Finnish Base Profiles
1.0.0 - trial-use Finland flag

This page is part of the Finnish Base Profiles (v1.0.0: STU 1) 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

Resource Profile: FI Base MedicationRequest

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-request Version: 1.0.0
Active as of 2023-11-10 Computable Name: FiBaseMedicationRequest

This is the Finnish base profile for the MedicationRequest resource, for other than patient access use cases.

Scope and Usage

This profile is meant for use cases without patient access perspective. For patient access use case, please see the FI Base Patient 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:

Formal Views of Profile Content

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest MedicationRequest
... Slices for reported[x] 0..1boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reported[x]:reportedReference 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole)Reported rather than primary record
... Slices for medication[x] 1..1CodeableConcept, Reference(Medication)Medication to be taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1Reference(FI Base Medication | FI Base Patient Medication)Medication to be taken
... subject 1..1Reference(FI Base Patient)Who or group medication request is for
... requester 0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient)Who/What requested the Request
... performer 0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam)Intended performer of administration
... recorder 0..1Reference(FI Base Practitioner | FI Base PractitionerRole)Person who entered the request
... reasonReference 0..*Reference(FI Base Condition | FI Base Observation)Condition or observation that supports why the prescription is being written
... basedOn 0..*Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... dispenseRequest
.... performer 0..1Reference(FI Base Organization)Intended dispenser
... priorPrescription 0..1Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest)An order/prescription that is being replaced
... eventHistory 0..*Reference(FI Base Provenance)A list of events of interest in the lifecycle

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestOrdering of medication for patient or group
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeactive | 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.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... Slices for reported[x] Σ0..1Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedReference Σ0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole)Reported rather than primary record
... Slices for medication[x] Σ1..1Medication to be taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference Σ0..1Reference(FI Base Medication | FI Base Patient Medication)Medication to be taken
... subject Σ1..1Reference(FI Base Patient)Who or group medication request is for
... encounter 0..1Reference(FI Base Encounter)Encounter created as part of encounter/admission/stay
... requester Σ0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient)Who/What requested the Request
... performer 0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam)Intended performer of administration
... recorder 0..1Reference(FI Base Practitioner | FI Base PractitionerRole)Person who entered the request
... reasonReference 0..*Reference(FI Base Condition | FI Base Observation)Condition or observation that supports why the prescription is being written
... basedOn Σ0..*Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... priorPrescription 0..1Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest)An order/prescription that is being replaced
... eventHistory 0..*Reference(FI Base Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes

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().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-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()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestOrdering of medication for patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
... status ?!Σ1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... Slices for reported[x] Σ0..1Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedReference Σ0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole)Reported rather than primary record
... Slices for medication[x] Σ1..1Medication to be taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference Σ0..1Reference(FI Base Medication | FI Base Patient Medication)Medication to be taken
... subject Σ1..1Reference(FI Base Patient)Who or group medication request is for
... encounter 0..1Reference(FI Base Encounter)Encounter created as part of encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn Σ0..1dateTimeWhen request was initially authored
... requester Σ0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient)Who/What requested the Request
... performer 0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(FI Base Practitioner | FI Base PractitionerRole)Person who entered the request
... reasonCode 0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..*Reference(FI Base Condition | FI Base Observation)Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType 0..1CodeableConceptOverall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note 0..*AnnotationInformation about the prescription
... dosageInstruction 0..*DosageHow the medication should be taken
... dispenseRequest 0..1BackboneElementMedication supply authorization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(FI Base Organization)Intended dispenser
... substitution 0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription 0..1Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest)An order/prescription that is being replaced
... detectedIssue 0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory 0..*Reference(FI Base Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categoryexamplemedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

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().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-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

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationRequest.reported[x] is sliced based on the value of type:$this
  • The element MedicationRequest.medication[x] is sliced based on the value of type:$this

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest MedicationRequest
... Slices for reported[x] 0..1boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reported[x]:reportedReference 0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole)Reported rather than primary record
... Slices for medication[x] 1..1CodeableConcept, Reference(Medication)Medication to be taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1Reference(FI Base Medication | FI Base Patient Medication)Medication to be taken
... subject 1..1Reference(FI Base Patient)Who or group medication request is for
... requester 0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient)Who/What requested the Request
... performer 0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam)Intended performer of administration
... recorder 0..1Reference(FI Base Practitioner | FI Base PractitionerRole)Person who entered the request
... reasonReference 0..*Reference(FI Base Condition | FI Base Observation)Condition or observation that supports why the prescription is being written
... basedOn 0..*Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... dispenseRequest
.... performer 0..1Reference(FI Base Organization)Intended dispenser
... priorPrescription 0..1Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest)An order/prescription that is being replaced
... eventHistory 0..*Reference(FI Base Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestOrdering of medication for patient or group
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codeactive | 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.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... Slices for reported[x] Σ0..1Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedReference Σ0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole)Reported rather than primary record
... Slices for medication[x] Σ1..1Medication to be taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference Σ0..1Reference(FI Base Medication | FI Base Patient Medication)Medication to be taken
... subject Σ1..1Reference(FI Base Patient)Who or group medication request is for
... encounter 0..1Reference(FI Base Encounter)Encounter created as part of encounter/admission/stay
... requester Σ0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient)Who/What requested the Request
... performer 0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam)Intended performer of administration
... recorder 0..1Reference(FI Base Practitioner | FI Base PractitionerRole)Person who entered the request
... reasonReference 0..*Reference(FI Base Condition | FI Base Observation)Condition or observation that supports why the prescription is being written
... basedOn Σ0..*Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... priorPrescription 0..1Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest)An order/prescription that is being replaced
... eventHistory 0..*Reference(FI Base Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes

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().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-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()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestOrdering of medication for patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
... status ?!Σ1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status.

... intent ?!Σ1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.

... category 0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment.


... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if request is prohibiting action
... Slices for reported[x] Σ0..1Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBooleanboolean
.... reportedReferenceReference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
.... reported[x]:reportedReference Σ0..1Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole)Reported rather than primary record
... Slices for medication[x] Σ1..1Medication to be taken
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication)
.... medication[x]:medicationReference Σ0..1Reference(FI Base Medication | FI Base Patient Medication)Medication to be taken
... subject Σ1..1Reference(FI Base Patient)Who or group medication request is for
... encounter 0..1Reference(FI Base Encounter)Encounter created as part of encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn Σ0..1dateTimeWhen request was initially authored
... requester Σ0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient)Who/What requested the Request
... performer 0..1Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.

... recorder 0..1Reference(FI Base Practitioner | FI Base PractitionerRole)Person who entered the request
... reasonCode 0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... reasonReference 0..*Reference(FI Base Condition | FI Base Observation)Condition or observation that supports why the prescription is being written
... instantiatesCanonical Σ0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri Σ0..*uriInstantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType 0..1CodeableConceptOverall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.

... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note 0..*AnnotationInformation about the prescription
... dosageInstruction 0..*DosageHow the medication should be taken
... dispenseRequest 0..1BackboneElementMedication supply authorization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... performer 0..1Reference(FI Base Organization)Intended dispenser
... substitution 0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.

... priorPrescription 0..1Reference(FI Base MedicationRequest | FI Base Patient MedicationRequest)An order/prescription that is being replaced
... detectedIssue 0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory 0..*Reference(FI Base Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationRequest.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredmedicationRequest Intent
MedicationRequest.categoryexamplemedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.medication[x]exampleSNOMEDCTMedicationCodes
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

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().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-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

Summary

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationRequest.reported[x] is sliced based on the value of type:$this
  • The element MedicationRequest.medication[x] is sliced based on the value of type:$this

 

Other representations of profile: CSV, Excel, Schematron