CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1
This page is part of the CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG (v1.0.0: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
| 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
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  MedicationRequest |
0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group | |
  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 |
| status |
?!SΣ | 1..1 | code | 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 |
?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
| category |
S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (extensible) |
| 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 | Reported rather than primary record Slice: Unordered, Open by type:$this | |
  reportedBoolean |
boolean | |||
 reportedReference |
Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | |||
  reported[x]:reportedReference |
SΣ | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | Reported rather than primary record |
  reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for medication[x] |
SΣ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug  (extensible) | |
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(US Core Medication Profile) | |||
| medication[x]:medicationReference |
SΣ | 0..1 | Reference(US Core Medication Profile) | 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) | Who or group medication request is for |
 reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| encounter |
S | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| authoredOn |
SΣ | 1..1 | dateTime | When request was initially authored |
| requester |
SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) | Who/What requested the Request |
| reasonCode |
S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. |
| reasonReference |
S | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written |
| 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 | How the medication should be taken |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| text |
SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
| timing |
SΣ | 0..1 | Timing | 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 | 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 | Amount of medication per dose | |
| doseRange |
Range | |||
| doseQuantity |
Quantity(SimpleQuantity) | |||
| rate[x] |
SΣ | 0..1 | Amount of medication per unit of time | |
| rateRatio |
Ratio | |||
| rateRange |
Range | |||
| rateQuantity |
Quantity(SimpleQuantity) | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-statusFrom the FHIR Standard | |
| MedicationRequest.statusReason | extensible | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonFrom the FHIR Standard | |
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intentFrom the FHIR Standard | |
| MedicationRequest.category | extensible | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryFrom the FHIR Standard | |
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From the FHIR Standard | |
| MedicationRequest.medication[x] | extensible | Medication Clinical Drug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard | |
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typeFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreMedicationRequestProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | USCoreMedicationRequestProfile | 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) |
| category |
S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category 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 Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | Reported rather than primary record Slice: Unordered, Open by type:$this | |
| reported[x]:reportedReference |
0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | Reported rather than primary record | |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(US Core Medication Profile) | Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible) | |
| medication[x]:medicationReference |
0..1 | Reference(US Core Medication Profile) | 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 | Reason or indication for ordering or not ordering the medication |
| reasonReference |
S | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written |
| 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 |
||||
| timing |
S | 0..1 | Timing | When medication should be administered |
| 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 |
S | 0..* | Element | Amount of medication administered |
| type |
S | 0..1 | CodeableConcept | The kind of dose or rate specified |
| dose[x] |
S | 0..1 | Range, SimpleQuantity | Amount of medication per dose |
| rate[x] |
S | 0..1 | Ratio, Range, SimpleQuantity | Amount of medication per unit of time |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.statusReason | extensible | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonFrom the FHIR Standard | |
| MedicationRequest.category | extensible | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryFrom the FHIR Standard | |
| MedicationRequest.medication[x] | extensible | Medication Clinical Drug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationRequest.dosageInstruction.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group | |||||
| 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.
| |||||
| 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 | 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 |
?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
| category |
S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (extensible) | ||||
| 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 | Reported rather than primary record Slice: Unordered, Open by type:$this | |||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | |||||||
| reported[x]:reportedReference |
SΣ | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | Reported rather than primary record | ||||
 id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| Slices for medication[x] |
SΣ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible) | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(US Core Medication Profile) | |||||||
| medication[x]:medicationReference |
SΣ | 0..1 | Reference(US Core Medication Profile) | 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) | 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(Encounter) | 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 | 1..1 | dateTime | When request was initially authored | ||||
| requester |
SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) | 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 | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | ||||
| reasonReference |
S | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | ||||
| 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 | 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 | 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 | 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 | 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 | Amount of medication per dose | |||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| 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 |
0..1 | BackboneElement | Medication supply authorization | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity |
0..1 | SimpleQuantity | First fill quantity | |||||
| duration |
0..1 | Duration | First fill duration | |||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||
| quantity |
0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationRequest.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1From the FHIR Standard | ||||
| MedicationRequest.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1From the FHIR Standard | ||||
| MedicationRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-statusFrom the FHIR Standard | ||||
| MedicationRequest.statusReason | extensible | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonFrom the FHIR Standard | ||||
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intentFrom the FHIR Standard | ||||
| MedicationRequest.category | extensible | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryFrom the FHIR Standard | ||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From the FHIR Standard | ||||
| MedicationRequest.reported[x]:reportedReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.medication[x] | extensible | Medication Clinical Drug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
| MedicationRequest.medication[x]:medicationReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-roleFrom the FHIR Standard | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard | ||||
| MedicationRequest.reasonReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typeFrom the FHIR Standard | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0 | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0 |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreMedicationRequestProfile
Summary
Mandatory: 2 elements(5 nested mandatory elements)
Must-Support: 22 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group | |
| 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 |
| status |
?!SΣ | 1..1 | code | 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 |
?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. |
| category |
S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (extensible) |
| 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 | Reported rather than primary record Slice: Unordered, Open by type:$this | |
| reportedBoolean |
boolean | |||
| reportedReference |
Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | |||
| reported[x]:reportedReference |
SΣ | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | Reported rather than primary record |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for medication[x] |
SΣ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible) | |
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(US Core Medication Profile) | |||
| medication[x]:medicationReference |
SΣ | 0..1 | Reference(US Core Medication Profile) | 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) | Who or group medication request is for |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| encounter |
S | 0..1 | Reference(Encounter) | Encounter created as part of encounter/admission/stay |
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| authoredOn |
SΣ | 1..1 | dateTime | When request was initially authored |
| requester |
SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) | Who/What requested the Request |
| reasonCode |
S | 0..* | CodeableConcept | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. |
| reasonReference |
S | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written |
| 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 | How the medication should be taken |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| text |
SΣ | 0..1 | string | Free text dosage instructions e.g. SIG |
| timing |
SΣ | 0..1 | Timing | 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 | 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 | Amount of medication per dose | |
| doseRange |
Range | |||
| doseQuantity |
Quantity(SimpleQuantity) | |||
| rate[x] |
SΣ | 0..1 | Amount of medication per unit of time | |
| rateRatio |
Ratio | |||
| rateRange |
Range | |||
| rateQuantity |
Quantity(SimpleQuantity) | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-statusFrom the FHIR Standard | |
| MedicationRequest.statusReason | extensible | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonFrom the FHIR Standard | |
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intentFrom the FHIR Standard | |
| MedicationRequest.category | extensible | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryFrom the FHIR Standard | |
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From the FHIR Standard | |
| MedicationRequest.medication[x] | extensible | Medication Clinical Drug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard | |
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesFrom the FHIR Standard | |
| MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typeFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
Differential View
This structure is derived from USCoreMedicationRequestProfile
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationRequest |
0..* | USCoreMedicationRequestProfile | 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) |
| category |
S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category 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 Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | Reported rather than primary record Slice: Unordered, Open by type:$this | |
| reported[x]:reportedReference |
0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | Reported rather than primary record | |
| reference |
S | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(US Core Medication Profile) | Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible) | |
| medication[x]:medicationReference |
0..1 | Reference(US Core Medication Profile) | 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 | Reason or indication for ordering or not ordering the medication |
| reasonReference |
S | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written |
| 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 |
||||
| timing |
S | 0..1 | Timing | When medication should be administered |
| 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 |
S | 0..* | Element | Amount of medication administered |
| type |
S | 0..1 | CodeableConcept | The kind of dose or rate specified |
| dose[x] |
S | 0..1 | Range, SimpleQuantity | Amount of medication per dose |
| rate[x] |
S | 0..1 | Ratio, Range, SimpleQuantity | Amount of medication per unit of time |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationRequest.statusReason | extensible | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonFrom the FHIR Standard | |
| MedicationRequest.category | extensible | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryFrom the FHIR Standard | |
| MedicationRequest.medication[x] | extensible | Medication Clinical Drug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationRequest.dosageInstruction.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationRequest |
0..* | USCoreMedicationRequestProfile | Ordering of medication for patient or group | |||||
| 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.
| |||||
| 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 | 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 |
?!SΣ | 1..1 | code | proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option Binding: medicationRequest Intent (required): The kind of medication order. | ||||
| category |
S | 0..* | CodeableConcept | Type of medication usage Binding: medicationRequest Category Codes (extensible) | ||||
| 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 | Reported rather than primary record Slice: Unordered, Open by type:$this | |||||
| reportedBoolean |
boolean | |||||||
| reportedReference |
Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | |||||||
| reported[x]:reportedReference |
SΣ | 0..1 | Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) | Reported rather than primary record | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| reference |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| Slices for medication[x] |
SΣ | 1..1 | Medication to be taken Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible) | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(US Core Medication Profile) | |||||||
| medication[x]:medicationReference |
SΣ | 0..1 | Reference(US Core Medication Profile) | 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) | 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(Encounter) | 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 | 1..1 | dateTime | When request was initially authored | ||||
| requester |
SΣ | 1..1 | Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) | 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 | Reason or indication for ordering or not ordering the medication Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered. | ||||
| reasonReference |
S | 0..* | Reference(Condition | Observation) | Condition or observation that supports why the prescription is being written | ||||
| 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 | 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 | 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 | 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 | 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 | Amount of medication per dose | |||||
| doseRange |
Range | |||||||
| doseQuantity |
Quantity(SimpleQuantity) | |||||||
| 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 |
0..1 | BackboneElement | Medication supply authorization | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| initialFill |
0..1 | BackboneElement | First fill details | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| quantity |
0..1 | SimpleQuantity | First fill quantity | |||||
| duration |
0..1 | Duration | First fill duration | |||||
| dispenseInterval |
0..1 | Duration | Minimum period of time between dispenses | |||||
| validityPeriod |
0..1 | Period | Time period supply is authorized for | |||||
| numberOfRepeatsAllowed |
0..1 | unsignedInt | Number of refills authorized | |||||
| quantity |
0..1 | SimpleQuantity | Amount of medication to supply per dispense | |||||
| expectedSupplyDuration |
0..1 | Duration | Number of days supply per dispense | |||||
| performer |
0..1 | Reference(Organization) | Intended dispenser | |||||
| substitution |
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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationRequest.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1From the FHIR Standard | ||||
| MedicationRequest.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1From the FHIR Standard | ||||
| MedicationRequest.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| MedicationRequest.status | required | medicationrequest Statushttp://hl7.org/fhir/ValueSet/medicationrequest-statusFrom the FHIR Standard | ||||
| MedicationRequest.statusReason | extensible | medicationRequest Status Reason Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-status-reasonFrom the FHIR Standard | ||||
| MedicationRequest.intent | required | medicationRequest Intenthttp://hl7.org/fhir/ValueSet/medicationrequest-intentFrom the FHIR Standard | ||||
| MedicationRequest.category | extensible | medicationRequest Category Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-categoryFrom the FHIR Standard | ||||
| MedicationRequest.priority | required | RequestPriorityhttp://hl7.org/fhir/ValueSet/request-priority|4.0.1From the FHIR Standard | ||||
| MedicationRequest.reported[x]:reportedReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.medication[x] | extensible | Medication Clinical Drug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
| MedicationRequest.medication[x]:medicationReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.encounter.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.performerType | example | ProcedurePerformerRoleCodeshttp://hl7.org/fhir/ValueSet/performer-roleFrom the FHIR Standard | ||||
| MedicationRequest.reasonCode | example | Condition/Problem/DiagnosisCodeshttp://hl7.org/fhir/ValueSet/condition-codeFrom the FHIR Standard | ||||
| MedicationRequest.reasonReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationRequest.courseOfTherapyType | example | medicationRequest Course of Therapy Codeshttp://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapyFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.additionalInstruction | example | SNOMEDCTAdditionalDosageInstructionshttp://hl7.org/fhir/ValueSet/additional-instruction-codesFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.asNeeded[x] | example | SNOMEDCTMedicationAsNeededReasonCodeshttp://hl7.org/fhir/ValueSet/medication-as-needed-reasonFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesFrom the FHIR Standard | ||||
| MedicationRequest.dosageInstruction.doseAndRate.type | example | DoseAndRateTypehttp://hl7.org/fhir/ValueSet/dose-rate-typeFrom the FHIR Standard | ||||
| MedicationRequest.substitution.allowed[x] | example | ActSubstanceAdminSubstitutionCodehttp://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0 | ||||
| MedicationRequest.substitution.reason | example | SubstanceAdminSubstitutionReasonhttp://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0 |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationRequest | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationRequest | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | MedicationRequest | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationRequest | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
This structure is derived from USCoreMedicationRequestProfile
Summary
Mandatory: 2 elements(5 nested mandatory elements)
Must-Support: 22 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Slices
This structure defines the following Slices:
Maturity: 1
Other representations of profile: CSV, Excel, Schematron
