Intersection of http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest and http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest

This is the set of resources that conform to both QICore MedicationRequest (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest) and QICore MedicationRequest (http://hl7.org/fhir/us/qicore/StructureDefinition/qicore-medicationrequest).

Structure

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" dom-7: if doNotPerform is present, it SHALL be false
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. Additional Bindings Purpose ?? Max Binding 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	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	?!	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: (QI-Core)(USCDI) 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	(USCDI) 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	(USCDI) 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	?!SΣ	0..1	boolean	left: True if medication was not requested; right: (QI-Core) True if medication was not requested ele-1: All FHIR elements must have a @value or children
reported[x]	SΣ	0..1	Reference(QICore Practitioner S | QICore PractitionerRole | QICore Patient S | QICore RelatedPerson S | #sd-qicore-practitioner-qicore-practitioner)	left: (USCDI) Reported rather than primary record; right: (QI-Core)(USCDI) Reported rather than primary record ele-1: All FHIR elements must have a @value or children
medication[x]	SΣ	1..1		(USCDI) 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)
subject	SΣ	1..1	Reference(QICore Patient | #sd-qicore-patient-qicore-patient)	left: (USCDI) Who or group medication request is for; right: (QI-Core)(USCDI) Who or group medication request is for ele-1: All FHIR elements must have a @value or children
encounter	S	0..1	Reference(QICore Encounter | #sd-qicore-encounter-qicore-encounter)	left: (USCDI) Encounter created as part of encounter/admission/stay; right: (QI-Core)(USCDI) 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	1..1	dateTime	left: (USCDI) When request was initially authored; right: (QI-Core)(USCDI) When request was initially authored ele-1: All FHIR elements must have a @value or children
requester	SΣ	0..1	Reference(QICore Practitioner S | QICore PractitionerRole | QICore Patient | #sd-qicore-practitioner-qicore-practitioner)	left: (USCDI) Who/What requested the Request; right: (QI-Core)(USCDI) 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	S	0..*	CodeableConcept	left: (USCDI) Reason or indication for ordering or not ordering the medication; right: (QI-Core)(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	S	0..*	Reference(QICore Condition Encounter Diagnosis | QICore Condition Problems Health Concerns | QICore Simple Observation | #sd-qicore-condition-encounter-diagnosis-qicore-condition-encounter-diagnosis)	left: (USCDI) US Core Condition or Observation that supports the prescription; right: (QI-Core)(USCDI) QI-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: (QI-Core)(USCDI) How 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	(USCDI) 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: (QI-Core)(USCDI) When medication should be 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
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
event	Σ	0..*	dateTime	When the event occurs ele-1: All FHIR elements must have a @value or children
repeat	SΣC	0..1	Element	left: When the event is to occur; right: (QI-Core) When the event is to occur ele-1: All FHIR elements must have a @value or children tim-1: if there's a duration, there needs to be duration units tim-2: if there's a period, there needs to be period units tim-4: duration SHALL be a non-negative value tim-5: period SHALL be a non-negative value tim-6: If there's a periodMax, there must be a period tim-7: If there's a durationMax, there must be a duration tim-8: If there's a countMax, there must be a count tim-9: If there's an offset, there must be a when (and not C, CM, CD, CV) tim-10: If there's a timeOfDay, there cannot be a when, or vice versa
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
bounds[x]	SΣ	0..1		left: Length/Range of lengths, or (Start and/or end) limits; right: (QI-Core) Length/Range of lengths, or (Start and/or end) limits ele-1: All FHIR elements must have a @value or children
boundsDuration			Duration
boundsRange			Range
boundsPeriod			Period
count	Σ	0..1	positiveInt	Number of times to repeat ele-1: All FHIR elements must have a @value or children
countMax	Σ	0..1	positiveInt	Maximum number of times to repeat ele-1: All FHIR elements must have a @value or children
duration	Σ	0..1	decimal	How long when it happens ele-1: All FHIR elements must have a @value or children
durationMax	Σ	0..1	decimal	How long when it happens (Max) ele-1: All FHIR elements must have a @value or children
durationUnit	Σ	0..1	code	s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM). ele-1: All FHIR elements must have a @value or children
frequency	SΣ	0..1	positiveInt	left: Event occurs frequency times per period; right: (QI-Core) Event occurs frequency times per period ele-1: All FHIR elements must have a @value or children
frequencyMax	SΣ	0..1	positiveInt	left: Event occurs up to frequencyMax times per period; right: (QI-Core) Event occurs frequencyMax times per period ele-1: All FHIR elements must have a @value or children
period	SΣ	0..1	decimal	left: Event occurs frequency times per period; right: (QI-Core) Event occurs frequency times per period ele-1: All FHIR elements must have a @value or children
periodMax	SΣ	0..1	decimal	left: Upper limit of period (3-4 hours); right: (QI-Core) Upper limit of period (3-4 hours) ele-1: All FHIR elements must have a @value or children
periodUnit	SΣ	0..1	code	left: s | min | h | d | wk | mo | a - unit of time (UCUM); right: (QI-Core) s | min | h | d | wk | mo | a - unit of time (UCUM) Binding: ?? (required): A unit of time (units from UCUM). ele-1: All FHIR elements must have a @value or children
dayOfWeek	Σ	0..*	code	mon | tue | wed | thu | fri | sat | sun Binding: ?? (required) ele-1: All FHIR elements must have a @value or children
timeOfDay	Σ	0..*	time	Time of day for action ele-1: All FHIR elements must have a @value or children
when	Σ	0..*	code	Code for time period of occurrence Binding: ?? (required): Real world event relating to the schedule. ele-1: All FHIR elements must have a @value or children
offset	Σ	0..1	unsignedInt	Minutes from event (before or after) ele-1: All FHIR elements must have a @value or children
code	Σ	0..1	CodeableConcept	BID | TID | QID | AM | PM | QD | QOD | + Binding: ?? (preferred): Code for a known / defined timing pattern. ele-1: All FHIR elements must have a @value or children
asNeeded[x]	SΣ	0..1		left: Take "as needed" (for x); right: (QI-Core) 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: (QI-Core)(USCDI) 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: (QI-Core)(USCDI) Amount of medication per dose Binding: ?? (preferred) Additional Bindings Purpose ?? Max Binding ele-1: All FHIR elements must have a @value or children
doseQuantity			Quantity S
doseRange			Range
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: (QI-Core)(USCDI) 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
dispenseInterval	S	0..1	Duration	left: Minimum period of time between dispenses; right: (QI-Core) 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: (QI-Core)(USCDI) 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: (QI-Core)(USCDI) Amount of medication to supply per dispense ele-1: All FHIR elements must have a @value or children
expectedSupplyDuration	S	0..1	Duration	left: Number of days supply per dispense; right: (QI-Core) 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