This page is part of the Clinical Guidelines (v2.0.0-ballot: STU2 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions
Official URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-medicationrequest | Version: 2.0.0-ballot | |||
Active as of 2023-12-19 | Computable Name: CPGMedicationRequest |
Recommendation for a specific medication as part of the delivery of a computable clinical practice guideline
This is an activity request profile
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | MedicationRequest | Ordering of medication for patient or group | |
![]() ![]() ![]() | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() | S | 0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale |
![]() ![]() ![]() | S | 0..* | Identifier | External ids for this request |
![]() ![]() ![]() | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown |
![]() ![]() ![]() | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option |
![]() ![]() ![]() | S | 0..* | CodeableConcept | Type of medication usage |
![]() ![]() ![]() | S | 0..1 | code | routine | urgent | asap | stat |
![]() ![]() ![]() | S | 0..1 | boolean | True if request is prohibiting action |
![]() ![]() ![]() | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken |
![]() ![]() ![]() | S | 1..1 | Reference(CPG Patient) | Who or group medication request is for |
![]() ![]() ![]() | S | 0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay |
![]() ![]() ![]() | S | 0..* | Reference(Resource) | Pertinent information |
![]() ![]() ![]() | S | 0..* | canonical() | Source |
![]() |
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | MedicationRequest | Ordering of medication for patient or group | |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() | S | 0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | S | 0..* | Identifier | External ids for this request |
![]() ![]() ![]() | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
![]() ![]() ![]() | ?!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. |
![]() ![]() ![]() | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. |
![]() ![]() ![]() | SΣ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. |
![]() ![]() ![]() | ?!SΣ | 0..1 | boolean | True if request is prohibiting action |
![]() ![]() ![]() | SΣ | 1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | Reference(Medication) | |||
![]() ![]() ![]() | SΣ | 1..1 | Reference(CPG Patient) | Who or group medication request is for |
![]() ![]() ![]() | S | 0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay |
![]() ![]() ![]() | S | 0..* | Reference(Resource) | Pertinent information |
![]() ![]() ![]() | SΣ | 0..* | canonical() | Source |
![]() |
Path | Conformance | ValueSet |
MedicationRequest.status | required | medicationrequest Status |
MedicationRequest.intent | required | medicationRequest Intent |
MedicationRequest.category | example | medicationRequest Category Codes |
MedicationRequest.priority | required | RequestPriority |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes |
Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | MedicationRequest | Ordering of medication for patient or group | |||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() | S | 0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | ||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | S | 0..* | Identifier | External ids for this request | ||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
![]() ![]() ![]() | ?!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. | ||||
![]() ![]() ![]() | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | ||||
![]() ![]() ![]() | SΣ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
![]() ![]() ![]() | ?!SΣ | 0..1 | boolean | True if request is prohibiting action | ||||
![]() ![]() ![]() | Σ | 0..1 | Reported rather than primary record | |||||
![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
![]() ![]() ![]() | SΣ | 1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | Reference(Medication) | |||||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(CPG Patient) | Who or group medication request is for | ||||
![]() ![]() ![]() | S | 0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay | ||||
![]() ![]() ![]() | S | 0..* | Reference(Resource) | Pertinent information | ||||
![]() ![]() ![]() | Σ | 0..1 | dateTime | When request was initially authored | ||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | ||||
![]() ![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
![]() ![]() ![]() | 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. | ||||
![]() ![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||
![]() ![]() ![]() | SΣ | 0..* | canonical() | Source | ||||
![]() ![]() ![]() | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
![]() ![]() ![]() | Σ | 0..1 | Identifier | Composite request this is part of | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
![]() ![]() ![]() | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
![]() ![]() ![]() | 0..* | Annotation | Information about the prescription | |||||
![]() ![]() ![]() | 0..* | Dosage | How the medication should be taken | |||||
![]() ![]() ![]() | 0..1 | BackboneElement | Medication supply authorization | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | First fill details | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | First fill quantity | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | Duration | First fill duration | |||||
![]() ![]() ![]() ![]() | 0..1 | Duration | Minimum period of time between dispenses | |||||
![]() ![]() ![]() ![]() | 0..1 | Period | Time period supply is authorized for | |||||
![]() ![]() ![]() ![]() | 0..1 | unsignedInt | Number of refills authorized | |||||
![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
![]() ![]() ![]() ![]() | 0..1 | Duration | Number of days supply per dispense | |||||
![]() ![]() ![]() ![]() | 0..1 | Reference(Organization) | Intended dispenser | |||||
![]() ![]() ![]() | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
![]() ![]() ![]() | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
![]() ![]() ![]() | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
![]() |
Path | Conformance | ValueSet | ||||
MedicationRequest.language | preferred | CommonLanguages
| ||||
MedicationRequest.status | required | medicationrequest Status | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
MedicationRequest.intent | required | medicationRequest Intent | ||||
MedicationRequest.category | example | medicationRequest Category Codes | ||||
MedicationRequest.priority | required | RequestPriority | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from MedicationRequest
Summary
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | MedicationRequest | Ordering of medication for patient or group | |
![]() ![]() ![]() | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() | S | 0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale |
![]() ![]() ![]() | S | 0..* | Identifier | External ids for this request |
![]() ![]() ![]() | S | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown |
![]() ![]() ![]() | S | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option |
![]() ![]() ![]() | S | 0..* | CodeableConcept | Type of medication usage |
![]() ![]() ![]() | S | 0..1 | code | routine | urgent | asap | stat |
![]() ![]() ![]() | S | 0..1 | boolean | True if request is prohibiting action |
