OncoFAIR
0.1.0 - ci-build

OncoFAIR - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: OncoFAIR MedicationRequest Component

Official URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-medicationrequest-component Version: 0.1.0
Draft as of 2025-05-22 Computable Name: OncoFAIRMedicationRequestComponent

Is a product that belongs to the nomenclature of medicines used. It may, for example, be a speciality, a product defined by its common name or a pharmacopoeial product.

Est un produit qui appartient à la nomenclature de médicaments utilisée. Il peut s’agir par exemple d’une spécialité, d’un produit défini par sa DC ou d’un produit de la pharmacopée.

Usage:

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:oncofair-mr-exempt-ltc 0..1 CodeableConcept Identifier of the ALD for which the component prescribed is prescribed for one of the reasons for which the patient benefits from an exemption under article L324-1 of the CSS.
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-exempt-ltc
Binding: Liste Affectation Longue Durée Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:oncofair-mr-component-solute 0..1 boolean True if the component prescribed is solute in the prescription element
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-component-solute
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:oncofair-mr-is-dosage-referent 0..1 boolean True if the component prescribed is the component that refers to the quantity or flow rate expressed in the dosage element when these are gravimetric (for example, mg or mg/h).
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-is-dosage-referent
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... basedOn SΣ 1..1 Reference(OncoFAIR MedicationRequest Element) The element linked to the component prescribed
ele-1: All FHIR elements must have a @value or children
... status ?!Σ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


ele-1: All FHIR elements must have a @value or children
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.


ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
ele-1: All FHIR elements must have a @value or children
... medication SΣ 1..1 CodeableReference(OncoFAIR Medication) The medication linked to the component prescribed
Binding: Concepts Medication Value Set (required)
ele-1: All FHIR elements must have a @value or children
.... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: component
... subject Σ 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
ele-1: All FHIR elements must have a @value or children
... Slices for note S 1..* Annotation Information about the prescription
Slice: Unordered, Open by value:id
ele-1: All FHIR elements must have a @value or children
.... note:wording 1..1 Annotation Wording of the prescribed component
ele-1: All FHIR elements must have a @value or children
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: wording
..... text Σ 1..1 markdown The annotation - text content (as markdown)
ele-1: All FHIR elements must have a @value or children
.... note:comments 0..1 Annotation Comments associated with the prescribed component
ele-1: All FHIR elements must have a @value or children
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: comments
..... text Σ 1..1 markdown The annotation - text content (as markdown)
ele-1: All FHIR elements must have a @value or children
.... note:indication 0..1 Annotation Specifies the reasons that led the prescriber to prescribe this component in the prescription element
ele-1: All FHIR elements must have a @value or children
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: indication
..... text Σ 1..1 markdown The annotation - text content (as markdown)
ele-1: All FHIR elements must have a @value or children
... dosageInstruction S 0..1 Dosage Specific instructions for how the medication should be taken
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... doseAndRate Σ 0..1 Element Amount of medication administered, to be administered or typical amount to be administered
ele-1: All FHIR elements must have a @value or children
..... Slices for dose[x] Σ 1..1 SimpleQuantity Amount of medication per dose
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
...... dose[x]:doseQuantity Σ 1..1 SimpleQuantity Quantity of the component prescribed in the prescription element
ele-1: All FHIR elements must have a @value or children
... substitution S 0..1 BackboneElement Any restrictions on medication substitution
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... Slices for allowed[x] 1..1 Whether substitution is allowed or not
Slice: Unordered, Open by type:$this
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.


ele-1: All FHIR elements must have a @value or children
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean 0..1 boolean True if the component prescribed is declared non-substitutable in the prescription element
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
from the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
from the FHIR Standard
MedicationRequest.medicationrequiredConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System)
http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset
from this IG
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:oncofair-mr-exempt-ltc 0..1 CodeableConcept Identifier of the ALD for which the component prescribed is prescribed for one of the reasons for which the patient benefits from an exemption under article L324-1 of the CSS.
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-exempt-ltc
Binding: Liste Affectation Longue Durée Value Set (required)
.... extension:oncofair-mr-component-solute 0..1 boolean True if the component prescribed is solute in the prescription element
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-component-solute
.... extension:oncofair-mr-is-dosage-referent 0..1 boolean True if the component prescribed is the component that refers to the quantity or flow rate expressed in the dosage element when these are gravimetric (for example, mg or mg/h).
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-is-dosage-referent
... basedOn S 1..1 Reference(OncoFAIR MedicationRequest Element) The element linked to the component prescribed
... medication S 1..1 CodeableReference(OncoFAIR Medication) The medication linked to the component prescribed
Binding: Concepts Medication Value Set (required)
.... concept 0..1 CodeableConcept Reference to a concept (by class)
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: component
.... note:wording 1..1 Annotation Wording of the prescribed component
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: wording
.... note:comments 0..1 Annotation Comments associated with the prescribed component
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: comments
.... note:indication 0..1 Annotation Specifies the reasons that led the prescriber to prescribe this component in the prescription element
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: indication
... dosageInstruction S 0..1 Dosage Specific instructions for how the medication should be taken
.... doseAndRate 0..1 Element Amount of medication administered, to be administered or typical amount to be administered
..... Slices for dose[x] 1..1 SimpleQuantity Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 1..1 SimpleQuantity Quantity of the component prescribed in the prescription element
... substitution S 0..1 BackboneElement Any restrictions on medication substitution
.... Slices for allowed[x] 1..1 boolean, CodeableConcept Whether substitution is allowed or not
Slice: Unordered, Open by type:$this
..... allowed[x]:allowedBoolean 0..1 boolean True if the component prescribed is declared non-substitutable in the prescription element

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medicationrequiredConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System)
http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:oncofair-mr-exempt-ltc 0..1 CodeableConcept Identifier of the ALD for which the component prescribed is prescribed for one of the reasons for which the patient benefits from an exemption under article L324-1 of the CSS.
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-exempt-ltc
Binding: Liste Affectation Longue Durée Value Set (required)
.... extension:oncofair-mr-component-solute 0..1 boolean True if the component prescribed is solute in the prescription element
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-component-solute
.... extension:oncofair-mr-is-dosage-referent 0..1 boolean True if the component prescribed is the component that refers to the quantity or flow rate expressed in the dosage element when these are gravimetric (for example, mg or mg/h).
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-is-dosage-referent
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... basedOn SΣ 1..1 Reference(OncoFAIR MedicationRequest Element) The element linked to the component prescribed
... priorPrescription 0..1 Reference(MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.

... statusChanged 0..1 dateTime When the status was changed
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.

... category 0..* CodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication SΣ 1..1 CodeableReference(OncoFAIR Medication) The medication linked to the component prescribed
Binding: Concepts Medication Value Set (required)
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 0..1 uri Identity of the terminology system
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: component
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... reference Σ 0..1 Reference() Reference to a resource (by instance)
... subject Σ 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
... informationSource 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support fulfilling of the medication
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... reported Σ 0..1 boolean Reported rather than primary record
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.

... performer 0..* Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) Intended performer of administration
... device 0..* CodeableReference(DeviceDefinition) Intended type of device for the administration
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reason 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... Slices for note S 1..* Annotation Information about the prescription
Slice: Unordered, Open by value:id
.... note:wording 1..1 Annotation Wording of the prescribed component
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: wording
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... author[x] Σ 0..1 Individual responsible for the annotation
...... authorReference Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
...... authorString string
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:comments 0..1 Annotation Comments associated with the prescribed component
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: comments
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... author[x] Σ 0..1 Individual responsible for the annotation
...... authorReference Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
...... authorString string
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:indication 0..1 Annotation Specifies the reasons that led the prescriber to prescribe this component in the prescription element
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: indication
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... author[x] Σ 0..1 Individual responsible for the annotation
...... authorReference Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
...... authorString string
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken
... dosageInstruction S 0..1 Dosage Specific instructions for how the medication should be taken
.... id 0..1 id 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 Σ 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 Σ 0..1 Timing When medication should be administered
.... asNeeded ΣC 0..1 boolean Take "as needed"
.... asNeededFor ΣC 0..* CodeableConcept 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.


.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..1 Element Amount of medication administered, to be administered or typical amount to be 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 Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] Σ 1..1 SimpleQuantity Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity Σ 1..1 SimpleQuantity Quantity of the component prescribed in the prescription element
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..* 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
.... dispenser 0..1 Reference(Organization) Intended performer of dispense
.... dispenserInstruction 0..* Annotation Additional information for the dispenser
.... doseAdministrationAid 0..1 CodeableConcept Type of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... substitution S 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
.... Slices for allowed[x] 1..1 Whether substitution is allowed or not
Slice: Unordered, Open by type:$this
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean 0..1 boolean True if the component prescribed is declared non-substitutable in the prescription element
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason

... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
from the FHIR Standard
MedicationRequest.statusReasonexampleMedicationRequestStatusReasonCodes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
from the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
from the FHIR Standard
MedicationRequest.medicationrequiredConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System)
http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset
from this IG
MedicationRequest.performerTypeextensibleMedicationIntendedPerformerRole
http://hl7.org/fhir/ValueSet/medication-intended-performer-role
from the FHIR Standard
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleMedicationRequestCourseOfTherapyCodes
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.asNeededForexampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureAdministrationSites
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
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://terminology.hl7.org/ValueSet/dose-rate-type
MedicationRequest.dispenseRequest.doseAdministrationAidexampleMedicationDoseAids
http://hl7.org/fhir/ValueSet/medication-dose-aid
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

This structure is derived from MedicationRequest

Summary

Mandatory: 4 elements(4 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.note
  • The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
  • The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:oncofair-mr-exempt-ltc 0..1 CodeableConcept Identifier of the ALD for which the component prescribed is prescribed for one of the reasons for which the patient benefits from an exemption under article L324-1 of the CSS.
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-exempt-ltc
Binding: Liste Affectation Longue Durée Value Set (required)
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:oncofair-mr-component-solute 0..1 boolean True if the component prescribed is solute in the prescription element
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-component-solute
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... extension:oncofair-mr-is-dosage-referent 0..1 boolean True if the component prescribed is the component that refers to the quantity or flow rate expressed in the dosage element when these are gravimetric (for example, mg or mg/h).
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-is-dosage-referent
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... basedOn SΣ 1..1 Reference(OncoFAIR MedicationRequest Element) The element linked to the component prescribed
ele-1: All FHIR elements must have a @value or children
... status ?!Σ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.


ele-1: All FHIR elements must have a @value or children
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.


ele-1: All FHIR elements must have a @value or children
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
ele-1: All FHIR elements must have a @value or children
... medication SΣ 1..1 CodeableReference(OncoFAIR Medication) The medication linked to the component prescribed
Binding: Concepts Medication Value Set (required)
ele-1: All FHIR elements must have a @value or children
.... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: component
... subject Σ 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
ele-1: All FHIR elements must have a @value or children
... Slices for note S 1..* Annotation Information about the prescription
Slice: Unordered, Open by value:id
ele-1: All FHIR elements must have a @value or children
.... note:wording 1..1 Annotation Wording of the prescribed component
ele-1: All FHIR elements must have a @value or children
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: wording
..... text Σ 1..1 markdown The annotation - text content (as markdown)
ele-1: All FHIR elements must have a @value or children
.... note:comments 0..1 Annotation Comments associated with the prescribed component
ele-1: All FHIR elements must have a @value or children
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: comments
..... text Σ 1..1 markdown The annotation - text content (as markdown)
ele-1: All FHIR elements must have a @value or children
.... note:indication 0..1 Annotation Specifies the reasons that led the prescriber to prescribe this component in the prescription element
ele-1: All FHIR elements must have a @value or children
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: indication
..... text Σ 1..1 markdown The annotation - text content (as markdown)
ele-1: All FHIR elements must have a @value or children
... dosageInstruction S 0..1 Dosage Specific instructions for how the medication should be taken
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... doseAndRate Σ 0..1 Element Amount of medication administered, to be administered or typical amount to be administered
ele-1: All FHIR elements must have a @value or children
..... Slices for dose[x] Σ 1..1 SimpleQuantity Amount of medication per dose
Slice: Unordered, Closed by type:$this
ele-1: All FHIR elements must have a @value or children
...... dose[x]:doseQuantity Σ 1..1 SimpleQuantity Quantity of the component prescribed in the prescription element
ele-1: All FHIR elements must have a @value or children
... substitution S 0..1 BackboneElement Any restrictions on medication substitution
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... Slices for allowed[x] 1..1 Whether substitution is allowed or not
Slice: Unordered, Open by type:$this
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.


ele-1: All FHIR elements must have a @value or children
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean 0..1 boolean True if the component prescribed is declared non-substitutable in the prescription element
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
from the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
from the FHIR Standard
MedicationRequest.medicationrequiredConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System)
http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset
from this IG
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:oncofair-mr-exempt-ltc 0..1 CodeableConcept Identifier of the ALD for which the component prescribed is prescribed for one of the reasons for which the patient benefits from an exemption under article L324-1 of the CSS.
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-exempt-ltc
Binding: Liste Affectation Longue Durée Value Set (required)
.... extension:oncofair-mr-component-solute 0..1 boolean True if the component prescribed is solute in the prescription element
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-component-solute
.... extension:oncofair-mr-is-dosage-referent 0..1 boolean True if the component prescribed is the component that refers to the quantity or flow rate expressed in the dosage element when these are gravimetric (for example, mg or mg/h).
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-is-dosage-referent
... basedOn S 1..1 Reference(OncoFAIR MedicationRequest Element) The element linked to the component prescribed
... medication S 1..1 CodeableReference(OncoFAIR Medication) The medication linked to the component prescribed
Binding: Concepts Medication Value Set (required)
.... concept 0..1 CodeableConcept Reference to a concept (by class)
Required Pattern: At least the following
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: component
.... note:wording 1..1 Annotation Wording of the prescribed component
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: wording
.... note:comments 0..1 Annotation Comments associated with the prescribed component
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: comments
.... note:indication 0..1 Annotation Specifies the reasons that led the prescriber to prescribe this component in the prescription element
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: indication
... dosageInstruction S 0..1 Dosage Specific instructions for how the medication should be taken
.... doseAndRate 0..1 Element Amount of medication administered, to be administered or typical amount to be administered
..... Slices for dose[x] 1..1 SimpleQuantity Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 1..1 SimpleQuantity Quantity of the component prescribed in the prescription element
... substitution S 0..1 BackboneElement Any restrictions on medication substitution
.... Slices for allowed[x] 1..1 boolean, CodeableConcept Whether substitution is allowed or not
Slice: Unordered, Open by type:$this
..... allowed[x]:allowedBoolean 0..1 boolean True if the component prescribed is declared non-substitutable in the prescription element

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationRequest.medicationrequiredConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System)
http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguages Starter
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... extension:oncofair-mr-exempt-ltc 0..1 CodeableConcept Identifier of the ALD for which the component prescribed is prescribed for one of the reasons for which the patient benefits from an exemption under article L324-1 of the CSS.
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-exempt-ltc
Binding: Liste Affectation Longue Durée Value Set (required)
.... extension:oncofair-mr-component-solute 0..1 boolean True if the component prescribed is solute in the prescription element
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-component-solute
.... extension:oncofair-mr-is-dosage-referent 0..1 boolean True if the component prescribed is the component that refers to the quantity or flow rate expressed in the dosage element when these are gravimetric (for example, mg or mg/h).
URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-mr-is-dosage-referent
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External ids for this request
... basedOn SΣ 1..1 Reference(OncoFAIR MedicationRequest Element) The element linked to the component prescribed
... priorPrescription 0..1 Reference(MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ 0..1 Identifier Composite request this is part of
... status ?!Σ 1..1 code active | on-hold | ended | stopped | completed | cancelled | entered-in-error | draft | unknown
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

... statusReason 0..1 CodeableConcept Reason for current status
Binding: MedicationRequestStatusReasonCodes (example): Identifies the reasons for a given status.

... statusChanged 0..1 dateTime When the status was changed
... intent ?!Σ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
Binding: MedicationRequestIntent (required): The kind of medication order.

... category 0..* CodeableConcept Grouping or category of medication request
Binding: MedicationRequestAdministrationLocationCodes (example): A coded concept identifying where the medication is to be consumed or administered.


... priority Σ 0..1 code routine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication SΣ 1..1 CodeableReference(OncoFAIR Medication) The medication linked to the component prescribed
Binding: Concepts Medication Value Set (required)
.... id 0..1 id Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... concept Σ 0..1 CodeableConcept Reference to a concept (by class)
Required Pattern: At least the following
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... system 0..1 uri Identity of the terminology system
...... version 0..1 string Version of the system - if relevant
...... code 1..1 code Symbol in syntax defined by the system
Fixed Value: component
...... display 0..1 string Representation defined by the system
...... userSelected 0..1 boolean If this coding was chosen directly by the user
..... text 0..1 string Plain text representation of the concept
.... reference Σ 0..1 Reference() Reference to a resource (by instance)
... subject Σ 1..1 Reference(Patient | Group) Individual or group for whom the medication has been requested
... informationSource 0..* Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization) The person or organization who provided the information about this request, if the source is someone other than the requestor
... encounter 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
... supportingInformation 0..* Reference(Resource) Information to support fulfilling of the medication
... authoredOn Σ 0..1 dateTime When request was initially authored
... requester Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device) Who/What requested the Request
... reported Σ 0..1 boolean Reported rather than primary record
... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.

... performer 0..* Reference(Practitioner | PractitionerRole | Organization | Patient | DeviceDefinition | RelatedPerson | CareTeam | HealthcareService) Intended performer of administration
... device 0..* CodeableReference(DeviceDefinition) Intended type of device for the administration
... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
... reason 0..* CodeableReference(Condition | Observation) Reason or indication for ordering or not ordering the medication
Binding: ConditionProblemDiagnosisCodes (example): A coded concept indicating why the medication was ordered.


... courseOfTherapyType 0..1 CodeableConcept Overall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.

... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
... Slices for note S 1..* Annotation Information about the prescription
Slice: Unordered, Open by value:id
.... note:wording 1..1 Annotation Wording of the prescribed component
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: wording
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... author[x] Σ 0..1 Individual responsible for the annotation
...... authorReference Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
...... authorString string
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:comments 0..1 Annotation Comments associated with the prescribed component
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: comments
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... author[x] Σ 0..1 Individual responsible for the annotation
...... authorReference Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
...... authorString string
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
.... note:indication 0..1 Annotation Specifies the reasons that led the prescriber to prescribe this component in the prescription element
..... id 1..1 id Unique id for inter-element referencing
Required Pattern: indication
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... author[x] Σ 0..1 Individual responsible for the annotation
...... authorReference Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
...... authorString string
..... time Σ 0..1 dateTime When the annotation was made
..... text Σ 1..1 markdown The annotation - text content (as markdown)
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken
... dosageInstruction S 0..1 Dosage Specific instructions for how the medication should be taken
.... id 0..1 id 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 Σ 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 Σ 0..1 Timing When medication should be administered
.... asNeeded ΣC 0..1 boolean Take "as needed"
.... asNeededFor ΣC 0..* CodeableConcept 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.


.... site Σ 0..1 CodeableConcept Body site to administer to
Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ 0..1 CodeableConcept How drug should enter body
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

.... method Σ 0..1 CodeableConcept Technique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ 0..1 Element Amount of medication administered, to be administered or typical amount to be 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 Σ 0..1 CodeableConcept The kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] Σ 1..1 SimpleQuantity Amount of medication per dose
Slice: Unordered, Closed by type:$this
...... dose[x]:doseQuantity Σ 1..1 SimpleQuantity Quantity of the component prescribed in the prescription element
..... rate[x] Σ 0..1 Amount of medication per unit of time
...... rateRatio Ratio
...... rateRange Range
...... rateQuantity Quantity(SimpleQuantity)
.... maxDosePerPeriod Σ 0..* 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
.... dispenser 0..1 Reference(Organization) Intended performer of dispense
.... dispenserInstruction 0..* Annotation Additional information for the dispenser
.... doseAdministrationAid 0..1 CodeableConcept Type of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... substitution S 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
.... Slices for allowed[x] 1..1 Whether substitution is allowed or not
Slice: Unordered, Open by type:$this
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.

..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
..... allowed[x]:allowedBoolean 0..1 boolean True if the component prescribed is declared non-substitutable in the prescription element
.... reason 0..1 CodeableConcept Why should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example): SubstanceAdminSubstitutionReason

... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationRequest.languagerequiredAllLanguages
http://hl7.org/fhir/ValueSet/all-languages|5.0.0
from the FHIR Standard
MedicationRequest.statusrequiredMedicationrequestStatus
http://hl7.org/fhir/ValueSet/medicationrequest-status|5.0.0
from the FHIR Standard
MedicationRequest.statusReasonexampleMedicationRequestStatusReasonCodes
http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
from the FHIR Standard
MedicationRequest.intentrequiredMedicationRequestIntent
http://hl7.org/fhir/ValueSet/medicationrequest-intent|5.0.0
from the FHIR Standard
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
http://hl7.org/fhir/ValueSet/medicationrequest-admin-location
from the FHIR Standard
MedicationRequest.priorityrequiredRequestPriority
http://hl7.org/fhir/ValueSet/request-priority|5.0.0
from the FHIR Standard
MedicationRequest.medicationrequiredConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System)
http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset
from this IG
MedicationRequest.performerTypeextensibleMedicationIntendedPerformerRole
http://hl7.org/fhir/ValueSet/medication-intended-performer-role
from the FHIR Standard
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
http://hl7.org/fhir/ValueSet/condition-code
from the FHIR Standard
MedicationRequest.courseOfTherapyTypeextensibleMedicationRequestCourseOfTherapyCodes
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.asNeededForexampleSNOMEDCTMedicationAsNeededReasonCodes
http://hl7.org/fhir/ValueSet/medication-as-needed-reason
from the FHIR Standard
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureAdministrationSites
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
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://terminology.hl7.org/ValueSet/dose-rate-type
MedicationRequest.dispenseRequest.doseAdministrationAidexampleMedicationDoseAids
http://hl7.org/fhir/ValueSet/medication-dose-aid
from the FHIR Standard
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason

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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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()

This structure is derived from MedicationRequest

Summary

Mandatory: 4 elements(4 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

Extensions

This structure refers to these extensions:

Slices

This structure defines the following Slices:

  • The element 1 is sliced based on the value of MedicationRequest.note
  • The element 1 is sliced based on the value of MedicationRequest.dosageInstruction.doseAndRate.dose[x]
  • The element 1 is sliced based on the value of MedicationRequest.substitution.allowed[x]

 

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