This page is part of the FHIR eMedication exchange formats for the implementation effort of CARA within its EPR community (v2.0.0: STU2) 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

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Resource Profile: PADV Changed MedicationRequest

Definition of the changed medication request for the pharmaceutical advice document

Usage:

• Use this Resource Profile: PADV Document
• Refer to this Resource Profile: PML Observation and PADV Observation

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
• Snapshot Table
• Statistics/References
• All

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	CHEMEDMedicationRequestChanged	CH EMED MedicationRequest Changed (PADV) 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 ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. split-dosage-instruction-unit-must-match-base-dosage-instruction: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
contained		1..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier		1..1	Identifier	MedicationRequest Identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	Identifier value as UUID ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: active
statusReason	D	0..1	CodeableConcept	✕ This element is not supported Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children Required Pattern: order
category	D	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. ele-1: All FHIR elements must have a @value or children
priority	ΣD	0..1	code	✕ This element is not supported Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children
reported[x]	ΣD	0..1		✕ This element is not supported ele-1: All FHIR elements must have a @value or children
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	Σ	1..1	Reference(CH Core Medication)	Medication to be taken Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication) {c}	Reference to the contained medication ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(CH EMED EPR Patient) {r, b}	Patient ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
encounter	D	0..1	Reference(Encounter)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
Slices for supportingInformation		1..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
supportingInformation:partOf		1..1	Reference(PADV Observation) {r, b}	Reference to the Observation from type 'CHANGE' ele-1: All FHIR elements must have a @value or children
authoredOn	Σ	1..1	dateTime	When request was initially authored ele-1: All FHIR elements must have a @value or children
requester	Σ	1..1	Reference(CH EMED EPR PractitionerRole)	The author of the medical decision, see also 'Guidance - Authorship' ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
performer	D	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
performerType	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. ele-1: All FHIR elements must have a @value or children
reasonCode		0..*	CodeableConcept	The treatment reason(s) as text, and optionally coded Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	Σ	1..1	string	Plain text representation of the treatment reason(s) ele-1: All FHIR elements must have a @value or children
reasonReference	D	0..*	Reference(Condition | Observation)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
instantiatesCanonical	ΣD	0..*	canonical()	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
instantiatesUri	ΣD	0..*	uri	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
basedOn	ΣD	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
groupIdentifier	ΣD	0..1	Identifier	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
courseOfTherapyType	D	0..1	CodeableConcept	✕ This element is not supported Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. ele-1: All FHIR elements must have a @value or children
insurance	D	0..*	Reference(Coverage | ClaimResponse)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
Slices for dosageInstruction		1..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this ele-1: All FHIR elements must have a @value or children
dosageInstruction:baseEntry	C	1..1	CHEMEDEPRDosageMedicationRequest	Base entry of the dosage instruction ele-1: All FHIR elements must have a @value or children ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction ele-1: All FHIR elements must have a @value or children
substitution		0..1	BackboneElement	If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed). ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: Substance Administration Substitution Codes (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
code		1..1	code	Symbol in syntax defined by the system Fixed Value: N
display		1..1	string	Representation defined by the system Fixed Value: none
reason	D	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. ele-1: All FHIR elements must have a @value or children
priorPrescription	D	0..1	Reference(MedicationRequest)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
detectedIssue	D	0..*	Reference(DetectedIssue)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
eventHistory	D	0..*	Reference(Provenance)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	CHEMEDEprActSubstanceAdminSubstitutionCode http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code from this IG
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-3	error	MedicationRequest.dosageInstruction:baseEntry	Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.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())
ch-dosage-medreq	error	MedicationRequest	If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. : (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-medicationrequest') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
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()
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationRequest	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

