Interweave Implementation Guide - Local Development build (v0.1.0). See the Directory of published versions
Resource Profile: CareConnectMedicationRequest1
| Official URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1 | Version: 0.1.0 | |||
| Draft as of 2018-11-05 | Computable Name: CareConnect-MedicationRequest-1 | |||
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This MedicationRequest Resource represents an order for both supply of the medication and the instructions for administration of the medication to a patient.
CURATED BY INTEROPen see: http://www.interopen.org/careconnect-curation-methodology/
Usage:
- Derived from this Resource Profile: InterweaveMedicationRequest
- Refer to this Resource Profile: CareConnect-ACVPU-Observation-1, CareConnect-BloodPressure-Observation-1, CareConnect-BodyTemperature-Observation-1, CareConnect-CarePlan-1... Show 16 more
Formal Views of Profile Content
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationRequest | 0..* | MedicationRequest | Ordering of medication for patient or group | |
  Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
 repeatInformation | 0..1 | (Complex) | Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1 | |
| statusReason | 0..1 | (Complex) | To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1 | |
| prescriptionType | 0..1 | CodeableConcept | To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription. | |
  identifier | ||||
 system | 1..1 | uri | The namespace for the identifier value | |
| value | 1..1 | string | The value that is unique | |
  assigner | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) | |
| basedOn | 0..* | Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1) | What request fulfills | |
| groupIdentifier | ||||
| assigner | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) | |
| medicationReference:medicationReference | 1..1 | Reference(CareConnect-Medication-1) | Medication to be taken Binding: SNOMED CT Medication Codes (example) | |
| subject | 1..1 | Reference(Group | CareConnectPatient1) | Who or group medication request is for | |
| context | 0..1 | Reference(EpisodeOfCare | CareConnect-Encounter-1) | Created during encounter/admission/stay | |
| requester | ||||
| agent | 1..1 | Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1) | Who ordered the initial medication(s) | |
| onBehalfOf | 0..1 | Reference(CareConnect-Organization-1) | Organization agent is acting for | |
| recorder | 0..1 | Reference(CareConnect-Practitioner-1) | Person who entered the request | |
| reasonReference | 0..* | Reference(CareConnect-Condition-1 | CareConnect-Observation-1) | Condition or Observation that supports why the prescription is being written | |
| note | ||||
  author[x] | 0..1 | Individual responsible for the annotation | ||
 authorReference | Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1) | |||
 authorString | string | |||
| dosageInstruction | ||||
| additionalInstruction | ||||
 Slices for coding | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
 coding:snomedCT | 0..1 | Coding | Code defined by a terminology system | |
 Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| snomedCTDescriptionID | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system | |
 display | 1..1 | string | Representation defined by the system | |
| route | ||||
| Slices for coding | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
| coding:snomedCT | 0..1 | Coding | Code defined by a terminology system Binding: Care Connect Medication Dosage Route (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration. | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| snomedCTDescriptionID | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system | |
| display | 1..1 | string | Representation defined by the system | |
| dispenseRequest | ||||
| quantity | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| quantityText | 0..1 | string | Quantity representation URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1 | |
| expectedSupplyDuration | ||||
| value | 1..1 | decimal | Numerical value (with implicit precision) | |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Binding: UnitsOfTime (required): A unit of time (units from UCUM). | |
| performer | 0..1 | Reference(CareConnect-Organization-1) | Intended dispenser | |
| priorPrescription | 0..1 | Reference(CareConnect-MedicationRequest-1) | An order/prescription that is being replaced | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet |
| MedicationRequest.medicationReference:medicationReference | example | SNOMED CT Medication Codes |
| MedicationRequest.dosageInstruction.route.coding:snomedCT | preferred | Care Connect Medication Dosage Route |
| MedicationRequest.dispenseRequest.expectedSupplyDuration.code | required | UnitsOfTime |
| 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 | |
| repeatInformation | 0..1 | (Complex) | Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1 | |
| statusReason | 0..1 | (Complex) | To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1 | |
| prescriptionType | 0..1 | CodeableConcept | To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription. | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| basedOn | Σ | 0..* | Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1) | What request fulfills |
| status | ?!Σ | 0..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (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 | instance-order Binding: MedicationRequestIntent (required): The kind of medication order |
| Slices for medication[x] | Σ | 1..1 | Reference() | Medication to be taken Slice: Unordered, Closed by type:$this |
 medication[x]:medicationReference | Σ | 1..1 | Reference(CareConnect-Medication-1) | Medication to be taken |
| subject | Σ | 1..1 | Reference(Group | CareConnectPatient1) | Who or group medication request is for |
| context | 0..1 | Reference(EpisodeOfCare | CareConnect-Encounter-1) | Created during encounter/admission/stay | |
| recorder | 0..1 | Reference(CareConnect-Practitioner-1) | Person who entered the request | |
| reasonReference | 0..* | Reference(CareConnect-Condition-1 | CareConnect-Observation-1) | Condition or Observation that supports why the prescription is being written | |
| priorPrescription | 0..1 | Reference(CareConnect-MedicationRequest-1) | An order/prescription that is being replaced | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet |
| MedicationRequest.status | required | MedicationRequestStatus |
| MedicationRequest.intent | required | MedicationRequestIntent |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-1 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| 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 : contained.where(('#'+id in %resource.descendants().reference).not()).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() | |
| ele-1 | error | MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType | 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: Common Languages (extensible): 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 | |||||
| repeatInformation | 0..1 | (Complex) | Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1 | |||||
| statusReason | 0..1 | (Complex) | To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1 | |||||
| prescriptionType | 0..1 | CodeableConcept | To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription. | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External ids for this request | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary (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 Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) | ||||
| definition | Σ | 0..* | Reference(ActivityDefinition | PlanDefinition) | Protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1) | What request fulfills | ||||
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary (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 | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) | ||||
| status | ?!Σ | 0..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (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 | instance-order Binding: MedicationRequestIntent (required): The kind of medication order | ||||
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered | |||||
| priority | Σ | 0..1 | code | routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request | ||||
| Slices for medication[x] | Σ | 1..1 | Reference() | Medication to be taken Slice: Unordered, Closed by type:$this | ||||
| medication[x]:medicationReference | Σ | 1..1 | Reference(CareConnect-Medication-1) | Medication to be taken | ||||
| subject | Σ | 1..1 | Reference(Group | CareConnectPatient1) | Who or group medication request is for | ||||
| context | 0..1 | Reference(EpisodeOfCare | CareConnect-Encounter-1) | Created during encounter/admission/stay | |||||
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn | Σ | 0..1 | dateTime | When request was initially authored | ||||
| requester | ΣC | 0..1 | BackboneElement | Who/What requested the Request | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| agent | Σ | 1..1 | Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1) | Who ordered the initial medication(s) | ||||
| onBehalfOf | ΣC | 0..1 | Reference(CareConnect-Organization-1) | Organization agent is acting for | ||||
| recorder | 0..1 | Reference(CareConnect-Practitioner-1) | Person who entered the request | |||||
| reasonCode | 0..* | CodeableConcept | Reason or indication for writing the prescription Binding: Condition/Problem/Diagnosis Codes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(CareConnect-Condition-1 | CareConnect-Observation-1) | Condition or Observation that supports why the prescription is being written | |||||
| note | 0..* | Annotation | Information about the prescription | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| author[x] | Σ | 0..1 | Individual responsible for the annotation | |||||
| authorReference | Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1) | |||||||
| authorString | string | |||||||
| time | Σ | 0..1 | dateTime | When the annotation was made | ||||
| text | 1..1 | string | The annotation - text content | |||||
| dosageInstruction | 0..* | Dosage | How the medication should be taken | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
| text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
| additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction - e.g. "with meals" Binding: SNOMED CT Additional Dosage Instructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| snomedCTDescriptionID | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
| timing | Σ | 0..1 | Timing | When medication should be administered | ||||
| asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
| asNeededBoolean | boolean | |||||||
| asNeededCodeableConcept | CodeableConcept | |||||||
| site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
| route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMED CT Route Codes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system Binding: Care Connect Medication Dosage Route (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration. | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| snomedCTDescriptionID | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered. | ||||
| dose[x] | Σ | 0..1 | Amount of medication per dose | |||||
| doseRange | Range | |||||||
| doseQuantity | 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 | ||||
| rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
| rateRatio | Ratio | |||||||
| rateRange | Range | |||||||
| rateQuantity | Quantity(SimpleQuantity) | |||||||
| dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| validityPeriod | 0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed | 0..1 | positiveInt | Number of refills authorized | |||||
| quantity | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| quantityText | 0..1 | string | Quantity representation URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1 | |||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form | ||||
| code | Σ | 0..1 | code | Coded form of the unit | ||||
| expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | Σ | 1..1 | code | Coded form of the unit Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| performer | 0..1 | Reference(CareConnect-Organization-1) | Intended dispenser | |||||
| substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| allowed | ?! | 1..1 | boolean | Whether substitution is allowed or not | ||||
| 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(CareConnect-MedicationRequest-1) | 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 | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| MedicationRequest.language | extensible | Common Languages
| ||||
| MedicationRequest.identifier.use | required | IdentifierUse | ||||
| MedicationRequest.identifier.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.groupIdentifier.use | required | IdentifierUse | ||||
| MedicationRequest.groupIdentifier.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.status | required | MedicationRequestStatus | ||||
| MedicationRequest.intent | required | MedicationRequestIntent | ||||
| MedicationRequest.category | preferred | MedicationRequestCategory | ||||
| MedicationRequest.priority | required | MedicationRequestPriority | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/Diagnosis Codes | ||||
| MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMED CT Additional Dosage Instructions | ||||
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMED CT Medication As Needed Reason Codes | ||||
| MedicationRequest.dosageInstruction.site | example | SNOMED CT Anatomical Structure for Administration Site Codes | ||||
| MedicationRequest.dosageInstruction.route | example | SNOMED CT Route Codes | ||||
| MedicationRequest.dosageInstruction.route.coding:snomedCT | preferred | Care Connect Medication Dosage Route | ||||
| MedicationRequest.dosageInstruction.method | example | SNOMED CT Administration Method Codes | ||||
| MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator | required | QuantityComparator | ||||
| MedicationRequest.dispenseRequest.expectedSupplyDuration.code | required | UnitsOfTime | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType, MedicationRequest.requester, MedicationRequest.dispenseRequest, MedicationRequest.substitution | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mps-1 | error | MedicationRequest.requester | onBehalfOf can only be specified if agent is practitioner or device : (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not() |
This structure is derived from MedicationRequest
Summary
Mandatory: 0 element (11 nested mandatory elements)
Fixed Value: 3 elements
Structures
This structure refers to these other structures:
- CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
- CareConnect-MedicationRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1)
- CareConnect-Medication-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Medication-1)
- CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
- CareConnect-Encounter-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)
- CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)
- CareConnect-Condition-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1)
- CareConnect-Observation-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1)
Extensions
This structure refers to these extensions:
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
Slices
This structure defines the following Slices:
- The element MedicationRequest.dosageInstruction.additionalInstruction.coding is sliced based on the value of value:system
- The element MedicationRequest.dosageInstruction.route.coding is sliced based on the value of value:system
Differential View
This structure is derived from MedicationRequest
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationRequest | 0..* | MedicationRequest | Ordering of medication for patient or group | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| repeatInformation | 0..1 | (Complex) | Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1 | |
| statusReason | 0..1 | (Complex) | To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1 | |
| prescriptionType | 0..1 | CodeableConcept | To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription. | |
| identifier | ||||
| system | 1..1 | uri | The namespace for the identifier value | |
| value | 1..1 | string | The value that is unique | |
| assigner | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) | |
| basedOn | 0..* | Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1) | What request fulfills | |
| groupIdentifier | ||||
| assigner | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) | |
| medicationReference:medicationReference | 1..1 | Reference(CareConnect-Medication-1) | Medication to be taken Binding: SNOMED CT Medication Codes (example) | |
| subject | 1..1 | Reference(Group | CareConnectPatient1) | Who or group medication request is for | |
| context | 0..1 | Reference(EpisodeOfCare | CareConnect-Encounter-1) | Created during encounter/admission/stay | |
| requester | ||||
| agent | 1..1 | Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1) | Who ordered the initial medication(s) | |
| onBehalfOf | 0..1 | Reference(CareConnect-Organization-1) | Organization agent is acting for | |
| recorder | 0..1 | Reference(CareConnect-Practitioner-1) | Person who entered the request | |
| reasonReference | 0..* | Reference(CareConnect-Condition-1 | CareConnect-Observation-1) | Condition or Observation that supports why the prescription is being written | |
| note | ||||
| author[x] | 0..1 | Individual responsible for the annotation | ||
| authorReference | Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1) | |||
| authorString | string | |||
| dosageInstruction | ||||
| additionalInstruction | ||||
| Slices for coding | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
| coding:snomedCT | 0..1 | Coding | Code defined by a terminology system | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| snomedCTDescriptionID | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system | |
| display | 1..1 | string | Representation defined by the system | |
| route | ||||
| Slices for coding | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | |
| coding:snomedCT | 0..1 | Coding | Code defined by a terminology system Binding: Care Connect Medication Dosage Route (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration. | |
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| snomedCTDescriptionID | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |
| system | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | |
| code | 1..1 | code | Symbol in syntax defined by the system | |
| display | 1..1 | string | Representation defined by the system | |
| dispenseRequest | ||||
| quantity | ||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| quantityText | 0..1 | string | Quantity representation URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1 | |
| expectedSupplyDuration | ||||
| value | 1..1 | decimal | Numerical value (with implicit precision) | |
| system | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | |
| code | 1..1 | code | Coded form of the unit Binding: UnitsOfTime (required): A unit of time (units from UCUM). | |
| performer | 0..1 | Reference(CareConnect-Organization-1) | Intended dispenser | |
| priorPrescription | 0..1 | Reference(CareConnect-MedicationRequest-1) | An order/prescription that is being replaced | |
| Documentation for this format | ||||
Terminology Bindings (Differential)
| Path | Conformance | ValueSet |
| MedicationRequest.medicationReference:medicationReference | example | SNOMED CT Medication Codes |
| MedicationRequest.dosageInstruction.route.coding:snomedCT | preferred | Care Connect Medication Dosage Route |
| MedicationRequest.dispenseRequest.expectedSupplyDuration.code | required | UnitsOfTime |
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 | |
| repeatInformation | 0..1 | (Complex) | Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1 | |
| statusReason | 0..1 | (Complex) | To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1 | |
| prescriptionType | 0..1 | CodeableConcept | To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription. | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| basedOn | Σ | 0..* | Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1) | What request fulfills |
| status | ?!Σ | 0..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (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 | instance-order Binding: MedicationRequestIntent (required): The kind of medication order |
| Slices for medication[x] | Σ | 1..1 | Reference() | Medication to be taken Slice: Unordered, Closed by type:$this |
| medication[x]:medicationReference | Σ | 1..1 | Reference(CareConnect-Medication-1) | Medication to be taken |
| subject | Σ | 1..1 | Reference(Group | CareConnectPatient1) | Who or group medication request is for |
| context | 0..1 | Reference(EpisodeOfCare | CareConnect-Encounter-1) | Created during encounter/admission/stay | |
| recorder | 0..1 | Reference(CareConnect-Practitioner-1) | Person who entered the request | |
| reasonReference | 0..* | Reference(CareConnect-Condition-1 | CareConnect-Observation-1) | Condition or Observation that supports why the prescription is being written | |
| priorPrescription | 0..1 | Reference(CareConnect-MedicationRequest-1) | An order/prescription that is being replaced | |
| Documentation for this format | ||||
Terminology Bindings
| Path | Conformance | ValueSet |
| MedicationRequest.status | required | MedicationRequestStatus |
| MedicationRequest.intent | required | MedicationRequestIntent |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| dom-1 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| 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 : contained.where(('#'+id in %resource.descendants().reference).not()).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() | |
| ele-1 | error | MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType | 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: Common Languages (extensible): 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 | |||||
| repeatInformation | 0..1 | (Complex) | Medication repeat information URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1 | |||||
| statusReason | 0..1 | (Complex) | To record the reason the medication (plan or order) was stopped and the date this occurred URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1 | |||||
| prescriptionType | 0..1 | CodeableConcept | To record the type of prescription URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1 Binding: Care Connect Prescription Type (required): A ValueSet to identify the type of prescription. | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External ids for this request | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary (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 Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 1..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) | ||||
| definition | Σ | 0..* | Reference(ActivityDefinition | PlanDefinition) | Protocol or definition | ||||
| basedOn | Σ | 0..* | Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1) | What request fulfills | ||||
| groupIdentifier | Σ | 0..1 | Identifier | Composite request this is part of | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| use | ?!Σ | 0..1 | code | usual | official | temp | secondary (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 | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient | ||||
| value | Σ | 0..1 | string | The value that is unique Example General: 123456 | ||||
| period | Σ | 0..1 | Period | Time period when id is/was valid for use | ||||
| assigner | Σ | 0..1 | Reference(CareConnect-Organization-1) | Organization that issued id (may be just text) | ||||
| status | ?!Σ | 0..1 | code | active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown Binding: MedicationRequestStatus (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 | instance-order Binding: MedicationRequestIntent (required): The kind of medication order | ||||
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationRequestCategory (preferred): A coded concept identifying where the medication ordered is expected to be consumed or administered | |||||
| priority | Σ | 0..1 | code | routine | urgent | stat | asap Binding: MedicationRequestPriority (required): Identifies the level of importance to be assigned to actioning the request | ||||
| Slices for medication[x] | Σ | 1..1 | Reference() | Medication to be taken Slice: Unordered, Closed by type:$this | ||||
| medication[x]:medicationReference | Σ | 1..1 | Reference(CareConnect-Medication-1) | Medication to be taken | ||||
| subject | Σ | 1..1 | Reference(Group | CareConnectPatient1) | Who or group medication request is for | ||||
| context | 0..1 | Reference(EpisodeOfCare | CareConnect-Encounter-1) | Created during encounter/admission/stay | |||||
| supportingInformation | 0..* | Reference(Resource) | Information to support ordering of the medication | |||||
| authoredOn | Σ | 0..1 | dateTime | When request was initially authored | ||||
| requester | ΣC | 0..1 | BackboneElement | Who/What requested the Request | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| agent | Σ | 1..1 | Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnectPatient1 | CareConnect-Practitioner-1) | Who ordered the initial medication(s) | ||||
| onBehalfOf | ΣC | 0..1 | Reference(CareConnect-Organization-1) | Organization agent is acting for | ||||
| recorder | 0..1 | Reference(CareConnect-Practitioner-1) | Person who entered the request | |||||
| reasonCode | 0..* | CodeableConcept | Reason or indication for writing the prescription Binding: Condition/Problem/Diagnosis Codes (example): A coded concept indicating why the medication was ordered. | |||||
| reasonReference | 0..* | Reference(CareConnect-Condition-1 | CareConnect-Observation-1) | Condition or Observation that supports why the prescription is being written | |||||
| note | 0..* | Annotation | Information about the prescription | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| author[x] | Σ | 0..1 | Individual responsible for the annotation | |||||
| authorReference | Reference(RelatedPerson | CareConnectPatient1 | CareConnect-Practitioner-1) | |||||||
| authorString | string | |||||||
| time | Σ | 0..1 | dateTime | When the annotation was made | ||||
| text | 1..1 | string | The annotation - text content | |||||
| dosageInstruction | 0..* | Dosage | How the medication should be taken | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| sequence | Σ | 0..1 | integer | The order of the dosage instructions | ||||
| text | Σ | 0..1 | string | Free text dosage instructions e.g. SIG | ||||
| additionalInstruction | Σ | 0..* | CodeableConcept | Supplemental instruction - e.g. "with meals" Binding: SNOMED CT Additional Dosage Instructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| snomedCTDescriptionID | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| patientInstruction | Σ | 0..1 | string | Patient or consumer oriented instructions | ||||
| timing | Σ | 0..1 | Timing | When medication should be administered | ||||
| asNeeded[x] | Σ | 0..1 | Take "as needed" (for x) Binding: SNOMED CT Medication As Needed Reason Codes (example): A coded concept identifying the precondition that should be met or evaluated prior to consuming or administering a medication dose. For example "pain", "30 minutes prior to sexual intercourse", "on flare-up" etc. | |||||
| asNeededBoolean | boolean | |||||||
| asNeededCodeableConcept | CodeableConcept | |||||||
| site | Σ | 0..1 | CodeableConcept | Body site to administer to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body. | ||||
| route | Σ | 0..1 | CodeableConcept | How drug should enter body Binding: SNOMED CT Route Codes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| Slices for coding | Σ | 0..* | Coding | Code defined by a terminology system Slice: Unordered, Open by value:system | ||||
| coding:snomedCT | Σ | 0..1 | Coding | Code defined by a terminology system Binding: Care Connect Medication Dosage Route (preferred): A code from the SNOMED Clinical Terminology UK coding system that describes the e-Prescribing route of administration. | ||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| snomedCTDescriptionID | 0..* | (Complex) | The SNOMED CT Description ID for the display URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid | |||||
| system | Σ | 1..1 | uri | Identity of the terminology system Fixed Value: http://snomed.info/sct | ||||
| version | Σ | 0..1 | string | Version of the system - if relevant | ||||
| code | Σ | 1..1 | code | Symbol in syntax defined by the system | ||||
| display | Σ | 1..1 | string | Representation defined by the system | ||||
| userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| text | Σ | 0..1 | string | Plain text representation of the concept | ||||
| method | Σ | 0..1 | CodeableConcept | Technique for administering medication Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered. | ||||
| dose[x] | Σ | 0..1 | Amount of medication per dose | |||||
| doseRange | Range | |||||||
| doseQuantity | 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 | ||||
| rate[x] | Σ | 0..1 | Amount of medication per unit of time | |||||
| rateRatio | Ratio | |||||||
| rateRange | Range | |||||||
| rateQuantity | Quantity(SimpleQuantity) | |||||||
| dispenseRequest | 0..1 | BackboneElement | Medication supply authorization | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| validityPeriod | 0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed | 0..1 | positiveInt | Number of refills authorized | |||||
| quantity | 0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension | 0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| quantityText | 0..1 | string | Quantity representation URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1 | |||||
| value | Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 0..1 | uri | System that defines coded unit form | ||||
| code | Σ | 0..1 | code | Coded form of the unit | ||||
| expectedSupplyDuration | 0..1 | Duration | Number of days supply per dispense | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |||||
| value | Σ | 1..1 | decimal | Numerical value (with implicit precision) | ||||
| comparator | ?!Σ | 0..1 | code | < | <= | >= | > - how to understand the value Binding: QuantityComparator (required): How the Quantity should be understood and represented. | ||||
| unit | Σ | 0..1 | string | Unit representation | ||||
| system | ΣC | 1..1 | uri | System that defines coded unit form Fixed Value: http://unitsofmeasure.org | ||||
| code | Σ | 1..1 | code | Coded form of the unit Binding: UnitsOfTime (required): A unit of time (units from UCUM). | ||||
| performer | 0..1 | Reference(CareConnect-Organization-1) | Intended dispenser | |||||
| substitution | 0..1 | BackboneElement | Any restrictions on medication substitution | |||||
| id | 0..1 | string | xml:id (or equivalent in JSON) | |||||
| extension | 0..* | Extension | Additional Content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored | ||||
| allowed | ?! | 1..1 | boolean | Whether substitution is allowed or not | ||||
| 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(CareConnect-MedicationRequest-1) | 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 | ||||||||
Terminology Bindings
| Path | Conformance | ValueSet | ||||
| MedicationRequest.language | extensible | Common Languages
| ||||
| MedicationRequest.identifier.use | required | IdentifierUse | ||||
| MedicationRequest.identifier.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.groupIdentifier.use | required | IdentifierUse | ||||
| MedicationRequest.groupIdentifier.type | extensible | Identifier Type Codes | ||||
| MedicationRequest.status | required | MedicationRequestStatus | ||||
| MedicationRequest.intent | required | MedicationRequestIntent | ||||
| MedicationRequest.category | preferred | MedicationRequestCategory | ||||
| MedicationRequest.priority | required | MedicationRequestPriority | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/Diagnosis Codes | ||||
| MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMED CT Additional Dosage Instructions | ||||
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMED CT Medication As Needed Reason Codes | ||||
| MedicationRequest.dosageInstruction.site | example | SNOMED CT Anatomical Structure for Administration Site Codes | ||||
| MedicationRequest.dosageInstruction.route | example | SNOMED CT Route Codes | ||||
| MedicationRequest.dosageInstruction.route.coding:snomedCT | preferred | Care Connect Medication Dosage Route | ||||
| MedicationRequest.dosageInstruction.method | example | SNOMED CT Administration Method Codes | ||||
| MedicationRequest.dispenseRequest.expectedSupplyDuration.comparator | required | QuantityComparator | ||||
| MedicationRequest.dispenseRequest.expectedSupplyDuration.code | required | UnitsOfTime | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReason |
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| ele-1 | error | MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType, MedicationRequest.requester, MedicationRequest.dispenseRequest, MedicationRequest.substitution | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ext-1 | error | MedicationRequest.extension:repeatInformation, MedicationRequest.extension:statusReason, MedicationRequest.extension:prescriptionType | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mps-1 | error | MedicationRequest.requester | onBehalfOf can only be specified if agent is practitioner or device : (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not() |
This structure is derived from MedicationRequest
Summary
Mandatory: 0 element (11 nested mandatory elements)
Fixed Value: 3 elements
Structures
This structure refers to these other structures:
- CareConnect-Organization-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Organization-1)
- CareConnect-MedicationRequest-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1)
- CareConnect-Medication-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Medication-1)
- CareConnectPatient1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Patient-1)
- CareConnect-Encounter-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Encounter-1)
- CareConnect-Practitioner-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Practitioner-1)
- CareConnect-Condition-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Condition-1)
- CareConnect-Observation-1 (https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-Observation-1)
Extensions
This structure refers to these extensions:
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
- https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
Slices
This structure defines the following Slices:
- The element MedicationRequest.dosageInstruction.additionalInstruction.coding is sliced based on the value of value:system
- The element MedicationRequest.dosageInstruction.route.coding is sliced based on the value of value:system
Other representations of profile: CSV, Excel, Schematron