CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1 United States of America flag

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ACH Monthly Event MedicationRequest

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest Version: 1.0.0
Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalMonthlyReportingMedicationRequest

This profile contains Required and Must Support data elements for reporting medication request (order) information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR® US Core MedicationRequest Profile v3.1.1.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest C 0..* USCoreMedicationRequestProfile(6.1.0) Ordering of medication for patient or group
Constraints: us-core-21
... id Σ 1..1 id Logical id of this artifact
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (extensible)
... intent ?!SΣC 1..1 code (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category S 0..* CodeableConcept (USCDI) Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (extensible)
.... category:us-core S 0..* CodeableConcept (USCDI) Type of medication usage
Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!SΣ 0..1 boolean True if request is prohibiting action
... Slices for reported[x] SΣ 0..1 (USCDI) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean S
.... reportedReference Reference S(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile)
.... reported[x]:reportedReference SΣ 0..1 Reference S(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile) (USCDI) Reported rather than primary record
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for medication[x] SΣ 1..1 (USCDI) Medication to be taken
Slice: Unordered, Open by type:$this
Binding: Medication Clinical Drug . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
.... medication[x]:medicationReference SΣ 0..1 Reference(US Core Medication Profile(6.1.0)) (USCDI) Medication to be taken
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who or group medication request is for
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(US Core Encounter Profile(6.1.0)) (USCDI) Encounter created as part of encounter/admission/stay
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... authoredOn SΣ 0..1 dateTime (USCDI) When request was initially authored
... requester SΣC 0..1 Reference(US Core Practitioner Profile(6.1.0) S | US Core Patient Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile | Device) (USCDI) Who/What requested the Request
... reasonCode S 0..* CodeableConcept (USCDI) Reason or indication for ordering or not ordering the medication
Binding: USCoreConditionCodes (6.1.0) (extensible)
... reasonReference S 0..* Reference(Condition | Observation) (USCDI) US Core Condition or Observation that supports the prescription
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... instantiatesCanonical SΣ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri SΣ 0..* uri Instantiates external protocol or definition
... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... dosageInstruction S 0..* Dosage (USCDI) How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string (USCDI) Free text dosage instructions e.g. SIG
.... timing SΣ 0..1 Timing (USCDI) When medication should be administered
.... asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (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 SΣ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 1..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (extensible)
.... method SΣ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* Element (USCDI) Amount of medication administered
..... type SΣ 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 (USCDI) Amount of medication per dose
Binding: Common UCUM units (preferred)
Additional BindingsPurpose
UCUMCodes Max Binding
...... doseQuantity Quantity S
...... doseRange Range
..... rate[x] SΣ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
... dispenseRequest S 0..1 BackboneElement (USCDI) Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... numberOfRepeatsAllowed S 0..1 unsignedInt (USCDI) Number of refills authorized
.... quantity S 0..1 SimpleQuantity (USCDI) Amount of medication to supply per dispense

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status
From the FHIR Standard
MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent
From the FHIR Standard
MedicationRequest.categoryextensiblemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.category:us-corerequiredmedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]extensibleMedicationClinicalDrug .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
MedicationRequest.reasonCodeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
From the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.dose[x]preferredCommon UCUM units
http://hl7.org/fhir/ValueSet/ucum-common
From the FHIR Standard
Additional Bindings Purpose
UCUMCodes Max Binding

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-21errorMedicationRequestrequester SHALL be present if intent is "order"
: (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

This structure is derived from USCoreMedicationRequestProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* USCoreMedicationRequestProfile(6.1.0) Ordering of medication for patient or group
... id 1..1 id Logical id of this artifact
... meta
.... Slices for extension Content/Rules for all slices
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (extensible)
... priority S 0..1 code routine | urgent | asap | stat
... doNotPerform S 0..1 boolean True if request is prohibiting action
... Slices for reported[x] 0..1 boolean, Reference(US Core Practitioner Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile) (USCDI) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reported[x]:reportedReference 0..1 Reference(US Core Practitioner Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile) (USCDI) Reported rather than primary record
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for medication[x] 1..1 CodeableConcept, Reference(US Core Medication Profile(6.1.0)) (USCDI) Medication to be taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(US Core Medication Profile(6.1.0)) (USCDI) Medication to be taken
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... encounter
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... reasonCode S 0..* CodeableConcept (USCDI) Reason or indication for ordering or not ordering the medication
... reasonReference S 0..* Reference(Condition | Observation) (USCDI) US Core Condition or Observation that supports the prescription
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... instantiatesCanonical S 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri S 0..* uri Instantiates external protocol or definition
... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
... dosageInstruction
.... asNeeded[x] S 0..1 boolean, CodeableConcept Take "as needed" (for x)
.... site S 0..1 CodeableConcept Body site to administer to
.... route 1..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (extensible)
.... method S 0..1 CodeableConcept Technique for administering medication
.... doseAndRate
..... type S 0..1 CodeableConcept The kind of dose or rate specified
..... rate[x] S 0..1 Ratio, Range, SimpleQuantity Amount of medication per unit of time

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.categoryextensiblemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest C 0..* USCoreMedicationRequestProfile(6.1.0) Ordering of medication for patient or group
Constraints: us-core-21
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (extensible)
... intent ?!SΣC 1..1 code (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category S 0..* CodeableConcept (USCDI) Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (extensible)
.... category:us-core S 0..* CodeableConcept (USCDI) Type of medication usage
Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!SΣ 0..1 boolean True if request is prohibiting action
... Slices for reported[x] SΣ 0..1 (USCDI) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean S
.... reportedReference Reference S(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile)
.... reported[x]:reportedReference SΣ 0..1 Reference S(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile) (USCDI) Reported rather than primary record
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... Slices for medication[x] SΣ 1..1 (USCDI) Medication to be taken
Slice: Unordered, Open by type:$this
Binding: Medication Clinical Drug . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
.... medication[x]:medicationReference SΣ 0..1 Reference(US Core Medication Profile(6.1.0)) (USCDI) Medication to be taken
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who or group medication request is for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter S 0..1 Reference(US Core Encounter Profile(6.1.0)) (USCDI) Encounter created as part of encounter/admission/stay
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 0..1 dateTime (USCDI) When request was initially authored
... requester SΣC 0..1 Reference(US Core Practitioner Profile(6.1.0) S | US Core Patient Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile | Device) (USCDI) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode S 0..* CodeableConcept (USCDI) Reason or indication for ordering or not ordering the medication
Binding: USCoreConditionCodes (6.1.0) (extensible)
... reasonReference S 0..* Reference(Condition | Observation) (USCDI) US Core Condition or Observation that supports the prescription
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... instantiatesCanonical SΣ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri SΣ 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 S 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..* Dosage (USCDI) How the medication should be taken
.... 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 (USCDI) Free text dosage instructions e.g. SIG
.... 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 (USCDI) When medication should be administered
.... asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (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 SΣ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 1..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (extensible)
.... method SΣ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* Element (USCDI) Amount of medication administered
..... 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 SΣ 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 (USCDI) Amount of medication per dose
Binding: Common UCUM units (preferred)
Additional BindingsPurpose
UCUMCodes Max Binding
...... doseQuantity Quantity S
...... doseRange Range
..... rate[x] SΣ 0..1 Amount of medication per unit of time
...... 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 (USCDI) Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt (USCDI) Number of refills authorized
.... quantity S 0..1 SimpleQuantity (USCDI) 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 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (3.0.0) (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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
MedicationRequest.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags|4.0.1
From the FHIR Standard
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status
From the FHIR Standard
MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent
From the FHIR Standard
MedicationRequest.categoryextensiblemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.category:us-corerequiredmedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
MedicationRequest.reported[x]:reportedReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]extensibleMedicationClinicalDrug .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
MedicationRequest.medication[x]:medicationReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From the FHIR Standard
MedicationRequest.reasonCodeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0
MedicationRequest.reasonReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
From the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.dose[x]preferredCommon UCUM units
http://hl7.org/fhir/ValueSet/ucum-common
From the FHIR Standard
Additional Bindings Purpose
UCUMCodes Max Binding
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-21errorMedicationRequestrequester SHALL be present if intent is "order"
: (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest C 0..* USCoreMedicationRequestProfile(6.1.0) Ordering of medication for patient or group
Constraints: us-core-21
... id Σ 1..1 id Logical id of this artifact
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (extensible)
... intent ?!SΣC 1..1 code (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category S 0..* CodeableConcept (USCDI) Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (extensible)
.... category:us-core S 0..* CodeableConcept (USCDI) Type of medication usage
Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!SΣ 0..1 boolean True if request is prohibiting action
... Slices for reported[x] SΣ 0..1 (USCDI) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean S
.... reportedReference Reference S(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile)
.... reported[x]:reportedReference SΣ 0..1 Reference S(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile) (USCDI) Reported rather than primary record
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for medication[x] SΣ 1..1 (USCDI) Medication to be taken
Slice: Unordered, Open by type:$this
Binding: Medication Clinical Drug . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
.... medication[x]:medicationReference SΣ 0..1 Reference(US Core Medication Profile(6.1.0)) (USCDI) Medication to be taken
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who or group medication request is for
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... encounter S 0..1 Reference(US Core Encounter Profile(6.1.0)) (USCDI) Encounter created as part of encounter/admission/stay
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... authoredOn SΣ 0..1 dateTime (USCDI) When request was initially authored
... requester SΣC 0..1 Reference(US Core Practitioner Profile(6.1.0) S | US Core Patient Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile | Device) (USCDI) Who/What requested the Request
... reasonCode S 0..* CodeableConcept (USCDI) Reason or indication for ordering or not ordering the medication
Binding: USCoreConditionCodes (6.1.0) (extensible)
... reasonReference S 0..* Reference(Condition | Observation) (USCDI) US Core Condition or Observation that supports the prescription
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
... instantiatesCanonical SΣ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri SΣ 0..* uri Instantiates external protocol or definition
... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... dosageInstruction S 0..* Dosage (USCDI) How the medication should be taken
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text SΣ 0..1 string (USCDI) Free text dosage instructions e.g. SIG
.... timing SΣ 0..1 Timing (USCDI) When medication should be administered
.... asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (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 SΣ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 1..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (extensible)
.... method SΣ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* Element (USCDI) Amount of medication administered
..... type SΣ 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 (USCDI) Amount of medication per dose
Binding: Common UCUM units (preferred)
Additional BindingsPurpose
UCUMCodes Max Binding
...... doseQuantity Quantity S
...... doseRange Range
..... rate[x] SΣ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
... dispenseRequest S 0..1 BackboneElement (USCDI) Medication supply authorization
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... numberOfRepeatsAllowed S 0..1 unsignedInt (USCDI) Number of refills authorized
.... quantity S 0..1 SimpleQuantity (USCDI) Amount of medication to supply per dispense

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status
From the FHIR Standard
MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent
From the FHIR Standard
MedicationRequest.categoryextensiblemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.category:us-corerequiredmedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]extensibleMedicationClinicalDrug .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
MedicationRequest.reasonCodeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
From the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.dose[x]preferredCommon UCUM units
http://hl7.org/fhir/ValueSet/ucum-common
From the FHIR Standard
Additional Bindings Purpose
UCUMCodes Max Binding

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-21errorMedicationRequestrequester SHALL be present if intent is "order"
: (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

Differential View

This structure is derived from USCoreMedicationRequestProfile

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* USCoreMedicationRequestProfile(6.1.0) Ordering of medication for patient or group
... id 1..1 id Logical id of this artifact
... meta
.... Slices for extension Content/Rules for all slices
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (extensible)
... priority S 0..1 code routine | urgent | asap | stat
... doNotPerform S 0..1 boolean True if request is prohibiting action
... Slices for reported[x] 0..1 boolean, Reference(US Core Practitioner Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile) (USCDI) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reported[x]:reportedReference 0..1 Reference(US Core Practitioner Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile) (USCDI) Reported rather than primary record
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... Slices for medication[x] 1..1 CodeableConcept, Reference(US Core Medication Profile(6.1.0)) (USCDI) Medication to be taken
Slice: Unordered, Open by type:$this
.... medication[x]:medicationReference 0..1 Reference(US Core Medication Profile(6.1.0)) (USCDI) Medication to be taken
..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... subject
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... encounter
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... reasonCode S 0..* CodeableConcept (USCDI) Reason or indication for ordering or not ordering the medication
... reasonReference S 0..* Reference(Condition | Observation) (USCDI) US Core Condition or Observation that supports the prescription
.... reference S 1..1 string Literal reference, Relative, internal or absolute URL
... instantiatesCanonical S 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri S 0..* uri Instantiates external protocol or definition
... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
... dosageInstruction
.... asNeeded[x] S 0..1 boolean, CodeableConcept Take "as needed" (for x)
.... site S 0..1 CodeableConcept Body site to administer to
.... route 1..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (extensible)
.... method S 0..1 CodeableConcept Technique for administering medication
.... doseAndRate
..... type S 0..1 CodeableConcept The kind of dose or rate specified
..... rate[x] S 0..1 Ratio, Range, SimpleQuantity Amount of medication per unit of time

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.categoryextensiblemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest C 0..* USCoreMedicationRequestProfile(6.1.0) Ordering of medication for patient or group
Constraints: us-core-21
... id Σ 1..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... extension:link-received-date-extension 0..1 dateTime Received Date
URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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.
Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... status ?!SΣ 1..1 code (USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason S 0..1 CodeableConcept Reason for current status
Binding: medicationRequest Status Reason Codes (extensible)
... intent ?!SΣC 1..1 code (USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: medicationRequest Intent (required): The kind of medication order.
... Slices for category S 0..* CodeableConcept (USCDI) Type of medication usage
Slice: Unordered, Open by pattern:$this
Binding: medicationRequest Category Codes (extensible)
.... category:us-core S 0..* CodeableConcept (USCDI) Type of medication usage
Binding: medicationRequest Category Codes (required): The type of medication order. Note that other codes are permitted, see Required Bindings When Slicing by Value Sets
... priority SΣ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!SΣ 0..1 boolean True if request is prohibiting action
... Slices for reported[x] SΣ 0..1 (USCDI) Reported rather than primary record
Slice: Unordered, Open by type:$this
.... reportedBoolean boolean S
.... reportedReference Reference S(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile)
.... reported[x]:reportedReference SΣ 0..1 Reference S(US Core Practitioner Profile(6.1.0) S | US Core Organization Profile(6.1.0) | US Core Patient Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile) (USCDI) Reported rather than primary record
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... Slices for medication[x] SΣ 1..1 (USCDI) Medication to be taken
Slice: Unordered, Open by type:$this
Binding: Medication Clinical Drug . (extensible)
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(US Core Medication Profile(6.1.0))
.... medication[x]:medicationReference SΣ 0..1 Reference(US Core Medication Profile(6.1.0)) (USCDI) Medication to be taken
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... subject SΣ 1..1 Reference(US Core Patient Profile(6.1.0)) (USCDI) Who or group medication request is for
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... encounter S 0..1 Reference(US Core Encounter Profile(6.1.0)) (USCDI) Encounter created as part of encounter/admission/stay
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
... authoredOn SΣ 0..1 dateTime (USCDI) When request was initially authored
... requester SΣC 0..1 Reference(US Core Practitioner Profile(6.1.0) S | US Core Patient Profile(6.1.0) | US Core Organization Profile(6.1.0) | US Core PractitionerRole Profile(6.1.0) | US Core RelatedPerson Profile | Device) (USCDI) Who/What requested the Request
... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reasonCode S 0..* CodeableConcept (USCDI) Reason or indication for ordering or not ordering the medication
Binding: USCoreConditionCodes (6.1.0) (extensible)
... reasonReference S 0..* Reference(Condition | Observation) (USCDI) US Core Condition or Observation that supports the prescription
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... instantiatesCanonical SΣ 0..* canonical() Instantiates FHIR protocol or definition
... instantiatesUri SΣ 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 S 0..1 CodeableConcept Overall pattern of medication administration
Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... note 0..* Annotation Information about the prescription
... dosageInstruction S 0..* Dosage (USCDI) How the medication should be taken
.... 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 (USCDI) Free text dosage instructions e.g. SIG
.... 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 (USCDI) When medication should be administered
.... asNeeded[x] SΣ 0..1 Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (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 SΣ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route Σ 1..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (extensible)
.... method SΣ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ 0..* Element (USCDI) Amount of medication administered
..... 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 SΣ 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 (USCDI) Amount of medication per dose
Binding: Common UCUM units (preferred)
Additional BindingsPurpose
UCUMCodes Max Binding
...... doseQuantity Quantity S
...... doseRange Range
..... rate[x] SΣ 0..1 Amount of medication per unit of time
...... 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 (USCDI) Medication supply authorization
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... initialFill 0..1 BackboneElement First fill details
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... quantity 0..1 SimpleQuantity First fill quantity
..... duration 0..1 Duration First fill duration
.... dispenseInterval 0..1 Duration Minimum period of time between dispenses
.... validityPeriod 0..1 Period Time period supply is authorized for
.... numberOfRepeatsAllowed S 0..1 unsignedInt (USCDI) Number of refills authorized
.... quantity S 0..1 SimpleQuantity (USCDI) 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 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (3.0.0) (example): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (3.0.0) (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

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.meta.securityextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels|4.0.1
From the FHIR Standard
MedicationRequest.meta.tagexampleCommonTags
http://hl7.org/fhir/ValueSet/common-tags|4.0.1
From the FHIR Standard
MedicationRequest.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
From the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
MedicationRequest.statusrequiredmedicationrequest Status
http://hl7.org/fhir/ValueSet/medicationrequest-status
From the FHIR Standard
MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
From the FHIR Standard
MedicationRequest.intentrequiredmedicationRequest Intent
http://hl7.org/fhir/ValueSet/medicationrequest-intent
From the FHIR Standard
MedicationRequest.categoryextensiblemedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.category:us-corerequiredmedicationRequest Category Codes
http://hl7.org/fhir/ValueSet/medicationrequest-category
From the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|4.0.1
From the FHIR Standard
MedicationRequest.reported[x]:reportedReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.medication[x]extensibleMedicationClinicalDrug .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
MedicationRequest.medication[x]:medicationReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.encounter.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
http://hl7.org/fhir/ValueSet/performer-role
From the FHIR Standard
MedicationRequest.reasonCodeextensibleUSCoreConditionCodes
http://hl7.org/fhir/us/core/ValueSet/us-core-condition-code|6.1.0
MedicationRequest.reasonReference.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types|4.0.1
From the FHIR Standard
MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
From the FHIR Standard
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
http://hl7.org/fhir/ValueSet/additional-instruction-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
From the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
http://hl7.org/fhir/ValueSet/dose-rate-type
From the FHIR Standard
MedicationRequest.dosageInstruction.doseAndRate.dose[x]preferredCommon UCUM units
http://hl7.org/fhir/ValueSet/ucum-common
From the FHIR Standard
Additional Bindings Purpose
UCUMCodes Max Binding
MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf 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-4errorMedicationRequestIf 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-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
us-core-21errorMedicationRequestrequester SHALL be present if intent is "order"
: (intent='order' or intent='original-order' or intent='reflex-order'or intent='filler-order' or intent='instance-order') implies requester.exists()

 

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