0.3.0 - Second STU ballot

This page is part of the Da Vinci Coverage Requirements Discovery (CRD) FHIR IG (v0.3.0: STU 1 Ballot 2) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

StructureDefinition: MedicationRequestSTU3

The official URL for this profile is: 

http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/profile-medicationrequest-stu3

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest I0..*US Core Medication Request Profile
... 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: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-insurance SI0..*Reference(CoverageSTU3)Insurance
URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S0..*IdentifierExternal ids for this request
... definition Σ0..*Reference(ActivityDefinition | PlanDefinition)Protocol or definition
... basedOn Σ0..*Reference(MedicationRequestSTU3)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... status ?!SΣ1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: MedicationRequestStatus (required)
Fixed Value: draft
... intent ?!Σ1..1codeproposal | plan | order | instance-order
Binding: MedicationRequestIntent (required)
... category 0..1CodeableConceptType of medication usage
Binding: MedicationRequestCategory (preferred)
... priority Σ0..1coderoutine | urgent | stat | asap
Binding: MedicationRequestPriority (required)
... medication[x] SΣ1..1Reference(US Core Medication Profile), CodeableConceptMedication to be taken
Binding: Medication Clinical Drug (RxNorm) (extensible)
... subject SΣ1..1Reference(PatientSTU3)Who or group medication request is for
... context 0..1Reference(EncounterSTU3)Created during encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn SΣ1..1dateTimeWhen request was initially authored
... requester SΣI1..1BackboneElementWho/What requested the Request
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... agent SΣ1..1Reference(PractitionerSTU3)Who ordered the initial medication(s)
.... onBehalfOf ΣI0..1Reference(Organization)Organization agent is acting for
... recorder 0..1Reference(Practitioner)Person who entered the request
... reasonCode S0..*CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... reasonReference S0..*Reference(US Core Condition Profile | US Core Result Observation)Condition or Observation that supports why the prescription is being written
... note 0..*AnnotationInformation about the prescription
... dosageInstruction S0..*DosageHow the medication should be taken
... dispenseRequest SI0..1BackboneElementMedication supply authorization
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... 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
.... performer 0..1Reference(Organization)Intended dispenser
... substitution SI0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... allowed ?!1..1booleanWhether substitution is allowed or not
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription S0..1Reference(MedicationRequestSTU3)An order/prescription that is being replaced
... detectedIssue 0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest I0..*US Core Medication Request Profile
... 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: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... ext-insurance SI0..*Reference(CoverageSTU3)Insurance
URL: http://hl7.org/fhir/us/davinci-crd/STU3/StructureDefinition/ext-insurance
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier S0..*IdentifierExternal ids for this request
... definition Σ0..*Reference(ActivityDefinition | PlanDefinition)Protocol or definition
... basedOn Σ0..*Reference(MedicationRequestSTU3)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... status ?!SΣ1..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: MedicationRequestStatus (required)
Fixed Value: draft
... intent ?!Σ1..1codeproposal | plan | order | instance-order
Binding: MedicationRequestIntent (required)
... category 0..1CodeableConceptType of medication usage
Binding: MedicationRequestCategory (preferred)
... priority Σ0..1coderoutine | urgent | stat | asap
Binding: MedicationRequestPriority (required)
... medication[x] SΣ1..1Reference(US Core Medication Profile), CodeableConceptMedication to be taken
Binding: Medication Clinical Drug (RxNorm) (extensible)
... subject SΣ1..1Reference(PatientSTU3)Who or group medication request is for
... context 0..1Reference(EncounterSTU3)Created during encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn SΣ1..1dateTimeWhen request was initially authored
... requester SΣI1..1BackboneElementWho/What requested the Request
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... agent SΣ1..1Reference(PractitionerSTU3)Who ordered the initial medication(s)
.... onBehalfOf ΣI0..1Reference(Organization)Organization agent is acting for
... recorder 0..1Reference(Practitioner)Person who entered the request
... reasonCode S0..*CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... reasonReference S0..*Reference(US Core Condition Profile | US Core Result Observation)Condition or Observation that supports why the prescription is being written
... note 0..*AnnotationInformation about the prescription
... dosageInstruction S0..*DosageHow the medication should be taken
... dispenseRequest SI0..1BackboneElementMedication supply authorization
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... 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
.... performer 0..1Reference(Organization)Intended dispenser
... substitution SI0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... allowed ?!1..1booleanWhether substitution is allowed or not
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription S0..1Reference(MedicationRequestSTU3)An order/prescription that is being replaced
... detectedIssue 0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory 0..*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.statusrequiredFixed Value: draft
MedicationRequest.medication[x]extensibleMedication Clinical Drug (RxNorm)
MedicationRequest.reasonCodeexampleCondition/Problem/Diagnosis Codes

Constraints

IdPathDetailsRequirements
dom-2MedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1MedicationRequestIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.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-3MedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
ele-1MedicationRequest.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1MedicationRequest.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.extensionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1MedicationRequest.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.requesterAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
mps-1MedicationRequest.requesteronBehalfOf can only be specified if agent is practitioner or device
: (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()
ele-1MedicationRequest.dispenseRequestAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1MedicationRequest.substitutionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())