INTEROPen CareConnect Base STU3 Implementation Guide
3.0.0 - CI Build

INTEROPen CareConnect Base STU3 Implementation Guide - Local Development build (v3.0.0). See the Directory of published versions

StructureDefinition: CareConnect-MedicationRequest-1

This MedicationRequest Resource represents an order for both supply of the medication and the instructions for administration of the medication to a patient.

The official URL for this profile is: 

https://fhir.hl7.org.uk/STU3/StructureDefinition/CareConnect-MedicationRequest-1

Formal Views of Profile Content

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequest
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... Extension-CareConnect-MedicationRepeatInformation-1 0..1(Complex)Medication repeat information
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
... Extension-CareConnect-MedicationStatusReason-1 0..1(Complex)To record the reason the medication (plan or order) was stopped and the date this occurred
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
... identifier
.... system 1..1uri
.... value 1..1string
.... assigner 0..1Reference(CareConnect-Organization-1)
... basedOn 0..*Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)
... groupIdentifier
.... assigner 0..1Reference(CareConnect-Organization-1)
... medicationReference:medicationReference 1..1Reference(CareConnect-Medication-1)Binding: SNOMED CT Medication Codes (example)
... subject 1..1Reference(Group | CareConnect-Patient-1)
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)
... requester
.... agent 1..1Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1)
.... onBehalfOf 0..1Reference(CareConnect-Organization-1)
... recorder 0..1Reference(CareConnect-Practitioner-1)
... reasonReference 0..*Reference(CareConnect-Condition-1 | CareConnect-Observation-1)
... note
.... author[x] 0..1
..... authorReferenceReference(RelatedPerson | CareConnect-Patient-1 | CareConnect-Practitioner-1)
..... authorStringstring
... dosageInstruction
.... additionalInstruction
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
...... coding:snomedCT 0..1Coding
....... extension 0..*ExtensionSlice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system 1..1uriFixed Value: http://snomed.info/sct
....... code 1..1code
....... display 1..1string
.... route
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
...... coding:snomedCT 0..1CodingBinding: Care Connect Medication Dosage Route (preferred)
....... extension 0..*ExtensionSlice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system 1..1uriFixed Value: http://snomed.info/sct
....... code 1..1code
....... display 1..1string
... dispenseRequest
.... quantity
..... extension 0..*ExtensionSlice: Unordered, Open by value:url
..... Extension-CareConnect-MedicationQuantityText-1 0..1stringQuantity representation
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
.... expectedSupplyDuration
..... value 1..1decimal
..... system 1..1uriFixed Value: http://unitsofmeasure.org
..... code 1..1codeBinding: UnitsOfTime (required)
.... performer 0..1Reference(CareConnect-Organization-1)
... priorPrescription 0..1Reference(CareConnect-MedicationRequest-1)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest I0..*MedicationRequestOrdering of medication for patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-CareConnect-MedicationRepeatInformation-1 I0..1(Complex)Medication repeat information
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
... Extension-CareConnect-MedicationStatusReason-1 I0..1(Complex)To record the reason the medication (plan or order) was stopped and the date this occurred
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
... Extension-CareConnect-PrescriptionType-1 I0..1CodeableConceptTo record the type of prescription
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... definition Σ0..*Reference(ActivityDefinition | PlanDefinition)Protocol or definition
... basedOn Σ0..*Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ0..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... status ?!Σ0..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: MedicationRequestStatus (required)
... intent ?!Σ1..1codeproposal | plan | order | instance-order
Binding: MedicationRequestIntent (required)
... category 0..1CodeableConceptType of medication usage
Binding: MedicationRequestCategory (preferred)
... priority Σ0..1coderoutine | urgent | stat | asap
Binding: MedicationRequestPriority (required)
... medication[x] Σ1..1(Slice Definition)Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ1..1Reference(CareConnect-Medication-1)Medication to be taken
... subject Σ1..1Reference(Group | CareConnect-Patient-1)Who or group medication request is for
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Created during encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn Σ0..1dateTimeWhen request was initially authored
... requester ΣI0..1BackboneElementWho/What requested the Request
mps-1: onBehalfOf can only be specified if agent is practitioner or device
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... agent Σ1..1Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1)Who ordered the initial medication(s)
.... onBehalfOf ΣI0..1Reference(CareConnect-Organization-1)Organization agent is acting for
... recorder 0..1Reference(CareConnect-Practitioner-1)Person who entered the request
... reasonCode 0..*CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... reasonReference 0..*Reference(CareConnect-Condition-1 | CareConnect-Observation-1)Condition or Observation that supports why the prescription is being written
... note 0..*AnnotationInformation about the prescription
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(RelatedPerson | CareConnect-Patient-1 | CareConnect-Practitioner-1)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text 1..1stringThe annotation - text content
... dosageInstruction 0..*DosageHow the medication should be taken
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... sequence Σ0..1integerThe order of the dosage instructions
.... text Σ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental instruction - e.g. "with meals"
Binding: SNOMED CT Additional Dosage Instructions (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT Σ0..1CodingCode defined by a terminology system
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... patientInstruction Σ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: SNOMED CT Medication As Needed Reason Codes (example)
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example)
.... route Σ0..1CodeableConceptHow drug should enter body
Binding: SNOMED CT Route Codes (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Medication Dosage Route (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMED CT Administration Method Codes (example)
.... dose[x] Σ0..1Amount of medication per dose
..... doseRangeRange
..... doseQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
.... rate[x] Σ0..1Amount of medication per unit of time
..... rateRatioRatio
..... rateRangeRange
..... rateQuantityQuantity(SimpleQuantity)
... dispenseRequest I0..1BackboneElementMedication supply authorization
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1positiveIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... Extension-CareConnect-MedicationQuantityText-1 0..1stringQuantity representation
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
..... value Σ0..1decimalNumerical value (with implicit precision)
..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
..... code Σ0..1codeCoded form of the unit
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ1..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit Σ0..1stringUnit representation
..... system ΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ1..1codeCoded form of the unit
Binding: UnitsOfTime (required)
.... performer 0..1Reference(CareConnect-Organization-1)Intended dispenser
... substitution I0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... allowed ?!1..1booleanWhether substitution is allowed or not
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription 0..1Reference(CareConnect-MedicationRequest-1)An order/prescription that is being replaced
... detectedIssue 0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequest
... extension 0..*ExtensionSlice: Unordered, Open by value:url
... Extension-CareConnect-MedicationRepeatInformation-1 0..1(Complex)Medication repeat information
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
... Extension-CareConnect-MedicationStatusReason-1 0..1(Complex)To record the reason the medication (plan or order) was stopped and the date this occurred
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
... identifier
.... system 1..1uri
.... value 1..1string
.... assigner 0..1Reference(CareConnect-Organization-1)
... basedOn 0..*Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)
... groupIdentifier
.... assigner 0..1Reference(CareConnect-Organization-1)
... medicationReference:medicationReference 1..1Reference(CareConnect-Medication-1)Binding: SNOMED CT Medication Codes (example)
... subject 1..1Reference(Group | CareConnect-Patient-1)
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)
... requester
.... agent 1..1Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1)
.... onBehalfOf 0..1Reference(CareConnect-Organization-1)
... recorder 0..1Reference(CareConnect-Practitioner-1)
... reasonReference 0..*Reference(CareConnect-Condition-1 | CareConnect-Observation-1)
... note
.... author[x] 0..1
..... authorReferenceReference(RelatedPerson | CareConnect-Patient-1 | CareConnect-Practitioner-1)
..... authorStringstring
... dosageInstruction
.... additionalInstruction
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
...... coding:snomedCT 0..1Coding
....... extension 0..*ExtensionSlice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system 1..1uriFixed Value: http://snomed.info/sct
....... code 1..1code
....... display 1..1string
.... route
..... coding 0..*(Slice Definition)Slice: Unordered, Open by value:system
...... coding:snomedCT 0..1CodingBinding: Care Connect Medication Dosage Route (preferred)
....... extension 0..*ExtensionSlice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system 1..1uriFixed Value: http://snomed.info/sct
....... code 1..1code
....... display 1..1string
... dispenseRequest
.... quantity
..... extension 0..*ExtensionSlice: Unordered, Open by value:url
..... Extension-CareConnect-MedicationQuantityText-1 0..1stringQuantity representation
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
.... expectedSupplyDuration
..... value 1..1decimal
..... system 1..1uriFixed Value: http://unitsofmeasure.org
..... code 1..1codeBinding: UnitsOfTime (required)
.... performer 0..1Reference(CareConnect-Organization-1)
... priorPrescription 0..1Reference(CareConnect-MedicationRequest-1)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest I0..*MedicationRequestOrdering of medication for patient or group
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: Common Languages (extensible)
Max Binding: All Languages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... Extension-CareConnect-MedicationRepeatInformation-1 I0..1(Complex)Medication repeat information
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationRepeatInformation-1
... Extension-CareConnect-MedicationStatusReason-1 I0..1(Complex)To record the reason the medication (plan or order) was stopped and the date this occurred
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationStatusReason-1
... Extension-CareConnect-PrescriptionType-1 I0..1CodeableConceptTo record the type of prescription
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-PrescriptionType-1
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal ids for this request
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ1..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ1..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... definition Σ0..*Reference(ActivityDefinition | PlanDefinition)Protocol or definition
... basedOn Σ0..*Reference(CarePlan | ProcedureRequest | ReferralRequest | CareConnect-MedicationRequest-1)What request fulfills
... groupIdentifier Σ0..1IdentifierComposite request this is part of
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ0..1codeusual | official | temp | secondary (If known)
Binding: IdentifierUse (required)
.... type Σ0..1CodeableConceptDescription of identifier
Binding: Identifier Type Codes (extensible)
.... system Σ0..1uriThe namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value Σ0..1stringThe value that is unique
Example General: 123456
.... period Σ0..1PeriodTime period when id is/was valid for use
.... assigner Σ0..1Reference(CareConnect-Organization-1)Organization that issued id (may be just text)
... status ?!Σ0..1codeactive | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
Binding: MedicationRequestStatus (required)
... intent ?!Σ1..1codeproposal | plan | order | instance-order
Binding: MedicationRequestIntent (required)
... category 0..1CodeableConceptType of medication usage
Binding: MedicationRequestCategory (preferred)
... priority Σ0..1coderoutine | urgent | stat | asap
Binding: MedicationRequestPriority (required)
... medication[x] Σ1..1(Slice Definition)Medication to be taken
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference Σ1..1Reference(CareConnect-Medication-1)Medication to be taken
... subject Σ1..1Reference(Group | CareConnect-Patient-1)Who or group medication request is for
... context 0..1Reference(EpisodeOfCare | CareConnect-Encounter-1)Created during encounter/admission/stay
... supportingInformation 0..*Reference(Resource)Information to support ordering of the medication
... authoredOn Σ0..1dateTimeWhen request was initially authored
... requester ΣI0..1BackboneElementWho/What requested the Request
mps-1: onBehalfOf can only be specified if agent is practitioner or device
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... agent Σ1..1Reference(RelatedPerson | Device | CareConnect-Organization-1 | CareConnect-Patient-1 | CareConnect-Practitioner-1)Who ordered the initial medication(s)
.... onBehalfOf ΣI0..1Reference(CareConnect-Organization-1)Organization agent is acting for
... recorder 0..1Reference(CareConnect-Practitioner-1)Person who entered the request
... reasonCode 0..*CodeableConceptReason or indication for writing the prescription
Binding: Condition/Problem/Diagnosis Codes (example)
... reasonReference 0..*Reference(CareConnect-Condition-1 | CareConnect-Observation-1)Condition or Observation that supports why the prescription is being written
... note 0..*AnnotationInformation about the prescription
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... author[x] Σ0..1Individual responsible for the annotation
..... authorReferenceReference(RelatedPerson | CareConnect-Patient-1 | CareConnect-Practitioner-1)
..... authorStringstring
.... time Σ0..1dateTimeWhen the annotation was made
.... text 1..1stringThe annotation - text content
... dosageInstruction 0..*DosageHow the medication should be taken
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
.... sequence Σ0..1integerThe order of the dosage instructions
.... text Σ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental instruction - e.g. "with meals"
Binding: SNOMED CT Additional Dosage Instructions (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT Σ0..1CodingCode defined by a terminology system
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... patientInstruction Σ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded[x] Σ0..1Take "as needed" (for x)
Binding: SNOMED CT Medication As Needed Reason Codes (example)
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site Σ0..1CodeableConceptBody site to administer to
Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example)
.... route Σ0..1CodeableConceptHow drug should enter body
Binding: SNOMED CT Route Codes (example)
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ0..*(Slice Definition)Code defined by a terminology system
Slice: Unordered, Open by value:system
...... coding:snomedCT Σ0..1CodingCode defined by a terminology system
Binding: Care Connect Medication Dosage Route (preferred)
....... id 0..1stringxml:id (or equivalent in JSON)
....... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
....... Extension-coding-sctdescid 0..*(Complex)The SNOMED CT Description ID for the display
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-coding-sctdescid
....... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ0..1stringVersion of the system - if relevant
....... code Σ1..1codeSymbol in syntax defined by the system
....... display Σ1..1stringRepresentation defined by the system
....... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
.... method Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMED CT Administration Method Codes (example)
.... dose[x] Σ0..1Amount of medication per dose
..... doseRangeRange
..... doseQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
.... rate[x] Σ0..1Amount of medication per unit of time
..... rateRatioRatio
..... rateRangeRange
..... rateQuantityQuantity(SimpleQuantity)
... dispenseRequest I0..1BackboneElementMedication supply authorization
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1positiveIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
..... Extension-CareConnect-MedicationQuantityText-1 0..1stringQuantity representation
URL: https://fhir.hl7.org.uk/STU3/StructureDefinition/Extension-CareConnect-MedicationQuantityText-1
..... value Σ0..1decimalNumerical value (with implicit precision)
..... unit Σ0..1stringUnit representation
..... system ΣI0..1uriSystem that defines coded unit form
..... code Σ0..1codeCoded form of the unit
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
..... id 0..1stringxml:id (or equivalent in JSON)
..... extension 0..*ExtensionAdditional Content defined by implementations
Slice: Unordered, Open by value:url
..... value Σ1..1decimalNumerical value (with implicit precision)
..... comparator ?!Σ0..1code< | <= | >= | > - how to understand the value
Binding: QuantityComparator (required)
..... unit Σ0..1stringUnit representation
..... system ΣI1..1uriSystem that defines coded unit form
Fixed Value: http://unitsofmeasure.org
..... code Σ1..1codeCoded form of the unit
Binding: UnitsOfTime (required)
.... performer 0..1Reference(CareConnect-Organization-1)Intended dispenser
... substitution I0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringxml:id (or equivalent in JSON)
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
.... allowed ?!1..1booleanWhether substitution is allowed or not
.... reason 0..1CodeableConceptWhy should (not) substitution be made
Binding: SubstanceAdminSubstitutionReason (example)
... priorPrescription 0..1Reference(CareConnect-MedicationRequest-1)An order/prescription that is being replaced
... detectedIssue 0..*Reference(DetectedIssue)Clinical Issue with action
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet
MedicationRequest.languageextensibleCommon Languages
Max Binding: All Languages
MedicationRequest.identifier.userequiredIdentifierUse
MedicationRequest.identifier.typeextensibleIdentifier Type Codes
MedicationRequest.groupIdentifier.userequiredIdentifierUse
MedicationRequest.groupIdentifier.typeextensibleIdentifier Type Codes
MedicationRequest.statusrequiredMedicationRequestStatus
MedicationRequest.intentrequiredMedicationRequestIntent
MedicationRequest.categorypreferredMedicationRequestCategory
MedicationRequest.priorityrequiredMedicationRequestPriority
MedicationRequest.reasonCodeexampleCondition/Problem/Diagnosis Codes
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMED CT Additional Dosage Instructions
MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMED CT Medication As Needed Reason Codes
MedicationRequest.dosageInstruction.siteexampleSNOMED CT Anatomical Structure for Administration Site Codes
MedicationRequest.dosageInstruction.routeexampleSNOMED CT Route Codes
MedicationRequest.dosageInstruction.route.coding:snomedCTpreferredCare Connect Medication Dosage Route
MedicationRequest.dosageInstruction.methodexampleSNOMED CT Administration Method Codes
MedicationRequest.dispenseRequest.expectedSupplyDuration.comparatorrequiredQuantityComparator
MedicationRequest.dispenseRequest.expectedSupplyDuration.coderequiredUnitsOfTime
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

Constraints

Constraints

IdPathDetailsRequirements
dom-2MedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-1MedicationRequestIf the resource is contained in another resource, it SHALL NOT contain any narrative
: contained.text.empty()
dom-4MedicationRequestIf 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-3MedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource
: contained.where(('#'+id in %resource.descendants().reference).not()).empty()
ele-1MedicationRequest.extension:repeatInformationAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1MedicationRequest.extension:repeatInformationMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.extension:statusReasonAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1MedicationRequest.extension:statusReasonMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.extension:prescriptionTypeAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ext-1MedicationRequest.extension:prescriptionTypeMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationRequest.requesterAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
mps-1MedicationRequest.requesteronBehalfOf can only be specified if agent is practitioner or device
: (agent.resolve().empty()) or (agent.resolve() is Device) or (agent.resolve() is Practitioner) or onBehalfOf.exists().not()
ele-1MedicationRequest.dispenseRequestAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())
ele-1MedicationRequest.substitutionAll FHIR elements must have a @value or children
: hasValue() | (children().count() > id.count())