Consumer Real-Time Pharmacy Benefit Check
1.0.0 - STU1

This page is part of the Consumer Real-time Pharmacy Benefit Check (v1.0.0: STU 1) based on FHIR R4. This is the current published version in it's 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: RtpbcMedicationRequest

This profile constrains the MedicationRequest resource to convey a subset of prescription information required in the consumer real-time pharmacy benefit check (RTPBC) process. The content specifies the prescribed product and quantity, and references the prescribing practitioner and the patient’s preferred pharmacy.

This profile differs from the US Core MedicationRequest in that it doesn’t set the encounter or dosageInstruction elements as Must Support, because clients in the exchange will typically be mobile consumer applications that do not posess this information, and because that information is not pertinent to this use case.

The official URL for this profile is: 

http://hl7.org/fhir/us/carin-rtpbc/StructureDefinition/rtpbc-medicationrequest



The function of the MedicationRequest resource in this exchange is to convey information from the patient’s prescription that has a bearing on pricing and coverage. This limited set of information consists of…

  • the medication name and identifier
  • prescribed quantity and unit of measure
  • identification of the prescriber
  • identification of the pharmacy
  • whether product substitutions are allowed
  • optionally, the days supply represented by the quantity

Must Support elements in this profile

Client systems
All of the elements identified above are marked Must Support…

  • all of these except for days supply (.expectedSupplyDuration) have a minimum cardinality of 1 and MUST be populated in order to enable reliable results from the processor
  • substitutions.allowed is expected to be populated as false, indicating that the processor must provide pricing and coverage for the specific requested medication. (The processor may additionally return information about alternative medications)
  • dosageInstruction SHOULD be used when determining days supply

Client and Responding systems

  • days supply (.expectedSupplyDuration) can impact cost and coverage for a medication; however, patients may not be able to reliably provide it. Implementing partners MUST determine how or whether the element is to be used.

Responding systems

  • MUST make use of all pertinent required MedicationRequest elements when determining pricing and coverage
  • MAY use dosageInstruction when determining pricing and coverage


Formal Views of Profile Content

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

This structure is derived from MedicationRequest

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestOrdering of medication for patient or group
... status S1..1codeRequest Status
Fixed Value: draft
... intent S1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: proposal
... reported[x] S1..1booleanReported rather than primary record
... subject S1..1Reference(RTPBC Patient)Patient
... authoredOn S1..1dateTimeWhen request was initially authored
... requester S1..1Reference(US Core Practitioner Profile)Prescriber
... reasonCode 0..*CodeableConceptReason or indication for ordering or not ordering the medication
... dosageInstruction S0..*DosageHow the medication should be taken
... dispenseRequest S1..1BackboneElementMedication supply authorization
.... quantity S1..1SimpleQuantityPrescribed Quantity
..... value S1..1decimalQuantity in Billing Units
..... unit S1..1stringBilling unit of measure
Binding: RTPBC Billing Unit Value Set (extensible)
.... expectedSupplyDuration S0..1DurationDays Supply
..... value S0..1decimalDays Supply Value
.... performer S1..1Reference(RTPBC Pharmacy Organization)Pharmacy
... substitution S1..1BackboneElementSubstitution
.... allowed[x] S1..1booleanSubstitution Allowed

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest I0..*MedicationRequestOrdering of medication for patient or group
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier I0..*IdentifierExternal ids for this request
... status ?!SΣI1..1codeRequest Status
Binding: medicationrequest Status (required)
Fixed Value: draft
... statusReason I0..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example)
... intent ?!SΣI1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required)
Fixed Value: proposal
... category I0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (example)
... priority ΣI0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!ΣI0..1booleanTrue if request is prohibiting action
... reported[x] SΣI1..1booleanReported rather than primary record
... medication[x] SΣI1..1CodeableConceptPrescribed Product
Binding: RTPBC Prescribable Product Code Value Set (extensible)
... subject SΣI1..1Reference(RTPBC Patient)Patient
... encounter I0..1Reference(Encounter)Encounter created as part of encounter/admission/stay
... supportingInformation I0..*Reference(Resource)Information to support ordering of the medication
... authoredOn SΣI1..1dateTimeWhen request was initially authored
... requester SΣI1..1Reference(US Core Practitioner Profile)Prescriber
... performer I0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType ΣI0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example)
... recorder I0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode I0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example)
... reasonReference I0..*Reference(Condition | Observation)Condition or observation that supports why the prescription is being written
... instantiatesCanonical ΣI0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri ΣI0..*uriInstantiates external protocol or definition
... basedOn ΣI0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier ΣI0..1IdentifierComposite request this is part of
... courseOfTherapyType I0..1CodeableConceptOverall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example)
... insurance I0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note I0..*AnnotationInformation about the prescription
... dosageInstruction SI0..*DosageHow the medication should be taken
... dispenseRequest SI1..1BackboneElementMedication supply authorization
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill I0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity I0..1SimpleQuantityFirst fill quantity
..... duration I0..1DurationFirst fill duration
.... dispenseInterval I0..1DurationMinimum period of time between dispenses
.... validityPeriod I0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed I0..1unsignedIntNumber of refills authorized
.... quantity SI1..1SimpleQuantityPrescribed Quantity
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣI1..1decimalQuantity in Billing Units
..... unit SΣI1..1stringBilling unit of measure
Binding: RTPBC Billing Unit Value Set (extensible)
..... system ΣI0..1uriSystem that defines coded unit form
..... code ΣI0..1codeCoded form of the unit
.... expectedSupplyDuration SI0..1DurationDays Supply
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣI0..1decimalDays Supply Value
..... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit ΣI0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
..... code ΣI0..1codeCoded form of the unit
.... performer SI1..1Reference(RTPBC Pharmacy Organization)Pharmacy
... substitution SI1..1BackboneElementSubstitution
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] SI1..1booleanSubstitution Allowed
.... reason I0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription I0..1Reference(MedicationRequest)An order/prescription that is being replaced
... detectedIssue I0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory I0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest I0..*MedicationRequestOrdering of medication for patient or group
... status ?!ΣI1..1codeRequest Status
Binding: medicationrequest Status (required)
Fixed Value: draft
... intent ?!ΣI1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required)
Fixed Value: proposal
... reported[x] ΣI1..1booleanReported rather than primary record
... subject ΣI1..1Reference(RTPBC Patient)Patient
... authoredOn ΣI1..1dateTimeWhen request was initially authored
... requester ΣI1..1Reference(US Core Practitioner Profile)Prescriber
... dosageInstruction I0..*DosageHow the medication should be taken
... dispenseRequest I1..1BackboneElementMedication supply authorization
.... quantity I1..1SimpleQuantityPrescribed Quantity
..... value ΣI1..1decimalQuantity in Billing Units
..... unit ΣI1..1stringBilling unit of measure
Binding: RTPBC Billing Unit Value Set (extensible)
.... expectedSupplyDuration I0..1DurationDays Supply
..... value ΣI0..1decimalDays Supply Value
.... performer I1..1Reference(RTPBC Pharmacy Organization)Pharmacy
... substitution I1..1BackboneElementSubstitution
.... allowed[x] I1..1booleanSubstitution Allowed

doco Documentation for this format

This structure is derived from MedicationRequest

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestOrdering of medication for patient or group
... status S1..1codeRequest Status
Fixed Value: draft
... intent S1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Fixed Value: proposal
... reported[x] S1..1booleanReported rather than primary record
... subject S1..1Reference(RTPBC Patient)Patient
... authoredOn S1..1dateTimeWhen request was initially authored
... requester S1..1Reference(US Core Practitioner Profile)Prescriber
... reasonCode 0..*CodeableConceptReason or indication for ordering or not ordering the medication
... dosageInstruction S0..*DosageHow the medication should be taken
... dispenseRequest S1..1BackboneElementMedication supply authorization
.... quantity S1..1SimpleQuantityPrescribed Quantity
..... value S1..1decimalQuantity in Billing Units
..... unit S1..1stringBilling unit of measure
Binding: RTPBC Billing Unit Value Set (extensible)
.... expectedSupplyDuration S0..1DurationDays Supply
..... value S0..1decimalDays Supply Value
.... performer S1..1Reference(RTPBC Pharmacy Organization)Pharmacy
... substitution S1..1BackboneElementSubstitution
.... allowed[x] S1..1booleanSubstitution Allowed

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest I0..*MedicationRequestOrdering of medication for patient or group
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier I0..*IdentifierExternal ids for this request
... status ?!SΣI1..1codeRequest Status
Binding: medicationrequest Status (required)
Fixed Value: draft
... statusReason I0..1CodeableConceptReason for current status
Binding: medicationRequest Status Reason Codes (example)
... intent ?!SΣI1..1codeproposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required)
Fixed Value: proposal
... category I0..*CodeableConceptType of medication usage
Binding: medicationRequest Category Codes (example)
... priority ΣI0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required)
... doNotPerform ?!ΣI0..1booleanTrue if request is prohibiting action
... reported[x] SΣI1..1booleanReported rather than primary record
... medication[x] SΣI1..1CodeableConceptPrescribed Product
Binding: RTPBC Prescribable Product Code Value Set (extensible)
... subject SΣI1..1Reference(RTPBC Patient)Patient
... encounter I0..1Reference(Encounter)Encounter created as part of encounter/admission/stay
... supportingInformation I0..*Reference(Resource)Information to support ordering of the medication
... authoredOn SΣI1..1dateTimeWhen request was initially authored
... requester SΣI1..1Reference(US Core Practitioner Profile)Prescriber
... performer I0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType ΣI0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example)
... recorder I0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode I0..*CodeableConceptReason or indication for ordering or not ordering the medication
Binding: Condition/Problem/DiagnosisCodes (example)
... reasonReference I0..*Reference(Condition | Observation)Condition or observation that supports why the prescription is being written
... instantiatesCanonical ΣI0..*canonical()Instantiates FHIR protocol or definition
... instantiatesUri ΣI0..*uriInstantiates external protocol or definition
... basedOn ΣI0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier ΣI0..1IdentifierComposite request this is part of
... courseOfTherapyType I0..1CodeableConceptOverall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example)
... insurance I0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note I0..*AnnotationInformation about the prescription
... dosageInstruction SI0..*DosageHow the medication should be taken
... dispenseRequest SI1..1BackboneElementMedication supply authorization
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill I0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity I0..1SimpleQuantityFirst fill quantity
..... duration I0..1DurationFirst fill duration
.... dispenseInterval I0..1DurationMinimum period of time between dispenses
.... validityPeriod I0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed I0..1unsignedIntNumber of refills authorized
.... quantity SI1..1SimpleQuantityPrescribed Quantity
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣI1..1decimalQuantity in Billing Units
..... unit SΣI1..1stringBilling unit of measure
Binding: RTPBC Billing Unit Value Set (extensible)
..... system ΣI0..1uriSystem that defines coded unit form
..... code ΣI0..1codeCoded form of the unit
.... expectedSupplyDuration SI0..1DurationDays Supply
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣI0..1decimalDays Supply Value
..... comparator ?!ΣI0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit ΣI0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
..... code ΣI0..1codeCoded form of the unit
.... performer SI1..1Reference(RTPBC Pharmacy Organization)Pharmacy
... substitution SI1..1BackboneElementSubstitution
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] SI1..1booleanSubstitution Allowed
.... reason I0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription I0..1Reference(MedicationRequest)An order/prescription that is being replaced
... detectedIssue I0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory I0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet / Code
MedicationRequest.languagepreferredCommonLanguages
Max Binding: AllLanguages
MedicationRequest.statusrequiredFixed Value: draft
MedicationRequest.statusReasonexamplemedicationRequest Status Reason Codes
MedicationRequest.intentrequiredFixed Value: proposal
MedicationRequest.categoryexamplemedicationRequest Category Codes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.medication[x]extensibleRTPBCPrescribableProductCodeValueSet
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
MedicationRequest.dispenseRequest.quantity.unitextensibleRtbpcBillingUnitValueSet
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

Constraints

IdPathDetailsRequirements
dom-2MedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3MedicationRequestIf 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-4MedicationRequestIf 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-5MedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6MedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1MedicationRequest.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.intentAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.priorityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.doNotPerformAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.reported[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.medication[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.encounterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.supportingInformationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.authoredOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.requesterAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.performerTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.recorderAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.instantiatesCanonicalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.instantiatesUriAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.basedOnAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.groupIdentifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.courseOfTherapyTypeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.insuranceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dosageInstructionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequestAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.dispenseRequest.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.dispenseRequest.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.dispenseRequest.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.dispenseRequest.initialFillAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.initialFill.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.dispenseRequest.initialFill.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.dispenseRequest.initialFill.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.dispenseRequest.initialFill.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.dispenseRequest.initialFill.quantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.initialFill.durationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.dispenseIntervalAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.validityPeriodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.numberOfRepeatsAllowedAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.quantityAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.quantity.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.dispenseRequest.quantity.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.dispenseRequest.quantity.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.quantity.unitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.quantity.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.quantity.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.expectedSupplyDurationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.expectedSupplyDuration.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.dispenseRequest.expectedSupplyDuration.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.dispenseRequest.expectedSupplyDuration.valueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.expectedSupplyDuration.unitAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.expectedSupplyDuration.systemAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.expectedSupplyDuration.codeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.dispenseRequest.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.substitutionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.substitution.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.substitution.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.substitution.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationRequest.substitution.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.substitution.allowed[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.substitution.reasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.priorPrescriptionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.detectedIssueAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationRequest.eventHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())