QI-Core Implementation Guide
4.1.0 - release
This page is part of the Quality Improvement Core Framework (v4.1.0: STU 4) based on FHIR R4. The current version which supercedes this version is 4.1.1. For a full list of available versions, see the Directory of published versions
Defining URL: | http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest |
Version: | 4.1.0 |
Name: | QICoreMedicationRequest |
Status: | Draft as of 8/22/18 |
Definition: | Profile of MedicationRequest for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors. |
Publisher: | http://www.hl7.org/Special/committees/cqi/index.cfm |
Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest
To create an expression specifically requesting information that a MedicationRequest intentionally did not occur for a medical, patient or system reason, use the profile QICore-Medicationnotrequested.
The MedicationRequest and MedicationNotRequested profiles represent the positive and negative statements for a medication order. To ensure instances retrieved meet positive intent, applications should check the status and doNotPerform elements as illustrated in this example:
define MedicationRequest:
[MedicationRequest] R
where R.status in { 'active', 'on-hold', 'completed', 'draft' }
and R.doNotPerform is not true
The following example illustrates the use of the MedicationRequest profile:
define "Antithrombotic Therapy at Discharge":
[MedicationRequest: medication in "Antithrombotic Therapy"] Antithrombotic
where (Antithrombotic.isCommunity() or Antithrombotic.isDischarge())
and Antithrombotic.status in { 'active', 'completed' }
and Antithrombotic.intent = 'order'
and Antithrombotic.doNotPerform is not true
Penicillin MedicationRequest Example |
Cumulative Medication Duration Example |
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from USCoreMedicationRequestProfile
Summary
Mandatory: 1 element
Must-Support: 25 elements
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
This structure is derived from USCoreMedicationRequestProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group | |
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): Type of medication usage |
doNotPerform | S | 0..1 | boolean | True if request is prohibiting action Fixed Value: false |
subject | S | 1..1 | Reference(QICorePatient) | Who or group medication request is for |
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay |
authoredOn | S | 1..1 | dateTime | When request was initially authored |
requester | S | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | Who/What requested the Request |
recorder | 0..1 | Reference(QICorePractitioner | QICorePractitionerRole) | Person who entered the request | |
dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
timing | S | 0..1 | Timing | When medication should be administered |
repeat | S | 0..1 | Element | When the event is to occur |
frequency | S | 0..1 | positiveInt | Event occurs frequency times per period |
frequencyMax | S | 0..1 | positiveInt | Event occurs up to frequencyMax times per period |
period | S | 0..1 | decimal | Event occurs frequency times per period |
periodMax | S | 0..1 | decimal | Upper limit of period (3-4 hours) |
periodUnit | S | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) |
asNeeded[x] | S | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) |
site | S | 0..1 | CodeableConcept | Body site to administer to |
route | 0..1 | CodeableConcept | How drug should enter body | |
method | 0..1 | CodeableConcept | Technique for administering medication | |
doseAndRate | S | 0..* | Element | Amount of medication administered |
dose[x] | S | 0..1 | Range, SimpleQuantity | Amount of medication per dose |
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization |
initialFill | S | 0..0 | ||
dispenseInterval | S | 0..1 | Duration | Minimum period of time between dispenses |
validityPeriod | S | 0..1 | Period | Time period supply is authorized for |
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized |
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense |
expectedSupplyDuration | S | 0..1 | Duration | Number of days supply per dispense |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group | |
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 | |
extension | 0..* | Extension | Additional content defined by implementations | |
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): Type of medication usage |
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 | ?!SΣ | 0..1 | boolean | True if request is prohibiting action Fixed Value: false |
reported[x] | SΣ | 0..1 | Reported rather than primary record | |
reportedBoolean | boolean | |||
reportedReference | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | |||
medication[x] | SΣ | 1..1 | Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(US Core Medication Profile) | |||
subject | SΣ | 1..1 | Reference(QICorePatient) | Who or group medication request is for |
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay |
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |
authoredOn | SΣ | 1..1 | dateTime | When request was initially authored |
requester | SΣ | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | 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(QICorePractitioner | QICorePractitionerRole) | Person who entered the request | |
reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |
reasonReference | 0..* | Reference(Condition | Observation) | 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 | SΣ | 0..1 | Timing | When medication should be 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 | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
event | Σ | 0..* | dateTime | When the event occurs |
repeat | SΣI | 0..1 | Element | When the event is to occur |
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 | |
bounds[x] | Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |
boundsDuration | Duration | |||
boundsRange | Range | |||
boundsPeriod | Period | |||
count | Σ | 0..1 | positiveInt | Number of times to repeat |
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat |
duration | Σ | 0..1 | decimal | How long when it happens |
durationMax | Σ | 0..1 | decimal | How long when it happens (Max) |
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
frequency | SΣ | 0..1 | positiveInt | Event occurs frequency times per period |
frequencyMax | SΣ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period |
period | SΣ | 0..1 | decimal | Event occurs frequency times per period |
periodMax | SΣ | 0..1 | decimal | Upper limit of period (3-4 hours) |
periodUnit | SΣ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) |
timeOfDay | Σ | 0..* | time | Time of day for action |
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. |
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after) |
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. |
asNeeded[x] | SΣ | 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 | SΣ | 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 | SΣ | 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] | SΣ | 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 | S | 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 |
dispenseInterval | S | 0..1 | Duration | Minimum period of time between dispenses |
validityPeriod | S | 0..1 | Period | Time period supply is authorized for |
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized |
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense |
expectedSupplyDuration | S | 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 | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group | |
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): Type of medication usage | |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action Fixed Value: false |
reported[x] | Σ | 0..1 | Reported rather than primary record | |
reportedBoolean | boolean | |||
reportedReference | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | |||
medication[x] | Σ | 1..1 | Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(US Core Medication Profile) | |||
subject | Σ | 1..1 | Reference(QICorePatient) | Who or group medication request is for |
encounter | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay | |
authoredOn | Σ | 1..1 | dateTime | When request was initially authored |
requester | Σ | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | Who/What requested the Request |
dosageInstruction | 0..* | Dosage | How the medication should be taken | |
text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG |
timing | Σ | 0..1 | Timing | When medication should be administered |
repeat | ΣI | 0..1 | Element | When the event is to occur |
frequency | Σ | 0..1 | positiveInt | Event occurs frequency times per period |
frequencyMax | Σ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period |
period | Σ | 0..1 | decimal | Event occurs frequency times per period |
periodMax | Σ | 0..1 | decimal | Upper limit of period (3-4 hours) |
periodUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
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. |
doseAndRate | Σ | 0..* | Element | Amount of medication administered |
dose[x] | Σ | 0..1 | Amount of medication per dose | |
doseRange | Range | |||
doseQuantity | Quantity(SimpleQuantity) | |||
dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |
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 | |
Documentation for this format |
This structure is derived from USCoreMedicationRequestProfile
Summary
Mandatory: 1 element
Must-Support: 25 elements
Fixed Value: 1 element
Prohibited: 1 element
Structures
This structure refers to these other structures:
Differential View
This structure is derived from USCoreMedicationRequestProfile
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group | |
category | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (preferred): Type of medication usage |
doNotPerform | S | 0..1 | boolean | True if request is prohibiting action Fixed Value: false |
subject | S | 1..1 | Reference(QICorePatient) | Who or group medication request is for |
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay |
authoredOn | S | 1..1 | dateTime | When request was initially authored |
requester | S | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | Who/What requested the Request |
recorder | 0..1 | Reference(QICorePractitioner | QICorePractitionerRole) | Person who entered the request | |
dosageInstruction | S | 0..* | Dosage | How the medication should be taken |
timing | S | 0..1 | Timing | When medication should be administered |
repeat | S | 0..1 | Element | When the event is to occur |
frequency | S | 0..1 | positiveInt | Event occurs frequency times per period |
frequencyMax | S | 0..1 | positiveInt | Event occurs up to frequencyMax times per period |
period | S | 0..1 | decimal | Event occurs frequency times per period |
periodMax | S | 0..1 | decimal | Upper limit of period (3-4 hours) |
periodUnit | S | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) |
asNeeded[x] | S | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) |
site | S | 0..1 | CodeableConcept | Body site to administer to |
route | 0..1 | CodeableConcept | How drug should enter body | |
method | 0..1 | CodeableConcept | Technique for administering medication | |
doseAndRate | S | 0..* | Element | Amount of medication administered |
dose[x] | S | 0..1 | Range, SimpleQuantity | Amount of medication per dose |
dispenseRequest | S | 0..1 | BackboneElement | Medication supply authorization |
initialFill | S | 0..0 | ||
dispenseInterval | S | 0..1 | Duration | Minimum period of time between dispenses |
validityPeriod | S | 0..1 | Period | Time period supply is authorized for |
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized |
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense |
expectedSupplyDuration | S | 0..1 | Duration | Number of days supply per dispense |
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group | |
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 | |
extension | 0..* | Extension | Additional content defined by implementations | |
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): Type of medication usage |
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 | ?!SΣ | 0..1 | boolean | True if request is prohibiting action Fixed Value: false |
reported[x] | SΣ | 0..1 | Reported rather than primary record | |
reportedBoolean | boolean | |||
reportedReference | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | |||
medication[x] | SΣ | 1..1 | Medication to be taken Binding: US Core Medication Codes (RxNorm) (extensible): Prescribable medications | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(US Core Medication Profile) | |||
subject | SΣ | 1..1 | Reference(QICorePatient) | Who or group medication request is for |
encounter | S | 0..1 | Reference(QICoreEncounter) | Encounter created as part of encounter/admission/stay |
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |
authoredOn | SΣ | 1..1 | dateTime | When request was initially authored |
requester | SΣ | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreOrganization) | 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(QICorePractitioner | QICorePractitionerRole) | Person who entered the request | |
reasonCode | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |
reasonReference | 0..* | Reference(Condition | Observation) | 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 | SΣ | 0..1 | Timing | When medication should be 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 | |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
event | Σ | 0..* | dateTime | When the event occurs |
repeat | SΣI | 0..1 | Element | When the event is to occur |
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 | |
bounds[x] | Σ | 0..1 | Length/Range of lengths, or (Start and/or end) limits | |
boundsDuration | Duration | |||
boundsRange | Range | |||
boundsPeriod | Period | |||
count | Σ | 0..1 | positiveInt | Number of times to repeat |
countMax | Σ | 0..1 | positiveInt | Maximum number of times to repeat |
duration | Σ | 0..1 | decimal | How long when it happens |
durationMax | Σ | 0..1 | decimal | How long when it happens (Max) |
durationUnit | Σ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
frequency | SΣ | 0..1 | positiveInt | Event occurs frequency times per period |
frequencyMax | SΣ | 0..1 | positiveInt | Event occurs up to frequencyMax times per period |
period | SΣ | 0..1 | decimal | Event occurs frequency times per period |
periodMax | SΣ | 0..1 | decimal | Upper limit of period (3-4 hours) |
periodUnit | SΣ | 0..1 | code | s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: UnitsOfTime (required): A unit of time (units from UCUM). |
dayOfWeek | Σ | 0..* | code | mon | tue | wed | thu | fri | sat | sun Binding: DaysOfWeek (required) |
timeOfDay | Σ | 0..* | time | Time of day for action |
when | Σ | 0..* | code | Code for time period of occurrence Binding: EventTiming (required): Real world event relating to the schedule. |
offset | Σ | 0..1 | unsignedInt | Minutes from event (before or after) |
code | Σ | 0..1 | CodeableConcept | BID | TID | QID | AM | PM | QD | QOD | + Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern. |
asNeeded[x] | SΣ | 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 | SΣ | 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 | SΣ | 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] | SΣ | 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 | S | 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 |
dispenseInterval | S | 0..1 | Duration | Minimum period of time between dispenses |
validityPeriod | S | 0..1 | Period | Time period supply is authorized for |
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | Number of refills authorized |
quantity | S | 0..1 | SimpleQuantity | Amount of medication to supply per dispense |
expectedSupplyDuration | S | 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 | USCoreMedicationCodes |
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes |
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes |
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes |
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructions |
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | required | UnitsOfTime |
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | required | UnitsOfTime |
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | required | DaysOfWeek |
MedicationRequest.dosageInstruction.timing.repeat.when | required | EventTiming |
MedicationRequest.dosageInstruction.timing.code | preferred | TimingAbbreviation |
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 |
dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
dom-3 | error | MedicationRequest | If 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-4 | error | MedicationRequest | If 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-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
dom-6 | Best Practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
ele-1 | error | MedicationRequest.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.intent | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.priority | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.doNotPerform | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.reported[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.medication[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.encounter | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.supportingInformation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.authoredOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.requester | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.performerType | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.recorder | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.instantiatesCanonical | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.instantiatesUri | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.basedOn | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.groupIdentifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.courseOfTherapyType | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.insurance | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dosageInstruction.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dosageInstruction.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dosageInstruction.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dosageInstruction.sequence | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.additionalInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.patientInstruction | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dosageInstruction.timing.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dosageInstruction.timing.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.event | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
tim-1 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a duration, there needs to be duration units : duration.empty() or durationUnit.exists() | |
tim-2 | error | MedicationRequest.dosageInstruction.timing.repeat | if there's a period, there needs to be period units : period.empty() or periodUnit.exists() | |
tim-4 | error | MedicationRequest.dosageInstruction.timing.repeat | duration SHALL be a non-negative value : duration.exists() implies duration >= 0 | |
tim-5 | error | MedicationRequest.dosageInstruction.timing.repeat | period SHALL be a non-negative value : period.exists() implies period >= 0 | |
tim-6 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a periodMax, there must be a period : periodMax.empty() or period.exists() | |
tim-7 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a durationMax, there must be a duration : durationMax.empty() or duration.exists() | |
tim-8 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a countMax, there must be a count : countMax.empty() or count.exists() | |
tim-9 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's an offset, there must be a when (and not C, CM, CD, CV) : offset.empty() or (when.exists() and ((when in ('C' | 'CM' | 'CD' | 'CV')).not())) | |
tim-10 | error | MedicationRequest.dosageInstruction.timing.repeat | If there's a timeOfDay, there cannot be a when, or vice versa : timeOfDay.empty() or when.empty() | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dosageInstruction.timing.repeat.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.bounds[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.count | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.countMax | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.duration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.durationMax | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.durationUnit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.frequency | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.frequencyMax | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.period | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.periodMax | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.periodUnit | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.timeOfDay | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.when | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.repeat.offset | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.timing.code | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.asNeeded[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.site | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.route | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dosageInstruction.doseAndRate.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate.type | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate.dose[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.doseAndRate.rate[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.maxDosePerPeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.maxDosePerAdministration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dosageInstruction.maxDosePerLifetime | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dispenseRequest | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dispenseRequest.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dispenseRequest.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dispenseRequest.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dispenseRequest.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dispenseRequest.initialFill.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dispenseRequest.initialFill.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dispenseRequest.initialFill.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.dispenseRequest.initialFill.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dispenseRequest.initialFill.duration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dispenseRequest.dispenseInterval | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dispenseRequest.validityPeriod | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dispenseRequest.quantity | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dispenseRequest.expectedSupplyDuration | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.dispenseRequest.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.substitution | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.substitution.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.substitution.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.substitution.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | MedicationRequest.substitution.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
ele-1 | error | MedicationRequest.substitution.allowed[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.substitution.reason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.priorPrescription | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.detectedIssue | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ele-1 | error | MedicationRequest.eventHistory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |