GAO Ballot Package

This page is part of the FHIR Specification (v1.1.0: STU 3 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

This is a frozen snapshot of the FHIR specification created for the purpose of balloting the GAO implementation Guide. It includes draft changes that may be part of the future DSTU 2.1 release but further change is expected. Readers should focus solely on the GAO implementation content, and FHIR DSTU 2 for other purposes.

K.11 StructureDefinition: GAO Medication Order

The official URL for this profile is: 

http://hl7.org/fhir/StructureDefinition/gao-medicationorder

Profiles the medication order to ensure that the services ordered can be identified and evaluated for appropraiteness

This profile was published on [no date] with unknown status '" by .

K.11.1 Formal Views of Profile Content

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

This structure is derived from MedicationOrder.

Summary

Mandatory: 3 elements

This structure is derived from MedicationOrder.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder ∑0..*MedicationOrderPrescription of medication to for patient
... reason[x] ∑1..1CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... medication[x] ∑1..1CodeableConcept, Reference(Medication)Medication to be taken
... dosageInstruction ∑1..*BackboneElementHow medication should be taken

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder ∑0..*MedicationOrderPrescription of medication to for patient
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..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 identifier
... dateWritten ∑0..1dateTimeWhen prescription was authorized
... status ?! ∑0..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Binding: MedicationOrderStatus (required)
... dateEnded ∑0..1dateTimeWhen prescription was stopped
... reasonEnded ∑0..1CodeableConceptWhy prescription was stopped
Binding: (unbound) (example)
... patient ∑0..1Reference(Patient)Who prescription is for
... prescriber ∑0..1Reference(Practitioner)Who ordered the medication(s)
... encounter ∑0..1Reference(Encounter)Created during encounter/admission/stay
... reasonCodeableConcept ∑1..1CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... note ∑0..1stringInformation about the prescription
... medication[x] ∑1..1CodeableConcept, Reference(Medication)Medication to be taken
... dosageInstruction ∑1..*BackboneElementHow medication should be taken
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringDosage instructions expressed as text
.... additionalInstructions ∑0..1CodeableConceptSupplemental instructions - e.g. "with meals"
Binding: (unbound) (example)
.... timing ∑0..1TimingWhen medication should be administered
.... asNeeded[x] ∑0..1boolean, CodeableConceptTake "as needed" (for x)
Binding: (unbound) (example)
.... site[x] ∑0..1CodeableConcept, Reference(BodySite)Body site to administer to
Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example)
.... route ∑0..1CodeableConceptHow drug should enter body
Binding: SNOMED CT Route Codes (example)
.... method ∑0..1CodeableConceptTechnique for administering medication
Binding: (unbound) (example)
.... dose[x] ∑0..1Range, SimpleQuantityAmount of medication per dose
.... rate[x] ∑0..1Ratio, RangeAmount of medication per unit of time
.... maxDosePerPeriod ∑0..1RatioUpper limit on medication per unit of time
... dispenseRequest ∑0..1BackboneElementMedication supply authorization
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... medication[x] ∑0..1CodeableConcept, Reference(Medication)Product to be supplied
.... validityPeriod ∑0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed ∑0..1positiveIntNumber of refills authorized
.... quantity ∑0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration ∑0..1DurationNumber of days supply per dispense
... substitution ∑0..1BackboneElementAny restrictions on medication substitution
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type ∑1..1CodeableConceptgeneric | formulary +
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason ∑0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription ∑0..1Reference(MedicationOrder)An order/prescription that this supersedes

doco Documentation for this format

todo

This structure is derived from MedicationOrder.

Summary

Mandatory: 3 elements

Differential View

This structure is derived from MedicationOrder.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder ∑0..*MedicationOrderPrescription of medication to for patient
... reason[x] ∑1..1CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... medication[x] ∑1..1CodeableConcept, Reference(Medication)Medication to be taken
... dosageInstruction ∑1..*BackboneElementHow medication should be taken

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationOrder ∑0..*MedicationOrderPrescription of medication to for patient
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... text I0..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 identifier
... dateWritten ∑0..1dateTimeWhen prescription was authorized
... status ?! ∑0..1codeactive | on-hold | completed | entered-in-error | stopped | draft
Binding: MedicationOrderStatus (required)
... dateEnded ∑0..1dateTimeWhen prescription was stopped
... reasonEnded ∑0..1CodeableConceptWhy prescription was stopped
Binding: (unbound) (example)
... patient ∑0..1Reference(Patient)Who prescription is for
... prescriber ∑0..1Reference(Practitioner)Who ordered the medication(s)
... encounter ∑0..1Reference(Encounter)Created during encounter/admission/stay
... reasonCodeableConcept ∑1..1CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... note ∑0..1stringInformation about the prescription
... medication[x] ∑1..1CodeableConcept, Reference(Medication)Medication to be taken
... dosageInstruction ∑1..*BackboneElementHow medication should be taken
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringDosage instructions expressed as text
.... additionalInstructions ∑0..1CodeableConceptSupplemental instructions - e.g. "with meals"
Binding: (unbound) (example)
.... timing ∑0..1TimingWhen medication should be administered
.... asNeeded[x] ∑0..1boolean, CodeableConceptTake "as needed" (for x)
Binding: (unbound) (example)
.... site[x] ∑0..1CodeableConcept, Reference(BodySite)Body site to administer to
Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example)
.... route ∑0..1CodeableConceptHow drug should enter body
Binding: SNOMED CT Route Codes (example)
.... method ∑0..1CodeableConceptTechnique for administering medication
Binding: (unbound) (example)
.... dose[x] ∑0..1Range, SimpleQuantityAmount of medication per dose
.... rate[x] ∑0..1Ratio, RangeAmount of medication per unit of time
.... maxDosePerPeriod ∑0..1RatioUpper limit on medication per unit of time
... dispenseRequest ∑0..1BackboneElementMedication supply authorization
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... medication[x] ∑0..1CodeableConcept, Reference(Medication)Product to be supplied
.... validityPeriod ∑0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed ∑0..1positiveIntNumber of refills authorized
.... quantity ∑0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration ∑0..1DurationNumber of days supply per dispense
... substitution ∑0..1BackboneElementAny restrictions on medication substitution
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
.... type ∑1..1CodeableConceptgeneric | formulary +
Binding: ActSubstanceAdminSubstitutionCode (example)
.... reason ∑0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription ∑0..1Reference(MedicationOrder)An order/prescription that this supersedes

doco Documentation for this format

XML Template

JSON Template

todo

 

Other representations of profile: Schematron

K.11.2 Terminology Bindings

PathNameConformanceValueSet
MedicationOrder.language?extrequiredhttp://tools.ietf.org/html/bcp47
MedicationOrder.statusMedicationOrderStatusrequiredMedicationOrderStatus
MedicationOrder.reasonEnded?extexample
MedicationOrder.reasonCodeableConceptCondition/Problem/Diagnosis CodesexampleCondition/Problem/Diagnosis Codes
MedicationOrder.dosageInstruction.additionalInstructions?extexample
MedicationOrder.dosageInstruction.asNeeded[x]?extexample
MedicationOrder.dosageInstruction.site[x]SNOMED CT Anatomical Structure for Administration Site CodesexampleSNOMED CT Anatomical Structure for Administration Site Codes
MedicationOrder.dosageInstruction.routeSNOMED CT Route CodesexampleSNOMED CT Route Codes
MedicationOrder.dosageInstruction.method?extexample
MedicationOrder.substitution.typeActSubstanceAdminSubstitutionCodeexampleActSubstanceAdminSubstitutionCode
MedicationOrder.substitution.reasonSubstanceAdminSubstitutionReasonexampleSubstanceAdminSubstitutionReason

K.11.3 Constraints

IdPathDetailsRequirements
.