided
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier 0..1 ProfessionalLicense, StaffEnterpriseNumber An identifier intended for computation
.... display Σ 0..1 string Text alternative for the resource
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder C 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
ref-1: SHALL have a contained resource if a local reference is provided
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference C 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
ref-1: SHALL have a contained resource if a local reference is provided
... instantiatesCanonical Σ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri Σ 0..* uri Instantiates external protocol or definition
... basedOn ΣC 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
ref-1: SHALL have a contained resource if a local reference is provided
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... courseOfTherapyType 0..1 CodeableConcept A course of therapy for a medication request
Binding: UK Core Medication Request Course Of Therapy (extensible): Identifies the overall pattern of medication administratio.

... insurance C 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
ref-1: SHALL have a contained resource if a local reference is provided
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..* Dosage Dosage instructions for the medication.
.... id 0..1 string Unique id for inter-element referencing
.... extension N 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
.... sequence Σ 0..1 integer The order of the dosage instructions
.... text SΣ 0..1 string Free text dosage instructions.
.... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".


.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing SΣ 0..1 Timing When the medication should be administered.
.... asNeeded[x] Σ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): 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.

..... asNeededBoolean boolean
..... asNeededCodeableConcept CodeableConcept
.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: UK Core Body Site (preferred): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: UK Core Substance Or Product Administration Route (preferred): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: UK Core Medication Dosage Method (preferred): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate SΣ 0..* Element Dosage instructions for the requested medication.
..... id 0..1 string Unique id for inter-element referencing
..... extension N 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... dose[x] SΣ 0..1 Quantity of requested medication to be administered.
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
..... rate[x] SΣ 0..1 Rate at which the requested medication is to be administered.
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod ΣC 0..1 Ratio Upper limit on medication per unit of time
rat-1: Numerator and denominator SHALL both be present, or both are absent. If both are absent, there SHALL be some extension present
.... maxDosePerAdministration ΣC 0..1 SimpleQuantity Upper limit on medication per administration
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
.... maxDosePerLifetime ΣC 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
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 S 0..1 BackboneElement Specific dispensing quantity instructions.
.... id 0..1 string Unique id for inter-element referencing
.... extension N 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
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension N 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
..... quantity C 0..1 SimpleQuantity First fill quantity
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
..... duration C 0..1 Duration First fill duration
qty-3: If a code for the unit is present, the system SHALL also be present
drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
.... dispenseInterval C 0..1 Duration Minimum period of time between dispenses
qty-3: If a code for the unit is present, the system SHALL also be present
drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
.... validityPeriod C 0..1 Period Time period supply is authorized for
per-1: If present, start SHALL have a lower value than end
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity SC 0..1 SimpleQuantity >Amount of medication to supply per dispense.
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
.... expectedSupplyDuration C 0..1 Duration Number of days supply per dispense
qty-3: If a code for the unit is present, the system SHALL also be present
drt-1: There SHALL be a code if there is a value and it SHALL be an expression of time. If system is present, it SHALL be UCUM.
.... performer C 0..1 Reference(Organization) Intended dispenser
ref-1: SHALL have a contained resource if a local reference is provided
... substitution S 1..1 BackboneElement Any restrictions on medication substitution.
.... id 0..1 string Unique id for inter-element referencing
.... extension N 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
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription C 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
ref-1: SHALL have a contained resource if a local reference is provided
... detectedIssue C 0..* Reference(DetectedIssue) Clinical Issue with action
ref-1: SHALL have a contained resource if a local reference is provided
... eventHistory C 0..* Reference(Provenance) A list of events of interest in the lifecycle
ref-1: SHALL have a contained resource if a local reference is provided

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categoryextensibleUKCoreMedicationRequestCategory
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x]extensibleVHMedicationCode
https://fhir.virtually.healthcare/ValueSet/VHMedicationCode
from this IG
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleUKCoreMedicationRequestCourseOfTherapy
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]preferredSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.sitepreferredUKCoreBodySite
https://fhir.hl7.org.uk/ValueSet/UKCore-BodySite
MedicationRequest.dosageInstruction.routepreferredUKCoreSubstanceOrProductAdministrationRoute
https://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute
MedicationRequest.dosageInstruction.methodpreferredUKCoreMedicationDosageMethod
https://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

 

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