Medicationrequest.shex

ShEx statement for medicationrequest

PREFIX fhir: <http://hl7.org/fhir/> 
PREFIX fhirvs: <http://hl7.org/fhir/ValueSet/>
PREFIX xsd: <http://www.w3.org/2001/XMLSchema#> 
PREFIX rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> 

IMPORT <code.shex>
IMPORT <Group.shex>
IMPORT <Device.shex>
IMPORT <Period.shex>
IMPORT <Dosage.shex>
IMPORT <boolean.shex>
IMPORT <Patient.shex>
IMPORT <dateTime.shex>
IMPORT <markdown.shex>
IMPORT <Quantity.shex>
IMPORT <Duration.shex>
IMPORT <CarePlan.shex>
IMPORT <Resource.shex>
IMPORT <CareTeam.shex>
IMPORT <Coverage.shex>
IMPORT <Reference.shex>
IMPORT <Encounter.shex>
IMPORT <Identifier.shex>
IMPORT <Annotation.shex>
IMPORT <Provenance.shex>
IMPORT <unsignedInt.shex>
IMPORT <Organization.shex>
IMPORT <Practitioner.shex>
IMPORT <RelatedPerson.shex>
IMPORT <ClaimResponse.shex>
IMPORT <DomainResource.shex>
IMPORT <ServiceRequest.shex>
IMPORT <CodeableConcept.shex>
IMPORT <BackboneElement.shex>
IMPORT <PractitionerRole.shex>
IMPORT <DeviceDefinition.shex>
IMPORT <CodeableReference.shex>
IMPORT <HealthcareService.shex>
IMPORT <RequestOrchestration.shex>
IMPORT <ImmunizationRecommendation.shex>


start=@<MedicationRequest> AND {fhir:nodeRole [fhir:treeRoot]}

# Ordering of medication for patient or group
<MedicationRequest> EXTENDS @<DomainResource> CLOSED {   

    a [fhir:MedicationRequest]?;
    fhir:nodeRole [fhir:treeRoot]?;

    fhir:identifier @<OneOrMore_Identifier>?;  # External ids for this request
    fhir:basedOn @<OneOrMore_Reference_CarePlan_OR_ImmunizationRecommendation_OR_MedicationRequest_OR_RequestOrchestration_OR_ServiceRequest>?;  # A plan or request that is 
                                            # fulfilled in whole or in part by 
                                            # this medication request 
    fhir:priorPrescription @<Reference> AND {fhir:link 
    			@<MedicationRequest> ? }?;  # Reference to an order/prescription 
                                            # that is being replaced by this 
                                            # MedicationRequest 
    fhir:groupIdentifier @<Identifier>?;    # Composite request this is part of
    fhir:status @<code> AND
    	{fhir:v @fhirvs:medicationrequest-status};  # active | on-hold | ended | stopped 
                                            # | completed | cancelled | 
                                            # entered-in-error | draft | unknown 
    fhir:statusReason @<CodeableConcept>?;  # Reason for current status
    fhir:statusChanged @<dateTime>?;        # When the status was changed
    fhir:intent @<code> AND
    	{fhir:v @fhirvs:medicationrequest-intent};  # proposal | plan | order | 
                                            # original-order | reflex-order | 
                                            # filler-order | instance-order | 
                                            # option 
    fhir:category @<OneOrMore_CodeableConcept>?;  # Grouping or category of medication 
                                            # request 
    fhir:priority @<code> AND
    	{fhir:v @fhirvs:request-priority}?;  # routine | urgent | asap | stat
    fhir:doNotPerform @<boolean>?;          # True if patient is to stop taking 
                                            # or not to start taking the 
                                            # medication 
    fhir:medication @<CodeableReference>;   # Medication to be taken
    fhir:subject @<Reference> AND {fhir:link 
    			@<Group> OR 
    			@<Patient> ? };  # Individual or group for whom the 
                                            # medication has been requested 
    fhir:informationSource @<OneOrMore_Reference_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson>?;  # The person or organization who 
                                            # provided the information about 
                                            # this request, if the source is 
                                            # someone other than the requestor 
    fhir:encounter @<Reference> AND {fhir:link 
    			@<Encounter> ? }?;  # Encounter created as part of 
                                            # encounter/admission/stay 
    fhir:supportingInformation @<OneOrMore_Reference_Resource>?;  # Information to support fulfilling 
                                            # of the medication 
    fhir:authoredOn @<dateTime>?;           # When request was initially authored
    fhir:requester @<Reference> AND {fhir:link 
    			@<Device> OR 
    			@<Organization> OR 
    			@<Patient> OR 
    			@<Practitioner> OR 
    			@<PractitionerRole> OR 
    			@<RelatedPerson> ? }?;  # Who/What requested the Request
    fhir:reported @<boolean>?;              # Reported rather than primary record
    fhir:performerType @<CodeableConcept>?;  # Desired kind of performer of the 
                                            # medication administration 
    fhir:performer @<OneOrMore_Reference_CareTeam_OR_DeviceDefinition_OR_HealthcareService_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson>?;  # Intended performer of 
                                            # administration 
    fhir:device @<OneOrMore_CodeableReference>?;  # Intended type of device for the 
                                            # administration 
    fhir:recorder @<Reference> AND {fhir:link 
    			@<Practitioner> OR 
    			@<PractitionerRole> ? }?;  # Person who entered the request
    fhir:reason @<OneOrMore_CodeableReference>?;  # Reason or indication for ordering 
                                            # or not ordering the medication 
    fhir:courseOfTherapyType @<CodeableConcept>?;  # Overall pattern of medication 
                                            # administration 
    fhir:insurance @<OneOrMore_Reference_ClaimResponse_OR_Coverage>?;  # Associated insurance coverage
    fhir:note @<OneOrMore_Annotation>?;     # Information about the prescription
    fhir:renderedDosageInstruction @<markdown>?;  # Full representation of the dosage 
                                            # instructions 
    fhir:effectiveDosePeriod @<Period>?;    # Period over which the medication 
                                            # is to be taken 
    fhir:dosageInstruction @<OneOrMore_Dosage>?;  # Specific instructions for how the 
                                            # medication should be taken 
    fhir:dispenseRequest @<MedicationRequest.dispenseRequest>?;  # Medication supply authorization
    fhir:substitution @<MedicationRequest.substitution>?;  # Any restrictions on medication 
                                            # substitution 
    fhir:eventHistory @<OneOrMore_Reference_Provenance>?;  # A list of events of interest in 
                                            # the lifecycle 
}  

# First fill details
<MedicationRequest.dispenseRequest.initialFill> EXTENDS @<BackboneElement> CLOSED {   
    fhir:quantity @<Quantity>?;             # First fill quantity
    fhir:duration @<Duration>?;             # First fill duration
}  

# Any restrictions on medication substitution
<MedicationRequest.substitution> EXTENDS @<BackboneElement> CLOSED {   
    fhir:allowed @<boolean>  OR 
    			@<CodeableConcept>  ;  # Whether substitution is allowed or 
                                            # not 
    fhir:reason @<CodeableConcept>?;        # Why should (not) substitution be 
                                            # made 
}  

# Medication supply authorization
<MedicationRequest.dispenseRequest> EXTENDS @<BackboneElement> CLOSED {   
    fhir:initialFill @<MedicationRequest.dispenseRequest.initialFill>?;  # First fill details
    fhir:dispenseInterval @<Duration>?;     # Minimum period of time between 
                                            # dispenses 
    fhir:validityPeriod @<Period>?;         # Time period supply is authorized 
                                            # for 
    fhir:numberOfRepeatsAllowed @<unsignedInt>?;  # Number of refills authorized
    fhir:quantity @<Quantity>?;             # Amount of medication to supply per 
                                            # dispense 
    fhir:expectedSupplyDuration @<Duration>?;  # Number of days supply per dispense
    fhir:dispenser @<Reference> AND {fhir:link 
    			@<Organization> ? }?;  # Intended performer of dispense
    fhir:dispenserInstruction @<OneOrMore_Annotation>?;  # Additional information for the 
                                            # dispenser 
    fhir:doseAdministrationAid @<CodeableConcept>?;  # Type of adherence packaging to use 
                                            # for the dispense 
}  

#---------------------- Cardinality Types (OneOrMore) -------------------

<OneOrMore_Identifier> CLOSED {
    rdf:first @<Identifier>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Identifier> 
}

<OneOrMore_Reference_CarePlan_OR_ImmunizationRecommendation_OR_MedicationRequest_OR_RequestOrchestration_OR_ServiceRequest> CLOSED {
    rdf:first @<Reference> AND {fhir:link 
			@<CarePlan> OR 
			@<ImmunizationRecommendation> OR 
			@<MedicationRequest> OR 
			@<RequestOrchestration> OR 
			@<ServiceRequest> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_CarePlan_OR_ImmunizationRecommendation_OR_MedicationRequest_OR_RequestOrchestration_OR_ServiceRequest> 
}

<OneOrMore_CodeableConcept> CLOSED {
    rdf:first @<CodeableConcept>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_CodeableConcept> 
}

<OneOrMore_Reference_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> CLOSED {
    rdf:first @<Reference> AND {fhir:link 
			@<Organization> OR 
			@<Patient> OR 
			@<Practitioner> OR 
			@<PractitionerRole> OR 
			@<RelatedPerson> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> 
}

<OneOrMore_Reference_Resource> CLOSED {
    rdf:first @<Reference> AND {fhir:link 
			@<Resource> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Resource> 
}

<OneOrMore_Reference_CareTeam_OR_DeviceDefinition_OR_HealthcareService_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> CLOSED {
    rdf:first @<Reference> AND {fhir:link 
			@<CareTeam> OR 
			@<DeviceDefinition> OR 
			@<HealthcareService> OR 
			@<Organization> OR 
			@<Patient> OR 
			@<Practitioner> OR 
			@<PractitionerRole> OR 
			@<RelatedPerson> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_CareTeam_OR_DeviceDefinition_OR_HealthcareService_OR_Organization_OR_Patient_OR_Practitioner_OR_PractitionerRole_OR_RelatedPerson> 
}

<OneOrMore_CodeableReference> CLOSED {
    rdf:first @<CodeableReference>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_CodeableReference> 
}

<OneOrMore_Reference_ClaimResponse_OR_Coverage> CLOSED {
    rdf:first @<Reference> AND {fhir:link 
			@<ClaimResponse> OR 
			@<Coverage> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_ClaimResponse_OR_Coverage> 
}

<OneOrMore_Annotation> CLOSED {
    rdf:first @<Annotation>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Annotation> 
}

<OneOrMore_Dosage> CLOSED {
    rdf:first @<Dosage>  ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Dosage> 
}

<OneOrMore_Reference_Provenance> CLOSED {
    rdf:first @<Reference> AND {fhir:link 
			@<Provenance> } ;
    rdf:rest [rdf:nil] OR @<OneOrMore_Reference_Provenance> 
}

#---------------------- Value Sets ------------------------

# MedicationRequest Intent Codes
fhirvs:medicationrequest-intent ["proposal" "plan" "order" "original-order" "reflex-order" "filler-order" "instance-order" "option"]

# MedicationRequest Status Codes
fhirvs:medicationrequest-status ["active" "on-hold" "ended" "stopped" "completed" "cancelled" "entered-in-error" "draft" "unknown"]

# Identifies the level of importance to be assigned to actioning the request.
fhirvs:request-priority ["routine" "urgent" "asap" "stat"]