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 2025-09-17 | 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:
- Refer to this Profile: SGHI Appointment Profile, SGHI DiagnosticReport, SGHI DocumentReference Profile., SGHI Encounter... Show 4 more
- Examples for this Profile: MedicationRequest/ExampleSGHIMedicationRequest
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.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 |
  identifier |
1..* | Identifier | External ids for this request | |
 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 | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| MedicationRequest.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0From the FHIR Standard | |
| MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0From the FHIR Standard | |
| MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-location|5.0.0From the FHIR Standard | |
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|5.0.0From the FHIR Standard | |
| MedicationRequest.medication | required | SGHIMedicationCodeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codesFrom this IG | |
| MedicationRequest.reason | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code|5.0.0From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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().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-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() |
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |
| category |
0..* | SGHICodeableConcept | Grouping or category of medication request | |
| 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 | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| MedicationRequest.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| MedicationRequest.medication | required | SGHIMedicationCodeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codesFrom this IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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
| |||||
| 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(5.0.0) | 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(5.0.0) | 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 | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| MedicationRequest.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| MedicationRequest.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0From the FHIR Standard | |
| MedicationRequest.statusReason | example | MedicationRequestStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason|5.0.0From the FHIR Standard | |
| MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0From the FHIR Standard | |
| MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-location|5.0.0From the FHIR Standard | |
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|5.0.0From the FHIR Standard | |
| MedicationRequest.medication | required | SGHIMedicationCodeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codesFrom this IG | |
| MedicationRequest.performerType | extensible | MedicationIntendedPerformerRolehttp://hl7.org/fhir/ValueSet/medication-intended-performer-role|5.0.0From the FHIR Standard | |
| MedicationRequest.reason | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code|5.0.0From the FHIR Standard | |
| MedicationRequest.courseOfTherapyType | extensible | MedicationRequestCourseOfTherapyCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy|5.0.0From the FHIR Standard | |
| MedicationRequest.dispenseRequest.doseAdministrationAid | example | MedicationDoseAidshttp://hl7.org/fhir/ValueSet/medication-dose-aid|5.0.0From the FHIR Standard | |
| MedicationRequest.substitution.allowed[x] | preferred | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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().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-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() |
This structure is derived from MedicationRequest
Summary
Mandatory: 9 elements
Structures
This structure refers to these other structures:
- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
- SGHI ServiceRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-servicerequest)
- SGHI MedicationRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-medicationrequest)
- SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeable-reference)
- SGHI Medication (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-medication)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-encounter)
- SGHI Practitioner (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-practitioner)
- SGHI PractitionerRole (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-practitionerrole)
- SGHI Condition (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-condition)
- SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)
- SGHI Dosage (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-dosage)
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 |
| identifier |
1..* | Identifier | External ids for this request | |
| 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 | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| MedicationRequest.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0From the FHIR Standard | |
| MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0From the FHIR Standard | |
| MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-location|5.0.0From the FHIR Standard | |
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|5.0.0From the FHIR Standard | |
| MedicationRequest.medication | required | SGHIMedicationCodeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codesFrom this IG | |
| MedicationRequest.reason | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code|5.0.0From the FHIR Standard |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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().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-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() |
Differential View
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 | |
| category |
0..* | SGHICodeableConcept | Grouping or category of medication request | |
| 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 | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet | URI |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| MedicationRequest.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| MedicationRequest.medication | required | SGHIMedicationCodeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codesFrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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
| |||||
| 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(5.0.0) | 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(5.0.0) | 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 | |||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | URI |
| MedicationRequest.language | required | AllLanguageshttp://hl7.org/fhir/ValueSet/all-languages|5.0.0From the FHIR Standard | |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-useFrom the FHIR Standard | |
| MedicationRequest.identifier.type | required | SGHIIdentifierTypeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-identifier-typesFrom this IG | |
| MedicationRequest.status | required | MedicationrequestStatushttp://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0From the FHIR Standard | |
| MedicationRequest.statusReason | example | MedicationRequestStatusReasonCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason|5.0.0From the FHIR Standard | |
| MedicationRequest.intent | required | MedicationRequestIntenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0From the FHIR Standard | |
| MedicationRequest.category | example | MedicationRequestAdministrationLocationCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-admin-location|5.0.0From the FHIR Standard | |
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|5.0.0From the FHIR Standard | |
| MedicationRequest.medication | required | SGHIMedicationCodeshttps://fhir.slade360.co.ke/fhir/ValueSet/sghi-medication-codesFrom this IG | |
| MedicationRequest.performerType | extensible | MedicationIntendedPerformerRolehttp://hl7.org/fhir/ValueSet/medication-intended-performer-role|5.0.0From the FHIR Standard | |
| MedicationRequest.reason | example | ConditionProblemDiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code|5.0.0From the FHIR Standard | |
| MedicationRequest.courseOfTherapyType | extensible | MedicationRequestCourseOfTherapyCodeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy|5.0.0From the FHIR Standard | |
| MedicationRequest.dispenseRequest.doseAdministrationAid | example | MedicationDoseAidshttp://hl7.org/fhir/ValueSet/medication-dose-aid|5.0.0From the FHIR Standard | |
| MedicationRequest.substitution.allowed[x] | preferred | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | |
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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().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-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() |
This structure is derived from MedicationRequest
Summary
Mandatory: 9 elements
Structures
This structure refers to these other structures:
- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-organization)
- SGHI ServiceRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-servicerequest)
- SGHI MedicationRequest (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-medicationrequest)
- SGHI CodeableReference (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-codeable-reference)
- SGHI Medication (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-medication)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-patient)
- SGHI Encounter (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-encounter)
- SGHI Practitioner (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-practitioner)
- SGHI PractitionerRole (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-practitionerrole)
- SGHI Condition (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-condition)
- SGHI Observation (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-observation)
- SGHI Dosage (https://fhir.slade360.co.ke/fhir/StructureDefinition/sghi-dosage)
Other representations of profile: CSV, Excel, Schematron