CH EMED MedicationRequest Changed (LIST) - CH EMED (R4) v5.0.0-ci-build

CH EMED (R4)
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CH EMED (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-emed/ and changes regularly. See the Directory of published versions

Resource Profile: CH EMED MedicationRequest Changed (LIST)

Official URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationrequest-changed-list				Version: 5.0.0-ci-build
Active as of 2024-10-29				Computable Name: CHEMEDMedicationRequestChangedList
Copyright/Legal: CC0-1.0

Definition of the changed medication request for the medication list document

Usage:

Use this Resource Profile: CH EMED Medication List Document
Refer to this Resource Profile: CH EMED Medication List Composition

Formal Views of Profile Content

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

Differential Table
Key Elements Table
Snapshot Table
Statistics/References
All

This structure is derived from CHEMEDMedicationRequestChanged

Name	Card.	Type	Description & Constraints
MedicationRequest	0..*	CHEMEDMedicationRequestChanged	CH EMED MedicationRequest Changed (LIST)
Slices for extension			Content/Rules for all slices
parentDocument	0..1	(Complex)	Reference to the parent document URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
authorDocument	0..1	Reference(CH Core Patient \| CH Core PractitionerRole \| RelatedPerson)	Author of the original document if different from the author of the medical decision, see also 'Guidance - Authorship' URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	CHEMEDMedicationRequestChanged	CH EMED MedicationRequest Changed (LIST) ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		1..*	Resource	Contained, inline Resources
Slices for extension				Content/Rules for all slices
treatmentplan		0..1	(Complex)	Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
parentDocument		0..1	(Complex)	Reference to the parent document URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
authorDocument		0..1	Reference(CH Core Patient \| CH Core PractitionerRole \| RelatedPerson)	Author of the original document if different from the author of the medical decision, see also 'Guidance - Authorship' URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..1	Identifier	MedicationRequest Identifier
use	?!Σ	0..1	code	usual \| official \| temp \| secondary \| old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
status	?!Σ	1..1	code	active \| on-hold \| cancelled \| completed \| entered-in-error \| stopped \| draft \| unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
intent	?!Σ	1..1	code	proposal \| plan \| order \| original-order \| reflex-order \| filler-order \| instance-order \| option Binding: medicationRequest Intent (required): The kind of medication order.
doNotPerform	?!Σ	0..1	boolean	True if request is prohibiting action
Slices for medication[x]	Σ	1..1		Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(CH Core Medication)
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED Medication) {c }	Reference to the contained medication
subject	Σ	1..1	Reference(CH Core Patient)	Patient
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for supportingInformation		1..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
supportingInformation:partOf		1..1	Reference(CH EMED Observation (PADV)) {r , b }	Reference to the Observation from type 'CHANGE'
authoredOn	Σ	1..1	dateTime	When request was initially authored
requester	Σ	1..1	Reference(CH EMED PractitionerRole)	The author of the medical decision, see also 'Guidance - Authorship'
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
Slices for dosageInstruction		1..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosageInstruction:baseEntry	C	1..1	CHEMEDDosageMedicationRequest	Base entry of the dosage instruction ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified
dosageInstruction:additionalEntry		0..*	CHEMEDDosageSplit	Additional entry of the dosage instruction
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationRequest.identifier.use	required	IdentifierUse `http://hl7.org/fhir/ValueSet/identifier-use\|4.0.1` from the FHIR Standard
MedicationRequest.status	required	medicationrequest Status `http://hl7.org/fhir/ValueSet/medicationrequest-status\|4.0.1` from the FHIR Standard
MedicationRequest.intent	required	medicationRequest Intent `http://hl7.org/fhir/ValueSet/medicationrequest-intent\|4.0.1` from the FHIR Standard
MedicationRequest.medication[x]	example	SNOMEDCTMedicationCodes `http://hl7.org/fhir/ValueSet/medication-codes` from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-3	error	MedicationRequest.dosageInstruction:baseEntry	Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.exists())
ch-dosage-4	error	MedicationRequest.dosageInstruction:baseEntry	For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists())
ch-dosage-medreq	error	MedicationRequest	If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. : (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-medicationrequest') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
dom-2	error	MedicationRequest	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationRequest	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference \| %resource.descendants().as(canonical) \| %resource.descendants().as(uri) \| %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	MedicationRequest	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	MedicationRequest	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	ALL elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	ALL extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Description & Constraints

MedicationRequest

C

0..*

CHEMEDMedicationRequestChanged

CH EMED MedicationRequest Changed (LIST)
ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1.

id

Σ

0..1

id

Logical id of this artifact