![]() ![]() ![]() | S | 1..1 | CodeableConcept, Reference(Medication) | Medication to be taken |
![]() ![]() ![]() | S | 1..1 | Reference(CPG Patient) | Who or group medication request is for |
![]() ![]() ![]() | S | 0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay |
![]() ![]() ![]() | S | 0..* | Reference(Resource) | Pertinent information |
![]() ![]() ![]() | S | 0..* | canonical() | Source |
![]() |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints![]() |
---|---|---|---|---|
![]() ![]() | 0..* | MedicationRequest | Ordering of medication for patient or group | |
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() ![]() | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
![]() ![]() ![]() | S | 0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale |
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() ![]() | S | 0..* | Identifier | External ids for this request |
![]() ![]() ![]() | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
![]() ![]() ![]() | ?!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. |
![]() ![]() ![]() | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. |
![]() ![]() ![]() | SΣ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. |
![]() ![]() ![]() | ?!SΣ | 0..1 | boolean | True if request is prohibiting action |
![]() ![]() ![]() | SΣ | 1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
![]() ![]() ![]() ![]() | CodeableConcept | |||
![]() ![]() ![]() ![]() | Reference(Medication) | |||
![]() ![]() ![]() | SΣ | 1..1 | Reference(CPG Patient) | Who or group medication request is for |
![]() ![]() ![]() | S | 0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay |
![]() ![]() ![]() | S | 0..* | Reference(Resource) | Pertinent information |
![]() ![]() ![]() | SΣ | 0..* | canonical() | Source |
![]() |
Path | Conformance | ValueSet |
MedicationRequest.status | required | medicationrequest Status |
MedicationRequest.intent | required | medicationRequest Intent |
MedicationRequest.category | example | medicationRequest Category Codes |
MedicationRequest.priority | required | RequestPriority |
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes |
Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints![]() | ||||
---|---|---|---|---|---|---|---|---|
![]() ![]() | 0..* | MedicationRequest | Ordering of medication for patient or group | |||||
![]() ![]() ![]() | Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() ![]() | Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() ![]() | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() ![]() | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() ![]() | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
![]() ![]() ![]() | 0..* | Resource | Contained, inline Resources | |||||
![]() ![]() ![]() | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
![]() ![]() ![]() | S | 0..1 | markdown | CPG Rationale Extension URL: http://hl7.org/fhir/uv/cpg/StructureDefinition/cpg-rationale | ||||
![]() ![]() ![]() | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() ![]() | S | 0..* | Identifier | External ids for this request | ||||
![]() ![]() ![]() | ?!SΣ | 1..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Reason for current status Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
![]() ![]() ![]() | ?!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. | ||||
![]() ![]() ![]() | S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | ||||
![]() ![]() ![]() | SΣ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
![]() ![]() ![]() | ?!SΣ | 0..1 | boolean | True if request is prohibiting action | ||||
![]() ![]() ![]() | Σ | 0..1 | Reported rather than primary record | |||||
![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
![]() ![]() ![]() | SΣ | 1..1 | Medication to be taken Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | Reference(Medication) | |||||||
![]() ![]() ![]() | SΣ | 1..1 | Reference(CPG Patient) | Who or group medication request is for | ||||
![]() ![]() ![]() | S | 0..1 | Reference(CPG Encounter) | Encounter created as part of encounter/admission/stay | ||||
![]() ![]() ![]() | S | 0..* | Reference(Resource) | Pertinent information | ||||
![]() ![]() ![]() | Σ | 0..1 | dateTime | When request was initially authored | ||||
![]() ![]() ![]() | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | ||||
![]() ![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
![]() ![]() ![]() | 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. | ||||
![]() ![]() ![]() | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||
![]() ![]() ![]() | SΣ | 0..* | canonical() | Source | ||||
![]() ![]() ![]() | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
![]() ![]() ![]() | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
![]() ![]() ![]() | Σ | 0..1 | Identifier | Composite request this is part of | ||||
![]() ![]() ![]() | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
![]() ![]() ![]() | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
![]() ![]() ![]() | 0..* | Annotation | Information about the prescription | |||||
![]() ![]() ![]() | 0..* | Dosage | How the medication should be taken | |||||
![]() ![]() ![]() | 0..1 | BackboneElement | Medication supply authorization | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 0..1 | BackboneElement | First fill details | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | First fill quantity | |||||
![]() ![]() ![]() ![]() ![]() | 0..1 | Duration | First fill duration | |||||
![]() ![]() ![]() ![]() | 0..1 | Duration | Minimum period of time between dispenses | |||||
![]() ![]() ![]() ![]() | 0..1 | Period | Time period supply is authorized for | |||||
![]() ![]() ![]() ![]() | 0..1 | unsignedInt | Number of refills authorized | |||||
![]() ![]() ![]() ![]() | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
![]() ![]() ![]() ![]() | 0..1 | Duration | Number of days supply per dispense | |||||
![]() ![]() ![]() ![]() | 0..1 | Reference(Organization) | Intended dispenser | |||||
![]() ![]() ![]() | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
![]() ![]() ![]() ![]() | 0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() ![]() | 0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() ![]() | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() ![]() | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
![]() ![]() ![]() ![]() ![]() | boolean | |||||||
![]() ![]() ![]() ![]() ![]() | CodeableConcept | |||||||
![]() ![]() ![]() ![]() | 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. | |||||
![]() ![]() ![]() | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
![]() ![]() ![]() | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
![]() ![]() ![]() | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
![]() |
Path | Conformance | ValueSet | ||||
MedicationRequest.language | preferred | CommonLanguages
| ||||
MedicationRequest.status | required | medicationrequest Status | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
MedicationRequest.intent | required | medicationRequest Intent | ||||
MedicationRequest.category | example | medicationRequest Category Codes | ||||
MedicationRequest.priority | required | RequestPriority | ||||
MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | 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 | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from MedicationRequest
Summary
Must-Support: 12 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron