HL7 FHIR Implementation Guide Dossier Farmaceutico
0.1.1 - ci-build
HL7 FHIR Implementation Guide Dossier Farmaceutico
0.1.1 - ci-build
HL7 FHIR Implementation Guide Dossier Farmaceutico, published by HL7 Italia. This guide is not an authorized publication; it is the continuous build for version 0.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-it/dossier-pharma/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/MedicationRequest-it-dossierPharma | Version: 0.1.1 | |||
| Draft as of 2024-11-04 | Computable Name: MedicationRequestItDossierPharma | |||
Rappresentazione della prescrizione del farmaco tramite il profilo MedicationRequest
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest |
C | 0..* | MedicationRequest | Ordering of medication for patient or group pianoTerapeutico-1: If pianoTerapeutico is true, reference to CarePlan must be present. |
  Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
   medicoTitolare |
1..1 | (Complex) | Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |
   value[x] |
1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |
 pianoTerapeutico |
0..1 | (Complex) | L'estensione indica se il farmaco prescritto appartiene ad un Piano Terapeutico URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico | |
   Slices for extension |
Content/Rules for all slices | |||
| extension:PT |
0..1 | Extension | Extension | |
| value[x] |
0..1 | Reference(CarePlan - Dossier Farmaceutico) | Value of extension | |
  intent |
1..1 | code | order Fixed Value: order | |
| Slices for medication[x] |
1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Open by type:$this | |
 medication[x]:medicationReference |
0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken | |
| medication[x]:medicationCodeableConcept |
1..1 | CodeableConcept | Medication to be taken | |
 Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
 coding:All Slices |
Content/Rules for all slices | |||
| system |
1..1 | uri | Identity of the terminology system | |
 code |
1..1 | code | Symbol in syntax defined by the system | |
| coding:ATC |
0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) | |
| coding:AIC |
0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) | |
| coding:gruppoEquivalenza |
0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required) | |
| coding:eccezioni |
0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
  system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: UNK | |
| text |
0..1 | string | Descrizione testuale del farmaco | |
| subject |
1..1 | Reference(Patient - Dossier Farmaceutico) | Who or group medication request is for | |
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Fixed Value: Patient | |
 identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale | |
 value |
1..1 | string | Codice Fiscale | |
| authoredOn |
1..1 | dateTime | Data compilazione della ricetta da parte del medico | |
| requester |
1..1 | Reference(PractitionerRole - Medico Prescrittore) | Who/What requested the Request | |
| identifier |
1..1 | Identifier | Valorizzato con identificativo del medico titolare o sostituto | |
| reasonCode |
1..1 | CodeableConcept | Reason or indication for ordering or not ordering the medication | |
| Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| coding:notaAIFA |
0..1 | Coding | AIFA Binding: AIFA Note (required) | |
| coding:codiceDiagnosi |
0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) | |
| text |
1..1 | string | Descrizione diagnosi | |
| reasonReference |
0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |
| groupIdentifier |
1..1 | Identifier | Identificativo della prescrizione (e.g. NRE) | |
| system |
1..1 | uri | The namespace for the identifier value Binding: Sistemi di identificazione per la prescrizione (required) | |
| value |
1..1 | string | Identificativo della prescrizione (e.g. NRE) | |
| insurance |
0..* | Reference(Coverage - Dossier Farmaceutico) | Associated insurance coverage | |
| note |
0..* | Annotation | Informazioni circa la prescrizione | |
| dosageInstruction |
1..1 | Dosage | Istruzioni per assumere/sommministrare il farmaco | |
| timing |
1..1 | Timing | Tempi con cui assumere/sommministrare il farmaco | |
| route |
1..1 | CodeableConcept | Modalità con cui assumere/sommministrare il farmaco | |
| doseAndRate |
1..1 | Element | Dose per singola assunzione/sommministrazione del farmaco | |
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |
| validityPeriod |
0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |
| quantity |
1..1 | SimpleQuantity | Amount of medication to supply per dispense | |
| substitution |
||||
| Slices for allowed[x] |
1..1 | CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Open by type:$this | |
| allowed[x]:allowedCodeableConcept |
1..1 | CodeableConcept | Whether substitution is allowed or not Binding: Regole di sostituzione (required) | |
| reason |
0..1 | CodeableConcept | Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIChttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aicfrom this IG | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttps://www.hl7.it/fhir/terminology/ValueSet/aifa-ge | |
| MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifahttps://www.hl7.it/fhir/terminology/ValueSet/vs-aifa-nota | |
| MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cmhttps://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | |
| MedicationRequest.groupIdentifier.system | required | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharmafrom this IG | |
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | VsSubstitutionDossierPharmahttp://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharmafrom this IG | |
| MedicationRequest.substitution.reason | preferred | VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità)http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilitafrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| pianoTerapeutico-1 | error | MedicationRequest | If pianoTerapeutico is true, reference to CarePlan must be present. : extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'existPt' and value = true).exists() implies extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'PT' and value.exists()).exists() |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest |
C | 0..* | MedicationRequest | Ordering of medication for patient or group pianoTerapeutico-1: If pianoTerapeutico is true, reference to CarePlan must be present. |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medicoTitolare |
1..1 | (Complex) | Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare" | |
| value[x] |
1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |
| pianoTerapeutico |
0..1 | (Complex) | L'estensione indica se il farmaco prescritto appartiene ad un Piano Terapeutico URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:existPt |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "existPt" | |
| extension:PT |
0..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "PT" | |
| value[x] |
0..1 | Reference(CarePlan - Dossier Farmaceutico) | Value of extension | |
| url |
1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico" | |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
| intent |
?!Σ | 1..1 | code | order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order |
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action |
| Slices for medication[x] |
Σ | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. |
| medication[x]:medicationReference |
Σ | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken |
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. |
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| coding:ATC |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) |
| coding:AIC |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) |
| coding:gruppoEquivalenza |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required) |
| coding:eccezioni |
Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: UNK | |
| text |
Σ | 0..1 | string | Descrizione testuale del farmaco |
| subject |
Σ | 1..1 | Reference(Patient - Dossier Farmaceutico) | Who or group medication request is for |
| 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). Fixed Value: Patient |
 identifier |
Σ | 1..1 | Identifier | Logical reference, when literal reference is not known |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale |
| value |
Σ | 1..1 | string | Codice Fiscale Example General: 123456 |
| authoredOn |
Σ | 1..1 | dateTime | Data compilazione della ricetta da parte del medico |
| requester |
Σ | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Who/What requested the Request |
| identifier |
Σ | 1..1 | Identifier | Valorizzato con identificativo del medico titolare o sostituto |
| reasonCode |
1..1 | 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. | |
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| coding:notaAIFA |
Σ | 0..1 | Coding | AIFA Binding: AIFA Note (required) |
| coding:codiceDiagnosi |
Σ | 0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) |
| text |
Σ | 1..1 | string | Descrizione diagnosi |
| reasonReference |
0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |
| groupIdentifier |
Σ | 1..1 | Identifier | Identificativo della prescrizione (e.g. NRE) |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Binding: Sistemi di identificazione per la prescrizione (required) Example General: http://www.acme.com/identifiers/patient |
| value |
Σ | 1..1 | string | Identificativo della prescrizione (e.g. NRE) Example General: 123456 |
| insurance |
0..* | Reference(Coverage - Dossier Farmaceutico) | Associated insurance coverage | |
| note |
0..* | Annotation | Informazioni circa la prescrizione | |
| dosageInstruction |
1..1 | Dosage | Istruzioni per assumere/sommministrare il farmaco | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| timing |
Σ | 1..1 | Timing | Tempi con cui assumere/sommministrare il farmaco |
| route |
Σ | 1..1 | CodeableConcept | Modalità con cui assumere/sommministrare il farmaco Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. |
| doseAndRate |
Σ | 1..1 | Element | Dose per singola assunzione/sommministrazione del farmaco |
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| validityPeriod |
0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |
| quantity |
1..1 | SimpleQuantity | Amount of medication to supply per dispense | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |
| MedicationRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIChttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aicfrom this IG | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttps://www.hl7.it/fhir/terminology/ValueSet/aifa-ge | |
| MedicationRequest.subject.type | extensible | Fixed Value: Patienthttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | |
| MedicationRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifahttps://www.hl7.it/fhir/terminology/ValueSet/vs-aifa-nota | |
| MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cmhttps://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | |
| MedicationRequest.groupIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| MedicationRequest.groupIdentifier.system | required | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharmafrom this IG | |
| MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| pianoTerapeutico-1 | error | MedicationRequest | If pianoTerapeutico is true, reference to CarePlan must be present. : extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'existPt' and value = true).exists() implies extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'PT' and value.exists()).exists() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | MedicationRequest | Ordering of medication for patient or group pianoTerapeutico-1: If pianoTerapeutico is true, reference to CarePlan must be present. | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| medicoTitolare |
1..1 | (Complex) | Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare" | |||||
| value[x] |
1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |||||
| pianoTerapeutico |
0..1 | (Complex) | L'estensione indica se il farmaco prescritto appartiene ad un Piano Terapeutico URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:existPt |
1..1 | Extension | Extension | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "existPt" | |||||
| value[x] |
0..1 | boolean | true o false | |||||
| extension:PT |
0..1 | Extension | Extension | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "PT" | |||||
| value[x] |
0..1 | Reference(CarePlan - Dossier Farmaceutico) | Value of extension | |||||
| url |
1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico" | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
?!Σ | 1..1 | code | order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order | ||||
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): 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) | |||||||
| Slices for medication[x] |
Σ | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||
| medication[x]:medicationReference |
Σ | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken | ||||
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:ATC |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) | ||||
| coding:AIC |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) | ||||
| coding:gruppoEquivalenza |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required) | ||||
| coding:eccezioni |
Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: UNK | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Descrizione testuale del farmaco | ||||
| subject |
Σ | 1..1 | Reference(Patient - Dossier Farmaceutico) | Who or group medication request is for | ||||
| 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 | 0..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). Fixed Value: Patient | ||||
| identifier |
Σ | 1..1 | Identifier | Logical reference, when literal reference is not known | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale | ||||
| value |
Σ | 1..1 | string | Codice Fiscale Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn |
Σ | 1..1 | dateTime | Data compilazione della ricetta da parte del medico | ||||
| requester |
Σ | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Who/What requested the Request | ||||
| 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 | 0..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 |
Σ | 1..1 | Identifier | Valorizzato con identificativo del medico titolare o sostituto | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| 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 |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode |
1..1 | 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. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:notaAIFA |
Σ | 0..1 | Coding | AIFA Binding: AIFA Note (required) | ||||
| coding:codiceDiagnosi |
Σ | 0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) | ||||
| text |
Σ | 1..1 | string | Descrizione diagnosi | ||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |||||
| instantiatesCanonical |
Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
| groupIdentifier |
Σ | 1..1 | Identifier | Identificativo della prescrizione (e.g. NRE) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Binding: Sistemi di identificazione per la prescrizione (required) Example General: http://www.acme.com/identifiers/patient | ||||
| value |
Σ | 1..1 | string | Identificativo della prescrizione (e.g. NRE) Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance |
0..* | Reference(Coverage - Dossier Farmaceutico) | Associated insurance coverage | |||||
| note |
0..* | Annotation | Informazioni circa la prescrizione | |||||
| dosageInstruction |
1..1 | Dosage | Istruzioni per assumere/sommministrare il farmaco | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | ||||
| text |
Σ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
| 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 |
Σ | 1..1 | Timing | Tempi con cui assumere/sommministrare il farmaco | ||||
| asNeeded[x] |
Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
| route |
Σ | 1..1 | CodeableConcept | Modalità con cui assumere/sommministrare il farmaco 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. | ||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
| doseAndRate |
Σ | 1..1 | Element | Dose per singola assunzione/sommministrazione del farmaco | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
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] |
Σ | 0..1 | Amount of medication per dose | |||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| rate[x] |
Σ | 0..1 | Amount of medication per unit of time | |||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity |
0..1 | SimpleQuantity | First fill quantity | |||||
| duration |
0..1 | Duration | First fill duration | |||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod |
0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||
| quantity |
1..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| Slices for allowed[x] |
1..1 | CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Closed by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | |||||
| allowed[x]:allowedCodeableConcept |
1..1 | CodeableConcept | Whether substitution is allowed or not Binding: Regole di sostituzione (required) | |||||
| reason |
0..1 | CodeableConcept | Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred) | |||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | ||||
| MedicationRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | ||||
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | ||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | ||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIChttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aicfrom this IG | ||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttps://www.hl7.it/fhir/terminology/ValueSet/aifa-ge | ||||
| MedicationRequest.subject.type | extensible | Fixed Value: Patienthttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| MedicationRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| MedicationRequest.subject.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationRequest.requester.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifahttps://www.hl7.it/fhir/terminology/ValueSet/vs-aifa-nota | ||||
| MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cmhttps://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | ||||
| MedicationRequest.groupIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| MedicationRequest.groupIdentifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationRequest.groupIdentifier.system | required | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharmafrom this IG | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | VsSubstitutionDossierPharmahttp://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharmafrom this IG | ||||
| MedicationRequest.substitution.reason | preferred | VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità)http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilitafrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| pianoTerapeutico-1 | error | MedicationRequest | If pianoTerapeutico is true, reference to CarePlan must be present. : extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'existPt' and value = true).exists() implies extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'PT' and value.exists()).exists() |
This structure is derived from MedicationRequest
Summary
Mandatory: 19 elements(7 nested mandatory elements)
Fixed: 3 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest |
C | 0..* | MedicationRequest | Ordering of medication for patient or group pianoTerapeutico-1: If pianoTerapeutico is true, reference to CarePlan must be present. |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medicoTitolare |
1..1 | (Complex) | Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |
| value[x] |
1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |
| pianoTerapeutico |
0..1 | (Complex) | L'estensione indica se il farmaco prescritto appartiene ad un Piano Terapeutico URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:PT |
0..1 | Extension | Extension | |
| value[x] |
0..1 | Reference(CarePlan - Dossier Farmaceutico) | Value of extension | |
| intent |
1..1 | code | order Fixed Value: order | |
| Slices for medication[x] |
1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Open by type:$this | |
| medication[x]:medicationReference |
0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken | |
| medication[x]:medicationCodeableConcept |
1..1 | CodeableConcept | Medication to be taken | |
| Slices for coding |
1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| coding:ATC |
0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) | |
| coding:AIC |
0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) | |
| coding:gruppoEquivalenza |
0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required) | |
| coding:eccezioni |
0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: UNK | |
| text |
0..1 | string | Descrizione testuale del farmaco | |
| subject |
1..1 | Reference(Patient - Dossier Farmaceutico) | Who or group medication request is for | |
| type |
0..1 | uri | Type the reference refers to (e.g. "Patient") Fixed Value: Patient | |
| identifier |
1..1 | Identifier | Logical reference, when literal reference is not known | |
| system |
1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale | |
| value |
1..1 | string | Codice Fiscale | |
| authoredOn |
