Finnish Base Profiles
1.0.0-rc23 - qa-preview
This page is part of the Finnish Base Profiles (v1.0.0-rc23: QA Preview) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-patient-medication-request | Version: 1.0.0-rc23 | |||
Draft as of 2023-11-06 | Computable Name: FiBasePatientMedicationRequest |
This is the Finnish base profile for the MedicationRequest resource for the patient access use case.
The FI Base Patient MedicationRequest derives from the MedicationRequest profile of the International Patient Access specification.
For use cases with no patient access perspective, please see also the FI Base Medication Request profile.
See also the Medication Codes section on the terminology page of this guide, and the Medications Module of the main FHIR specification.
For all medication related resources (Medication, MedicationAdministration, MedicationRequest, MedicationStatement), please also see the Prescription project and the related implementation guide of the Kanta system. That project contains useful definitions, examples, and sequence descriptions (mostly in Finnish).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from IPAMedicationRequest
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | IPAMedicationRequest | Ordering of medication for patient or group | |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ?!SΣ | 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. |
![]() ![]() ![]() | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
![]() ![]() ![]() | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
![]() ![]() ![]() | SΣ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | boolean | |||
![]() ![]() ![]() ![]() | Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole) | Reported rather than primary record |
![]() ![]() ![]() | SΣ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | Reference(IPA-Medication) | |||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Patient Medication) | Medication to be taken |
![]() ![]() ![]() | SΣ | 1..1 | Reference(FI Base Patient) | Who or group medication request is for |
![]() ![]() ![]() | S | 0..1 | Reference(FI Base Encounter) | Encounter created as part of encounter/admission/stay |
![]() ![]() ![]() | SΣ | 0..1 | dateTime | When request was initially authored |
![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient) | Who/What requested the Request |
![]() ![]() ![]() | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam) | Intended performer of administration | |
![]() ![]() ![]() | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole) | Person who entered the request | |
![]() ![]() ![]() | 0..* | Reference(FI Base Condition | FI Base Observation) | Condition or observation that supports why the prescription is being written | |
![]() ![]() ![]() | Σ | 0..* | Reference(CarePlan | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills |
![]() ![]() ![]() | S | 0..* | Dosage | How the medication should be taken |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
![]() ![]() ![]() | 0..1 | Reference(FI Base Patient MedicationRequest) | An order/prescription that is being replaced | |
![]() ![]() ![]() | 0..* | Reference(FI Base Provenance) | A list of events of interest in the lifecycle | |
![]() |
Path | Conformance | ValueSet |
MedicationRequest.status | required | medicationrequest Status |
MedicationRequest.intent | required | medicationRequest Intent |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes |
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().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() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | IPAMedicationRequest | Ordering of medication for patient or group | |||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | 0..* | Identifier | External ids for this request | |||||
![]() ![]() ![]() | ?!SΣ | 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. | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
![]() ![]() ![]() | SΣ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() | Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole) | Reported rather than primary record | ||||
![]() ![]() ![]() | SΣ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | Reference(IPA-Medication) | |||||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Patient Medication) | Medication to be taken | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(FI Base Patient) | Who or group medication request is for | ||||
![]() ![]() ![]() | S | 0..1 | Reference(FI Base Encounter) | Encounter created as part of encounter/admission/stay | ||||
![]() ![]() ![]() | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
![]() ![]() ![]() | SΣ | 0..1 | dateTime | When request was initially authored | ||||
![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient) | Who/What requested the Request | ||||
![]() ![]() ![]() | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
![]() ![]() ![]() | 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. | ||||
![]() ![]() ![]() | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole) | Person who entered the request | |||||
![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | 0..* | Reference(FI Base Condition | FI Base Observation) | Condition or observation that supports why the prescription is being written | |||||
![]() ![]() ![]() | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
![]() ![]() ![]() | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(CarePlan | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
![]() ![]() ![]() | Σ | 0..1 | Identifier | Composite request this is part of | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
![]() ![]() ![]() | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
![]() ![]() ![]() | 0..* | Annotation | Information about the prescription | |||||
![]() ![]() ![]() | S | 0..* | Dosage | How the medication should be taken | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | integer | The order of the dosage instructions | ||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
![]() ![]() ![]() ![]() | 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". | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Timing | When medication should be administered | ||||
![]() ![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | 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. | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
![]() ![]() ![]() ![]() | Σ | 0..* | Element | Amount of medication administered | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Amount of medication per dose | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Quantity(SimpleQuantity) | |||||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Amount of medication per unit of time | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Ratio | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Quantity(SimpleQuantity) | |||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
![]() ![]() ![]() | 0..1 | BackboneElement | Medication supply authorization | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | First fill details | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | First fill quantity | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | Duration | First fill duration | |||||
![]() ![]() ![]() ![]() | 0..1 | Duration | Minimum period of time between dispenses | |||||
![]() ![]() ![]() ![]() | 0..1 | Period | Time period supply is authorized for | |||||
![]() ![]() ![]() ![]() | 0..1 | unsignedInt | Number of refills authorized | |||||
![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
![]() ![]() ![]() ![]() | 0..1 | Duration | Number of days supply per dispense | |||||
![]() ![]() ![]() ![]() | 0..1 | Reference(FI Base Organization) | Intended dispenser | |||||
![]() ![]() ![]() | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | 0..1 | Reference(FI Base Patient MedicationRequest) | An order/prescription that is being replaced | |||||
![]() ![]() ![]() | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
![]() ![]() ![]() | 0..* | Reference(FI Base Provenance) | A list of events of interest in the lifecycle | |||||
![]() |
Path | Conformance | ValueSet | ||||
MedicationRequest.language | preferred | CommonLanguages
| ||||
MedicationRequest.status | required | medicationrequest Status | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
MedicationRequest.intent | required | medicationRequest Intent | ||||
MedicationRequest.category | example | medicationRequest Category Codes | ||||
MedicationRequest.priority | required | RequestPriority | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodes | ||||
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodes | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateType | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
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().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() |
This structure is derived from IPAMedicationRequest
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from IPAMedicationRequest
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | IPAMedicationRequest | Ordering of medication for patient or group | |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | ?!SΣ | 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. |
![]() ![]() ![]() | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
![]() ![]() ![]() | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
![]() ![]() ![]() | SΣ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |
![]() ![]() ![]() ![]() | boolean | |||
![]() ![]() ![]() ![]() | Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole) | Reported rather than primary record |
![]() ![]() ![]() | SΣ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | Reference(IPA-Medication) | |||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Patient Medication) | Medication to be taken |
![]() ![]() ![]() | SΣ | 1..1 | Reference(FI Base Patient) | Who or group medication request is for |
![]() ![]() ![]() | S | 0..1 | Reference(FI Base Encounter) | Encounter created as part of encounter/admission/stay |
![]() ![]() ![]() | SΣ | 0..1 | dateTime | When request was initially authored |
![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient) | Who/What requested the Request |
![]() ![]() ![]() | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam) | Intended performer of administration | |
![]() ![]() ![]() | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole) | Person who entered the request | |
![]() ![]() ![]() | 0..* | Reference(FI Base Condition | FI Base Observation) | Condition or observation that supports why the prescription is being written | |
![]() ![]() ![]() | Σ | 0..* | Reference(CarePlan | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills |
![]() ![]() ![]() | S | 0..* | Dosage | How the medication should be taken |
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() ![]() | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
![]() ![]() ![]() | 0..1 | Reference(FI Base Patient MedicationRequest) | An order/prescription that is being replaced | |
![]() ![]() ![]() | 0..* | Reference(FI Base Provenance) | A list of events of interest in the lifecycle | |
![]() |
Path | Conformance | ValueSet |
MedicationRequest.status | required | medicationrequest Status |
MedicationRequest.intent | required | medicationRequest Intent |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes |
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().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() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | IPAMedicationRequest | Ordering of medication for patient or group | |||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | 0..* | Identifier | External ids for this request | |||||
![]() ![]() ![]() | ?!SΣ | 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. | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
![]() ![]() ![]() | SΣ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |||||
![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() | Reference(IPA-Patient | IPA-Practitioner | IPA-PractitionerRole) | |||||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole) | Reported rather than primary record | ||||
![]() ![]() ![]() | SΣ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | Reference(IPA-Medication) | |||||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Patient Medication) | Medication to be taken | ||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(FI Base Patient) | Who or group medication request is for | ||||
![]() ![]() ![]() | S | 0..1 | Reference(FI Base Encounter) | Encounter created as part of encounter/admission/stay | ||||
![]() ![]() ![]() | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
![]() ![]() ![]() | SΣ | 0..1 | dateTime | When request was initially authored | ||||
![]() ![]() ![]() | SΣ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient) | Who/What requested the Request | ||||
![]() ![]() ![]() | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
![]() ![]() ![]() | 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. | ||||
![]() ![]() ![]() | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole) | Person who entered the request | |||||
![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | 0..* | Reference(FI Base Condition | FI Base Observation) | Condition or observation that supports why the prescription is being written | |||||
![]() ![]() ![]() | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
![]() ![]() ![]() | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(CarePlan | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
![]() ![]() ![]() | Σ | 0..1 | Identifier | Composite request this is part of | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
![]() ![]() ![]() | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
![]() ![]() ![]() | 0..* | Annotation | Information about the prescription | |||||
![]() ![]() ![]() | S | 0..* | Dosage | How the medication should be taken | ||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | integer | The order of the dosage instructions | ||||
![]() ![]() ![]() ![]() | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
![]() ![]() ![]() ![]() | 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". | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Timing | When medication should be administered | ||||
![]() ![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | 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. | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | ||||
![]() ![]() ![]() ![]() | Σ | 0..* | Element | Amount of medication administered | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Amount of medication per dose | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Quantity(SimpleQuantity) | |||||||
![]() ![]() ![]() ![]() ![]() | Σ | 0..1 | Amount of medication per unit of time | |||||
![]() ![]() ![]() ![]() ![]() ![]() | Ratio | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Range | |||||||
![]() ![]() ![]() ![]() ![]() ![]() | Quantity(SimpleQuantity) | |||||||
![]() ![]() ![]() ![]() | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
![]() ![]() ![]() ![]() | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
![]() ![]() ![]() | 0..1 | BackboneElement | Medication supply authorization | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | First fill details | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | First fill quantity | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | Duration | First fill duration | |||||
![]() ![]() ![]() ![]() | 0..1 | Duration | Minimum period of time between dispenses | |||||
![]() ![]() ![]() ![]() | 0..1 | Period | Time period supply is authorized for | |||||
![]() ![]() ![]() ![]() | 0..1 | unsignedInt | Number of refills authorized | |||||
![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
![]() ![]() ![]() ![]() | 0..1 | Duration | Number of days supply per dispense | |||||
![]() ![]() ![]() ![]() | 0..1 | Reference(FI Base Organization) | Intended dispenser | |||||
![]() ![]() ![]() | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | 0..1 | Reference(FI Base Patient MedicationRequest) | An order/prescription that is being replaced | |||||
![]() ![]() ![]() | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
![]() ![]() ![]() | 0..* | Reference(FI Base Provenance) | A list of events of interest in the lifecycle | |||||
![]() |
Path | Conformance | ValueSet | ||||
MedicationRequest.language | preferred | CommonLanguages
| ||||
MedicationRequest.status | required | medicationrequest Status | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
MedicationRequest.intent | required | medicationRequest Intent | ||||
MedicationRequest.category | example | medicationRequest Category Codes | ||||
MedicationRequest.priority | required | RequestPriority | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes | ||||
MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes | ||||
MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodes | ||||
MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodes | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateType | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
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().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() |
This structure is derived from IPAMedicationRequest
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron