Interweave Implementation Guide
0.1.0 - ci-build
Interweave Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the STU3 profiles here.
Official URL: https://fhir.hl7.org.uk/StructureDefinition/UKCore-MedicationRequest | Version: 2.5.0 | |||
Active as of 2023-12-12 | Computable Name: UKCoreMedicationRequest | |||
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This profile defines the UK constraints and extensions on the International FHIR resource MedicationRequest.
An order or request for both supply of the medication and the instructions for administration of the medication to an individual.
This profile covers inpatient medication orders as well as community orders (whether filled by the prescriber or by a pharmacy). It also includes orders for over-the-counter medications (e.g. Aspirin), total parenteral nutrition and diet/ vitamin supplements, and may be used to support the order of medication-related devices.
It is not intended for use in prescribing particular diets, or for ordering non-medication-related items (eyeglasses, supplies, etc).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | MedicationRequest | |||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
medicationRepeatInformation | 0..1 | (Complex) | Allows the resource to be referenced within / by other resources. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation | |
identifier | S | 0..* | Identifier | Allows the resource to be referenced within / by other resources. |
status | S | 1..1 | code | A code specifying the current state of the order. |
intent | S | 1..1 | code | Whether the request is a proposal, plan, or an original order. |
category | S | 0..* | CodeableConcept | Provides the business context for the relevant dispensing processes. Binding: UK Core Medication Request Category (extensible) |
medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Identifies the medication being requested. Binding: UK Core Medication Code (preferred) |
subject | S | 1..1 | Reference(Patient | Group) | Who the medication request is for. |
authoredOn | S | 0..1 | dateTime | The date / time that the medication request was initially authored. |
requester | S | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who is requesting the medication. |
courseOfTherapyType | 0..1 | CodeableConcept | A course of therapy for a medication request Binding: UK Core Medication Request Course Of Therapy (extensible) | |
dosageInstruction | S | 0..* | Dosage | Dosage instructions for the medication. |
text | S | 0..1 | string | Free text dosage instructions. |
timing | S | 0..1 | Timing | When the medication should be administered. |
asNeeded[x] | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |
site | 0..1 | CodeableConcept | Body site to administer to Binding: UK Core Body Site (preferred) | |
route | 0..1 | CodeableConcept | How drug should enter body Binding: UK Core Substance Or Product Administration Route (preferred) | |
method | 0..1 | CodeableConcept | Technique for administering medication Binding: UK Core Medication Dosage Method (preferred) | |
doseAndRate | S | 0..* | Element | Dosage instructions for the requested medication. |
dose[x] | S | 0..1 | Range, SimpleQuantity | Quantity of requested medication to be administered. |
rate[x] | S | 0..1 | Ratio, Range, SimpleQuantity | Rate at which the requested medication is to be administered. |
dispenseRequest | S | 0..1 | BackboneElement | Specific dispensing quantity instructions. |
quantity | S | 0..1 | SimpleQuantity | >Amount of medication to supply per dispense. |
substitution | S | 1..1 | BackboneElement | Any restrictions on medication substitution. |
allowed[x] | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationRequest.category | extensible | UKCoreMedicationRequestCategoryhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory from this IG | |
MedicationRequest.medication[x] | preferred | UKCoreMedicationCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode from this IG | |
MedicationRequest.courseOfTherapyType | extensible | UKCoreMedicationRequestCourseOfTherapyhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy from this IG | |
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | |
MedicationRequest.dosageInstruction.site | preferred | UKCoreBodySitehttps://fhir.hl7.org.uk/ValueSet/UKCore-BodySite from this IG | |
MedicationRequest.dosageInstruction.route | preferred | UKCoreSubstanceOrProductAdministrationRoutehttps://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute from this IG | |
MedicationRequest.dosageInstruction.method | preferred | UKCoreMedicationDosageMethodhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod from this IG |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | Ordering of medication for patient or group | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
medicationRepeatInformation | 0..1 | (Complex) | Allows the resource to be referenced within / by other resources. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S | 0..* | Identifier | Allows the resource to be referenced within / by other resources. |
status | ?!SΣ | 1..1 | code | A code specifying the current state of the order. Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
intent | ?!SΣ | 1..1 | code | Whether the request is a proposal, plan, or an original order. Binding: medicationRequest Intent (required): The kind of medication order. |
category | S | 0..* | CodeableConcept | Provides the business context for the relevant dispensing processes. Binding: UK Core Medication Request Category (extensible) |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
medication[x] | SΣ | 1..1 | Identifies the medication being requested. Binding: UK Core Medication Code (preferred) | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication) | |||
subject | SΣ | 1..1 | Reference(Patient | Group) | Who the medication request is for. |
authoredOn | SΣ | 0..1 | dateTime | The date / time that the medication request was initially authored. |
requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who is requesting the medication. |
courseOfTherapyType | 0..1 | CodeableConcept | A course of therapy for a medication request Binding: UK Core Medication Request Course Of Therapy (extensible) | |
dosageInstruction | S | 0..* | Dosage | Dosage instructions for the medication. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
text | SΣ | 0..1 | string | Free text dosage instructions. |
timing | SΣ | 0..1 | Timing | When the medication should be administered. |
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |
asNeededBoolean | boolean | |||
asNeededCodeableConcept | CodeableConcept | |||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: UK Core Body Site (preferred) |
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: UK Core Substance Or Product Administration Route (preferred) |
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: UK Core Medication Dosage Method (preferred) |
doseAndRate | SΣ | 0..* | Element | Dosage instructions for the requested medication. |
dose[x] | SΣ | 0..1 | Quantity of requested medication to be administered. | |
doseRange | Range | |||
doseQuantity | Quantity(SimpleQuantity) | |||
rate[x] | SΣ | 0..1 | Rate at which the requested medication is to be administered. | |
rateRatio | Ratio | |||
rateRange | Range | |||
rateQuantity | Quantity(SimpleQuantity) | |||
dispenseRequest | S | 0..1 | BackboneElement | Specific dispensing quantity instructions. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
quantity | S | 0..1 | SimpleQuantity | >Amount of medication to supply per dispense. |
substitution | S | 1..1 | BackboneElement | Any restrictions on medication substitution. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||
allowedBoolean | boolean | |||
allowedCodeableConcept | CodeableConcept | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | |
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | |
MedicationRequest.category | extensible | UKCoreMedicationRequestCategoryhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory from this IG | |
MedicationRequest.medication[x] | preferred | UKCoreMedicationCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode from this IG | |
MedicationRequest.courseOfTherapyType | extensible | UKCoreMedicationRequestCourseOfTherapyhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy from this IG | |
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | |
MedicationRequest.dosageInstruction.site | preferred | UKCoreBodySitehttps://fhir.hl7.org.uk/ValueSet/UKCore-BodySite from this IG | |
MedicationRequest.dosageInstruction.route | preferred | UKCoreSubstanceOrProductAdministrationRoutehttps://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute from this IG | |
MedicationRequest.dosageInstruction.method | preferred | UKCoreMedicationDosageMethodhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod from this IG | |
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
Id | Grade | Path(s) | Details | Requirements |
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..* | MedicationRequest | Ordering of medication for patient or group | |||||
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 | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
medicationRepeatInformation | 0..1 | (Complex) | Allows the resource to be referenced within / by other resources. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | Allows the resource to be referenced within / by other resources. | ||||
status | ?!SΣ | 1..1 | code | A code specifying the current state of the order. 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 | ?!SΣ | 1..1 | code | Whether the request is a proposal, plan, or an original order. Binding: medicationRequest Intent (required): The kind of medication order. | ||||
category | S | 0..* | CodeableConcept | Provides the business context for the relevant dispensing processes. Binding: UK Core Medication Request Category (extensible) | ||||
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) | |||||||
medication[x] | SΣ | 1..1 | Identifies the medication being requested. Binding: UK Core Medication Code (preferred) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
subject | SΣ | 1..1 | Reference(Patient | Group) | Who the medication request is for. | ||||
encounter | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
authoredOn | SΣ | 0..1 | dateTime | The date / time that the medication request was initially authored. | ||||
requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who is requesting the medication. | ||||
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..* | CodeableConcept | Reason or indication for ordering or not ordering the medication 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 | A course of therapy for a medication request Binding: UK Core Medication Request Course Of Therapy (extensible) | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | 0..* | Annotation | Information about the prescription | |||||
dosageInstruction | S | 0..* | Dosage | Dosage instructions for the medication. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | Free text dosage instructions. | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | SΣ | 0..1 | Timing | When the medication should be administered. | ||||
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: UK Core Body Site (preferred) | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: UK Core Substance Or Product Administration Route (preferred) | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: UK Core Medication Dosage Method (preferred) | ||||
doseAndRate | SΣ | 0..* | Element | Dosage instructions for the requested medication. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
dose[x] | SΣ | 0..1 | Quantity of requested medication to be administered. | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
rate[x] | SΣ | 0..1 | Rate at which the requested medication is to be administered. | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
dispenseRequest | S | 0..1 | BackboneElement | Specific dispensing quantity instructions. | ||||
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 | Time period supply is authorized for | |||||
numberOfRepeatsAllowed | 0..1 | unsignedInt | Number of refills authorized | |||||
quantity | S | 0..1 | SimpleQuantity | >Amount of medication to supply per dispense. | ||||
expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
performer | 0..1 | Reference(Organization) | Intended dispenser | |||||
substitution | S | 1..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 | ||||
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept | |||||||
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 | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | extensible | UKCoreMedicationRequestCategoryhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory from this IG | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | preferred | UKCoreMedicationCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode from this IG | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | extensible | UKCoreMedicationRequestCourseOfTherapyhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy from this IG | ||||
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | preferred | UKCoreBodySitehttps://fhir.hl7.org.uk/ValueSet/UKCore-BodySite from this IG | ||||
MedicationRequest.dosageInstruction.route | preferred | UKCoreSubstanceOrProductAdministrationRoutehttps://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute from this IG | ||||
MedicationRequest.dosageInstruction.method | preferred | UKCoreMedicationDosageMethodhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod from this IG | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
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() |
This structure is derived from MedicationRequest
Differential View
This structure is derived from MedicationRequest
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | MedicationRequest | |||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
medicationRepeatInformation | 0..1 | (Complex) | Allows the resource to be referenced within / by other resources. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation | |
identifier | S | 0..* | Identifier | Allows the resource to be referenced within / by other resources. |
status | S | 1..1 | code | A code specifying the current state of the order. |
intent | S | 1..1 | code | Whether the request is a proposal, plan, or an original order. |
category | S | 0..* | CodeableConcept | Provides the business context for the relevant dispensing processes. Binding: UK Core Medication Request Category (extensible) |
medication[x] | S | 1..1 | CodeableConcept, Reference(Medication) | Identifies the medication being requested. Binding: UK Core Medication Code (preferred) |
subject | S | 1..1 | Reference(Patient | Group) | Who the medication request is for. |
authoredOn | S | 0..1 | dateTime | The date / time that the medication request was initially authored. |
requester | S | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who is requesting the medication. |
courseOfTherapyType | 0..1 | CodeableConcept | A course of therapy for a medication request Binding: UK Core Medication Request Course Of Therapy (extensible) | |
dosageInstruction | S | 0..* | Dosage | Dosage instructions for the medication. |
text | S | 0..1 | string | Free text dosage instructions. |
timing | S | 0..1 | Timing | When the medication should be administered. |
asNeeded[x] | 0..1 | boolean, CodeableConcept | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |
site | 0..1 | CodeableConcept | Body site to administer to Binding: UK Core Body Site (preferred) | |
route | 0..1 | CodeableConcept | How drug should enter body Binding: UK Core Substance Or Product Administration Route (preferred) | |
method | 0..1 | CodeableConcept | Technique for administering medication Binding: UK Core Medication Dosage Method (preferred) | |
doseAndRate | S | 0..* | Element | Dosage instructions for the requested medication. |
dose[x] | S | 0..1 | Range, SimpleQuantity | Quantity of requested medication to be administered. |
rate[x] | S | 0..1 | Ratio, Range, SimpleQuantity | Rate at which the requested medication is to be administered. |
dispenseRequest | S | 0..1 | BackboneElement | Specific dispensing quantity instructions. |
quantity | S | 0..1 | SimpleQuantity | >Amount of medication to supply per dispense. |
substitution | S | 1..1 | BackboneElement | Any restrictions on medication substitution. |
allowed[x] | 1..1 | boolean, CodeableConcept | Whether substitution is allowed or not | |
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationRequest.category | extensible | UKCoreMedicationRequestCategoryhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory from this IG | |
MedicationRequest.medication[x] | preferred | UKCoreMedicationCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode from this IG | |
MedicationRequest.courseOfTherapyType | extensible | UKCoreMedicationRequestCourseOfTherapyhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy from this IG | |
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | |
MedicationRequest.dosageInstruction.site | preferred | UKCoreBodySitehttps://fhir.hl7.org.uk/ValueSet/UKCore-BodySite from this IG | |
MedicationRequest.dosageInstruction.route | preferred | UKCoreSubstanceOrProductAdministrationRoutehttps://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute from this IG | |
MedicationRequest.dosageInstruction.method | preferred | UKCoreMedicationDosageMethodhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod from this IG |
Key Elements View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationRequest | 0..* | MedicationRequest | Ordering of medication for patient or group | |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
medicationRepeatInformation | 0..1 | (Complex) | Allows the resource to be referenced within / by other resources. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation | |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
identifier | S | 0..* | Identifier | Allows the resource to be referenced within / by other resources. |
status | ?!SΣ | 1..1 | code | A code specifying the current state of the order. Binding: medicationrequest Status (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription. |
intent | ?!SΣ | 1..1 | code | Whether the request is a proposal, plan, or an original order. Binding: medicationRequest Intent (required): The kind of medication order. |
category | S | 0..* | CodeableConcept | Provides the business context for the relevant dispensing processes. Binding: UK Core Medication Request Category (extensible) |
doNotPerform | ?!Σ | 0..1 | boolean | True if request is prohibiting action |
medication[x] | SΣ | 1..1 | Identifies the medication being requested. Binding: UK Core Medication Code (preferred) | |
medicationCodeableConcept | CodeableConcept | |||
medicationReference | Reference(Medication) | |||
subject | SΣ | 1..1 | Reference(Patient | Group) | Who the medication request is for. |
authoredOn | SΣ | 0..1 | dateTime | The date / time that the medication request was initially authored. |
requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who is requesting the medication. |
courseOfTherapyType | 0..1 | CodeableConcept | A course of therapy for a medication request Binding: UK Core Medication Request Course Of Therapy (extensible) | |
dosageInstruction | S | 0..* | Dosage | Dosage instructions for the medication. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
text | SΣ | 0..1 | string | Free text dosage instructions. |
timing | SΣ | 0..1 | Timing | When the medication should be administered. |
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |
asNeededBoolean | boolean | |||
asNeededCodeableConcept | CodeableConcept | |||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: UK Core Body Site (preferred) |
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: UK Core Substance Or Product Administration Route (preferred) |
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: UK Core Medication Dosage Method (preferred) |
doseAndRate | SΣ | 0..* | Element | Dosage instructions for the requested medication. |
dose[x] | SΣ | 0..1 | Quantity of requested medication to be administered. | |
doseRange | Range | |||
doseQuantity | Quantity(SimpleQuantity) | |||
rate[x] | SΣ | 0..1 | Rate at which the requested medication is to be administered. | |
rateRatio | Ratio | |||
rateRange | Range | |||
rateQuantity | Quantity(SimpleQuantity) | |||
dispenseRequest | S | 0..1 | BackboneElement | Specific dispensing quantity instructions. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
quantity | S | 0..1 | SimpleQuantity | >Amount of medication to supply per dispense. |
substitution | S | 1..1 | BackboneElement | Any restrictions on medication substitution. |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||
allowedBoolean | boolean | |||
allowedCodeableConcept | CodeableConcept | |||
Documentation for this format |
Path | Conformance | ValueSet | URI |
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | |
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | |
MedicationRequest.category | extensible | UKCoreMedicationRequestCategoryhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory from this IG | |
MedicationRequest.medication[x] | preferred | UKCoreMedicationCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode from this IG | |
MedicationRequest.courseOfTherapyType | extensible | UKCoreMedicationRequestCourseOfTherapyhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy from this IG | |
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | |
MedicationRequest.dosageInstruction.site | preferred | UKCoreBodySitehttps://fhir.hl7.org.uk/ValueSet/UKCore-BodySite from this IG | |
MedicationRequest.dosageInstruction.route | preferred | UKCoreSubstanceOrProductAdministrationRoutehttps://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute from this IG | |
MedicationRequest.dosageInstruction.method | preferred | UKCoreMedicationDosageMethodhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod from this IG | |
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode |
Id | Grade | Path(s) | Details | Requirements |
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..* | MedicationRequest | Ordering of medication for patient or group | |||||
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 | 0..* | Resource | Contained, inline Resources | |||||
Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
medicationRepeatInformation | 0..1 | (Complex) | Allows the resource to be referenced within / by other resources. URL: https://fhir.hl7.org.uk/StructureDefinition/Extension-UKCore-MedicationRepeatInformation | |||||
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
identifier | S | 0..* | Identifier | Allows the resource to be referenced within / by other resources. | ||||
status | ?!SΣ | 1..1 | code | A code specifying the current state of the order. 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 | ?!SΣ | 1..1 | code | Whether the request is a proposal, plan, or an original order. Binding: medicationRequest Intent (required): The kind of medication order. | ||||
category | S | 0..* | CodeableConcept | Provides the business context for the relevant dispensing processes. Binding: UK Core Medication Request Category (extensible) | ||||
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) | |||||||
medication[x] | SΣ | 1..1 | Identifies the medication being requested. Binding: UK Core Medication Code (preferred) | |||||
medicationCodeableConcept | CodeableConcept | |||||||
medicationReference | Reference(Medication) | |||||||
subject | SΣ | 1..1 | Reference(Patient | Group) | Who the medication request is for. | ||||
encounter | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay | |||||
supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
authoredOn | SΣ | 0..1 | dateTime | The date / time that the medication request was initially authored. | ||||
requester | SΣ | 0..1 | Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) | Who is requesting the medication. | ||||
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..* | CodeableConcept | Reason or indication for ordering or not ordering the medication 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 | A course of therapy for a medication request Binding: UK Core Medication Request Course Of Therapy (extensible) | |||||
insurance | 0..* | Reference(Coverage | ClaimResponse) | Associated insurance coverage | |||||
note | 0..* | Annotation | Information about the prescription | |||||
dosageInstruction | S | 0..* | Dosage | Dosage instructions for the medication. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
text | SΣ | 0..1 | string | Free text dosage instructions. | ||||
additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness" Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
timing | SΣ | 0..1 | Timing | When the medication should be administered. | ||||
asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMEDCTMedicationAsNeededReasonCodes (preferred): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
asNeededBoolean | boolean | |||||||
asNeededCodeableConcept | CodeableConcept | |||||||
site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: UK Core Body Site (preferred) | ||||
route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: UK Core Substance Or Product Administration Route (preferred) | ||||
method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: UK Core Medication Dosage Method (preferred) | ||||
doseAndRate | SΣ | 0..* | Element | Dosage instructions for the requested medication. | ||||
id | 0..1 | string | Unique id for inter-element referencing | |||||
extension | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
type | Σ | 0..1 | CodeableConcept | The kind of dose or rate specified Binding: DoseAndRateType (example): The kind of dose or rate specified. | ||||
dose[x] | SΣ | 0..1 | Quantity of requested medication to be administered. | |||||
doseRange | Range | |||||||
doseQuantity | Quantity(SimpleQuantity) | |||||||
rate[x] | SΣ | 0..1 | Rate at which the requested medication is to be administered. | |||||
rateRatio | Ratio | |||||||
rateRange | Range | |||||||
rateQuantity | Quantity(SimpleQuantity) | |||||||
maxDosePerPeriod | Σ | 0..1 | Ratio | Upper limit on medication per unit of time | ||||
maxDosePerAdministration | Σ | 0..1 | SimpleQuantity | Upper limit on medication per administration | ||||
maxDosePerLifetime | Σ | 0..1 | SimpleQuantity | Upper limit on medication per lifetime of the patient | ||||
dispenseRequest | S | 0..1 | BackboneElement | Specific dispensing quantity instructions. | ||||
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 | Time period supply is authorized for | |||||
numberOfRepeatsAllowed | 0..1 | unsignedInt | Number of refills authorized | |||||
quantity | S | 0..1 | SimpleQuantity | >Amount of medication to supply per dispense. | ||||
expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
performer | 0..1 | Reference(Organization) | Intended dispenser | |||||
substitution | S | 1..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 | ||||
allowed[x] | 1..1 | Whether substitution is allowed or not Binding: ActSubstanceAdminSubstitutionCode (example): Identifies the type of substitution allowed. | ||||||
allowedBoolean | boolean | |||||||
allowedCodeableConcept | CodeableConcept | |||||||
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 | URI | |||
MedicationRequest.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languages from the FHIR Standard | ||||
MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-status|4.0.1 from the FHIR Standard | ||||
MedicationRequest.statusReason | example | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reason from the FHIR Standard | ||||
MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intent|4.0.1 from the FHIR Standard | ||||
MedicationRequest.category | extensible | UKCoreMedicationRequestCategoryhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCategory from this IG | ||||
MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1 from the FHIR Standard | ||||
MedicationRequest.medication[x] | preferred | UKCoreMedicationCodehttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationCode from this IG | ||||
MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-role from the FHIR Standard | ||||
MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-code from the FHIR Standard | ||||
MedicationRequest.courseOfTherapyType | extensible | UKCoreMedicationRequestCourseOfTherapyhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationRequestCourseOfTherapy from this IG | ||||
MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codes from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.asNeeded[x] | preferred | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reason from the FHIR Standard | ||||
MedicationRequest.dosageInstruction.site | preferred | UKCoreBodySitehttps://fhir.hl7.org.uk/ValueSet/UKCore-BodySite from this IG | ||||
MedicationRequest.dosageInstruction.route | preferred | UKCoreSubstanceOrProductAdministrationRoutehttps://fhir.hl7.org.uk/ValueSet/UKCore-SubstanceOrProductAdministrationRoute from this IG | ||||
MedicationRequest.dosageInstruction.method | preferred | UKCoreMedicationDosageMethodhttps://fhir.hl7.org.uk/ValueSet/UKCore-MedicationDosageMethod from this IG | ||||
MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-type from the FHIR Standard | ||||
MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode | ||||
MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason |
Id | Grade | Path(s) | Details | Requirements |
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() |
This structure is derived from MedicationRequest
Other representations of profile: CSV, Excel, Schematron