CH EMED EPR
1.0.0 - trial-use
CH EMED EPR
1.0.0 - trial-use
This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v1.0.0: STU1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medicationrequest-list | Version: 1.0.0 | |||
| Draft as of 2024-01-26 | Computable Name: CHEMEDEPRMedicationRequestList | |||
Copyright/Legal: CC0-1.0 |
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Definition of the medication request for the medication list document
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHEMEDMedicationRequestList
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest | CHEMEDMedicationRequestList | |||
  meta | ||||
   extension | D | 0..* | Extension | ✕ This element is not supported |
| versionId | D | 0..1 | id | ✕ This element is not supported |
| lastUpdated | D | 0..1 | instant | ✕ This element is not supported |
| source | D | 0..1 | uri | ✕ This element is not supported |
| security | D | 0..* | Coding | ✕ This element is not supported |
 tag | D | 0..* | Coding | ✕ This element is not supported |
| implicitRules | 0..0 | |||
| extension | 2..* | Extension | Extension | |
 extension:treatmentplan | 1..1 | CHEMEDExtTreatmentPlan | A reference to the MedicationStatement that introduced this medication | |
| extension:parentDocument | 1..1 | CHEMEDExtPrescription | CH EMED Extension | |
| extension:authorDocument | 0..1 | Author | Extension | |
 value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
 modifierExtension | 0..0 | |||
| statusReason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| intent | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |
| category | D | 0..* | CodeableConcept | ✕ This element is not supported |
| priority | D | 0..1 | code | ✕ This element is not supported |
| doNotPerform | 0..0 | |||
| reported[x] | D | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | ✕ This element is not supported |
 medication[x] | 1..1 | Reference(Medication) | Medication to be taken | |
| medication[x]:medicationReference | 0..1 | Reference(CH EMED EPR Medication) {c} | Reference to the contained medication | |
| subject | 1..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | |
| encounter | D | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| supportingInformation | D | 0..* | Reference(Resource) | ✕ This element is not supported |
| requester | 1..1 | Reference(CH EMED EPR PractitionerRole) | The author of the medical decision, see also 'Guidance - Authorship' | |
| performer | D | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | ✕ This element is not supported |
| performerType | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| reasonCode | 0..1 | CodeableConcept | The treatment reason(s) as text, and optionally coded | |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| text | 1..1 | string | Plain text representation of the treatment reason(s) | |
| reasonReference | D | 0..* | Reference(Condition | Observation) | ✕ This element is not supported |
| instantiatesCanonical | D | 0..* | canonical() | ✕ This element is not supported |
| instantiatesUri | D | 0..* | uri | ✕ This element is not supported |
| basedOn | D | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | ✕ This element is not supported |
| groupIdentifier | D | 0..1 | Identifier | ✕ This element is not supported |
| courseOfTherapyType | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| insurance | D | 0..* | Reference(Coverage | ClaimResponse) | ✕ This element is not supported |
| note | ||||
| id | D | 0..1 | string | ✕ This element is not supported |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| author[x] | D | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author |
| time | D | 0..1 | dateTime | ✕ This element is not supported |
| text | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | |
| dosageInstruction:baseEntry | 1..1 | CHEMEDEPRDosageMedicationRequest | CH EMED Dosage (MedicationRequest) | |
| dosageInstruction:additionalEntry | 0..* | CHEMEDEPRDosageSplit | CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest) | |
| dispenseRequest | ||||
| modifierExtension | 0..0 | |||
| initialFill | D | 0..1 | BackboneElement | ✕ This element is not supported |
| modifierExtension | 0..0 | |||
 quantity | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | |
| quantity | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | |
| expectedSupplyDuration | D | 0..1 | Duration | ✕ This element is not supported |
| performer | D | 0..1 | Reference(Organization) | ✕ This element is not supported |
| substitution | ||||
| modifierExtension | 0..0 | |||
| allowed[x] | 1..1 | CodeableConcept | Whether substitution is allowed or not | |
| allowed[x]:allowedCodeableConcept | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required) | |
| reason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| priorPrescription | D | 0..1 | Reference(MedicationRequest) | ✕ This element is not supported |
| detectedIssue | D | 0..* | Reference(DetectedIssue) | ✕ This element is not supported |
| eventHistory | D | 0..* | Reference(Provenance) | ✕ This element is not supported |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | 0..* | CHEMEDMedicationRequestList | CH EMED MedicationRequest (LIST) | |
| contained | 1..* | Resource | Contained, inline Resources | |
| Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| treatmentplan | 1..1 | (Complex) | A reference to the MedicationStatement that introduced this medication URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
| parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription | |
| authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |
 extension | 0..0 | |||
 url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |
  Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |
  value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
| time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| identifier | 1..1 | Identifier | MedicationRequest Identifier | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
| status | ?!Σ | 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. |
| statusReason | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |
| 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. Required Pattern: order |
| category | 0..* | CodeableConcept | ✕ This element is not supported 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. | |
| priority | Σ | 0..1 | code | ✕ This element is not supported Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. |
 reported[x] | Σ | 0..1 | ✕ This element is not supported | |
| reportedBoolean | boolean | |||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||
| Slices for medication[x] | Σ | 1..1 | Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this |
 medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED EPR Medication) {c} | Reference to the contained medication |
| subject | Σ | 1..1 | Reference(CH EMED EPR Patient) {r, b} | Patient |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| encounter | 0..1 | Reference(Encounter) | ✕ This element is not supported | |
| supportingInformation | 0..* | Reference(Resource) | ✕ This element is not supported | |
| authoredOn | Σ | 1..1 | dateTime | When request was initially authored |
| requester | Σ | 1..1 | Reference(CH EMED EPR PractitionerRole) | The author of the medical decision, see also 'Guidance - Authorship' |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | ✕ This element is not supported | |
| performerType | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. |
| reasonCode | 0..1 | CodeableConcept | The treatment reason(s) as text, and optionally coded Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
| text | Σ | 1..1 | string | Plain text representation of the treatment reason(s) |
| reasonReference | 0..* | Reference(Condition | Observation) | ✕ This element is not supported | |
| instantiatesCanonical | Σ | 0..* | canonical() | ✕ This element is not supported |
| instantiatesUri | Σ | 0..* | uri | ✕ This element is not supported |
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | ✕ This element is not supported |
| groupIdentifier | Σ | 0..1 | Identifier | ✕ This element is not supported |
| courseOfTherapyType | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |
| insurance | 0..* | Reference(Coverage | ClaimResponse) | ✕ This element is not supported | |
| Slices for dosageInstruction | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |
 dosageInstruction:baseEntry | C | 1..1 | CHEMEDEPRDosageMedicationRequest | CH EMED Dosage (MedicationRequest) |
| dosageInstruction:additionalEntry | 0..* | CHEMEDEPRDosageSplit | CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest) | |
| priorPrescription | 0..1 | Reference(MedicationRequest) | ✕ This element is not supported | |
| detectedIssue | 0..* | Reference(DetectedIssue) | ✕ This element is not supported | |
| eventHistory | 0..* | Reference(Provenance) | ✕ This element is not supported | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | |
| MedicationRequest.intent | required | Pattern: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | |
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | |
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-dosage-3 | error | MedicationRequest.dosageInstruction:baseEntry | Patient instruction/free text dosage instruction, timing or as needed has to be specified : patientInstruction.exists() or timing.exists() or asNeeded.exists() | |
| ch-dosage-4 | error | MedicationRequest.dosageInstruction:baseEntry | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
| 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 | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest | 0..* | CHEMEDMedicationRequestList | CH EMED MedicationRequest (LIST) | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | ✕ This element is not supported | ||||
| lastUpdated | Σ | 0..1 | instant | ✕ This element is not supported | ||||
| source | Σ | 0..1 | uri | ✕ This element is not supported | ||||
| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | ✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | ✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 1..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| treatmentplan | 1..1 | (Complex) | A reference to the MedicationStatement that introduced this medication URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
| parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription | |||||
| authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |||||
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |||||
| 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 | |||||
| time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| identifier | 1..1 | Identifier | MedicationRequest Identifier | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| status | ?!Σ | 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. | ||||
| statusReason | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| 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. Required Pattern: order | ||||
| category | 0..* | CodeableConcept | ✕ This element is not supported 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. | |||||
| priority | Σ | 0..1 | code | ✕ This element is not supported Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| reported[x] | Σ | 0..1 | ✕ This element is not supported | |||||
| reportedBoolean | boolean | |||||||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| Slices for medication[x] | Σ | 1..1 | Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this | ||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED EPR Medication) {c} | Reference to the contained medication | ||||
| subject | Σ | 1..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter | 0..1 | Reference(Encounter) | ✕ This element is not supported | |||||
| supportingInformation | 0..* | Reference(Resource) | ✕ This element is not supported | |||||
| authoredOn | Σ | 1..1 | dateTime | When request was initially authored | ||||
| requester | Σ | 1..1 | Reference(CH EMED EPR PractitionerRole) | The author of the medical decision, see also 'Guidance - Authorship' | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | ✕ This element is not supported | |||||
| performerType | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
| recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode | 0..1 | CodeableConcept | The treatment reason(s) as text, and optionally coded Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 1..1 | string | Plain text representation of the treatment reason(s) | ||||
| reasonReference | 0..* | Reference(Condition | Observation) | ✕ This element is not supported | |||||
| instantiatesCanonical | Σ | 0..* | canonical() | ✕ This element is not supported | ||||
| instantiatesUri | Σ | 0..* | uri | ✕ This element is not supported | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | ✕ This element is not supported | ||||
| groupIdentifier | Σ | 0..1 | Identifier | ✕ This element is not supported | ||||
| courseOfTherapyType | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | ✕ This element is not supported | |||||
| note | 0..* | Annotation | Information about the prescription | |||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| author[x] | Σ | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |||||
| authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString | string | |||||||
| time | Σ | 0..1 | dateTime | ✕ This element is not supported | ||||
| text | Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | ||||
| Slices for dosageInstruction | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |||||
| dosageInstruction:baseEntry | C | 1..1 | CHEMEDEPRDosageMedicationRequest | CH EMED Dosage (MedicationRequest) | ||||
| dosageInstruction:additionalEntry | 0..* | CHEMEDEPRDosageSplit | CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest) | |||||
| dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| initialFill | 0..1 | BackboneElement | ✕ This element is not supported | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| quantity | C | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | ||||
| duration | 0..1 | Duration | First fill duration | |||||
| dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod | 0..1 | Period | Period of validity of the prescription | |||||
| numberOfRepeatsAllowed | 0..1 | unsignedInt | Repeated supply per medication (without initial dispense) | |||||
| quantity | C | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | ||||
| expectedSupplyDuration | 0..1 | Duration | ✕ This element is not supported | |||||
| performer | 0..1 | Reference(Organization) | ✕ This element is not supported | |||||
| 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 | |||||
| Slices for allowed[x] | 1..1 | CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Closed by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | |||||
| allowed[x]:allowedCodeableConcept | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required) | |||||
| reason | 0..1 | CodeableConcept | ✕ This element is not supported 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) | ✕ This element is not supported | |||||
| detectedIssue | 0..* | Reference(DetectedIssue) | ✕ This element is not supported | |||||
| eventHistory | 0..* | Reference(Provenance) | ✕ This element is not supported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| MedicationRequest.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| MedicationRequest.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationRequest.extension:authorDocument.value[x]:valueReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| MedicationRequest.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | ||||
