Finnish Base Profiles
1.0.0 - trial-use
Finnish Base Profiles
1.0.0 - trial-use
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
| 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.
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  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 |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
| intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
  Slices for reported[x] | Σ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |
  reportedBoolean | boolean | |||
 reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||
  reported[x]:reportedReference | Σ | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole) | Reported rather than primary record |
| Slices for medication[x] | Σ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
 medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| medication[x]:medicationReference | Σ | 0..1 | Reference(FI Base Medication | FI Base Patient Medication) | Medication to be taken |
| subject | Σ | 1..1 | Reference(FI Base Patient) | Who or group medication request is for |
| encounter | 0..1 | Reference(FI Base Encounter) | Encounter created as part of encounter/admission/stay | |
| requester | Σ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient) | Who/What requested the Request |
| performer | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam) | Intended performer of administration | |
| recorder | 0..1 | Reference(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 | Σ | 0..* | Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills |
| priorPrescription | 0..1 | Reference(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 | |
| Documentation for this format | ||||
| 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 | ||||
|---|---|---|---|---|---|---|---|---|
| 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: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External ids for this request | |||||
| status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
| statusReason | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
| category | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
| Slices for reported[x] | Σ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |||||
| reportedBoolean | boolean | |||||||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| reported[x]:reportedReference | Σ | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole) | Reported rather than primary record | ||||
| Slices for medication[x] | Σ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(FI Base Medication | FI Base Patient Medication) | Medication to be taken | ||||
| subject | Σ | 1..1 | Reference(FI Base Patient) | Who or group medication request is for | ||||
| encounter | 0..1 | Reference(FI Base Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn | Σ | 0..1 | dateTime | When request was initially authored | ||||
| requester | Σ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient) | Who/What requested the Request | ||||
| performer | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
| recorder | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole) | Person who entered the request | |||||
| reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(FI Base Condition | FI Base Observation) | Condition or observation that supports why the prescription is being written | |||||
| instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
| courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note | 0..* | Annotation | Information about the prescription | |||||
| dosageInstruction | 0..* | Dosage | How the medication should be taken | |||||
| dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill | 0..1 | BackboneElement | First fill details | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity | 0..1 | SimpleQuantity | First fill quantity | |||||
| duration | 0..1 | Duration | First fill duration | |||||
| dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod | 0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed | 0..1 | unsignedInt | Number of refills authorized | |||||
| quantity | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
| expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
| performer | 0..1 | Reference(FI Base Organization) | Intended dispenser | |||||
| substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
 allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean | boolean | |||||||
| allowedCodeableConcept | CodeableConcept | |||||||
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
| priorPrescription | 0..1 | Reference(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 | |||||
| Documentation for this format | ||||||||
| 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.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 MedicationRequest
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationRequest
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
| intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
| Slices for reported[x] | Σ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |
| reportedBoolean | boolean | |||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||
| reported[x]:reportedReference | Σ | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole) | Reported rather than primary record |
| Slices for medication[x] | Σ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| medication[x]:medicationReference | Σ | 0..1 | Reference(FI Base Medication | FI Base Patient Medication) | Medication to be taken |
| subject | Σ | 1..1 | Reference(FI Base Patient) | Who or group medication request is for |
| encounter | 0..1 | Reference(FI Base Encounter) | Encounter created as part of encounter/admission/stay | |
| requester | Σ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient) | Who/What requested the Request |
| performer | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam) | Intended performer of administration | |
| recorder | 0..1 | Reference(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 | Σ | 0..* | Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills |
| priorPrescription | 0..1 | Reference(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 | |
| Documentation for this format | ||||
| 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 | ||||
|---|---|---|---|---|---|---|---|---|
| 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: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External ids for this request | |||||
| status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
| statusReason | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| intent | ?!Σ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
| category | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
| Slices for reported[x] | Σ | 0..1 | Reported rather than primary record Slice: Unordered, Open by type:$this | |||||
| reportedBoolean | boolean | |||||||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| reported[x]:reportedReference | Σ | 0..1 | Reference(FI Base Patient | FI Base Practitioner | FI Base PractitionerRole) | Reported rather than primary record | ||||
| Slices for medication[x] | Σ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(FI Base Medication | FI Base Patient Medication) | Medication to be taken | ||||
| subject | Σ | 1..1 | Reference(FI Base Patient) | Who or group medication request is for | ||||
| encounter | 0..1 | Reference(FI Base Encounter) | Encounter created as part of encounter/admission/stay | |||||
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn | Σ | 0..1 | dateTime | When request was initially authored | ||||
| requester | Σ | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient) | Who/What requested the Request | ||||
| performer | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | FI Base Organization | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
| recorder | 0..1 | Reference(FI Base Practitioner | FI Base PractitionerRole) | Person who entered the request | |||||
| reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(FI Base Condition | FI Base Observation) | Condition or observation that supports why the prescription is being written | |||||
| instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | FI Base MedicationRequest | FI Base Patient MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
| courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note | 0..* | Annotation | Information about the prescription | |||||
| dosageInstruction | 0..* | Dosage | How the medication should be taken | |||||
| dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill | 0..1 | BackboneElement | First fill details | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity | 0..1 | SimpleQuantity | First fill quantity | |||||
| duration | 0..1 | Duration | First fill duration | |||||
| dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod | 0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed | 0..1 | unsignedInt | Number of refills authorized | |||||
| quantity | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
| expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
| performer | 0..1 | Reference(FI Base Organization) | Intended dispenser | |||||
| substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean | boolean | |||||||
| allowedCodeableConcept | CodeableConcept | |||||||
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
| priorPrescription | 0..1 | Reference(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 | |||||
| Documentation for this format | ||||||||
| 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.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 MedicationRequest
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 Finland. Package hl7.fhir.fi.base#1.0.0 based on FHIR 4.0.1. Generated 2023-11-10
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