1..1 | dateTime | Data compilazione della ricetta da parte del medico | |
| requester |
1..1 | Reference(PractitionerRole - Medico Prescrittore) | Who/What requested the Request | |
| identifier |
1..1 | Identifier | Valorizzato con identificativo del medico titolare o sostituto | |
| reasonCode |
1..1 | CodeableConcept | Reason or indication for ordering or not ordering the medication | |
| Slices for coding |
0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
1..1 | uri | Identity of the terminology system | |
| code |
1..1 | code | Symbol in syntax defined by the system | |
| coding:notaAIFA |
0..1 | Coding | AIFA Binding: AIFA Note (required) | |
| coding:codiceDiagnosi |
0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) | |
| text |
1..1 | string | Descrizione diagnosi | |
| reasonReference |
0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |
| groupIdentifier |
1..1 | Identifier | Identificativo della prescrizione (e.g. NRE) | |
| system |
1..1 | uri | The namespace for the identifier value Binding: Sistemi di identificazione per la prescrizione (required) | |
| value |
1..1 | string | Identificativo della prescrizione (e.g. NRE) | |
| insurance |
0..* | Reference(Coverage - Dossier Farmaceutico) | Associated insurance coverage | |
| note |
0..* | Annotation | Informazioni circa la prescrizione | |
| dosageInstruction |
1..1 | Dosage | Istruzioni per assumere/sommministrare il farmaco | |
| timing |
1..1 | Timing | Tempi con cui assumere/sommministrare il farmaco | |
| route |
1..1 | CodeableConcept | Modalità con cui assumere/sommministrare il farmaco | |
| doseAndRate |
1..1 | Element | Dose per singola assunzione/sommministrazione del farmaco | |
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |
| validityPeriod |
0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |
| quantity |
1..1 | SimpleQuantity | Amount of medication to supply per dispense | |
| substitution |
||||
| Slices for allowed[x] |
1..1 | CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Open by type:$this | |
| allowed[x]:allowedCodeableConcept |
1..1 | CodeableConcept | Whether substitution is allowed or not Binding: Regole di sostituzione (required) | |
| reason |
0..1 | CodeableConcept | Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred) | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIChttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aicfrom this IG | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttps://www.hl7.it/fhir/terminology/ValueSet/aifa-ge | |
| MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifahttps://www.hl7.it/fhir/terminology/ValueSet/vs-aifa-nota | |
| MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cmhttps://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | |
| MedicationRequest.groupIdentifier.system | required | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharmafrom this IG | |
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | VsSubstitutionDossierPharmahttp://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharmafrom this IG | |
| MedicationRequest.substitution.reason | preferred | VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità)http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilitafrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| pianoTerapeutico-1 | error | MedicationRequest | If pianoTerapeutico is true, reference to CarePlan must be present. : extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'existPt' and value = true).exists() implies extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'PT' and value.exists()).exists() |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest |
C | 0..* | MedicationRequest | Ordering of medication for patient or group pianoTerapeutico-1: If pianoTerapeutico is true, reference to CarePlan must be present. |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| medicoTitolare |
1..1 | (Complex) | Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |
| extension |
0..0 | |||
| url |
1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare" | |
| value[x] |
1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |
| pianoTerapeutico |
0..1 | (Complex) | L'estensione indica se il farmaco prescritto appartiene ad un Piano Terapeutico URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico | |
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:existPt |
1..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "existPt" | |
| extension:PT |
0..1 | Extension | Extension | |
| extension |
0..0 | |||
| url |
1..1 | uri | "PT" | |
| value[x] |
0..1 | Reference(CarePlan - Dossier Farmaceutico) | Value of extension | |
| url |
1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico" | |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| status |
?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
| intent |
?!Σ | 1..1 | code | order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order |
| doNotPerform |
?!Σ | 0..1 | boolean | True if request is prohibiting action |
| Slices for medication[x] |
Σ | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. |
| medication[x]:medicationReference |
Σ | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken |
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. |
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| coding:ATC |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) |
| coding:AIC |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) |
| coding:gruppoEquivalenza |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required) |
| coding:eccezioni |
Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following |
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor | |
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: UNK | |
| text |
Σ | 0..1 | string | Descrizione testuale del farmaco |
| subject |
Σ | 1..1 | Reference(Patient - Dossier Farmaceutico) | Who or group medication request is for |
| 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). Fixed Value: Patient |
| identifier |
Σ | 1..1 | Identifier | Logical reference, when literal reference is not known |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale |
| value |
Σ | 1..1 | string | Codice Fiscale Example General: 123456 |
| authoredOn |
Σ | 1..1 | dateTime | Data compilazione della ricetta da parte del medico |
| requester |
Σ | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Who/What requested the Request |
| identifier |
Σ | 1..1 | Identifier | Valorizzato con identificativo del medico titolare o sostituto |
| reasonCode |
1..1 | 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. | |
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this |
| coding:All Slices |
Content/Rules for all slices | |||
| system |
Σ | 1..1 | uri | Identity of the terminology system |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system |
| coding:notaAIFA |
Σ | 0..1 | Coding | AIFA Binding: AIFA Note (required) |
| coding:codiceDiagnosi |
Σ | 0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) |
| text |
Σ | 1..1 | string | Descrizione diagnosi |
| reasonReference |
0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |
| groupIdentifier |
Σ | 1..1 | Identifier | Identificativo della prescrizione (e.g. NRE) |
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system |
Σ | 1..1 | uri | The namespace for the identifier value Binding: Sistemi di identificazione per la prescrizione (required) Example General: http://www.acme.com/identifiers/patient |
| value |
Σ | 1..1 | string | Identificativo della prescrizione (e.g. NRE) Example General: 123456 |
| insurance |
0..* | Reference(Coverage - Dossier Farmaceutico) | Associated insurance coverage | |
| note |
0..* | Annotation | Informazioni circa la prescrizione | |
| dosageInstruction |
1..1 | Dosage | Istruzioni per assumere/sommministrare il farmaco | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| timing |
Σ | 1..1 | Timing | Tempi con cui assumere/sommministrare il farmaco |
| route |
Σ | 1..1 | CodeableConcept | Modalità con cui assumere/sommministrare il farmaco Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. |
| doseAndRate |
Σ | 1..1 | Element | Dose per singola assunzione/sommministrazione del farmaco |
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| validityPeriod |
0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |
| quantity |
1..1 | SimpleQuantity | Amount of medication to supply per dispense | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |
| MedicationRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIChttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aicfrom this IG | |
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttps://www.hl7.it/fhir/terminology/ValueSet/aifa-ge | |
| MedicationRequest.subject.type | extensible | Fixed Value: Patienthttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | |
| MedicationRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifahttps://www.hl7.it/fhir/terminology/ValueSet/vs-aifa-nota | |
| MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cmhttps://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | |
| MedicationRequest.groupIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| MedicationRequest.groupIdentifier.system | required | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharmafrom this IG | |
| MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| pianoTerapeutico-1 | error | MedicationRequest | If pianoTerapeutico is true, reference to CarePlan must be present. : extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'existPt' and value = true).exists() implies extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'PT' and value.exists()).exists() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
C | 0..* | MedicationRequest | Ordering of medication for patient or group pianoTerapeutico-1: If pianoTerapeutico is true, reference to CarePlan must be present. | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| medicoTitolare |
1..1 | (Complex) | Medico titolare URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-medicoTitolare" | |||||
| value[x] |
1..1 | Reference(PractitionerRole - Medico Prescrittore) | Value of extension | |||||
| pianoTerapeutico |
0..1 | (Complex) | L'estensione indica se il farmaco prescritto appartiene ad un Piano Terapeutico URL: http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
1..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| extension:existPt |
1..1 | Extension | Extension | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "existPt" | |||||
| value[x] |
0..1 | boolean | true o false | |||||
| extension:PT |
0..1 | Extension | Extension | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | |||||||
| url |
1..1 | uri | "PT" | |||||
| value[x] |
0..1 | Reference(CarePlan - Dossier Farmaceutico) | Value of extension | |||||
| url |
1..1 | uri | "http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico" | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
0..* | Identifier | External ids for this request | |||||
| status |
?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
| statusReason |
0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent |
?!Σ | 1..1 | code | order Binding: medicationRequest Intent (required): The kind of medication order. Fixed Value: order | ||||
| category |
0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): 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) | |||||||
| Slices for medication[x] |
Σ | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||
| medication[x]:medicationReference |
Σ | 0..1 | Reference(Medication - Dossier Farmaceutico) | Medication to be taken | ||||
| medication[x]:medicationCodeableConcept |
Σ | 0..1 | CodeableConcept | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 1..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:ATC |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: WHO ATC (required) | ||||
| coding:AIC |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA AIC (required) | ||||
| coding:gruppoEquivalenza |
Σ | 0..1 | Coding | Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required) | ||||
| coding:eccezioni |
Σ | 0..1 | Coding | Code defined by a terminology system Required Pattern: At least the following | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| system |
1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor | |||||
| version |
0..1 | string | Version of the system - if relevant | |||||
| code |
1..1 | code | Symbol in syntax defined by the system Fixed Value: UNK | |||||
| display |
0..1 | string | Representation defined by the system | |||||
| userSelected |
0..1 | boolean | If this coding was chosen directly by the user | |||||
| text |
Σ | 0..1 | string | Descrizione testuale del farmaco | ||||
| subject |
Σ | 1..1 | Reference(Patient - Dossier Farmaceutico) | Who or group medication request is for | ||||
| 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 | 0..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). Fixed Value: Patient | ||||
| identifier |
Σ | 1..1 | Identifier | Logical reference, when literal reference is not known | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://hl7.it/sid/codiceFiscale | ||||
| value |
Σ | 1..1 | string | Codice Fiscale Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter |
0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation |
0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn |
Σ | 1..1 | dateTime | Data compilazione della ricetta da parte del medico | ||||
| requester |
Σ | 1..1 | Reference(PractitionerRole - Medico Prescrittore) | Who/What requested the Request | ||||
| 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 | 0..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 |
Σ | 1..1 | Identifier | Valorizzato con identificativo del medico titolare o sostituto | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| performer |
0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| 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 |
0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode |
1..1 | 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. | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding |
Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by pattern:$this | ||||
| coding:All Slices |
Content/Rules for all slices | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| system |
Σ | 1..1 | uri | Identity of the terminology system | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| coding:notaAIFA |
Σ | 0..1 | Coding | AIFA Binding: AIFA Note (required) | ||||
| coding:codiceDiagnosi |
Σ | 0..1 | Coding | Codice diagnosi Binding: WHO ICD-9-CM (required) | ||||
| text |
Σ | 1..1 | string | Descrizione diagnosi | ||||
| reasonReference |
0..* | Reference(Condition | Observation) | Condizioni cliniche ed osservazioni che motivano la prescrizione (parametri vitali) | |||||
| instantiatesCanonical |
Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
| instantiatesUri |
Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn |
Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
| groupIdentifier |
Σ | 1..1 | Identifier | Identificativo della prescrizione (e.g. NRE) | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use |
?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type |
Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system |
Σ | 1..1 | uri | The namespace for the identifier value Binding: Sistemi di identificazione per la prescrizione (required) Example General: http://www.acme.com/identifiers/patient | ||||
| value |
Σ | 1..1 | string | Identificativo della prescrizione (e.g. NRE) Example General: 123456 | ||||
| period |
Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner |
Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| courseOfTherapyType |
0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance |
0..* | Reference(Coverage - Dossier Farmaceutico) | Associated insurance coverage | |||||
| note |
0..* | Annotation | Informazioni circa la prescrizione | |||||
| dosageInstruction |
1..1 | Dosage | Istruzioni per assumere/sommministrare il farmaco | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| sequence |
Σ | 0..1 | integer | The order of the dosage instructions | ||||
| text |
Σ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
| 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 |
Σ | 1..1 | Timing | Tempi con cui assumere/sommministrare il farmaco | ||||
| asNeeded[x] |
Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
| asNeededBoolean |
boolean | |||||||
| asNeededCodeableConcept |
CodeableConcept | |||||||
| site |
Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
| route |
Σ | 1..1 | CodeableConcept | Modalità con cui assumere/sommministrare il farmaco 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. | ||||
| method |
Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
| doseAndRate |
Σ | 1..1 | Element | Dose per singola assunzione/sommministrazione del farmaco | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
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] |
Σ | 0..1 | Amount of medication per dose | |||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| rate[x] |
Σ | 0..1 | Amount of medication per unit of time | |||||
| rateRatio |
Ratio | |||||||
| rateRange |
Range | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| maxDosePerPeriod |
Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
| maxDosePerAdministration |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
| maxDosePerLifetime |
Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
| dispenseRequest |
1..1 | BackboneElement | Medication supply authorization | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity |
0..1 | SimpleQuantity | First fill quantity | |||||
| duration |
0..1 | Duration | First fill duration | |||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod |
0..1 | Period | Periodo di tempo per il quale è autorizzata la fornitura | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||
| quantity |
1..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| Slices for allowed[x] |
1..1 | CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Closed by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | |||||
| allowed[x]:allowedCodeableConcept |
1..1 | CodeableConcept | Whether substitution is allowed or not Binding: Regole di sostituzione (required) | |||||
| reason |
0..1 | CodeableConcept | Motivo di non sostituibilità del farmaco Binding: Motivazioni di non sostituibilità (preferred) | |||||
| priorPrescription |
0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
| detectedIssue |
0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | ||||
| MedicationRequest.intent | required | Fixed Value: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | ||||
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | ||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationRequest.medication[x]:medicationCodeableConcept | example | SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codesfrom the FHIR Standard | ||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:ATC | required | VsAtchttps://www.hl7.it/fhir/terminology/ValueSet/who-atc | ||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:AIC | required | VsAifaAIChttp://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aicfrom this IG | ||||
| MedicationRequest.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza | required | VsGruppoEquivalenzahttps://www.hl7.it/fhir/terminology/ValueSet/aifa-ge | ||||
| MedicationRequest.subject.type | extensible | Fixed Value: Patienthttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| MedicationRequest.subject.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| MedicationRequest.subject.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationRequest.requester.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-typesfrom the FHIR Standard | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| MedicationRequest.reasonCode.coding:notaAIFA | required | VsNotaAifahttps://www.hl7.it/fhir/terminology/ValueSet/vs-aifa-nota | ||||
| MedicationRequest.reasonCode.coding:codiceDiagnosi | required | VsIcd9cmhttps://www.hl7.it/fhir/terminology/ValueSet/who-icd9cm | ||||
| MedicationRequest.groupIdentifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| MedicationRequest.groupIdentifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationRequest.groupIdentifier.system | required | VsGroupIdentifierUrihttp://hl7.it/fhir/dossier-pharma/ValueSet/groupIdentifierUri-it-dossierPharmafrom this IG | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typefrom the FHIR Standard | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | VsSubstitutionDossierPharmahttp://hl7.it/fhir/dossier-pharma/ValueSet/substitution-it-dossierPharmafrom this IG | ||||
| MedicationRequest.substitution.reason | preferred | VsMotivazioniNonSost (a valid code from Motivazioni di non sostituibilità)http://hl7.it/fhir/dossier-pharma/ValueSet/vs-motivazioni-non-sostituibilitafrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| pianoTerapeutico-1 | error | MedicationRequest | If pianoTerapeutico is true, reference to CarePlan must be present. : extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'existPt' and value = true).exists() implies extension.where(url = 'http://hl7.it/fhir/dossier-pharma/StructureDefinition/medicationRequest-pianoTerapeutico').extension.where(url = 'PT' and value.exists()).exists() |
This structure is derived from MedicationRequest
Summary
Mandatory: 19 elements(7 nested mandatory elements)
Fixed: 3 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron