CH EMED (R4)
4.0.0-ballot - ballot
CH EMED (R4)
4.0.0-ballot - ballot
This page is part of the CH EMED (R4) (v4.0.0-ballot: STU 4 Ballot 1) based on FHIR 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/StructureDefinition/ch-emed-medicationrequest-changed | Version: 4.0.0-ballot | |||
| Active as of 2023-06-29 | Computable Name: CHEMEDMedicationRequestChanged | |||
Copyright/Legal: CC0-1.0 |
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Definition of the changed medication request for the pharmaceutical advice document
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from CHEMEDMedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest | 0..* | CHEMEDMedicationRequest | CH EMED MedicationRequest Changed (PADV) | |
  Slices for supportingInformation | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |
   supportingInformation:partOf | 1..1 | Reference(CH EMED Observation (PADV)) {r, b} | Reference to the Observation from type 'CHANGE' | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | 0..* | CHEMEDMedicationRequest | CH EMED MedicationRequest Changed (PADV) | |
  implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained | 1..* | Resource | Contained, inline Resources | |
| treatmentplan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
  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. |
| 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. |
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
| Slices for medication[x] | Σ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
 medicationCodeableConcept | CodeableConcept | |||
 medicationReference | Reference(Medication) | |||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication |
| subject | Σ | 1..1 | Reference(CH Core Patient) | Patient |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for supportingInformation | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |
| supportingInformation:partOf | 1..1 | Reference(CH EMED Observation (PADV)) {r, b} | Reference to the Observation from type 'CHANGE' | |
| reasonCode | 0..1 | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |
| Slices for dosageInstruction | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |
| dosageInstruction:baseEntry | C | 1..1 | CHEMEDDosageMedicationRequest | Base entry of the dosage instruction |
| dosageInstruction:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationRequest.identifier.use | required | IdentifierUse |
| MedicationRequest.status | required | medicationrequest Status |
| MedicationRequest.intent | required | medicationRequest Intent |
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes |
| 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..* | CHEMEDMedicationRequest | CH EMED MedicationRequest Changed (PADV) | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| 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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| treatmentplan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| 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 | Reason for current status 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. | ||||
| category | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
 reported[x] | Σ | 0..1 | Reported rather than primary record | |||||
| reportedBoolean | boolean | |||||||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| Slices for medication[x] | Σ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication | ||||
| subject | Σ | 1..1 | Reference(CH Core Patient) | 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) | Encounter created as part of encounter/admission/stay | |||||
| Slices for supportingInformation | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||
| supportingInformation:partOf | 1..1 | Reference(CH EMED Observation (PADV)) {r, b} | Reference to the Observation from type 'CHANGE' | |||||
| authoredOn | Σ | 0..1 | dateTime | When request was initially authored | ||||
| requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | ||||
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
| recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode | 0..1 | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||
| instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
| courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note | 0..* | Annotation | Information about the prescription | |||||
| Slices for dosageInstruction | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |||||
| dosageInstruction:baseEntry | C | 1..1 | CHEMEDDosageMedicationRequest | Base entry of the dosage instruction | ||||
| dosageInstruction:additionalEntry | 0..* | CHEMEDDosageSplit | 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 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill | 0..1 | BackboneElement | First fill details | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity | 0..1 | SimpleQuantity | First fill quantity | |||||
| 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 | 0..1 | SimpleQuantity | Number of packages | |||||
| expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
| performer | 0..1 | Reference(Organization) | Intended dispenser | |||||
| 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 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| Slices for allowed[x] | 1..1 | Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean | boolean | |||||||
| allowedCodeableConcept | CodeableConcept | |||||||
| allowed[x]:allowedCodeableConcept | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
| priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
| detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
| eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationRequest.language | preferred | CommonLanguages
| ||||
| MedicationRequest.identifier.use | required | IdentifierUse | ||||
| MedicationRequest.identifier.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.status | required | medicationrequest Status | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
| MedicationRequest.intent | required | medicationRequest Intent | ||||
| MedicationRequest.category | example | medicationRequest Category Codes | ||||
| MedicationRequest.priority | required | RequestPriority | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationRequest.subject.type | extensible | ResourceType | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | preferred | ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.reason | example | 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()) | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CHEMEDMedicationRequest
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from CHEMEDMedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | 0..* | CHEMEDMedicationRequest | CH EMED MedicationRequest Changed (PADV) | |
| Slices for supportingInformation | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |
| supportingInformation:partOf | 1..1 | Reference(CH EMED Observation (PADV)) {r, b} | Reference to the Observation from type 'CHANGE' | |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | 0..* | CHEMEDMedicationRequest | CH EMED MedicationRequest Changed (PADV) | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| contained | 1..* | Resource | Contained, inline Resources | |
| treatmentplan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| 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. |
| 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. |
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
| Slices for medication[x] | Σ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication |
| subject | Σ | 1..1 | Reference(CH Core Patient) | Patient |
| reference | ΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for supportingInformation | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |
| supportingInformation:partOf | 1..1 | Reference(CH EMED Observation (PADV)) {r, b} | Reference to the Observation from type 'CHANGE' | |
| reasonCode | 0..1 | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |
| Slices for dosageInstruction | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |
| dosageInstruction:baseEntry | C | 1..1 | CHEMEDDosageMedicationRequest | Base entry of the dosage instruction |
| dosageInstruction:additionalEntry | 0..* | CHEMEDDosageSplit | Additional entry of the dosage instruction | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationRequest.identifier.use | required | IdentifierUse |
| MedicationRequest.status | required | medicationrequest Status |
| MedicationRequest.intent | required | medicationRequest Intent |
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes |
| 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..* | CHEMEDMedicationRequest | CH EMED MedicationRequest Changed (PADV) | |||||
| id | Σ | 0..1 | id | Logical id of this artifact | ||||
| meta | Σ | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| 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 | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| treatmentplan | 0..1 | (Complex) | Reference to the medication treatment plan URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| 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 | Reason for current status 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. | ||||
| category | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (example): A coded concept identifying the category of medication request. For example, where the medication is to be consumed or administered, or the type of medication treatment. | |||||
| priority | Σ | 0..1 | code | routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request. | ||||
| doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action | ||||
| reported[x] | Σ | 0..1 | Reported rather than primary record | |||||
| reportedBoolean | boolean | |||||||
| reportedReference | Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) | |||||||
| Slices for medication[x] | Σ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): A coded concept identifying substance or product that can be ordered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(CH EMED Medication) {c} | Reference to the contained medication | ||||
| subject | Σ | 1..1 | Reference(CH Core Patient) | 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) | Encounter created as part of encounter/admission/stay | |||||
| Slices for supportingInformation | 1..* | Reference(Resource) | Information to support ordering of the medication Slice: Unordered, Open by profile:resolve() | |||||
| supportingInformation:partOf | 1..1 | Reference(CH EMED Observation (PADV)) {r, b} | Reference to the Observation from type 'CHANGE' | |||||
| authoredOn | Σ | 0..1 | dateTime | When request was initially authored | ||||
| requester | Σ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who/What requested the Request | ||||
| performer | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) | Intended performer of administration | |||||
| performerType | Σ | 0..1 | CodeableConcept | Desired kind of performer of the medication administration Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication. | ||||
| recorder | 0..1 | Reference(Practitioner | PractitionerRole) | Person who entered the request | |||||
| reasonCode | 0..1 | CodeableConcept | Treatment reason Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | |||||
| instantiatesCanonical | Σ | 0..* | canonical() | Instantiates FHIR protocol or definition | ||||
| instantiatesUri | Σ | 0..* | uri | Instantiates external protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) | What request fulfills | ||||
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
| courseOfTherapyType | 0..1 | CodeableConcept | Overall pattern of medication administration Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio. | |||||
| insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
| note | 0..* | Annotation | Information about the prescription | |||||
| Slices for dosageInstruction | 1..* | Dosage | How the medication should be taken Slice: Unordered, Closed by profile:$this | |||||
| dosageInstruction:baseEntry | C | 1..1 | CHEMEDDosageMedicationRequest | Base entry of the dosage instruction | ||||
| dosageInstruction:additionalEntry | 0..* | CHEMEDDosageSplit | 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 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill | 0..1 | BackboneElement | First fill details | |||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity | 0..1 | SimpleQuantity | First fill quantity | |||||
| 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 | 0..1 | SimpleQuantity | Number of packages | |||||
| expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
| performer | 0..1 | Reference(Organization) | Intended dispenser | |||||
| 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 | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| Slices for allowed[x] | 1..1 | Whether substitution is allowed or not Slice: Unordered, Open by type:$this Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
| allowedBoolean | boolean | |||||||
| allowedCodeableConcept | CodeableConcept | |||||||
| allowed[x]:allowedCodeableConcept | 0..1 | CodeableConcept | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (preferred) | |||||
| reason | 0..1 | CodeableConcept | Why should (not) substitution be made Binding: SubstanceAdminSubstitutionReason (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. | |||||
| priorPrescription | 0..1 | Reference(MedicationRequest) | An order/prescription that is being replaced | |||||
| detectedIssue | 0..* | Reference(DetectedIssue) | Clinical Issue with action | |||||
| eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationRequest.language | preferred | CommonLanguages
| ||||
| MedicationRequest.identifier.use | required | IdentifierUse | ||||
| MedicationRequest.identifier.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.status | required | medicationrequest Status | ||||
| MedicationRequest.statusReason | example | medicationRequest Status Reason Codes | ||||
| MedicationRequest.intent | required | medicationRequest Intent | ||||
| MedicationRequest.category | example | medicationRequest Category Codes | ||||
| MedicationRequest.priority | required | RequestPriority | ||||
| MedicationRequest.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationRequest.subject.type | extensible | ResourceType | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodes | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodes | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codes | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.allowed[x]:allowedCodeableConcept | preferred | ActSubstanceAdminSubstitutionCode | ||||
| MedicationRequest.substitution.reason | example | 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()) | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from CHEMEDMedicationRequest
Summary
Mandatory: 2 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron