SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. 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/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

Resource Profile: SGHI MedicationRequest

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-medicationrequest Version: 0.1.0
Draft as of 2025-09-04 Computable Name: SGHIMedicationRequest

An order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called 'MedicationRequest' rather than 'MedicationPrescription' or 'MedicationOrder' to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn Σ 0..* SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 SGHIReference(SGHI MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... status ?!Σ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (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: MedicationRequestIntent (required): The kind of medication order.
... category 0..* SGHICodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
... priority Σ 1..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 patient is to stop taking or not to start taking the medication
... medication Σ 1..1 SGHICodeableReference(SGHI Medication) Medication to be taken
Binding: SGHI Medication Codes (required)
... subject Σ 1..1 SGHIReference(SGHI Patient) Individual or group for whom the medication has been requested
... informationSource 0..* SGHIReference(SGHI Patient | SGHI Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter created as part of encounter/admission/stay
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 SGHIReference(SGHI Patient | SGHI Organization) Who/What requested the Request
... performer 0..* SGHIReference(SGHI Patient | SGHI Organization) Intended performer of administration
... recorder 0..1 SGHIReference(SGHI Practitioner | SGHI PractitionerRole) Person who entered the request
... reason 0..* SGHICodeableReference(SGHI Condition | SGHI Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... dosageInstruction 1..* SGHIDosage Specific instructions for how the medication should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
MedicationRequest.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
From the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
From the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
From the FHIR Standard
MedicationRequest.medicationrequiredSGHIMedicationCodes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codes
From this IG
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... identifier 1..* Identifier External ids for this request
.... use 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
.... assigner 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 SGHIReference(SGHI MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... priority 1..1 code routine | urgent | asap | stat
... medication 1..1 SGHICodeableReference(SGHI Medication) Medication to be taken
Binding: SGHI Medication Codes (required)
... subject 1..1 SGHIReference(SGHI Patient) Individual or group for whom the medication has been requested
... informationSource 0..* SGHIReference(SGHI Patient | SGHI Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter created as part of encounter/admission/stay
... authoredOn 1..1 dateTime When request was initially authored
... requester 1..1 SGHIReference(SGHI Patient | SGHI Organization) Who/What requested the Request
... performer 0..* SGHIReference(SGHI Patient | SGHI Organization) Intended performer of administration
... recorder 0..1 SGHIReference(SGHI Practitioner | SGHI PractitionerRole) Person who entered the request
... reason 0..* SGHICodeableReference(SGHI Condition | SGHI Observation) Reason or indication for ordering or not ordering the medication
... dosageInstruction 1..* SGHIDosage Specific instructions for how the medication should be taken
... dispenseRequest
.... dispenser 0..1 SGHIReference(SGHI Organization) Intended performer of dispense

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
MedicationRequest.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
MedicationRequest.medicationrequiredSGHIMedicationCodes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codes
From this IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 1..* Identifier External ids for this request
.... id 0..1 id 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)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 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 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn Σ 0..* SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 SGHIReference(SGHI MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (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: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.
... statusChanged 0..1 dateTime When the status was changed
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.
... category 0..* SGHICodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
... priority Σ 1..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 patient is to stop taking or not to start taking the medication
... medication Σ 1..1 SGHICodeableReference(SGHI Medication) Medication to be taken
Binding: SGHI Medication Codes (required)
... subject Σ 1..1 SGHIReference(SGHI Patient) Individual or group for whom the medication has been requested
... informationSource 0..* SGHIReference(SGHI Patient | SGHI Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support fulfilling of the medication
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 SGHIReference(SGHI Patient | SGHI Organization) Who/What requested the Request
... reported Σ 0..1 boolean Reported rather than primary record
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.
... performer 0..* SGHIReference(SGHI Patient | SGHI Organization) Intended performer of administration
... device 0..* CodeableReference(DeviceDefinition) Intended type of device for the administration
... recorder 0..1 SGHIReference(SGHI Practitioner | SGHI PractitionerRole) Person who entered the request
... reason 0..* SGHICodeableReference(SGHI Condition | SGHI Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken
... dosageInstruction 1..* SGHIDosage Specific instructions for how the medication should be taken
... 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
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... dispenser 0..1 SGHIReference(SGHI Organization) Intended performer of dispense
.... dispenserInstruction 0..* Annotation Additional information for the dispenser
.... doseAdministrationAid 0..1 CodeableConcept Type of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... 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 (preferred): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
MedicationRequest.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
From the FHIR Standard
MedicationRequest.statusReasonexampleMedicationRequestStatusReasonCodes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
From the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
From the FHIR Standard
MedicationRequest.medicationrequiredSGHIMedicationCodes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codes
From this IG
MedicationRequest.performerTypeextensibleMedicationIntendedPerformerRole
http://hl7.org/fhir/ValueSet/medication-intended-performer-role
From the FHIR Standard
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleMedicationRequestCourseOfTherapyCodes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dispenseRequest.doseAdministrationAidexampleMedicationDoseAids
http://hl7.org/fhir/ValueSet/medication-dose-aid
From the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 1..1 string The value that is unique
Example General: 123456
.... assigner Σ 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn Σ 0..* SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 SGHIReference(SGHI MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... status ?!Σ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (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: MedicationRequestIntent (required): The kind of medication order.
... category 0..* SGHICodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
... priority Σ 1..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 patient is to stop taking or not to start taking the medication
... medication Σ 1..1 SGHICodeableReference(SGHI Medication) Medication to be taken
Binding: SGHI Medication Codes (required)
... subject Σ 1..1 SGHIReference(SGHI Patient) Individual or group for whom the medication has been requested
... informationSource 0..* SGHIReference(SGHI Patient | SGHI Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter created as part of encounter/admission/stay
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 SGHIReference(SGHI Patient | SGHI Organization) Who/What requested the Request
... performer 0..* SGHIReference(SGHI Patient | SGHI Organization) Intended performer of administration
... recorder 0..1 SGHIReference(SGHI Practitioner | SGHI PractitionerRole) Person who entered the request
... reason 0..* SGHICodeableReference(SGHI Condition | SGHI Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... dosageInstruction 1..* SGHIDosage Specific instructions for how the medication should be taken

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
MedicationRequest.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
From the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
From the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
From the FHIR Standard
MedicationRequest.medicationrequiredSGHIMedicationCodes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codes
From this IG
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... identifier 1..* Identifier External ids for this request
.... use 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required)
.... type 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system 1..1 uri The namespace for the identifier value
.... value 1..1 string The value that is unique
.... assigner 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn 0..* SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 SGHIReference(SGHI MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... priority 1..1 code routine | urgent | asap | stat
... medication 1..1 SGHICodeableReference(SGHI Medication) Medication to be taken
Binding: SGHI Medication Codes (required)
... subject 1..1 SGHIReference(SGHI Patient) Individual or group for whom the medication has been requested
... informationSource 0..* SGHIReference(SGHI Patient | SGHI Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter created as part of encounter/admission/stay
... authoredOn 1..1 dateTime When request was initially authored
... requester 1..1 SGHIReference(SGHI Patient | SGHI Organization) Who/What requested the Request
... performer 0..* SGHIReference(SGHI Patient | SGHI Organization) Intended performer of administration
... recorder 0..1 SGHIReference(SGHI Practitioner | SGHI PractitionerRole) Person who entered the request
... reason 0..* SGHICodeableReference(SGHI Condition | SGHI Observation) Reason or indication for ordering or not ordering the medication
... dosageInstruction 1..* SGHIDosage Specific instructions for how the medication should be taken
... dispenseRequest
.... dispenser 0..1 SGHIReference(SGHI Organization) Intended performer of dispense

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
MedicationRequest.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
MedicationRequest.medicationrequiredSGHIMedicationCodes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codes
From this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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: AllLanguages (required): IETF language tag for a human language
Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 1..* Identifier External ids for this request
.... id 0..1 id 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)
.... type Σ 0..1 SGHICodeableConcept Description of identifier
Binding: SGHI Standard Identifier Types (required)
.... system Σ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value ΣC 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 1..1 SGHIReference(SGHI Organization) Organization that issued id (may be just text)
... basedOn Σ 0..* SGHIReference(SGHI ServiceRequest | SGHI MedicationRequest) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 SGHIReference(SGHI MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (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: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.
... statusChanged 0..1 dateTime When the status was changed
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.
... category 0..* SGHICodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.
... priority Σ 1..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 patient is to stop taking or not to start taking the medication
... medication Σ 1..1 SGHICodeableReference(SGHI Medication) Medication to be taken
Binding: SGHI Medication Codes (required)
... subject Σ 1..1 SGHIReference(SGHI Patient) Individual or group for whom the medication has been requested
... informationSource 0..* SGHIReference(SGHI Patient | SGHI Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 1..1 SGHIReference(SGHI Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support fulfilling of the medication
... authoredOn Σ 1..1 dateTime When request was initially authored
... requester Σ 1..1 SGHIReference(SGHI Patient | SGHI Organization) Who/What requested the Request
... reported Σ 0..1 boolean Reported rather than primary record
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.
... performer 0..* SGHIReference(SGHI Patient | SGHI Organization) Intended performer of administration
... device 0..* CodeableReference(DeviceDefinition) Intended type of device for the administration
... recorder 0..1 SGHIReference(SGHI Practitioner | SGHI PractitionerRole) Person who entered the request
... reason 0..* SGHICodeableReference(SGHI Condition | SGHI Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.
... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken
... dosageInstruction 1..* SGHIDosage Specific instructions for how the medication should be taken
... 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
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
.... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
.... dispenser 0..1 SGHIReference(SGHI Organization) Intended performer of dispense
.... dispenserInstruction 0..* Annotation Additional information for the dispenser
.... doseAdministrationAid 0..1 CodeableConcept Type of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... 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 (preferred): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
From the FHIR Standard
MedicationRequest.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use
From the FHIR Standard
MedicationRequest.identifier.typerequiredSGHIIdentifierTypes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-types
From this IG
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
From the FHIR Standard
MedicationRequest.statusReasonexampleMedicationRequestStatusReasonCodes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
From the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
From the FHIR Standard
MedicationRequest.medicationrequiredSGHIMedicationCodes
https://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codes
From this IG
MedicationRequest.performerTypeextensibleMedicationIntendedPerformerRole
http://hl7.org/fhir/ValueSet/medication-intended-performer-role
From the FHIR Standard
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
From the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleMedicationRequestCourseOfTherapyCodes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dispenseRequest.doseAdministrationAidexampleMedicationDoseAids
http://hl7.org/fhir/ValueSet/medication-dose-aid
From the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

 

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