Union of http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest and http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest

This is the set of resources that conform to either of the profiles ACH Monthly Event MedicationRequest (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest) and ACH Monthly Event MedicationRequest (http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest). E.g. what you have to deal with if you get resources conforming to one of them

Structure

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..*Ordering of medication for patient or group
... meta Σ0..1MetaMetadata about the resource
.... extension 0..*Extensionleft: Additional content defined by implementations; right: (NHSN-MS) Received Date
.... versionId Σ0..1idVersion specific identifier
.... lastUpdated Σ0..1instantWhen the resource version last changed
.... source Σ0..1uriIdentifies where the resource comes from
.... profile Σ0..*canonical(StructureDefinition)Profiles this resource claims to conform to
.... security Σ0..*CodingSecurity Labels applied to this resource
Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ0..*CodingTags applied to this resource
Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: ?? (preferred): A human language.
... text 0..1NarrativeText 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..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
... status ?!SΣ1..1codeleft: active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown; right: (NHSN-MS)(QI-Core)(USCDI) active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: ?? (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
... statusReason S0..1CodeableConceptleft: Reason for current status; right: (NHSN-MS) Reason for current status
Binding: ?? (extensible)
... intent ?!SΣ1..1codeleft: proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option; right: (NHSN-MS)(USCDI) proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: ?? (required): The kind of medication order.
... category S0..*CodeableConceptleft: Type of medication usage; right: (NHSN-MS)(USCDI) Type of medication usage
Binding: ?? (extensible)
... priority SΣ0..1codeleft: routine | urgent | asap | stat; right: (NHSN-MS) routine | urgent | asap | stat
Binding: ?? (required): Identifies the level of importance to be assigned to actioning the request.
... doNotPerform ?!SΣ0..1booleanleft: True if request is prohibiting action; right: (NHSN-MS)(QI-Core) True if medication was not requested
... reported[x] SΣ0..1left: Reported rather than primary record; right: (NHSN-MS)(QI-Core)(USCDI) Reported rather than primary record
.... reportedBooleanboolean
.... reportedReferenceReference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile)
.... reportedReferenceReference S(QICorePractitioner | QICorePractitionerRole | QICorePatient | QICoreRelatedPerson)
... medication[x] SΣ1..1left: Medication to be taken; right: (NHSN-MS)(USCDI) Medication to be taken
Binding: ?? (extensible)
.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(US Core Medication Profile | #sd+16-us-core-medication-us-core-medication)
... subject SΣ1..1Reference(US Core Patient Profile) {b}left: Who or group medication request is for; right: (NHSN-MS)(QI-Core)(USCDI) Who or group medication request is for
.... extension 0..*ExtensionAdditional content defined by implementations
.... reference SΣ1..1stringleft: Literal reference, Relative, internal or absolute URL; right: (NHSN-MS) Literal reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... encounter S0..1Reference(Encounter) {b}left: Encounter created as part of encounter/admission/stay; right: (NHSN-MS)(QI-Core)(USCDI) Encounter created as part of encounter/admission/stay
.... extension 0..*ExtensionAdditional content defined by implementations
.... reference SΣ1..1stringleft: Literal reference, Relative, internal or absolute URL; right: (NHSN-MS) Literal reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn SΣ1..1dateTimeleft: When request was initially authored; right: (NHSN-MS)(QI-Core)(USCDI) When request was initially authored
... requester SΣ0..1Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile)left: Who/What requested the Request; right: (QI-Core)(USCDI) Who/What requested the Request
... performer 0..1Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam)Intended performer of administration
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: ?? (example): Identifies the type of individual that is desired to administer the medication.
... recorder 0..1Reference(Practitioner | PractitionerRole)Person who entered the request
... reasonCode S0..*CodeableConceptleft: Reason or indication for ordering or not ordering the medication; right: (NHSN-MS)(QI-Core)(USCDI) Reason or indication for ordering or not ordering the medication
Binding: ?? (extensible): A coded concept indicating why the medication was ordered.
... reasonReference S0..*Reference(Condition | Observation) {b}left: Condition or observation that supports why the prescription is being written; right: (NHSN-MS)(QI-Core)(USCDI) QI-Core Condition or Observation that supports the prescription
.... extension 0..*ExtensionAdditional content defined by implementations
.... reference SΣ1..1stringleft: Literal reference, Relative, internal or absolute URL; right: (NHSN-MS) Literal reference, Relative, internal or absolute URL
.... type Σ0..1uriType the reference refers to (e.g. "Patient")
Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier Σ0..1IdentifierLogical reference, when literal reference is not known
.... display Σ0..1stringText alternative for the resource
... instantiatesCanonical SΣ0..*canonical()left: Instantiates FHIR protocol or definition; right: (NHSN-MS) Instantiates FHIR protocol or definition
... instantiatesUri SΣ0..*urileft: Instantiates external protocol or definition; right: (NHSN-MS) Instantiates external protocol or definition
... basedOn Σ0..*Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... courseOfTherapyType S0..1CodeableConceptleft: Overall pattern of medication administration; right: (NHSN-MS) Overall pattern of medication administration
Binding: ?? (example): Identifies the overall pattern of medication administratio.
... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note 0..*AnnotationInformation about the prescription
... dosageInstruction S0..*Dosageleft: How the medication should be taken; right: (NHSN-MS)(QI-Core)(USCDI) How medication should be taken
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence Σ0..1integerThe order of the dosage instructions
.... text SΣ0..1stringleft: Free text dosage instructions e.g. SIG; right: (NHSN-MS)(USCDI) Free text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: ?? (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
.... patientInstruction Σ0..1stringPatient or consumer oriented instructions
.... timing SΣ0..1Timingleft: When medication should be administered; right: (NHSN-MS)(QI-Core)(USCDI) When medication should be administered
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... event SΣ0..*dateTime(NHSN-MS) When the event occurs
..... repeat SΣC0..1Element(NHSN-MS)(QI-Core) When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
..... code SΣ0..1CodeableConcept(NHSN-MS) BID | TID | QID | AM | PM | QD | QOD | +
Binding: ?? (preferred): Code for a known / defined timing pattern.
.... asNeeded[x] SΣ0..1left: Take "as needed" (for x); right: (NHSN-MS)(QI-Core) Take "as needed" (for x)
Binding: ?? (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.
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site SΣ0..1CodeableConceptleft: Body site to administer to; right: (NHSN-MS) Body site to administer to
Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.
.... route SΣ1..1CodeableConceptleft: How drug should enter body; right: (NHSN-MS) How drug should enter body
Binding: ?? (extensible)
.... method SΣ0..1CodeableConceptleft: Technique for administering medication; right: (NHSN-MS) Technique for administering medication
Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
.... doseAndRate SΣ0..*Elementleft: Amount of medication administered; right: (NHSN-MS)(QI-Core)(USCDI) Amount of medication administered
..... extension 0..*ExtensionAdditional content defined by implementations
..... type SΣ0..1CodeableConceptleft: The kind of dose or rate specified; right: (NHSN-MS) The kind of dose or rate specified
Binding: ?? (example): The kind of dose or rate specified.
..... dose[x] SΣ0..1left: Amount of medication per dose; right: (NHSN-MS)(QI-Core)(USCDI) Amount of medication per dose
Binding: ?? (example)
Additional BindingsPurpose
??Max Binding
...... doseRangeRange
...... doseQuantityQuantity
..... rate[x] SΣ0..1left: Amount of medication per unit of time; right: (NHSN-MS) Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1??Upper limit on medication per administration
.... maxDosePerLifetime Σ0..1??Upper limit on medication per lifetime of the patient
... dispenseRequest S0..1BackboneElementleft: Medication supply authorization; right: (QI-Core)(USCDI) Medication supply authorization
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1??First fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1Durationleft: Minimum period of time between dispenses; right: (QI-Core) Minimum period of time between dispenses
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed S0..1unsignedIntleft: Number of refills authorized; right: (QI-Core)(USCDI) Number of refills authorized
.... quantity S0..1??left: Amount of medication to supply per dispense; right: (QI-Core)(USCDI) Amount of medication to supply per dispense
.... expectedSupplyDuration 0..1Durationleft: Number of days supply per dispense; right: (QI-Core) Number of days supply per dispense
.... performer 0..1Reference(Organization)Intended dispenser
... substitution 0..1BackboneElementAny restrictions on medication substitution
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ?? (example): Identifies the type of substitution allowed.
..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: ?? (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
... priorPrescription 0..1Reference(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