HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1
0.0.1 - STU1 International flag

HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1, published by HL7 Portugal. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-pt/core/ and changes regularly. See the Directory of published versions

Resource Profile: PT_MedicationRequest

Official URL: http://hl7.pt/fhir/core/StructureDefinition/17e19b6f-8e82-4c55-948e-85e02764fc9b Version: 0.0.1
Active as of 2024-09-23 Computable Name: PT_MedicationRequest

A generic MedicationRequest resource for Portugal

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusChanged 0..1 dateTime Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/a54e3c30-afb4-4bd8-8297-ad40aa181704
.... Diet 0..1 CodeableConcept Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/Diet
.... DispenserInstruction 0..1 Coding Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/DispenserInstruction
.... OrderType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/OrderType
.... ProductType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/ProductType
.... device 0..* (Complex) Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/MEDreqDevice
... identifier
.... value 0..1 string The value that is unique
.... assigner
..... display 0..1 string Text alternative for the resource
... status 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
.... coding
..... system 0..1 uri Identity of the terminology system
..... code 0..1 code Symbol in syntax defined by the system
..... display 0..1 string Representation defined by the system
... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... category 0..* CodeableConcept Type of medication usage
Binding: hl7VS-orderType (preferred): FHIR Value set/code system definition for HL7 v2 table 0482 (Order Type)

.... coding
..... system 0..1 uri Identity of the terminology system
..... code 0..1 code Symbol in syntax defined by the system
..... display 0..1 string Representation defined by the system
.... text 0..1 string Plain text representation of the concept
... priority 0..1 code routine | urgent | asap | stat
... medication[x] 1..1 Reference(Medication) Medication to be taken
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... subject 1..1 Reference(PT_Patient) Who or group medication request is for
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... encounter 0..1 Reference(PT_Encounter) Encounter created as part of encounter/admission/stay
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... supportingInformation 0..* Reference(Observation) Information to support ordering of the medication
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... authoredOn 0..1 dateTime When request was initially authored
... requester 0..1 Reference(PT_Practitioner | PT_Organization) Who/What requested the Request
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... recorder 0..1 Reference(PT_Practitioner) Person who entered the request
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
.... coding
..... system 0..1 uri Identity of the terminology system
..... code 0..1 code Symbol in syntax defined by the system
..... display 0..1 string Representation defined by the system
... groupIdentifier
.... value 0..1 string The value that is unique
.... assigner
..... display 0..1 string Text alternative for the resource
... insurance 0..* Reference(PT_Coverage) Associated insurance coverage
... note
.... text 1..1 markdown The annotation - text content (as markdown)
... dosageInstruction
.... text 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
..... coding
...... system 0..1 uri Identity of the terminology system
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
..... text 0..1 string Plain text representation of the concept
.... timing
..... repeat
...... Slices for bounds[x] 0..1 Duration, Range, Period Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
....... bounds[x]:boundsPeriod 0..1 Period Length/Range of lengths, or (Start and/or end) limits
........ start S 0..1 dateTime Starting time with inclusive boundary
........ end S 0..1 dateTime End time with inclusive boundary, if not ongoing
...... duration 0..1 decimal How long when it happens
...... durationUnit 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
...... period 0..1 decimal Event occurs frequency times per period
...... periodUnit 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
...... timeOfDay 0..* time Time of day for action
...... when 0..* code Code for time period of occurrence
..... code 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: hl7VS-repeatPattern (preferred): FHIR Value set/code system definition for HL7 v2 table 0335 ( Repeat pattern)

...... coding
....... system 0..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
....... code 0..1 code Symbol in syntax defined by the system
....... display 0..1 string Representation defined by the system
...... text 0..1 string Plain text representation of the concept
.... asNeeded[x] 0..1 CodeableConcept Take "as needed" (for x)
Fixed Value: As shown
..... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... display 1..1 string Representation defined by the system
Fixed Value: Catálogo CPHA
.... site 0..1 CodeableConcept Body site to administer to
..... coding
...... system 0..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
..... text 0..1 string Plain text representation of the concept
.... route 0..1 CodeableConcept How drug should enter body
..... coding
...... system 0..1 uri Identity of the terminology system
Fixed Value: https:www.edqm.eu/
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
..... text 0..1 string Plain text representation of the concept
.... method 0..1 CodeableConcept Technique for administering medication
Binding: hl7VS-administrationMethod (preferred): FHIR Value set/code system definition for HL7 v2 table 0165 ( ADMINISTRATION METHOD)

..... coding
...... system 0..1 uri Identity of the terminology system
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
..... text 0..1 string Plain text representation of the concept
.... doseAndRate
..... Slices for dose[x] 0..1 Range, SimpleQuantity Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 0..1 SimpleQuantity A fixed quantity (no comparator)
....... value 0..1 decimal Numerical value (with implicit precision)
....... unit 0..1 string Unit representation
....... system 0..1 uri System that defines coded unit form
....... code 0..1 code Coded form of the unit
...... dose[x]:doseRange 0..1 Range Amount of medication per dose
....... low
........ value 0..1 decimal Numerical value (with implicit precision)
........ unit 0..1 string Unit representation
........ system 0..1 uri System that defines coded unit form
........ code 0..1 code Coded form of the unit
....... high
........ value 0..1 decimal Numerical value (with implicit precision)
........ unit 0..1 string Unit representation
........ system 0..1 uri System that defines coded unit form
........ code 0..1 code Coded form of the unit
..... Slices for rate[x] 0..1 Ratio, Range, SimpleQuantity Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateQuantity 0..1 SimpleQuantity A fixed quantity (no comparator)
....... value 0..1 decimal Numerical value (with implicit precision)
....... unit 0..1 string Unit representation
....... system 0..1 uri System that defines coded unit form
....... code 0..1 code Coded form of the unit
.... maxDosePerPeriod 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration
..... value 0..1 decimal Numerical value (with implicit precision)
..... code 0..1 code Coded form of the unit
... dispenseRequest
.... initialFill
..... quantity
...... value 0..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
...... system 0..1 uri System that defines coded unit form
Fixed Value: https:ucum.org/
...... code 0..1 code Coded form of the unit
.... dispenseInterval
..... value 0..1 decimal Numerical value (with implicit precision)
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity
..... value 0..1 decimal Numerical value (with implicit precision)
..... unit 0..1 string Unit representation
..... system 0..1 uri System that defines coded unit form
Fixed Value: https:ucum.org/
..... code 0..1 code Coded form of the unit
.... performer 0..1 Reference(PT_Organization) Intended dispenser
..... reference 0..1 string Literal reference, Relative, internal or absolute URL
... substitution
.... allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
..... coding
...... code 0..1 code Symbol in syntax defined by the system
... priorPrescription 0..1 Reference(PT_MedicationRequest) An order/prescription that is being replaced

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.categorypreferredHl7VSOrderType
http://terminology.hl7.org/ValueSet/v2-0482
MedicationRequest.dosageInstruction.timing.codepreferredHl7VSRepeatPattern
http://terminology.hl7.org/ValueSet/v2-0335
MedicationRequest.dosageInstruction.methodpreferredHl7VSAdministrationMethod
http://terminology.hl7.org/ValueSet/v2-0165
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusChanged 0..1 dateTime Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/a54e3c30-afb4-4bd8-8297-ad40aa181704
.... Diet 0..1 CodeableConcept Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/Diet
.... DispenserInstruction 0..1 Coding Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/DispenserInstruction
.... OrderType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/OrderType
.... ProductType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/ProductType
.... device 0..* (Complex) Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/MEDreqDevice
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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 proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept Type of medication usage
Binding: hl7VS-orderType (preferred): FHIR Value set/code system definition for HL7 v2 table 0482 (Order Type)


.... text Σ 0..1 string Plain text representation of the concept
... 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
... medication[x] Σ 1..1 Reference(Medication) Medication to be taken
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... subject Σ 1..1 Reference(PT_Patient) Who or group medication request is for
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... encounter 0..1 Reference(PT_Encounter) Encounter created as part of encounter/admission/stay
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... supportingInformation 0..* Reference(Observation) Information to support ordering of the medication
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(PT_Practitioner | PT_Organization) Who/What requested the Request
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... recorder 0..1 Reference(PT_Practitioner) Person who entered the request
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... insurance 0..* Reference(PT_Coverage) Associated insurance coverage
... dosageInstruction 0..* Dosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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".


..... text Σ 0..1 string Plain text representation of the concept
.... timing Σ 0..1 Timing When medication should be administered
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... Slices for bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsPeriod Σ 0..1 Period Length/Range of lengths, or (Start and/or end) limits
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... duration Σ 0..1 decimal How long when it happens
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... period Σ 0..1 decimal Event occurs frequency times per period
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: hl7VS-repeatPattern (preferred): FHIR Value set/code system definition for HL7 v2 table 0335 ( Repeat pattern)

...... text Σ 0..1 string Plain text representation of the concept
.... asNeeded[x] Σ 0..1 CodeableConcept 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.


Fixed Value: As shown
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... version 0..0 string Version of the system - if relevant
...... code 0..0 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
Fixed Value: Catálogo CPHA
...... userSelected 0..0 boolean If this coding was chosen directly by the user
..... text 0..0 string Plain text representation of the concept
.... 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.

..... text Σ 0..1 string Plain text representation of the concept
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: hl7VS-administrationMethod (preferred): FHIR Value set/code system definition for HL7 v2 table 0165 ( ADMINISTRATION METHOD)

..... text Σ 0..1 string Plain text representation of the concept
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
... priorPrescription 0..1 Reference(PT_MedicationRequest) An order/prescription that is being replaced

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categorypreferredHl7VSOrderType
http://terminology.hl7.org/ValueSet/v2-0482
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredHl7VSRepeatPattern
http://terminology.hl7.org/ValueSet/v2-0335
MedicationRequest.dosageInstruction.asNeeded[x]exampleFixed Value: null("Catálogo CPHA")
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.methodpreferredHl7VSAdministrationMethod
http://terminology.hl7.org/ValueSet/v2-0165

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusChanged 0..1 dateTime Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/a54e3c30-afb4-4bd8-8297-ad40aa181704
.... Diet 0..1 CodeableConcept Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/Diet
.... DispenserInstruction 0..1 Coding Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/DispenserInstruction
.... OrderType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/OrderType
.... ProductType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/ProductType
.... device 0..* (Complex) Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/MEDreqDevice
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this 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
.... 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 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string The value that is unique
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)
..... 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 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... 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.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..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
.... text Σ 0..1 string Plain text representation of the concept
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept Type of medication usage
Binding: hl7VS-orderType (preferred): FHIR Value set/code system definition for HL7 v2 table 0482 (Order Type)


.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..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
.... text Σ 0..1 string Plain text representation of the concept
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Reference(Medication) Medication to be taken
.... 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 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... subject Σ 1..1 Reference(PT_Patient) 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).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(PT_Encounter) Encounter created as part of encounter/admission/stay
.... 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 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... supportingInformation 0..* Reference(Observation) Information to support ordering of the medication
.... 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 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(PT_Practitioner | PT_Organization) 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 0..1 Identifier Logical reference, when literal reference is not known
.... 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(PT_Practitioner) Person who entered 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 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..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
.... text Σ 0..1 string Plain text representation of the concept
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... 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 0..1 Identifier Composite request this is part of
.... 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 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string The value that is unique
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)
..... 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 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... 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(PT_Coverage) Associated insurance coverage
... note 0..* Annotation Information about the prescription
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)
... dosageInstruction 0..* Dosage How the medication should be taken
.... 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".


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
..... 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
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... 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 bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsPeriod Σ 0..1 Period Length/Range of lengths, or (Start and/or end) limits
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal How long when it happens
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency Σ 0..1 positiveInt Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Event occurs frequency times per period
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: hl7VS-repeatPattern (preferred): FHIR Value set/code system definition for HL7 v2 table 0335 ( Repeat pattern)

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... 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 0..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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
...... text Σ 0..1 string Plain text representation of the concept
.... asNeeded[x] Σ 0..1 CodeableConcept 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.


Fixed Value: As shown
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... version 0..0 string Version of the system - if relevant
...... code 0..0 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
Fixed Value: Catálogo CPHA
...... userSelected 0..0 boolean If this coding was chosen directly by the user
..... text 0..0 string Plain text representation of the concept
.... 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.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
Fixed Value: https:www.edqm.eu/
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: hl7VS-administrationMethod (preferred): FHIR Value set/code system definition for HL7 v2 table 0165 ( ADMINISTRATION METHOD)

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... doseAndRate Σ 0..* Element Amount of medication administered
..... 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.

..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity C 0..1 SimpleQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ 0..1 decimal Numerical value (with implicit precision)
....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
...... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low Σ 0..1 SimpleQuantity Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value Σ 0..1 decimal Numerical value (with implicit precision)
........ unit Σ 0..1 string Unit representation
........ system ΣC 0..1 uri System that defines coded unit form
........ code Σ 0..1 code Coded form of the unit
....... high Σ 0..1 SimpleQuantity High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value Σ 0..1 decimal Numerical value (with implicit precision)
........ unit Σ 0..1 string Unit representation
........ system ΣC 0..1 uri System that defines coded unit form
........ code Σ 0..1 code Coded form of the unit
..... Slices for rate[x] Σ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateQuantity C 0..1 SimpleQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ 0..1 decimal Numerical value (with implicit precision)
....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... dispenseRequest 0..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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: https:ucum.org/
...... code Σ 0..1 code Coded form of the unit
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: https:ucum.org/
..... code Σ 0..1 code Coded form of the unit
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(PT_Organization) Intended dispenser
..... 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 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... 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
.... allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription 0..1 Reference(PT_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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.identifier.assigner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categorypreferredHl7VSOrderType
http://terminology.hl7.org/ValueSet/v2-0482
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.supportingInformation.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.requester.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.recorder.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.groupIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.groupIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.groupIdentifier.assigner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredHl7VSRepeatPattern
http://terminology.hl7.org/ValueSet/v2-0335
MedicationRequest.dosageInstruction.asNeeded[x]exampleFixed Value: null("Catálogo CPHA")
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.methodpreferredHl7VSAdministrationMethod
http://terminology.hl7.org/ValueSet/v2-0165
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard
MedicationRequest.dispenseRequest.dispenseInterval.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MedicationRequest.dispenseRequest.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusChanged 0..1 dateTime Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/a54e3c30-afb4-4bd8-8297-ad40aa181704
.... Diet 0..1 CodeableConcept Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/Diet
.... DispenserInstruction 0..1 Coding Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/DispenserInstruction
.... OrderType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/OrderType
.... ProductType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/ProductType
.... device 0..* (Complex) Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/MEDreqDevice
... identifier
.... value 0..1 string The value that is unique
.... assigner
..... display 0..1 string Text alternative for the resource
... status 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
.... coding
..... system 0..1 uri Identity of the terminology system
..... code 0..1 code Symbol in syntax defined by the system
..... display 0..1 string Representation defined by the system
... intent 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
... category 0..* CodeableConcept Type of medication usage
Binding: hl7VS-orderType (preferred): FHIR Value set/code system definition for HL7 v2 table 0482 (Order Type)

.... coding
..... system 0..1 uri Identity of the terminology system
..... code 0..1 code Symbol in syntax defined by the system
..... display 0..1 string Representation defined by the system
.... text 0..1 string Plain text representation of the concept
... priority 0..1 code routine | urgent | asap | stat
... medication[x] 1..1 Reference(Medication) Medication to be taken
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... subject 1..1 Reference(PT_Patient) Who or group medication request is for
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... encounter 0..1 Reference(PT_Encounter) Encounter created as part of encounter/admission/stay
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... supportingInformation 0..* Reference(Observation) Information to support ordering of the medication
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... authoredOn 0..1 dateTime When request was initially authored
... requester 0..1 Reference(PT_Practitioner | PT_Organization) Who/What requested the Request
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... recorder 0..1 Reference(PT_Practitioner) Person who entered the request
.... reference 0..1 string Literal reference, Relative, internal or absolute URL
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
.... coding
..... system 0..1 uri Identity of the terminology system
..... code 0..1 code Symbol in syntax defined by the system
..... display 0..1 string Representation defined by the system
... groupIdentifier
.... value 0..1 string The value that is unique
.... assigner
..... display 0..1 string Text alternative for the resource
... insurance 0..* Reference(PT_Coverage) Associated insurance coverage
... note
.... text 1..1 markdown The annotation - text content (as markdown)
... dosageInstruction
.... text 0..1 string Free text dosage instructions e.g. SIG
.... additionalInstruction 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
..... coding
...... system 0..1 uri Identity of the terminology system
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
..... text 0..1 string Plain text representation of the concept
.... timing
..... repeat
...... Slices for bounds[x] 0..1 Duration, Range, Period Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
....... bounds[x]:boundsPeriod 0..1 Period Length/Range of lengths, or (Start and/or end) limits
........ start S 0..1 dateTime Starting time with inclusive boundary
........ end S 0..1 dateTime End time with inclusive boundary, if not ongoing
...... duration 0..1 decimal How long when it happens
...... durationUnit 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
...... period 0..1 decimal Event occurs frequency times per period
...... periodUnit 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
...... timeOfDay 0..* time Time of day for action
...... when 0..* code Code for time period of occurrence
..... code 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: hl7VS-repeatPattern (preferred): FHIR Value set/code system definition for HL7 v2 table 0335 ( Repeat pattern)

...... coding
....... system 0..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
....... code 0..1 code Symbol in syntax defined by the system
....... display 0..1 string Representation defined by the system
...... text 0..1 string Plain text representation of the concept
.... asNeeded[x] 0..1 CodeableConcept Take "as needed" (for x)
Fixed Value: As shown
..... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
...... system 1..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... display 1..1 string Representation defined by the system
Fixed Value: Catálogo CPHA
.... site 0..1 CodeableConcept Body site to administer to
..... coding
...... system 0..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
..... text 0..1 string Plain text representation of the concept
.... route 0..1 CodeableConcept How drug should enter body
..... coding
...... system 0..1 uri Identity of the terminology system
Fixed Value: https:www.edqm.eu/
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
..... text 0..1 string Plain text representation of the concept
.... method 0..1 CodeableConcept Technique for administering medication
Binding: hl7VS-administrationMethod (preferred): FHIR Value set/code system definition for HL7 v2 table 0165 ( ADMINISTRATION METHOD)

..... coding
...... system 0..1 uri Identity of the terminology system
...... code 0..1 code Symbol in syntax defined by the system
...... display 0..1 string Representation defined by the system
..... text 0..1 string Plain text representation of the concept
.... doseAndRate
..... Slices for dose[x] 0..1 Range, SimpleQuantity Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 0..1 SimpleQuantity A fixed quantity (no comparator)
....... value 0..1 decimal Numerical value (with implicit precision)
....... unit 0..1 string Unit representation
....... system 0..1 uri System that defines coded unit form
....... code 0..1 code Coded form of the unit
...... dose[x]:doseRange 0..1 Range Amount of medication per dose
....... low
........ value 0..1 decimal Numerical value (with implicit precision)
........ unit 0..1 string Unit representation
........ system 0..1 uri System that defines coded unit form
........ code 0..1 code Coded form of the unit
....... high
........ value 0..1 decimal Numerical value (with implicit precision)
........ unit 0..1 string Unit representation
........ system 0..1 uri System that defines coded unit form
........ code 0..1 code Coded form of the unit
..... Slices for rate[x] 0..1 Ratio, Range, SimpleQuantity Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rate[x]:rateQuantity 0..1 SimpleQuantity A fixed quantity (no comparator)
....... value 0..1 decimal Numerical value (with implicit precision)
....... unit 0..1 string Unit representation
....... system 0..1 uri System that defines coded unit form
....... code 0..1 code Coded form of the unit
.... maxDosePerPeriod 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration
..... value 0..1 decimal Numerical value (with implicit precision)
..... code 0..1 code Coded form of the unit
... dispenseRequest
.... initialFill
..... quantity
...... value 0..1 decimal Numerical value (with implicit precision)
...... unit 0..1 string Unit representation
...... system 0..1 uri System that defines coded unit form
Fixed Value: https:ucum.org/
...... code 0..1 code Coded form of the unit
.... dispenseInterval
..... value 0..1 decimal Numerical value (with implicit precision)
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity
..... value 0..1 decimal Numerical value (with implicit precision)
..... unit 0..1 string Unit representation
..... system 0..1 uri System that defines coded unit form
Fixed Value: https:ucum.org/
..... code 0..1 code Coded form of the unit
.... performer 0..1 Reference(PT_Organization) Intended dispenser
..... reference 0..1 string Literal reference, Relative, internal or absolute URL
... substitution
.... allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
..... coding
...... code 0..1 code Symbol in syntax defined by the system
... priorPrescription 0..1 Reference(PT_MedicationRequest) An order/prescription that is being replaced

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.categorypreferredHl7VSOrderType
http://terminology.hl7.org/ValueSet/v2-0482
MedicationRequest.dosageInstruction.timing.codepreferredHl7VSRepeatPattern
http://terminology.hl7.org/ValueSet/v2-0335
MedicationRequest.dosageInstruction.methodpreferredHl7VSAdministrationMethod
http://terminology.hl7.org/ValueSet/v2-0165

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusChanged 0..1 dateTime Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/a54e3c30-afb4-4bd8-8297-ad40aa181704
.... Diet 0..1 CodeableConcept Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/Diet
.... DispenserInstruction 0..1 Coding Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/DispenserInstruction
.... OrderType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/OrderType
.... ProductType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/ProductType
.... device 0..* (Complex) Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/MEDreqDevice
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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 proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept Type of medication usage
Binding: hl7VS-orderType (preferred): FHIR Value set/code system definition for HL7 v2 table 0482 (Order Type)


.... text Σ 0..1 string Plain text representation of the concept
... 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
... medication[x] Σ 1..1 Reference(Medication) Medication to be taken
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... subject Σ 1..1 Reference(PT_Patient) Who or group medication request is for
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... encounter 0..1 Reference(PT_Encounter) Encounter created as part of encounter/admission/stay
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... supportingInformation 0..* Reference(Observation) Information to support ordering of the medication
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(PT_Practitioner | PT_Organization) Who/What requested the Request
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... recorder 0..1 Reference(PT_Practitioner) Person who entered the request
.... reference ΣC 0..1 string Literal reference, Relative, internal or absolute URL
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... insurance 0..* Reference(PT_Coverage) Associated insurance coverage
... dosageInstruction 0..* Dosage How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... 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".


..... text Σ 0..1 string Plain text representation of the concept
.... timing Σ 0..1 Timing When medication should be administered
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... Slices for bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsPeriod Σ 0..1 Period Length/Range of lengths, or (Start and/or end) limits
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... duration Σ 0..1 decimal How long when it happens
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... period Σ 0..1 decimal Event occurs frequency times per period
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: hl7VS-repeatPattern (preferred): FHIR Value set/code system definition for HL7 v2 table 0335 ( Repeat pattern)

...... text Σ 0..1 string Plain text representation of the concept
.... asNeeded[x] Σ 0..1 CodeableConcept 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.


Fixed Value: As shown
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... version 0..0 string Version of the system - if relevant
...... code 0..0 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
Fixed Value: Catálogo CPHA
...... userSelected 0..0 boolean If this coding was chosen directly by the user
..... text 0..0 string Plain text representation of the concept
.... 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.

..... text Σ 0..1 string Plain text representation of the concept
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: hl7VS-administrationMethod (preferred): FHIR Value set/code system definition for HL7 v2 table 0165 ( ADMINISTRATION METHOD)

..... text Σ 0..1 string Plain text representation of the concept
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
... priorPrescription 0..1 Reference(PT_MedicationRequest) An order/prescription that is being replaced

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categorypreferredHl7VSOrderType
http://terminology.hl7.org/ValueSet/v2-0482
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredHl7VSRepeatPattern
http://terminology.hl7.org/ValueSet/v2-0335
MedicationRequest.dosageInstruction.asNeeded[x]exampleFixed Value: null("Catálogo CPHA")
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.methodpreferredHl7VSAdministrationMethod
http://terminology.hl7.org/ValueSet/v2-0165

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... statusChanged 0..1 dateTime Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/a54e3c30-afb4-4bd8-8297-ad40aa181704
.... Diet 0..1 CodeableConcept Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/Diet
.... DispenserInstruction 0..1 Coding Extension
URL: http://hl7.pt/fhir/core/StructureDefinition/DispenserInstruction
.... OrderType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/OrderType
.... ProductType 0..1 CodeableConcept Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/ProductType
.... device 0..* (Complex) Optional Extensions Element
URL: http://hl7.pt/fhir/core/StructureDefinition/MEDreqDevice
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this 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
.... 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 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string The value that is unique
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)
..... 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 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... 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.

.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..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
.... text Σ 0..1 string Plain text representation of the concept
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..* CodeableConcept Type of medication usage
Binding: hl7VS-orderType (preferred): FHIR Value set/code system definition for HL7 v2 table 0482 (Order Type)


.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..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
.... text Σ 0..1 string Plain text representation of the concept
... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if request is prohibiting action
... reported[x] Σ 0..1 Reported rather than primary record
.... reportedBoolean boolean
.... reportedReference Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
... medication[x] Σ 1..1 Reference(Medication) Medication to be taken
.... 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 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... subject Σ 1..1 Reference(PT_Patient) 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).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter 0..1 Reference(PT_Encounter) Encounter created as part of encounter/admission/stay
.... 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 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... supportingInformation 0..* Reference(Observation) Information to support ordering of the medication
.... 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 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(PT_Practitioner | PT_Organization) 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 0..1 Identifier Logical reference, when literal reference is not known
.... 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(PT_Practitioner) Person who entered 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 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... reasonCode 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding Σ 0..* Coding Code defined by a terminology system
..... 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 0..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code Σ 0..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
.... text Σ 0..1 string Plain text representation of the concept
... reasonReference 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
... 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 0..1 Identifier Composite request this is part of
.... 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 0..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ 0..1 string The value that is unique
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)
..... 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 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... 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(PT_Coverage) Associated insurance coverage
... note 0..* Annotation Information about the prescription
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ 0..1 Individual responsible for the annotation
..... authorReference Reference(Practitioner | Patient | RelatedPerson | Organization)
..... authorString string
.... time Σ 0..1 dateTime When the annotation was made
.... text Σ 1..1 markdown The annotation - text content (as markdown)
... dosageInstruction 0..* Dosage How the medication should be taken
.... 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".


..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
.... timing Σ 0..1 Timing When medication should be administered
..... 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
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
tim-1: if there's a duration, there needs to be duration units
tim-2: if there's a period, there needs to be period units
tim-4: duration SHALL be a non-negative value
tim-5: period SHALL be a non-negative value
tim-6: If there's a periodMax, there must be a period
tim-7: If there's a durationMax, there must be a duration
tim-8: If there's a countMax, there must be a count
tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV)
tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
...... 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 bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
....... bounds[x]:boundsPeriod Σ 0..1 Period Length/Range of lengths, or (Start and/or end) limits
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣC 0..1 dateTime Starting time with inclusive boundary
........ end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
...... count Σ 0..1 positiveInt Number of times to repeat
...... countMax Σ 0..1 positiveInt Maximum number of times to repeat
...... duration Σ 0..1 decimal How long when it happens
...... durationMax Σ 0..1 decimal How long when it happens (Max)
...... durationUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... frequency Σ 0..1 positiveInt Event occurs frequency times per period
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period Σ 0..1 decimal Event occurs frequency times per period
...... periodMax Σ 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit Σ 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).

...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay Σ 0..* time Time of day for action
...... when Σ 0..* code Code for time period of occurrence
Binding: EventTiming (required): Real world event relating to the schedule.


...... offset Σ 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept BID | TID | QID | AM | PM | QD | QOD | +
Binding: hl7VS-repeatPattern (preferred): FHIR Value set/code system definition for HL7 v2 table 0335 ( Repeat pattern)

...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... coding Σ 0..* Coding Code defined by a terminology system
....... 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 0..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code Σ 0..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
...... text Σ 0..1 string Plain text representation of the concept
.... asNeeded[x] Σ 0..1 CodeableConcept 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.


Fixed Value: As shown
..... id 0..0 string Unique id for inter-element referencing
..... extension 0..0 Extension Additional content defined by implementations
..... coding 1..1 Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..0 string Unique id for inter-element referencing
...... extension 0..0 Extension Additional content defined by implementations
...... system 1..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... version 0..0 string Version of the system - if relevant
...... code 0..0 code Symbol in syntax defined by the system
...... display 1..1 string Representation defined by the system
Fixed Value: Catálogo CPHA
...... userSelected 0..0 boolean If this coding was chosen directly by the user
..... text 0..0 string Plain text representation of the concept
.... 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.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
Fixed Value: http:snomed.info/sct
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
Fixed Value: https:www.edqm.eu/
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: hl7VS-administrationMethod (preferred): FHIR Value set/code system definition for HL7 v2 table 0165 ( ADMINISTRATION METHOD)

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... doseAndRate Σ 0..* Element Amount of medication administered
..... 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.

..... Slices for dose[x] Σ 0..1 Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity C 0..1 SimpleQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ 0..1 decimal Numerical value (with implicit precision)
....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
...... dose[x]:doseRange Σ 0..1 Range Amount of medication per dose
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... low Σ 0..1 SimpleQuantity Low limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value Σ 0..1 decimal Numerical value (with implicit precision)
........ unit Σ 0..1 string Unit representation
........ system ΣC 0..1 uri System that defines coded unit form
........ code Σ 0..1 code Coded form of the unit
....... high Σ 0..1 SimpleQuantity High limit
........ id 0..1 string Unique id for inter-element referencing
........ extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
........ value Σ 0..1 decimal Numerical value (with implicit precision)
........ unit Σ 0..1 string Unit representation
........ system ΣC 0..1 uri System that defines coded unit form
........ code Σ 0..1 code Coded form of the unit
..... Slices for rate[x] Σ 0..1 Amount of medication per unit of time
Slice: Unordered, Open by type:$this
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
...... rate[x]:rateQuantity C 0..1 SimpleQuantity A fixed quantity (no comparator)
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ 0..1 decimal Numerical value (with implicit precision)
....... unit Σ 0..1 string Unit representation
....... system ΣC 0..1 uri System that defines coded unit form
....... code Σ 0..1 code Coded form of the unit
.... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
... dispenseRequest 0..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
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value Σ 0..1 decimal Numerical value (with implicit precision)
...... unit Σ 0..1 string Unit representation
...... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: https:ucum.org/
...... code Σ 0..1 code Coded form of the unit
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.

..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
..... code Σ 0..1 code Coded form of the unit
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ 0..1 decimal Numerical value (with implicit precision)
..... unit Σ 0..1 string Unit representation
..... system ΣC 0..1 uri System that defines coded unit form
Fixed Value: https:ucum.org/
..... code Σ 0..1 code Coded form of the unit
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... performer 0..1 Reference(PT_Organization) Intended dispenser
..... 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 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... 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
.... allowed[x] 1..1 CodeableConcept Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 0..* Coding Code defined by a terminology system
...... 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 0..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 0..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
..... text Σ 0..1 string Plain text representation of the concept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription 0..1 Reference(PT_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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.identifier.assigner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1
from the FHIR Standard
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1
from the FHIR Standard
MedicationRequest.categorypreferredHl7VSOrderType
http://terminology.hl7.org/ValueSet/v2-0482
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
from the FHIR Standard
MedicationRequest.medication[x].typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.supportingInformation.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.requester.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
from the FHIR Standard
MedicationRequest.recorder.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.groupIdentifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationRequest.groupIdentifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationRequest.groupIdentifier.assigner.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
from the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
http://hl7.org/fhir/ValueSet/units-of-time|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeekrequiredDaysOfWeek
http://hl7.org/fhir/ValueSet/days-of-week|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.repeat.whenrequiredEventTiming
http://hl7.org/fhir/ValueSet/event-timing|4.0.1
from the FHIR Standard
MedicationRequest.dosageInstruction.timing.codepreferredHl7VSRepeatPattern
http://terminology.hl7.org/ValueSet/v2-0335
MedicationRequest.dosageInstruction.asNeeded[x]exampleFixed Value: null("Catálogo CPHA")
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.methodpreferredHl7VSAdministrationMethod
http://terminology.hl7.org/ValueSet/v2-0165
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
from the FHIR Standard
MedicationRequest.dispenseRequest.dispenseInterval.comparatorrequiredQuantityComparator
http://hl7.org/fhir/ValueSet/quantity-comparator|4.0.1
from the FHIR Standard
MedicationRequest.dispenseRequest.performer.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity, MedicationRequest.dosageInstruction.doseAndRate.rate[x]:rateQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()
tim-1errorMedicationRequest.dosageInstruction.timing.repeatif there's a duration, there needs to be duration units
: duration.empty() or durationUnit.exists()
tim-2errorMedicationRequest.dosageInstruction.timing.repeatif there's a period, there needs to be period units
: period.empty() or periodUnit.exists()
tim-4errorMedicationRequest.dosageInstruction.timing.repeatduration SHALL be a non-negative value
: duration.exists() implies duration >= 0
tim-5errorMedicationRequest.dosageInstruction.timing.repeatperiod SHALL be a non-negative value
: period.exists() implies period >= 0
tim-6errorMedicationRequest.dosageInstruction.timing.repeatIf there's a periodMax, there must be a period
: periodMax.empty() or period.exists()
tim-7errorMedicationRequest.dosageInstruction.timing.repeatIf there's a durationMax, there must be a duration
: durationMax.empty() or duration.exists()
tim-8errorMedicationRequest.dosageInstruction.timing.repeatIf there's a countMax, there must be a count
: countMax.empty() or count.exists()
tim-9errorMedicationRequest.dosageInstruction.timing.repeatIf there's an offset, there must be a when (and not C, CM, CD, CV)
: offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not()))
tim-10errorMedicationRequest.dosageInstruction.timing.repeatIf there's a timeOfDay, there cannot be a when, or vice versa
: timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

 

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