| MedicationRequest.intent | required | Pattern: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | ||||
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | ||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| MedicationRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationRequest.requester.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
| Id | Grade | Path(s) | Details | Requirements |
| ch-dosage-3 | error | MedicationRequest.dosageInstruction:baseEntry | Patient instruction/free text dosage instruction, timing or as needed has to be specified : patientInstruction.exists() or timing.exists() or asNeeded.exists() | |
| ch-dosage-4 | error | MedicationRequest.dosageInstruction:baseEntry | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
| 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() | |
| qty-3 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity : comparator.empty() |
This structure is derived from CHEMEDMedicationRequestList
Summary
Mandatory: 2 elements (1 nested mandatory element)
Prohibited: 6 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from CHEMEDMedicationRequestList
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | CHEMEDMedicationRequestList | |||
| meta | ||||
| extension | D | 0..* | Extension | ✕ This element is not supported |
| versionId | D | 0..1 | id | ✕ This element is not supported |
| lastUpdated | D | 0..1 | instant | ✕ This element is not supported |
| source | D | 0..1 | uri | ✕ This element is not supported |
| security | D | 0..* | Coding | ✕ This element is not supported |
| tag | D | 0..* | Coding | ✕ This element is not supported |
| implicitRules | 0..0 | |||
| extension | 2..* | Extension | Extension | |
| extension:treatmentplan | 1..1 | CHEMEDExtTreatmentPlan | A reference to the MedicationStatement that introduced this medication | |
| extension:parentDocument | 1..1 | CHEMEDExtPrescription | CH EMED Extension | |
| extension:authorDocument | 0..1 | Author | Extension | |
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
| modifierExtension | 0..0 | |||
| statusReason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| intent | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Required Pattern: order | |
| category | D | 0..* | CodeableConcept | ✕ This element is not supported |
| priority | D | 0..1 | code | ✕ This element is not supported |
| doNotPerform | 0..0 | |||
| reported[x] | D | 0..1 | boolean, Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | ✕ This element is not supported |
| medication[x] | 1..1 | Reference(Medication) | Medication to be taken | |
| medication[x]:medicationReference | 0..1 | Reference(CH EMED EPR Medication) {c} | Reference to the contained medication | |
| subject | 1..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | |
| encounter | D | 0..1 | Reference(Encounter) | ✕ This element is not supported |
| supportingInformation | D | 0..* | Reference(Resource) | ✕ This element is not supported |
| requester | 1..1 | Reference(CH EMED EPR PractitionerRole) | The author of the medical decision, see also 'Guidance - Authorship' | |
| performer | D | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | ✕ This element is not supported |
| performerType | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| reasonCode | 0..1 | CodeableConcept | The treatment reason(s) as text, and optionally coded | |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| text | 1..1 | string | Plain text representation of the treatment reason(s) | |
| reasonReference | D | 0..* | Reference(Condition | Observation) | ✕ This element is not supported |
| instantiatesCanonical | D | 0..* | canonical() | ✕ This element is not supported |
| instantiatesUri | D | 0..* | uri | ✕ This element is not supported |
| basedOn | D | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | ✕ This element is not supported |
| groupIdentifier | D | 0..1 | Identifier | ✕ This element is not supported |
| courseOfTherapyType | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| insurance | D | 0..* | Reference(Coverage | ClaimResponse) | ✕ This element is not supported |
| note | ||||
| id | D | 0..1 | string | ✕ This element is not supported |
| extension | D | 0..* | Extension | ✕ This element is not supported |
| author[x] | D | 0..1 | Reference(Practitioner | Patient | RelatedPerson | Organization), string | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author |
| time | D | 0..1 | dateTime | ✕ This element is not supported |
| text | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | |
| dosageInstruction:baseEntry | 1..1 | CHEMEDEPRDosageMedicationRequest | CH EMED Dosage (MedicationRequest) | |
| dosageInstruction:additionalEntry | 0..* | CHEMEDEPRDosageSplit | CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest) | |
| dispenseRequest | ||||
| modifierExtension | 0..0 | |||
| initialFill | D | 0..1 | BackboneElement | ✕ This element is not supported |
| modifierExtension | 0..0 | |||
| quantity | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | |
| quantity | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | |
| expectedSupplyDuration | D | 0..1 | Duration | ✕ This element is not supported |
| performer | D | 0..1 | Reference(Organization) | ✕ This element is not supported |
| substitution | ||||
| modifierExtension | 0..0 | |||
| allowed[x] | 1..1 | CodeableConcept | Whether substitution is allowed or not | |
| allowed[x]:allowedCodeableConcept | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required) | |
| reason | D | 0..1 | CodeableConcept | ✕ This element is not supported |
| priorPrescription | D | 0..1 | Reference(MedicationRequest) | ✕ This element is not supported |
| detectedIssue | D | 0..* | Reference(DetectedIssue) | ✕ This element is not supported |
| eventHistory | D | 0..* | Reference(Provenance) | ✕ This element is not supported |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | 0..* | CHEMEDMedicationRequestList | CH EMED MedicationRequest (LIST) | |
| contained | 1..* | Resource | Contained, inline Resources | |
| Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |
| treatmentplan | 1..1 | (Complex) | A reference to the MedicationStatement that introduced this medication URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
| parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription | |
| authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |
| extension | 0..0 | |||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |
| time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| identifier | 1..1 | Identifier | MedicationRequest Identifier | |
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . |
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 |
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 |
| status | ?!Σ | 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. |
| statusReason | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |
| 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. Required Pattern: order |
| category | 0..* | CodeableConcept | ✕ This element is not supported 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. | |
| priority | Σ | 0..1 | code | ✕ This element is not supported Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. |
| reported[x] | Σ | 0..1 | ✕ This element is not supported | |
| reportedBoolean | boolean | |||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||
| Slices for medication[x] | Σ | 1..1 | Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this |
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED EPR Medication) {c} | Reference to the contained medication |
| subject | Σ | 1..1 | Reference(CH EMED EPR Patient) {r, b} | Patient |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| encounter | 0..1 | Reference(Encounter) | ✕ This element is not supported | |
| supportingInformation | 0..* | Reference(Resource) | ✕ This element is not supported | |
| authoredOn | Σ | 1..1 | dateTime | When request was initially authored |
| requester | Σ | 1..1 | Reference(CH EMED EPR PractitionerRole) | The author of the medical decision, see also 'Guidance - Authorship' |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | ✕ This element is not supported | |
| performerType | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. |
| reasonCode | 0..1 | CodeableConcept | The treatment reason(s) as text, and optionally coded Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |
| text | Σ | 1..1 | string | Plain text representation of the treatment reason(s) |
| reasonReference | 0..* | Reference(Condition | Observation) | ✕ This element is not supported | |
| instantiatesCanonical | Σ | 0..* | canonical() | ✕ This element is not supported |
| instantiatesUri | Σ | 0..* | uri | ✕ This element is not supported |
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | ✕ This element is not supported |
| groupIdentifier | Σ | 0..1 | Identifier | ✕ This element is not supported |
| courseOfTherapyType | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |
| insurance | 0..* | Reference(Coverage | ClaimResponse) | ✕ This element is not supported | |
| Slices for dosageInstruction | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |
| dosageInstruction:baseEntry | C | 1..1 | CHEMEDEPRDosageMedicationRequest | CH EMED Dosage (MedicationRequest) |
| dosageInstruction:additionalEntry | 0..* | CHEMEDEPRDosageSplit | CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest) | |
| priorPrescription | 0..1 | Reference(MedicationRequest) | ✕ This element is not supported | |
| detectedIssue | 0..* | Reference(DetectedIssue) | ✕ This element is not supported | |
| eventHistory | 0..* | Reference(Provenance) | ✕ This element is not supported | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | |
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | |
| MedicationRequest.intent | required | Pattern: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | |
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | |
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | |
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | |
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| ch-dosage-3 | error | MedicationRequest.dosageInstruction:baseEntry | Patient instruction/free text dosage instruction, timing or as needed has to be specified : patientInstruction.exists() or timing.exists() or asNeeded.exists() | |
| ch-dosage-4 | error | MedicationRequest.dosageInstruction:baseEntry | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
| 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 | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest | 0..* | CHEMEDMedicationRequestList | CH EMED MedicationRequest (LIST) | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| versionId | Σ | 0..1 | id | ✕ This element is not supported | ||||
| lastUpdated | Σ | 0..1 | instant | ✕ This element is not supported | ||||
| source | Σ | 0..1 | uri | ✕ This element is not supported | ||||
| profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to | ||||
| security | Σ | 0..* | Coding | ✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| tag | Σ | 0..* | Coding | ✕ This element is not supported Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 1..* | Resource | Contained, inline Resources | |||||
| Slices for extension | 2..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| treatmentplan | 1..1 | (Complex) | A reference to the MedicationStatement that introduced this medication URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
| parentDocument | 1..1 | (Complex) | CH EMED Extension URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription | |||||
| authorDocument | 0..1 | Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) | Extension URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..0 | |||||||
| url | 1..1 | uri | "http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author" | |||||
| Slices for value[x] | 1..1 | Reference() | Value of extension Slice: Unordered, Closed by type:$this | |||||
| value[x]:valueReference | 1..1 | Reference(CH EMED EPR PractitionerRole | CH EMED EPR Patient | CH EMED EPR RelatedPerson) | Author of the content | |||||
| 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 | |||||
| time | 0..1 | dateTime | Timestamp of the authorship/data input URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-epr-time | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| identifier | 1..1 | Identifier | MedicationRequest Identifier | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . | ||||
| type | Σ | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. | ||||
| system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: urn:ietf:rfc:3986 | ||||
| value | Σ | 1..1 | string | Identifier value as UUID Example General: 123456 Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text) | ||||
| status | ?!Σ | 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. | ||||
| statusReason | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. | |||||
| 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. Required Pattern: order | ||||
| category | 0..* | CodeableConcept | ✕ This element is not supported 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. | |||||
| priority | Σ | 0..1 | code | ✕ This element is not supported Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| reported[x] | Σ | 0..1 | ✕ This element is not supported | |||||
| reportedBoolean | boolean | |||||||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| Slices for medication[x] | Σ | 1..1 | Reference(Medication) | Medication to be taken Slice: Unordered, Closed by type:$this | ||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED EPR Medication) {c} | Reference to the contained medication | ||||
| subject | Σ | 1..1 | Reference(CH EMED EPR Patient) {r, b} | Patient | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| encounter | 0..1 | Reference(Encounter) | ✕ This element is not supported | |||||
| supportingInformation | 0..* | Reference(Resource) | ✕ This element is not supported | |||||
| authoredOn | Σ | 1..1 | dateTime | When request was initially authored | ||||
| requester | Σ | 1..1 | Reference(CH EMED EPR PractitionerRole) | The author of the medical decision, see also 'Guidance - Authorship' | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display | Σ | 0..1 | string | Text alternative for the resource | ||||
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | ✕ This element is not supported | |||||
| performerType | Σ | 0..1 | CodeableConcept | ✕ This element is not supported Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
| recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode | 0..1 | CodeableConcept | The treatment reason(s) as text, and optionally coded Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| coding | Σ | 0..* | Coding | Code defined by a terminology system | ||||
| text | Σ | 1..1 | string | Plain text representation of the treatment reason(s) | ||||
| reasonReference | 0..* | Reference(Condition | Observation) | ✕ This element is not supported | |||||
| instantiatesCanonical | Σ | 0..* | canonical() | ✕ This element is not supported | ||||
| instantiatesUri | Σ | 0..* | uri | ✕ This element is not supported | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | ✕ This element is not supported | ||||
| groupIdentifier | Σ | 0..1 | Identifier | ✕ This element is not supported | ||||
| courseOfTherapyType | 0..1 | CodeableConcept | ✕ This element is not supported Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | ✕ This element is not supported | |||||
| note | 0..* | Annotation | Information about the prescription | |||||
| id | 0..1 | string | ✕ This element is not supported | |||||
| extension | 0..* | Extension | ✕ This element is not supported Slice: Unordered, Open by value:url | |||||
| author[x] | Σ | 0..1 | ✕ The note author is ignored, as it cannot be different than the document and/or entry's author | |||||
| authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | |||||||
| authorString | string | |||||||
| time | Σ | 0..1 | dateTime | ✕ This element is not supported | ||||
| text | Σ | 1..1 | markdown | The annotation text content (as raw text, no markdown allowed). | ||||
| Slices for dosageInstruction | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |||||
| dosageInstruction:baseEntry | C | 1..1 | CHEMEDEPRDosageMedicationRequest | CH EMED Dosage (MedicationRequest) | ||||
| dosageInstruction:additionalEntry | 0..* | CHEMEDEPRDosageSplit | CH EMED Dosage Split (MedicationStatement / MedicationDispense / MedicationRequest) | |||||
| dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| initialFill | 0..1 | BackboneElement | ✕ This element is not supported | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| quantity | C | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | ||||
| duration | 0..1 | Duration | First fill duration | |||||
| dispenseInterval | 0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod | 0..1 | Period | Period of validity of the prescription | |||||
| numberOfRepeatsAllowed | 0..1 | unsignedInt | Repeated supply per medication (without initial dispense) | |||||
| quantity | C | 0..1 | CHEMEDEPRAmountQuantity | A fixed quantity (no comparator) | ||||
| expectedSupplyDuration | 0..1 | Duration | ✕ This element is not supported | |||||
| performer | 0..1 | Reference(Organization) | ✕ This element is not supported | |||||
| substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| Slices for allowed[x] | 1..1 | CodeableConcept | Whether substitution is allowed or not Slice: Unordered, Closed by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | |||||
| allowed[x]:allowedCodeableConcept | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (required) | |||||
| reason | 0..1 | CodeableConcept | ✕ This element is not supported 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) | ✕ This element is not supported | |||||
| detectedIssue | 0..* | Reference(DetectedIssue) | ✕ This element is not supported | |||||
| eventHistory | 0..* | Reference(Provenance) | ✕ This element is not supported | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| MedicationRequest.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| MedicationRequest.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tagsfrom the FHIR Standard | ||||
| MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| MedicationRequest.extension:authorDocument.value[x]:valueReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationRequest.identifier.use | required | IdentifierUsehttp://hl7.org/fhir/ValueSet/identifier-use|4.0.1from the FHIR Standard | ||||
| MedicationRequest.identifier.type | extensible | Identifier Type Codeshttp://hl7.org/fhir/ValueSet/identifier-typefrom the FHIR Standard | ||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1from the FHIR Standard | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonfrom the FHIR Standard | ||||
| MedicationRequest.intent | required | Pattern: orderhttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1from the FHIR Standard | ||||
| MedicationRequest.category | example | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryfrom the FHIR Standard | ||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1from the FHIR Standard | ||||
| MedicationRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationRequest.requester.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-rolefrom the FHIR Standard | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codefrom the FHIR Standard | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyfrom the FHIR Standard | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | required | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
| Id | Grade | Path(s) | Details | Requirements |
| ch-dosage-3 | error | MedicationRequest.dosageInstruction:baseEntry | Patient instruction/free text dosage instruction, timing or as needed has to be specified : patientInstruction.exists() or timing.exists() or asNeeded.exists() | |
| ch-dosage-4 | error | MedicationRequest.dosageInstruction:baseEntry | For split dosage timing event and dose/rate are required : sequence.exists() implies (timing.repeat.when.exists() and doseAndRate.dose.exists()) | |
| 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() | |
| qty-3 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists() | |
| sqty-1 | error | MedicationRequest.dispenseRequest.initialFill.quantity, MedicationRequest.dispenseRequest.quantity | The comparator is not used on a SimpleQuantity : comparator.empty() |
This structure is derived from CHEMEDMedicationRequestList
Summary
Mandatory: 2 elements (1 nested mandatory element)
Prohibited: 6 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron