LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide
0.1.0 - STU1
LK NEHR Sri Lanka Patient Summary (IPS based) Implementation Guide, published by Ministry of Health, Sri Lanka. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/lk-gov-health-hiu/lk-nehr-fhir-ips/ and changes regularly. See the Directory of published versions
Official URL: http://fhir.health.gov.lk/ips/StructureDefinition/medication-request | Version: 0.1.0 | |||
Active as of 2024-09-22 | Computable Name: MedicationRequests |
This is to record requests for medication that are prescribed to a patient or for Non-MDS medicines.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequestIPS
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | MedicationRequestIPS | |||||||
Slices for identifier | 1..* | Identifier | External ids for this request Slice: Unordered, Open by value:system | |||||
identifier:RequestID | 1..1 | Identifier | External ids for this request | |||||
type | ||||||||
coding | ||||||||
system | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
code | 0..1 | code | Symbol in syntax defined by the system Required Pattern: FILL | |||||
display | 0..1 | string | Representation defined by the system Required Pattern: Filler Identifier | |||||
text | 0..1 | string | Plain text representation of the concept Required Pattern: Prescription identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Required Pattern: http://fhir.health.gov.lk/ips/identifier/medication | |||||
value | 1..1 | string | The value that is unique | |||||
Slices for medication[x] | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Open by type:$this | |||||
medication[x]:medicationCodeableConcept | 1..1 | CodeableConcept | Medication to be taken Binding: Medication Names For Pharmacy (extensible)
| |||||
subject | 1..1 | Reference(Patient) | Who or group medication request is for | |||||
encounter | 1..1 | Reference(Target Facility Encounter) | Encounter created as part of encounter/admission/stay | |||||
authoredOn | 1..1 | dateTime | When request was initially authored | |||||
requester | S | 0..1 | Reference(Practitioner | Patient | Device Information) | Who/What requested the Request | ||||
performer | S | 0..1 | Reference(Practitioner | Patient | Device Information) | Intended performer of administration | ||||
recorder | S | 0..1 | Reference(Practitioner) | Person who entered the request | ||||
note | S | 0..* | Annotation | Information about the prescription | ||||
dosageInstruction | ||||||||
timing | C | 0..1 | Timing | When medication should be administered MedicationRequest-DosageInstruction-1: If the Repeat Frequency does not exist then the Timing Code SHALL be present. | ||||
repeat | ||||||||
count | 1..1 | positiveInt | Number of times to repeat | |||||
duration | 1..1 | decimal | How long when it happens | |||||
durationUnit | 1..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) | |||||
frequency | S | 0..1 | positiveInt | Event occurs frequency times per period | ||||
period | S | 0..1 | decimal | Event occurs frequency times per period | ||||
periodUnit | S | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
code | S | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: Drug Frequency Codes (preferred) | ||||
doseAndRate | ||||||||
Slices for dose[x] | 1..1 | SimpleQuantity | Amount of medication per dose Slice: Unordered, Open by type:$this | |||||
dose[x]:doseQuantity | 1..1 | SimpleQuantity | A fixed quantity (no comparator) | |||||
dispenseRequest | ||||||||
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||||
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | VSMedicationNamesForMSD (a valid code from Medication Names For Pharmacy)
http://fhir.health.gov.lk/ips/ValueSet/vs-medication-name-msd from this IG | ||||||
MedicationRequest.dosageInstruction.timing.code | preferred | VSDrugFrequency (a valid code from Drug Frequency Codes)http://fhir.health.gov.lk/ips/ValueSet/vs-drug-frequency from this IG |
Id | Grade | Path(s) | Details | Requirements |
MedicationRequest-DosageInstruction-1 | error | MedicationRequest.dosageInstruction.timing | If the Repeat Frequency does not exist then the Timing Code SHALL be present. : repeat.frequency.exists().not() implies code.exists() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequestIPS | Ordering of medication for patient or group | |||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | 1..* | Identifier | External ids for this request Slice: Unordered, Open by value:system | |||||
identifier:RequestID | 1..1 | Identifier | External ids for this request | |||||
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 Required Pattern: http://fhir.health.gov.lk/ips/identifier/medication | ||||
value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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] | SΣ | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Closed by type:$this Binding: Medications - SNOMED CT + Absent/Unknown (IPS) (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication | ||||
medication[x]:medicationCodeableConcept | SΣ | 1..1 | CodeableConcept | Medication to be taken Binding: Medication Names For Pharmacy (extensible)
| ||||
subject | SΣ | 1..1 | Reference(Patient) | Who or group medication request is for | ||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
encounter | 1..1 | Reference(Target Facility Encounter) | Encounter created as part of encounter/admission/stay | |||||
authoredOn | Σ | 1..1 | dateTime | When request was initially authored | ||||
requester | SΣ | 0..1 | Reference(Practitioner | Patient | Device Information) | Who/What requested the Request | ||||
performer | S | 0..1 | Reference(Practitioner | Patient | Device Information) | Intended performer of administration | ||||
recorder | S | 0..1 | Reference(Practitioner) | Person who entered the request | ||||
note | S | 0..* | Annotation | Information about the prescription | ||||
dosageInstruction | S | 0..* | Dosage | How the medication should be taken | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
timing | SΣC | 0..1 | Timing | When medication should be administered MedicationRequest-DosageInstruction-1: If the Repeat Frequency does not exist then the Timing Code SHALL be present. | ||||
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 | ||||
count | Σ | 1..1 | positiveInt | Number of times to repeat | ||||
duration | Σ | 1..1 | decimal | How long when it happens | ||||
durationUnit | Σ | 1..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
frequency | SΣ | 0..1 | positiveInt | Event occurs frequency times per period | ||||
period | SΣ | 0..1 | decimal | Event occurs frequency times per period | ||||
periodUnit | SΣ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
code | SΣ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: Drug Frequency Codes (preferred) | ||||
dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||||
MedicationRequest.identifier:RequestID.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.medication[x] | preferred | MedicationSnomedCodesAbsentUnknownhttp://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips | ||||||
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | VSMedicationNamesForMSD (a valid code from Medication Names For Pharmacy)
http://fhir.health.gov.lk/ips/ValueSet/vs-medication-name-msd from this IG | ||||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.code | preferred | VSDrugFrequency (a valid code from Drug Frequency Codes)http://fhir.health.gov.lk/ips/ValueSet/vs-drug-frequency from this IG |
Id | Grade | Path(s) | Details | Requirements |
MedicationRequest-DosageInstruction-1 | error | MedicationRequest.dosageInstruction.timing | If the Repeat Frequency does not exist then the Timing Code SHALL be present. : repeat.frequency.exists().not() implies code.exists() | |
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() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If 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-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequestIPS | 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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | 1..* | Identifier | External ids for this request Slice: Unordered, Open by value:system | |||||
identifier:RequestID | 1..1 | 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. | ||||
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 Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: FILL | ||||
display | Σ | 0..1 | string | Representation defined by the system Required Pattern: Filler Identifier | ||||
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 Required Pattern: Prescription identifier | ||||
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://fhir.health.gov.lk/ips/identifier/medication | ||||
value | Σ | 1..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) | ||||
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
intent | ?!Σ | 1..1 | code | 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: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
reported[x] | Σ | 0..1 | Reported rather than primary record | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
Slices for medication[x] | SΣ | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Closed by type:$this Binding: Medications - SNOMED CT + Absent/Unknown (IPS) (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication | ||||
medication[x]:medicationCodeableConcept | SΣ | 1..1 | CodeableConcept | Medication to be taken Binding: Medication Names For Pharmacy (extensible)
| ||||
subject | SΣ | 1..1 | Reference(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 | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | 1..1 | Reference(Target Facility Encounter) | Encounter created as part of encounter/admission/stay | |||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
authoredOn | Σ | 1..1 | dateTime | When request was initially authored | ||||
requester | SΣ | 0..1 | Reference(Practitioner | Patient | Device Information) | Who/What requested the Request | ||||
performer | S | 0..1 | Reference(Practitioner | Patient | Device Information) | 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 | S | 0..1 | Reference(Practitioner) | Person who entered the request | ||||
reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
reasonReference | 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 | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | S | 0..* | Annotation | Information about the prescription | ||||
dosageInstruction | S | 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 | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | SΣC | 0..1 | Timing | When medication should be administered MedicationRequest-DosageInstruction-1: If the Repeat Frequency does not exist then the Timing Code SHALL be present. | ||||
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 | |||||
bounds[x] | Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
count | Σ | 1..1 | positiveInt | Number of times to repeat | ||||
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat | ||||
duration | Σ | 1..1 | decimal | How long when it happens | ||||
durationMax | Σ | 0..1 | decimal | How long when it happens (Max) | ||||
durationUnit | Σ | 1..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
frequency | SΣ | 0..1 | positiveInt | Event occurs frequency times per period | ||||
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period | ||||
period | SΣ | 0..1 | decimal | Event occurs frequency times per period | ||||
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
periodUnit | SΣ | 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 | SΣ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: Drug Frequency Codes (preferred) | ||||
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
route | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred): EDQM Standards Terms | |||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
doseAndRate | Σ | 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 | 1..1 | SimpleQuantity | Amount of medication per dose Slice: Unordered, Closed by type:$this | ||||
dose[x]:doseQuantity | C | 1..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 | ||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
dispenseRequest | 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 | |||||
duration | 0..1 | Duration | First fill duration | |||||
dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses | |||||
validityPeriod | 0..1 | Period | Time period supply is authorized for | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
data-absent-reason | 0..1 | code | validityPeriod absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
start | ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
end | ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
numberOfRepeatsAllowed | 0..1 | unsignedInt | Number of refills authorized | |||||
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | ||||
expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
performer | 0..1 | Reference(Organization) | Intended dispenser | |||||
substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept | |||||||
reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||||
MedicationRequest.identifier:RequestID.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.identifier:RequestID.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.medication[x] | preferred | MedicationSnomedCodesAbsentUnknownhttp://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips | ||||||
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | VSMedicationNamesForMSD (a valid code from Medication Names For Pharmacy)
http://fhir.health.gov.lk/ips/ValueSet/vs-medication-name-msd from this IG | ||||||
MedicationRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.code | preferred | VSDrugFrequency (a valid code from Drug Frequency Codes)http://fhir.health.gov.lk/ips/ValueSet/vs-drug-frequency from this IG | ||||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.route | preferred | MedicineRouteOfAdministrationUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration | ||||||
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
MedicationRequest-DosageInstruction-1 | error | MedicationRequest.dosageInstruction.timing | If the Repeat Frequency does not exist then the Timing Code SHALL be present. : repeat.frequency.exists().not() implies code.exists() | |
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() | |
qty-3 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
sqty-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity | The comparator is not used on a SimpleQuantity : comparator.empty() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If 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-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from MedicationRequestIPS
Summary
Mandatory: 7 elements(5 nested mandatory elements)
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationRequestIPS
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | MedicationRequestIPS | |||||||
Slices for identifier | 1..* | Identifier | External ids for this request Slice: Unordered, Open by value:system | |||||
identifier:RequestID | 1..1 | Identifier | External ids for this request | |||||
type | ||||||||
coding | ||||||||
system | 0..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203 | |||||
code | 0..1 | code | Symbol in syntax defined by the system Required Pattern: FILL | |||||
