This is the set of resources that conform to both US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest) and US Core MedicationRequest Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest).
Name | Flags | Card. | Type | Description & Constraints | ||||
---|---|---|---|---|---|---|---|---|
MedicationRequest | C | 0..* | Ordering of medication for patient or group dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management us-core-21: requester SHALL be present if intent is "order" | |||||
meta | Σ | 0..1 | Meta | Metadata about the resource ele-1: All FHIR elements must have a @value or children | ||||
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children | ||||
language | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
ele-1: All FHIR elements must have a @value or children | |||||
text | 0..1 | Narrative | Text summary of the resource, for human interpretation ele-1: All FHIR elements must have a @value or children | |||||
contained | 0..* | Resource | Contained, inline Resources | |||||
extension | 0..* | Extension | left: Additional content defined by implementations; right: Extension ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
identifier | 0..* | Identifier | External ids for this request ele-1: All FHIR elements must have a @value or children | |||||
status | ?!SΣ | 1..1 | code | left: (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown; right: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription. ele-1: All FHIR elements must have a @value or children | ||||
statusReason | 0..1 | CodeableConcept | Reason for current status Binding: ?? (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children | |||||
intent | ?!SΣ | 1..1 | code | left: (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option; right: proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: ?? (required): The kind of medication order. ele-1: All FHIR elements must have a @value or children | ||||
category | S | 0..* | CodeableConcept | left: (USCDI) Type of medication usage; right: Type of medication usage Binding: ?? (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. ele-1: All FHIR elements must have a @value or children | ||||
priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children | ||||
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action ele-1: All FHIR elements must have a @value or children | ||||
reported[x] | SΣ | 0..1 | left: (USCDI) Reported rather than primary record; right: Reported rather than primary record ele-1: All FHIR elements must have a @value or children | |||||
reportedBoolean | boolean S | |||||||
reportedReference | Reference S(US Core Practitioner Profile S | US Core Organization Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | #sd-us-core-practitioner-us-core-practitioner) | |||||||
medication[x] | SΣ | 1..1 | left: (USCDI) Medication to be taken; right: Medication to be taken Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(US Core Medication Profile | #sd-us-core-medication-us-core-medication) | |||||||
subject | SΣ | 1..1 | Reference(US Core Patient Profile | #sd-us-core-patient-us-core-patient) | left: (USCDI) Who or group medication request is for; right: Who or group medication request is for ele-1: All FHIR elements must have a @value or children | ||||
encounter | S | 0..1 | Reference(US Core Encounter Profile | #sd-us-core-encounter-us-core-encounter) | left: (USCDI) Encounter created as part of encounter/admission/stay; right: Encounter created as part of encounter/admission/stay ele-1: All FHIR elements must have a @value or children | ||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication ele-1: All FHIR elements must have a @value or children | |||||
authoredOn | SΣ | 0..1 | dateTime | left: (USCDI) When request was initially authored; right: When request was initially authored ele-1: All FHIR elements must have a @value or children | ||||
requester | SΣ | 0..1 | Reference(US Core Practitioner Profile S | US Core Patient Profile | US Core Organization Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device | #sd-us-core-practitioner-us-core-practitioner) | left: (USCDI) Who/What requested the Request; right: Who/What requested the Request ele-1: All FHIR elements must have a @value or children | ||||
performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration ele-1: All FHIR elements must have a @value or children | |||||
performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ?? (example): Identifies the type of individual that is desired to administer the medication. ele-1: All FHIR elements must have a @value or children | ||||
recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request ele-1: All FHIR elements must have a @value or children | |||||
reasonCode | 0..* | CodeableConcept | left: (USCDI) Reason or indication for ordering or not ordering the medication; right: 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: Reason or indication for ordering or not ordering the medication Binding: ?? (extensible) ele-1: All FHIR elements must have a @value or children | |||||
reasonReference | 0..* | Reference(Condition | Observation) | left: (USCDI) US Core Condition or Observation that supports the prescription; right: 𝗔𝗗𝗗𝗜𝗧𝗜𝗢𝗡𝗔𝗟 𝗨𝗦𝗖𝗗𝗜: US Core Condition or Observation that supports the prescription ele-1: All FHIR elements must have a @value or children | |||||
instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition ele-1: All FHIR elements must have a @value or children | ||||
instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition ele-1: All FHIR elements must have a @value or children | ||||
basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills ele-1: All FHIR elements must have a @value or children | ||||
groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of ele-1: All FHIR elements must have a @value or children | ||||
courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: ?? (example): Identifies the overall pattern of medication administratio. ele-1: All FHIR elements must have a @value or children | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage ele-1: All FHIR elements must have a @value or children | |||||
note | 0..* | Annotation | Information about the prescription ele-1: All FHIR elements must have a @value or children | |||||
dosageInstruction | S | 0..* | Dosage | left: (USCDI) How the medication should be taken; right: How the medication should be taken ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions ele-1: All FHIR elements must have a @value or children | ||||
text | SΣ | 0..1 | string | left: (USCDI) Free text dosage instructions e.g. SIG; right: Free text dosage instructions e.g. SIG ele-1: All FHIR elements must have a @value or children | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". ele-1: All FHIR elements must have a @value or children | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions ele-1: All FHIR elements must have a @value or children | ||||
timing | SΣ | 0..1 | Timing | left: (USCDI) When medication should be administered; right: When medication should be administered ele-1: All FHIR elements must have a @value or children | ||||
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: ?? (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. ele-1: All FHIR elements must have a @value or children | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body. ele-1: All FHIR elements must have a @value or children | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: ?? (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. ele-1: All FHIR elements must have a @value or children | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: ?? (example): A coded concept describing the technique by which the medicine is administered. ele-1: All FHIR elements must have a @value or children | ||||
doseAndRate | SΣ | 0..* | Element | left: (USCDI) Amount of medication administered; right: Amount of medication administered ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: ?? (example): The kind of dose or rate specified. ele-1: All FHIR elements must have a @value or children | ||||
dose[x] | SΣ | 0..1 | left: (USCDI) Amount of medication per dose; right: Amount of medication per dose Binding: ?? (preferred)
ele-1: All FHIR elements must have a @value or children | |||||
doseQuantity | Quantity S(SimpleQuantity) | |||||||
doseRange | Range(SimpleQuantity) | |||||||
rate[x] | Σ | 0..1 | Amount of medication per unit of time ele-1: All FHIR elements must have a @value or children | |||||
rateRatio | Ratio(SimpleQuantity) | |||||||
rateRange | Range(SimpleQuantity) | |||||||
rateQuantity | Quantity(SimpleQuantity | ?gen-e2?) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time ele-1: All FHIR elements must have a @value or children | ||||
maxDosePerAdministration | Σ | 0..1 | ??, ?? | Upper limit on medication per administration ele-1: All FHIR elements must have a @value or children | ||||
maxDosePerLifetime | Σ | 0..1 | ??, ?? | Upper limit on medication per lifetime of the patient ele-1: All FHIR elements must have a @value or children | ||||
dispenseRequest | S | 0..1 | BackboneElement | left: (USCDI) Medication supply authorization; right: Medication supply authorization ele-1: All FHIR elements must have a @value or children | ||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
initialFill | 0..1 | BackboneElement | First fill details ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
quantity | 0..1 | ??, ?? | First fill quantity ele-1: All FHIR elements must have a @value or children | |||||
duration | 0..1 | Duration | First fill duration ele-1: All FHIR elements must have a @value or children | |||||
dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses ele-1: All FHIR elements must have a @value or children | |||||
validityPeriod | 0..1 | Period | Time period supply is authorized for ele-1: All FHIR elements must have a @value or children | |||||
numberOfRepeatsAllowed | S | 0..1 | unsignedInt | left: (USCDI) Number of refills authorized; right: Number of refills authorized ele-1: All FHIR elements must have a @value or children | ||||
quantity | S | 0..1 | ??, ?? | left: (USCDI) Amount of medication to supply per dispense; right: Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children | ||||
expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense ele-1: All FHIR elements must have a @value or children | |||||
performer | 0..1 | Reference(Organization) | Intended dispenser ele-1: All FHIR elements must have a @value or children | |||||
substitution | 0..1 | BackboneElement | Any restrictions on medication substitution ele-1: All FHIR elements must have a @value or children | |||||
extension | 0..* | Extension | Additional content defined by implementations ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | ||||
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ?? (example): Identifies the type of substitution allowed. ele-1: All FHIR elements must have a @value or children | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept | |||||||
reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. ele-1: All FHIR elements must have a @value or children | |||||
priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced ele-1: All FHIR elements must have a @value or children | |||||
detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action ele-1: All FHIR elements must have a @value or children | |||||
eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle ele-1: All FHIR elements must have a @value or children | |||||
Documentation for this format |