This is the set of resources that conform to either of the profiles MedicationRequest (IPS) (http://hl7.org/fhir/uv/ips/StructureDefinition/MedicationRequest-uv-ips) and MedicationRequest (EU core) (http://hl7.eu/fhir/base-r5/StructureDefinition/medicationRequest-eu-core). E.g. what you have to deal with if you get resources conforming to one of them
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
![]() | 0..* | Ordering of medication for patient or group | ||||||||||||||
![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||||||||||
![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||||||
![]() ![]() | 0..1 | code | Language of the resource content Binding: ?? (required): left: A human language.; right: IETF language tag for a human language | |||||||||||||
![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||||||
![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||||||||||
![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||||||||||
![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||||||
![]() ![]() | 0..* | Identifier | left: External ids for this request; right: Business identifier for this request | |||||||||||||
![]() ![]() | ?!Σ | 1..1 | code | left: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown; right: Current state of the order Binding: ?? (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||||||||||
![]() ![]() | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. | |||||||||||||
![]() ![]() | ?!Σ | 1..1 | code | left: proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option; right: Order, proposal or plan Binding: ?? (required): The kind of medication order. | ||||||||||||
![]() ![]() | 0..* | CodeableConcept | left: Type of medication usage; right: Grouping or category of medication request Binding: ?? (example): left: 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.; right: A coded concept identifying where the medication is to be consumed or administered. | |||||||||||||
![]() ![]() | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. | ||||||||||||
![]() ![]() | ?!Σ | 0..1 | boolean | left: True if request is prohibiting action; right: True if patient is to stop taking or not to start taking the medication | ||||||||||||
![]() ![]() | Σ | 0..1 | Reported rather than primary record | |||||||||||||
![]() ![]() ![]() | boolean | |||||||||||||||
![]() ![]() ![]() | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||||||||||
![]() ![]() | SOΣ | 1..1 | Medication to be taken Binding: ?? (preferred): SNOMED CT medications (Medicinal product) or a code for absent/unknown medication
| |||||||||||||
![]() ![]() ![]() | CodeableConcept(CodeableConceptIPS) | |||||||||||||||
![]() ![]() ![]() | Reference(Medication (IPS)) | |||||||||||||||
![]() ![]() | SΣ | 1..1 | Reference(Patient (IPS) | #sd-Patient-uv-ips-patient-eu-core) | left: Who or group medication request is for; right: Individual or group for whom the medication has been requested | ||||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
![]() ![]() ![]() | SOΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL
| ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | string | Text alternative for the resource | ||||||||||||
![]() ![]() | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||||||||||
![]() ![]() | 0..* | Reference(Resource), Reference(Resource|5.0.0) | left: Information to support ordering of the medication; right: Information to support fulfilling of the medication | |||||||||||||
![]() ![]() | Σ | 0..1 | dateTime | left: When request was initially authored; right: Date when the request was authored | ||||||||||||
![]() ![]() | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device), Reference(http://hl7.eu/fhir/base-r5/StructureDefinition/patient-eu-core | http://hl7.eu/fhir/base-r5/StructureDefinition/practitioner-eu-core | http://hl7.eu/fhir/base-r5/StructureDefinition/practitionerRole-eu-core | http://hl7.eu/fhir/base-r5/StructureDefinition/organization-eu-core | RelatedPerson) | left: Who/What requested the Request; right: The individual responsible for ordering the medication | ||||||||||||
![]() ![]() | 0..* | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||||||||||
![]() ![]() | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (extensible): Identifies the type of individual that is desired to administer the medication. | ||||||||||||
![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||||||||||
![]() ![]() | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: ?? (example): A coded concept indicating why the medication was ordered. | |||||||||||||
![]() ![]() | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||||||||||
![]() ![]() | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||||||||||
![]() ![]() | Σ | 0..* | uri | Instantiates external protocol or definition | ||||||||||||
![]() ![]() | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | left: What request fulfills; right: A plan or request that is fulfilled in whole or in part by this medication request | ||||||||||||
![]() ![]() | Σ | 0..1 | Identifier | Composite request this is part of | ||||||||||||
![]() ![]() | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (extensible): Identifies the overall pattern of medication administratio. | |||||||||||||
![]() ![]() | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||||||||||
![]() ![]() | 0..* | Annotation | Information about the prescription | |||||||||||||
![]() ![]() | S | 0..* | Dosage | left: How the medication should be taken; right: How the medication should be taken. | ||||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | integer | The order of the dosage instructions | ||||||||||||
![]() ![]() ![]() | SΣ | 0..1 | string | left: Free text dosage instructions e.g. SIG; right: Free text dosage instructions | ||||||||||||
![]() ![]() ![]() | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||||||||||
![]() ![]() ![]() | SΣ | 0..1 | Timing | left: When medication should be administered; right: Administration schedule | ||||||||||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
![]() ![]() ![]() ![]() | Σ | 0..* | dateTime | When the event occurs | ||||||||||||
![]() ![]() ![]() ![]() | ΣC | 0..1 | Element | When the event is to occur Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10 | ||||||||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | A code for the timing schedule. Binding: ?? (preferred): Code for a known / defined timing pattern. | ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||||||||||
![]() ![]() ![]() ![]() | boolean | |||||||||||||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||||||||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | left: How drug should enter body; right: Route of administration Binding: ?? (preferred): left: SNOMED Route Terms; right: A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. | ||||||||||||
![]() ![]() ![]() | Σ | 0..* | Element | left: Amount of medication administered; right: Amount of medication administered, to be administered or typical amount to be administered | ||||||||||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||||||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. | ||||||||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Amount of medication per dose | |||||||||||||
![]() ![]() ![]() ![]() ![]() | Range | |||||||||||||||
![]() ![]() ![]() ![]() ![]() | Quantity(SimpleQuantity) | |||||||||||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Amount of medication per unit of time | |||||||||||||
![]() ![]() ![]() ![]() ![]() | Ratio | |||||||||||||||
![]() ![]() ![]() ![]() ![]() | Range | |||||||||||||||
![]() ![]() ![]() ![]() ![]() | Quantity(SimpleQuantity) | |||||||||||||||
![]() ![]() ![]() | Σ | 0..* | Ratio | Upper limit on medication per unit of time | ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | ?? | Upper limit on medication per administration | ||||||||||||
![]() ![]() ![]() | Σ | 0..1 | ?? | Upper limit on medication per lifetime of the patient | ||||||||||||
![]() ![]() ![]() | ΣC | 0..1 | boolean | Take "as needed" | ||||||||||||
![]() ![]() ![]() | ΣC | 0..* | CodeableConcept | Take "as needed" (for x) Binding: ?? (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | ||||||||||||
![]() ![]() | 0..1 | BackboneElement | Medication supply authorization | |||||||||||||
![]() ![]() ![]() | 0..* | Extension | left: Additional content defined by implementations; right: Extension | |||||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
![]() ![]() ![]() | 0..1 | BackboneElement | First fill details | |||||||||||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||||||||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
![]() ![]() ![]() ![]() | 0..1 | ?? | First fill quantity | |||||||||||||
![]() ![]() ![]() ![]() | 0..1 | Duration | First fill duration | |||||||||||||
![]() ![]() ![]() | 0..1 | Duration | Minimum period of time between dispenses | |||||||||||||
![]() ![]() ![]() | 0..1 | Period | Time period supply is authorized for | |||||||||||||
![]() ![]() ![]() | 0..1 | unsignedInt | Number of refills authorized | |||||||||||||
![]() ![]() ![]() | 0..1 | ?? | Amount of medication to supply per dispense | |||||||||||||
![]() ![]() ![]() | 0..1 | Duration | Number of days supply per dispense | |||||||||||||
![]() ![]() ![]() | 0..1 | Reference(Organization) | Intended dispenser | |||||||||||||
![]() ![]() ![]() | 0..1 | Reference(Organization|5.0.0) | Intended performer of dispense | |||||||||||||
![]() ![]() ![]() | 0..* | Annotation | Additional information for the dispenser | |||||||||||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Type of adherence packaging to use for the dispense Binding: ?? (example) | |||||||||||||
![]() ![]() | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||||||||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||||||||||
![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||||||
![]() ![]() ![]() | 1..1 | Whether substitution is allowed or not Binding: ?? (preferred): Identifies the type of substitution allowed. | ||||||||||||||
![]() ![]() ![]() ![]() | boolean | |||||||||||||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||||||||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): left: A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.; right: SubstanceAdminSubstitutionReason | |||||||||||||
![]() ![]() | 0..1 | Reference(MedicationRequest) | left: An order/prescription that is being replaced; right: Reference to an order/prescription that is being replaced by this MedicationRequest | |||||||||||||
![]() ![]() | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||||||||||
![]() ![]() | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||||||
![]() ![]() | 0..1 | dateTime | When the status was changed | |||||||||||||
![]() ![]() | Σ | 1..1 | CodeableReference(http://hl7.eu/fhir/base-r5/StructureDefinition/medication-eu-core) | Medication to be taken Binding: ?? (example): A coded concept identifying substance or product that can be ordered. | ||||||||||||
![]() ![]() | 0..* | Reference(Patient|5.0.0 | Practitioner|5.0.0 | PractitionerRole|5.0.0 | RelatedPerson|5.0.0 | Organization|5.0.0) | The person or organization who provided the information about this request, if the source is someone other than the requestor | |||||||||||||
![]() ![]() | Σ | 0..1 | boolean | Reported rather than primary record | ||||||||||||
![]() ![]() | 0..* | CodeableReference(DeviceDefinition|5.0.0) | Intended type of device for the administration | |||||||||||||
![]() ![]() | 0..* | CodeableReference(Condition|5.0.0 | Observation|5.0.0) | Reason or indication for this prescription Binding: ?? (example): A coded concept indicating why the medication was ordered.
| |||||||||||||
![]() ![]() | 0..1 | markdown | Full representation of the dosage instructions | |||||||||||||
![]() ![]() | 0..1 | Period | Period over which the medication is to be taken | |||||||||||||
Documentation for this format | ||||||||||||||||