display | 0..1 | string | Representation defined by the system Required Pattern: Filler Identifier | |||||
text | 0..1 | string | Plain text representation of the concept Required Pattern: Prescription identifier | |||||
system | 1..1 | uri | The namespace for the identifier value Required Pattern: http://fhir.health.gov.lk/ips/identifier/medication | |||||
value | 1..1 | string | The value that is unique | |||||
Slices for medication[x] | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Open by type:$this | |||||
medication[x]:medicationCodeableConcept | 1..1 | CodeableConcept | Medication to be taken Binding: Medication Names For Pharmacy (extensible)
| |||||
subject | 1..1 | Reference(Patient) | Who or group medication request is for | |||||
encounter | 1..1 | Reference(Target Facility Encounter) | Encounter created as part of encounter/admission/stay | |||||
authoredOn | 1..1 | dateTime | When request was initially authored | |||||
requester | S | 0..1 | Reference(Practitioner | Patient | Device Information) | Who/What requested the Request | ||||
performer | S | 0..1 | Reference(Practitioner | Patient | Device Information) | Intended performer of administration | ||||
recorder | S | 0..1 | Reference(Practitioner) | Person who entered the request | ||||
note | S | 0..* | Annotation | Information about the prescription | ||||
dosageInstruction | ||||||||
timing | C | 0..1 | Timing | When medication should be administered MedicationRequest-DosageInstruction-1: If the Repeat Frequency does not exist then the Timing Code SHALL be present. | ||||
repeat | ||||||||
count | 1..1 | positiveInt | Number of times to repeat | |||||
duration | 1..1 | decimal | How long when it happens | |||||
durationUnit | 1..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) | |||||
frequency | S | 0..1 | positiveInt | Event occurs frequency times per period | ||||
period | S | 0..1 | decimal | Event occurs frequency times per period | ||||
periodUnit | S | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) | ||||
code | S | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: Drug Frequency Codes (preferred) | ||||
doseAndRate | ||||||||
Slices for dose[x] | 1..1 | SimpleQuantity | Amount of medication per dose Slice: Unordered, Open by type:$this | |||||
dose[x]:doseQuantity | 1..1 | SimpleQuantity | A fixed quantity (no comparator) | |||||
dispenseRequest | ||||||||
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||||
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | VSMedicationNamesForMSD (a valid code from Medication Names For Pharmacy)
http://fhir.health.gov.lk/ips/ValueSet/vs-medication-name-msd from this IG | ||||||
MedicationRequest.dosageInstruction.timing.code | preferred | VSDrugFrequency (a valid code from Drug Frequency Codes)http://fhir.health.gov.lk/ips/ValueSet/vs-drug-frequency from this IG |
Id | Grade | Path(s) | Details | Requirements |
MedicationRequest-DosageInstruction-1 | error | MedicationRequest.dosageInstruction.timing | If the Repeat Frequency does not exist then the Timing Code SHALL be present. : repeat.frequency.exists().not() implies code.exists() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequestIPS | Ordering of medication for patient or group | |||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | 1..* | Identifier | External ids for this request Slice: Unordered, Open by value:system | |||||
identifier:RequestID | 1..1 | Identifier | External ids for this request | |||||
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 Required Pattern: http://fhir.health.gov.lk/ips/identifier/medication | ||||
value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
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] | SΣ | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Closed by type:$this Binding: Medications - SNOMED CT + Absent/Unknown (IPS) (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication | ||||
medication[x]:medicationCodeableConcept | SΣ | 1..1 | CodeableConcept | Medication to be taken Binding: Medication Names For Pharmacy (extensible)
| ||||
subject | SΣ | 1..1 | Reference(Patient) | Who or group medication request is for | ||||
reference | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
encounter | 1..1 | Reference(Target Facility Encounter) | Encounter created as part of encounter/admission/stay | |||||
authoredOn | Σ | 1..1 | dateTime | When request was initially authored | ||||
requester | SΣ | 0..1 | Reference(Practitioner | Patient | Device Information) | Who/What requested the Request | ||||
performer | S | 0..1 | Reference(Practitioner | Patient | Device Information) | Intended performer of administration | ||||
recorder | S | 0..1 | Reference(Practitioner) | Person who entered the request | ||||
note | S | 0..* | Annotation | Information about the prescription | ||||
dosageInstruction | S | 0..* | Dosage | How the medication should be taken | ||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
timing | SΣC | 0..1 | Timing | When medication should be administered MedicationRequest-DosageInstruction-1: If the Repeat Frequency does not exist then the Timing Code SHALL be present. | ||||
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 | ||||
count | Σ | 1..1 | positiveInt | Number of times to repeat | ||||
duration | Σ | 1..1 | decimal | How long when it happens | ||||
durationUnit | Σ | 1..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
frequency | SΣ | 0..1 | positiveInt | Event occurs frequency times per period | ||||
period | SΣ | 0..1 | decimal | Event occurs frequency times per period | ||||
periodUnit | SΣ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
code | SΣ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: Drug Frequency Codes (preferred) | ||||
dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | ||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||||
MedicationRequest.identifier:RequestID.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.medication[x] | preferred | MedicationSnomedCodesAbsentUnknownhttp://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips | ||||||
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | VSMedicationNamesForMSD (a valid code from Medication Names For Pharmacy)
http://fhir.health.gov.lk/ips/ValueSet/vs-medication-name-msd from this IG | ||||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.code | preferred | VSDrugFrequency (a valid code from Drug Frequency Codes)http://fhir.health.gov.lk/ips/ValueSet/vs-drug-frequency from this IG |
Id | Grade | Path(s) | Details | Requirements |
MedicationRequest-DosageInstruction-1 | error | MedicationRequest.dosageInstruction.timing | If the Repeat Frequency does not exist then the Timing Code SHALL be present. : repeat.frequency.exists().not() implies code.exists() | |
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() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If 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-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequestIPS | 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.
| |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
Slices for identifier | 1..* | Identifier | External ids for this request Slice: Unordered, Open by value:system | |||||
identifier:RequestID | 1..1 | 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. | ||||
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 Required Pattern: http://terminology.hl7.org/CodeSystem/v2-0203 | ||||
version | Σ | 0..1 | string | Version of the system - if relevant | ||||
code | Σ | 0..1 | code | Symbol in syntax defined by the system Required Pattern: FILL | ||||
display | Σ | 0..1 | string | Representation defined by the system Required Pattern: Filler Identifier | ||||
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 Required Pattern: Prescription identifier | ||||
system | Σ | 1..1 | uri | The namespace for the identifier value Required Pattern: http://fhir.health.gov.lk/ips/identifier/medication | ||||
value | Σ | 1..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) | ||||
status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
intent | ?!Σ | 1..1 | code | 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: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
reported[x] | Σ | 0..1 | Reported rather than primary record | |||||
reportedBoolean | boolean | |||||||
reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
Slices for medication[x] | SΣ | 1..1 | CodeableConcept | Medication to be taken Slice: Unordered, Closed by type:$this Binding: Medications - SNOMED CT + Absent/Unknown (IPS) (preferred): SNOMED CT medications (Pharmaceutical / biologic product) or a code for absent/unknown medication | ||||
medication[x]:medicationCodeableConcept | SΣ | 1..1 | CodeableConcept | Medication to be taken Binding: Medication Names For Pharmacy (extensible)
| ||||
subject | SΣ | 1..1 | Reference(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 | SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
display | Σ | 0..1 | string | Text alternative for the resource | ||||
encounter | 1..1 | Reference(Target Facility Encounter) | Encounter created as part of encounter/admission/stay | |||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
authoredOn | Σ | 1..1 | dateTime | When request was initially authored | ||||
requester | SΣ | 0..1 | Reference(Practitioner | Patient | Device Information) | Who/What requested the Request | ||||
performer | S | 0..1 | Reference(Practitioner | Patient | Device Information) | 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 | S | 0..1 | Reference(Practitioner) | Person who entered the request | ||||
reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
reasonReference | 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 | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | S | 0..* | Annotation | Information about the prescription | ||||
dosageInstruction | S | 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 | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | SΣC | 0..1 | Timing | When medication should be administered MedicationRequest-DosageInstruction-1: If the Repeat Frequency does not exist then the Timing Code SHALL be present. | ||||
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 | |||||