This structure is derived from CHEMEDMedicationRequestChanged

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	CHEMEDMedicationRequestChanged	CH EMED MedicationRequest Changed (PADV) split-dosage-instruction-unit-must-match-base-dosage-instruction: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
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		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:treatmentplan		1..1	CHEMEDExtTreatmentPlan	A reference to the MedicationStatement that introduced this medication
modifierExtension		0..0
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: active
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(CH Core Medication)	Medication to be taken
Slices for medication[x]				Content/Rules for all slices
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
Slices for supportingInformation				Content/Rules for all slices
supportingInformation:partOf		1..1	Reference(PADV Observation) {r, b}	Reference to the Observation from type 'CHANGE'
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..*	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).
Slices for dosageInstruction				Content/Rules for all slices
dosageInstruction:baseEntry		1..1	CHEMEDEPRDosageMedicationRequest	Base entry of the dosage instruction
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
dispenseRequest
modifierExtension		0..0
initialFill	D	0..1	BackboneElement	✕ This element is not supported
modifierExtension		0..0
quantity		0..1	CHEMEDEPRAmountQuantity	First fill quantity
dispenseInterval	D	0..1	Duration	✕ This element is not supported
quantity		0..1	CHEMEDEPRAmountQuantity	Number of packages
expectedSupplyDuration	D	0..1	Duration	✕ This element is not supported
performer	D	0..1	Reference(Organization)	✕ This element is not supported
substitution		0..1	BackboneElement	If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed).
modifierExtension		0..0
Slices for allowed[x]				Content/Rules for all slices
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: Substance Administration Substitution Codes (required)
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
code		1..1	code	Symbol in syntax defined by the system Fixed Value: N
display		1..1	string	Representation defined by the system Fixed Value: none
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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	CHEMEDEprActSubstanceAdminSubstitutionCode http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationRequest	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	CHEMEDMedicationRequestChanged	CH EMED MedicationRequest Changed (PADV) ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. split-dosage-instruction-unit-must-match-base-dosage-instruction: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
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	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		1..*	Resource	Contained, inline Resources
Slices for extension		1..*	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
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. Required Pattern: active
statusReason	D	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	D	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	ΣD	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]	ΣD	0..1		✕ This element is not supported
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	Σ	1..1	Reference(CH Core 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	D	0..1	Reference(Encounter)	✕ This element is not supported
Slices for supportingInformation		1..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
supportingInformation:partOf		1..1	Reference(PADV Observation) {r, b}	Reference to the Observation from type 'CHANGE'
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	D	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	✕ This element is not supported
performerType	ΣD	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..*	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	D	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	D	0..*	Reference(Condition | Observation)	✕ This element is not supported
instantiatesCanonical	ΣD	0..*	canonical()	✕ This element is not supported
instantiatesUri	ΣD	0..*	uri	✕ This element is not supported
basedOn	ΣD	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	✕ This element is not supported
groupIdentifier	ΣD	0..1	Identifier	✕ This element is not supported
courseOfTherapyType	D	0..1	CodeableConcept	✕ This element is not supported Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance	D	0..*	Reference(Coverage | ClaimResponse)	✕ This element is not supported
note		0..*	Annotation	Information about the prescription
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
author[x]	ΣD	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	ΣD	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..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosageInstruction:baseEntry	C	1..1	CHEMEDEPRDosageMedicationRequest	Base entry of the dosage instruction ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
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	D	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		0..1	CHEMEDEPRAmountQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval	D	0..1	Duration	✕ This element is not supported
validityPeriod		0..1	Period	Period of validity of the prescription
numberOfRepeatsAllowed		0..1	unsignedInt	Repeated supply per medication (without initial dispense)
quantity		0..1	CHEMEDEPRAmountQuantity	Number of packages
expectedSupplyDuration	D	0..1	Duration	✕ This element is not supported
performer	D	0..1	Reference(Organization)	✕ This element is not supported
substitution		0..1	BackboneElement	If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed).
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: Substance Administration Substitution Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: N
display		1..1	string	Representation defined by the system Fixed Value: none
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reason	D	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	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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.requester.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	CHEMEDEprActSubstanceAdminSubstitutionCode http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code from this IG
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-3	error	MedicationRequest.dosageInstruction:baseEntry	Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.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())
ch-dosage-medreq	error	MedicationRequest	If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. : (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-medicationrequest') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
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()
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationRequest	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

This structure is derived from CHEMEDMedicationRequestChanged

Summary

Mandatory: 2 elements(1 nested mandatory element)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• CH Core Medication (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication)
• CH EMED EPR Medication (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• PADV Observation (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation)
• CH EMED EPR PractitionerRole (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitionerrole)
• Dosage (MedicationRequest) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-medicationrequest)
• Dosage Split (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-split)
• Amount Quantity (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-quantity)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	CHEMEDMedicationRequestChanged	CH EMED MedicationRequest Changed (PADV) 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 ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. split-dosage-instruction-unit-must-match-base-dosage-instruction: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
contained		1..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
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 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier		1..1	Identifier	MedicationRequest Identifier ele-1: All FHIR elements must have a @value or children
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known . ele-1: All FHIR elements must have a @value or children
system	Σ	1..1	uri	The namespace for the identifier value ele-1: All FHIR elements must have a @value or children Fixed Value: urn:ietf:rfc:3986
value	Σ	1..1	string	Identifier value as UUID ele-1: All FHIR elements must have a @value or children 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. ele-1: All FHIR elements must have a @value or children Required Pattern: active
statusReason	D	0..1	CodeableConcept	✕ This element is not supported Binding: medicationRequest Status Reason Codes (example): Identifies the reasons for a given status. ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children Required Pattern: order
category	D	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. ele-1: All FHIR elements must have a @value or children
priority	ΣD	0..1	code	✕ This element is not supported Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. ele-1: All FHIR elements must have a @value or children
reported[x]	ΣD	0..1		✕ This element is not supported ele-1: All FHIR elements must have a @value or children
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	Σ	1..1	Reference(CH Core Medication)	Medication to be taken Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
medication[x]:medicationReference	Σ	0..1	Reference(CH EMED EPR Medication) {c}	Reference to the contained medication ele-1: All FHIR elements must have a @value or children
subject	Σ	1..1	Reference(CH EMED EPR Patient) {r, b}	Patient ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
encounter	D	0..1	Reference(Encounter)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
Slices for supportingInformation		1..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children
supportingInformation:partOf		1..1	Reference(PADV Observation) {r, b}	Reference to the Observation from type 'CHANGE' ele-1: All FHIR elements must have a @value or children
authoredOn	Σ	1..1	dateTime	When request was initially authored ele-1: All FHIR elements must have a @value or children
requester	Σ	1..1	Reference(CH EMED EPR PractitionerRole)	The author of the medical decision, see also 'Guidance - Authorship' ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
performer	D	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
performerType	ΣD	0..1	CodeableConcept	✕ This element is not supported Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. ele-1: All FHIR elements must have a @value or children
reasonCode		0..*	CodeableConcept	The treatment reason(s) as text, and optionally coded Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. ele-1: All FHIR elements must have a @value or children
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
text	Σ	1..1	string	Plain text representation of the treatment reason(s) ele-1: All FHIR elements must have a @value or children
reasonReference	D	0..*	Reference(Condition | Observation)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
instantiatesCanonical	ΣD	0..*	canonical()	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
instantiatesUri	ΣD	0..*	uri	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
basedOn	ΣD	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
groupIdentifier	ΣD	0..1	Identifier	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
courseOfTherapyType	D	0..1	CodeableConcept	✕ This element is not supported Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. ele-1: All FHIR elements must have a @value or children
insurance	D	0..*	Reference(Coverage | ClaimResponse)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
Slices for dosageInstruction		1..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this ele-1: All FHIR elements must have a @value or children
dosageInstruction:baseEntry	C	1..1	CHEMEDEPRDosageMedicationRequest	Base entry of the dosage instruction ele-1: All FHIR elements must have a @value or children ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction ele-1: All FHIR elements must have a @value or children
substitution		0..1	BackboneElement	If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed). ele-1: All FHIR elements must have a @value or children
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. ele-1: All FHIR elements must have a @value or children
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: Substance Administration Substitution Codes (required) ele-1: All FHIR elements must have a @value or children
coding	Σ	0..*	Coding	Code defined by a terminology system ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
code		1..1	code	Symbol in syntax defined by the system Fixed Value: N
display		1..1	string	Representation defined by the system Fixed Value: none
reason	D	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. ele-1: All FHIR elements must have a @value or children
priorPrescription	D	0..1	Reference(MedicationRequest)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
detectedIssue	D	0..*	Reference(DetectedIssue)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
eventHistory	D	0..*	Reference(Provenance)	✕ This element is not supported ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	CHEMEDEprActSubstanceAdminSubstitutionCode http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code from this IG
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-3	error	MedicationRequest.dosageInstruction:baseEntry	Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.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())
ch-dosage-medreq	error	MedicationRequest	If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. : (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-medicationrequest') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
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()
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationRequest	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

Differential View

This structure is derived from CHEMEDMedicationRequestChanged

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	CHEMEDMedicationRequestChanged	CH EMED MedicationRequest Changed (PADV) split-dosage-instruction-unit-must-match-base-dosage-instruction: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
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		1..*	Extension	Extension
Slices for extension				Content/Rules for all slices
extension:treatmentplan		1..1	CHEMEDExtTreatmentPlan	A reference to the MedicationStatement that introduced this medication
modifierExtension		0..0
status		1..1	code	active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Required Pattern: active
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(CH Core Medication)	Medication to be taken
Slices for medication[x]				Content/Rules for all slices
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
Slices for supportingInformation				Content/Rules for all slices
supportingInformation:partOf		1..1	Reference(PADV Observation) {r, b}	Reference to the Observation from type 'CHANGE'
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..*	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).
Slices for dosageInstruction				Content/Rules for all slices
dosageInstruction:baseEntry		1..1	CHEMEDEPRDosageMedicationRequest	Base entry of the dosage instruction
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
dispenseRequest
modifierExtension		0..0
initialFill	D	0..1	BackboneElement	✕ This element is not supported
modifierExtension		0..0
quantity		0..1	CHEMEDEPRAmountQuantity	First fill quantity
dispenseInterval	D	0..1	Duration	✕ This element is not supported
quantity		0..1	CHEMEDEPRAmountQuantity	Number of packages
expectedSupplyDuration	D	0..1	Duration	✕ This element is not supported
performer	D	0..1	Reference(Organization)	✕ This element is not supported
substitution		0..1	BackboneElement	If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed).
modifierExtension		0..0
Slices for allowed[x]				Content/Rules for all slices
allowed[x]:allowedCodeableConcept		0..1	CodeableConcept	Whether substitution is allowed or not Binding: Substance Administration Substitution Codes (required)
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
code		1..1	code	Symbol in syntax defined by the system Fixed Value: N
display		1..1	string	Representation defined by the system Fixed Value: none
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

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	CHEMEDEprActSubstanceAdminSubstitutionCode http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationRequest	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationRequest	C	0..*	CHEMEDMedicationRequestChanged	CH EMED MedicationRequest Changed (PADV) ch-dosage-medreq: If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. split-dosage-instruction-unit-must-match-base-dosage-instruction: The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match.
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	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
versionId	ΣD	0..1	id	✕ This element is not supported
lastUpdated	ΣD	0..1	instant	✕ This element is not supported
source	ΣD	0..1	uri	✕ This element is not supported
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	ΣD	0..*	Coding	✕ This element is not supported Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	ΣD	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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		1..*	Resource	Contained, inline Resources
Slices for extension		1..*	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
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. Required Pattern: active
statusReason	D	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	D	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	ΣD	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]	ΣD	0..1		✕ This element is not supported
reportedBoolean			boolean
reportedReference			Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)
Slices for medication[x]	Σ	1..1	Reference(CH Core 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	D	0..1	Reference(Encounter)	✕ This element is not supported
Slices for supportingInformation		1..*	Reference(Resource)	Information to support ordering of the medication Slice: Unordered, Open by profile:resolve()
supportingInformation:partOf		1..1	Reference(PADV Observation) {r, b}	Reference to the Observation from type 'CHANGE'
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	D	0..1	Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)	✕ This element is not supported
performerType	ΣD	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..*	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	D	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	D	0..*	Reference(Condition | Observation)	✕ This element is not supported
instantiatesCanonical	ΣD	0..*	canonical()	✕ This element is not supported
instantiatesUri	ΣD	0..*	uri	✕ This element is not supported
basedOn	ΣD	0..*	Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)	✕ This element is not supported
groupIdentifier	ΣD	0..1	Identifier	✕ This element is not supported
courseOfTherapyType	D	0..1	CodeableConcept	✕ This element is not supported Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
insurance	D	0..*	Reference(Coverage | ClaimResponse)	✕ This element is not supported
note		0..*	Annotation	Information about the prescription
id	D	0..1	string	✕ This element is not supported
extension	D	0..*	Extension	✕ This element is not supported Slice: Unordered, Open by value:url
author[x]	ΣD	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	ΣD	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..*	CHCoreDosage	How the medication should be taken Slice: Unordered, Closed by profile:$this
dosageInstruction:baseEntry	C	1..1	CHEMEDEPRDosageMedicationRequest	Base entry of the dosage instruction ch-dosage-4: For split dosage timing event and dose/rate are required ch-dosage-3: Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified
dosageInstruction:additionalEntry		0..*	CHEMEDEPRDosageSplit	Additional entry of the dosage instruction
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	D	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		0..1	CHEMEDEPRAmountQuantity	First fill quantity
duration		0..1	Duration	First fill duration
dispenseInterval	D	0..1	Duration	✕ This element is not supported
validityPeriod		0..1	Period	Period of validity of the prescription
numberOfRepeatsAllowed		0..1	unsignedInt	Repeated supply per medication (without initial dispense)
quantity		0..1	CHEMEDEPRAmountQuantity	Number of packages
expectedSupplyDuration	D	0..1	Duration	✕ This element is not supported
performer	D	0..1	Reference(Organization)	✕ This element is not supported
substitution		0..1	BackboneElement	If absent, substitution is assumed allowed. If present, the value is fixed to none (not allowed).
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: Substance Administration Substitution Codes (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-substanceAdminSubstitution
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: N
display		1..1	string	Representation defined by the system Fixed Value: none
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reason	D	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	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

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationRequest.meta.security	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
MedicationRequest.meta.tag	example	CommonTags http://hl7.org/fhir/ValueSet/common-tags from the FHIR Standard
MedicationRequest.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationRequest.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationRequest.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationRequest.status	required	Pattern: active http://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard
MedicationRequest.statusReason	example	medicationRequest Status Reason Codes http://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard
MedicationRequest.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard
MedicationRequest.category	example	medicationRequest Category Codes http://hl7.org/fhir/ValueSet/medicationrequest-category from the FHIR Standard
MedicationRequest.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard
MedicationRequest.subject.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.requester.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationRequest.performerType	example	ProcedurePerformerRoleCodes http://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard
MedicationRequest.reasonCode	example	Condition/Problem/DiagnosisCodes http://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard
MedicationRequest.courseOfTherapyType	example	medicationRequest Course of Therapy Codes http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy from the FHIR Standard
MedicationRequest.substitution.allowed[x]	example	ActSubstanceAdminSubstitutionCode http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.allowed[x]:allowedCodeableConcept	required	CHEMEDEprActSubstanceAdminSubstitutionCode http://fhir.ch/ig/ch-emed-epr/ValueSet/ch-emed-epr-substance-admin-substitution-code from this IG
MedicationRequest.substitution.reason	example	SubstanceAdminSubstitutionReason http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-dosage-3	error	MedicationRequest.dosageInstruction:baseEntry	Patient instruction/free text dosage instruction, or timing and dose/rate has to be specified : patientInstruction.exists() or (timing.exists() and doseAndRate.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())
ch-dosage-medreq	error	MedicationRequest	If one dosage element is present, it should not have a sequence number. If more than one dosage element is present, the base entry has the sequence number 1. : (dosageInstruction.count() > 1 implies dosageInstruction.where($this.conformsTo('http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-dosage-medicationrequest') and sequence = 1).exists()) and (dosageInstruction.count() = 1 implies dosageInstruction.single().sequence.exists().not())
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()
split-dosage-instruction-unit-must-match-base-dosage-instruction	error	MedicationRequest	The unit for doseAndRate of different dosages (split dosage) belonging to the same statement/request/dispense must match. : (dosageInstruction.count() > 1) implies dosageInstruction.doseAndRate.dose.ofType(Quantity).code.union(dosageInstruction.doseAndRate.dose.ofType(Range).low.code).union(dosageInstruction.doseAndRate.dose.ofType(Range).high.code).union(dosageInstruction.doseAndRate.rate.numerator.code).count() = 1

This structure is derived from CHEMEDMedicationRequestChanged

Summary

Mandatory: 2 elements(1 nested mandatory element)
Prohibited: 6 elements

Structures

This structure refers to these other structures:

• CH Core Medication (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-medication)
• CH EMED EPR Medication (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-medication)
• CH EMED EPR Patient (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-patient)
• PADV Observation (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-observation)
• CH EMED EPR PractitionerRole (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-practitionerrole)
• Dosage (MedicationRequest) (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-medicationrequest)
• Dosage Split (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-dosage-split)
• Amount Quantity (http://fhir.ch/ig/ch-emed-epr/StructureDefinition/ch-emed-epr-amount-quantity)