minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.0.0 - STU 2
minimal Common Oncology Data Elements (mCODE) Implementation Guide
2.0.0 - STU 2
This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v2.0.0: STU 2) 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 
| Defining URL: | http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request |
| Version: | 2.0.0 |
| Name: | CancerRelatedMedicationRequest |
| Title: | Cancer-Related Medication Request Profile |
| Status: | Active as of 1/18/22 3:17 AM |
| Definition: | A record of a medication prescription or consumption associated with cancer treatment. The medication may reported by the prescriber, prescribing organization, or patient. It does not have to be directly observed. |
| Publisher: | HL7 International Clinical Interoperability Council |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-request
MedicationRequest resources associated with an in-scope patient and associated with cancer treatment MUST conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient that would reasonably be expected to conform to this profile (i.e., a prescription, administration, or medication exposure) SHOULD be published in this form.
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreMedicationRequestProfile
Summary
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
This structure is derived from USCoreMedicationRequestProfile
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest | I | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group mcode-reason-required: One of reasonCode or reasonReference SHALL be present |
  id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
 mcode-procedure-intent | S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (required) |
| mcode-treatment-termination-reason | S | 0..* | CodeableConcept | Treatment Termination Reason Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required) |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 0..* | Identifier | External ids for this request | |
| status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code 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 | ?!SΣ | 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 | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): The type of medication order. |
| 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 |
  reported[x] | SΣ | 0..1 | Reported rather than primary record | |
 reportedBoolean | boolean S | |||
  reportedReference | Reference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | RelatedPerson) | |||
| medication[x] | SΣ | 1..1 | Medication to be taken Binding: Medication Clinical Drug (extensible) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(US Core Medication Profile) | |||
| subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | Who or group medication request is for |
| encounter | S | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of encounter/admission/stay |
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |
| authoredOn | SΣ | 0..1 | dateTime | When request was initially authored |
| requester | SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile) | Who/What requested the Request |
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | 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(Practitioner | PractitionerRole) | Person who entered the request | |
| reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (extensible) |
| reasonReference | S | 0..* | Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile) | 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 | 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 | S | 0..* | Dosage | How the medication should be taken |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence | Σ | 0..1 | integer | The order of the dosage instructions |
| text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
| additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". |
| patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions |
| timing | Σ | 0..1 | Timing | When medication should be administered |
| asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. |
| route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. |
| method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. |
 doseAndRate | Σ | 0..* | Element | Amount of medication administered |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. |
| dose[x] | Σ | 0..1 | Amount of medication per dose | |
| doseRange | Range | |||
| doseQuantity | Quantity(SimpleQuantity) | |||
 rate[x] | Σ | 0..1 | Amount of medication per unit of time | |
 rateRatio | Ratio | |||
| rateRange | Range | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time |
| maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration |
| maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient |
| 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(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(MedicationRequest) | 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 | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | I | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group mcode-reason-required: One of reasonCode or reasonReference SHALL be present |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| mcode-procedure-intent | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (required) | |
| mcode-treatment-termination-reason | 0..* | CodeableConcept | Treatment Termination Reason Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required) | |
| status | ?!Σ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code 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. |
| category | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): The type of medication order. | |
| reported[x] | Σ | 0..1 | Reported rather than primary record | |
| reportedBoolean | boolean | |||
| reportedReference | Reference(US Core Practitioner Profile) | |||
| medication[x] | Σ | 1..1 | Medication to be taken Binding: Medication Clinical Drug (extensible) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(US Core Medication Profile) | |||
| subject | Σ | 1..1 | Reference(Cancer Patient Profile) | Who or group medication request is for |
| encounter | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of encounter/admission/stay | |
| authoredOn | Σ | 0..1 | dateTime | When request was initially authored |
| requester | Σ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile) | Who/What requested the Request |
| reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (extensible) | |
| reasonReference | 0..* | Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile) | Condition or observation that supports why the prescription is being written | |
| dosageInstruction | 0..* | Dosage | How the medication should be taken | |
| text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG |
| Documentation for this format | ||||
This structure is derived from USCoreMedicationRequestProfile
Summary
Must-Support: 5 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from USCoreMedicationRequestProfile
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | I | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group mcode-reason-required: One of reasonCode or reasonReference SHALL be present |
| id | Σ | 0..1 | string | 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) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| Slices for extension | S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| mcode-procedure-intent | S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (required) |
| mcode-treatment-termination-reason | S | 0..* | CodeableConcept | Treatment Termination Reason Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-treatment-termination-reason Binding: Treatment Termination Reason Value Set (required) |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 0..* | Identifier | External ids for this request | |
| status | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A code 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 | ?!SΣ | 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 | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): The type of medication order. |
| 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 |
| reported[x] | SΣ | 0..1 | Reported rather than primary record | |
| reportedBoolean | boolean S | |||
| reportedReference | Reference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | RelatedPerson) | |||
| medication[x] | SΣ | 1..1 | Medication to be taken Binding: Medication Clinical Drug (extensible) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(US Core Medication Profile) | |||
| subject | SΣ | 1..1 | Reference(Cancer Patient Profile) | Who or group medication request is for |
| encounter | S | 0..1 | Reference(US Core Encounter Profile) | Encounter created as part of encounter/admission/stay |
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |
| authoredOn | SΣ | 0..1 | dateTime | When request was initially authored |
| requester | SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | Cancer Patient Profile) | Who/What requested the Request |
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | 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(Practitioner | PractitionerRole) | Person who entered the request | |
| reasonCode | S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Cancer Disorder Value Set (extensible) |
| reasonReference | S | 0..* | Reference(Primary Cancer Condition Profile | Secondary Cancer Condition Profile) | 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 | 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 | S | 0..* | Dosage | How the medication should be taken |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| sequence | Σ | 0..1 | integer | The order of the dosage instructions |
| text | SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
| additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". |
| patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions |
| timing | Σ | 0..1 | Timing | When medication should be administered |
| asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |
| asNeededBoolean | boolean | |||
| asNeededCodeableConcept | CodeableConcept | |||
| site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. |
| route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. |
| method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. |
| doseAndRate | Σ | 0..* | Element | Amount of medication administered |
| id | 0..1 | string | Unique id for inter-element referencing | |
| Slices for extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |
| type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. |
| dose[x] | Σ | 0..1 | Amount of medication per dose | |
| doseRange | Range | |||
| doseQuantity | Quantity(SimpleQuantity) | |||
| rate[x] | Σ | 0..1 | Amount of medication per unit of time | |
| rateRatio | Ratio | |||
| rateRange | Range | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time |
| maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration |
| maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient |
| 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(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(MedicationRequest) | 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 | |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
| Path | Conformance | ValueSet |
| MedicationRequest.language | preferred | CommonLanguages Max Binding: AllLanguages |
| MedicationRequest.status | required | medicationrequest Status |
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codes |
| MedicationRequest.intent | required | medicationRequest Intent |
| MedicationRequest.category | preferred | medicationRequest Category Codes |
| MedicationRequest.priority | required | RequestPriority |
| MedicationRequest.medication[x] | extensible | Medication Clinical Drug |
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodes |
| MedicationRequest.reasonCode | extensible | CancerDisorderVS |
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes |
| MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions |
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodes |
| MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes |
| MedicationRequest.dosageInstruction.route | example | SNOMEDCTRouteCodes |
| MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodes |
| MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateType |
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode |
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
| Id | Grade | Path | Details | Requirements |
| mcode-reason-required | warning | MedicationRequest | One of reasonCode or reasonReference SHALL be present : reasonCode.exists() or reasonReference.exists() |
IG © 2019+ HL7 International Clinical Interoperability Council. Package hl7.fhir.us.mcode#2.0.0 based on FHIR 4.0.1. Generated 2022-01-18
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