bounds[x] | Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |||||
boundsDuration | Duration | |||||||
boundsRange | Range | |||||||
boundsPeriod | Period | |||||||
count | Σ | 1..1 | positiveInt | Number of times to repeat | ||||
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat | ||||
duration | Σ | 1..1 | decimal | How long when it happens | ||||
durationMax | Σ | 0..1 | decimal | How long when it happens (Max) | ||||
durationUnit | Σ | 1..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
frequency | SΣ | 0..1 | positiveInt | Event occurs frequency times per period | ||||
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period | ||||
period | SΣ | 0..1 | decimal | Event occurs frequency times per period | ||||
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours) | ||||
periodUnit | SΣ | 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 | SΣ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: Drug Frequency Codes (preferred) | ||||
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
route | 0..1 | CodeableConceptIPS | Concept - reference to a terminology or just text Binding: Medicine Route of Administration - IPS (preferred): EDQM Standards Terms | |||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
doseAndRate | Σ | 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 | 1..1 | SimpleQuantity | Amount of medication per dose Slice: Unordered, Closed by type:$this | ||||
dose[x]:doseQuantity | C | 1..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 | ||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
dispenseRequest | 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 | |||||
duration | 0..1 | Duration | First fill duration | |||||
dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses | |||||
validityPeriod | 0..1 | Period | Time period supply is authorized for | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
data-absent-reason | 0..1 | code | validityPeriod absence reason URL: http://hl7.org/fhir/StructureDefinition/data-absent-reason Binding: DataAbsentReason (required) | |||||
start | ΣC | 0..1 | dateTime | Starting time with inclusive boundary | ||||
end | ΣC | 0..1 | dateTime | End time with inclusive boundary, if not ongoing | ||||
numberOfRepeatsAllowed | 0..1 | unsignedInt | Number of refills authorized | |||||
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | ||||
expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
performer | 0..1 | Reference(Organization) | Intended dispenser | |||||
substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept | |||||||
reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
Documentation for this format |
Path | Conformance | ValueSet | URI | |||||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||||
MedicationRequest.identifier:RequestID.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.identifier:RequestID.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard | ||||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard | ||||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.medication[x] | preferred | MedicationSnomedCodesAbsentUnknownhttp://hl7.org/fhir/uv/ips/ValueSet/medication-snomed-absent-unknown-uv-ips | ||||||
MedicationRequest.medication[x]:medicationCodeableConcept | extensible | VSMedicationNamesForMSD (a valid code from Medication Names For Pharmacy)
http://fhir.health.gov.lk/ips/ValueSet/vs-medication-name-msd from this IG | ||||||
MedicationRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard | ||||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTimehttp://hl7.org/fhir/ValueSet/units-of-time|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeekhttp://hl7.org/fhir/ValueSet/days-of-week|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiminghttp://hl7.org/fhir/ValueSet/event-timing|4.0.1 from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.timing.code | preferred | VSDrugFrequency (a valid code from Drug Frequency Codes)http://fhir.health.gov.lk/ips/ValueSet/vs-drug-frequency from this IG | ||||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.route | preferred | MedicineRouteOfAdministrationUvIpshttp://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration | ||||||
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard | ||||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
MedicationRequest-DosageInstruction-1 | error | MedicationRequest.dosageInstruction.timing | If the Repeat Frequency does not exist then the Timing Code SHALL be present. : repeat.frequency.exists().not() implies code.exists() | |
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() | |
qty-3 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
sqty-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity | The comparator is not used on a SimpleQuantity : comparator.empty() | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If 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-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() |
This structure is derived from MedicationRequestIPS
Summary
Mandatory: 7 elements(5 nested mandatory elements)
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron