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Resource Profile: 1 ELGA e-Medication Prescription with multiple MedicationRequests (eMedPrescriptionAsRequestOrchestration)

Description: In the course of treatment, the doctor determines that the ELGA participant must be prescribed one or more medicines. A MedicationRequest always consists of exactly one medication (= one medicine). The e-Medication prescription can consist of several MedicationRequests and thus forms a grouping over them. The prescription and it’s MedicationRequests are labelled with one unique, common eMED ID. The doctor is responsible for checking the medicines, e.g. for potential interactions, contraindications, dosages, etc. and this is not part of e-Medication. Storing requests without assigning a prescription is not valid. The prescription is considered to have been checked if the associated prescription is saved in e-Medication.

Beschreibung: Im Zuge der Behandlung stellt der Arzt fest, dass dem ELGA Teilnehmer ein oder mehrere Arzneimittel verordnet werden müssen. Eine Verordnung besteht immer nur aus genau einer Medikation (= ein Arzneimittel). Das Rezept kann aus mehreren Verordnungen/MedicationRequests bestehen und bildet somit die Klammer über die Verordnungen/MedicationRequests. Das Rezept und seine Verordnungen/MedicationRequests werden mit einer eindeutigen, gemeinsamen eMED-ID versehen. Die Prüfungen der Arzneimittel z.B. auf potentielle Wechselwirkungen, Kontraindikationen, Dosierungen, etc. erfolgt in der Eigenverantwortung des Arztes und ist nicht Gegenstand der e-Medikation. Eine Speicherung von Verordnungen/MedicationRequests ohne Zuordnung eines Rezeptes ist nicht gültig. Die Verordnung/MedicationRequest wird als geprüft angesehen, wenn die zugeordnete Verordnung in e-Medikation gespeichert ist.

Usage:

• Examples for this Resource Profile: RequestOrchestration/WYE82A2G8EE1

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from RequestOrchestration

Name	Flags	Card.	Type	Description & Constraints
RequestOrchestration		0..*	RequestOrchestration	A set of related requests
id		1..1	id	eMED-ID
contained		1..*	eMedRequest	one or several MedicationRequests | eine oder mehrere Verordnungen/MedicationRequests
status		1..1	code	For CDA compatability: always completed, even if the prescription is still be acted upon. | Für CDA-Kompatibilität: immer abgeschlossen, auch wenn das Rezept noch bearbeitet werden muss. Required Pattern: completed
intent		1..1	code	The prescription represents a request/demand and authorization for action by the requestor. | Das Rezept stellt eine Anfrage/Anforderung und Ermächtigung zum Handeln durch den Antragsteller dar. Required Pattern: order
code		1..1	CodeableConcept	Prescription type, default 'Kassen', still must be stated | Rezeptart, standardmäßig „Kassen“, muss jedoch angegeben werden Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart (required)
subject		1..1	Reference(HL7® AT Core Patient Profile)	Associated HL7 Austria patient. | Zugewiesener HL7 AustriaPatient
authoredOn		1..1	dateTime	When the prescription was authored | Wann das Rezept verfasst wurde
author		1..1	Reference(Practitioner)	Creator of the proposal | Ersteller des Rezepts
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
RequestOrchestration.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart

Name	Flags	Card.	Type	Description & Constraints
RequestOrchestration		0..*	RequestOrchestration	A set of related requests
id	Σ	1..1	id	eMED-ID
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		1..*	eMedRequest	one or several MedicationRequests | eine oder mehrere Verordnungen/MedicationRequests
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	For CDA compatability: always completed, even if the prescription is still be acted upon. | Für CDA-Kompatibilität: immer abgeschlossen, auch wenn das Rezept noch bearbeitet werden muss. Binding: RequestStatus (required): Codes identifying the lifecycle stage of a request. Required Pattern: completed
intent	?!Σ	1..1	code	The prescription represents a request/demand and authorization for action by the requestor. | Das Rezept stellt eine Anfrage/Anforderung und Ermächtigung zum Handeln durch den Antragsteller dar. Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Required Pattern: order
code	Σ	1..1	CodeableConcept	Prescription type, default 'Kassen', still must be stated | Rezeptart, standardmäßig „Kassen“, muss jedoch angegeben werden Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart (required)
subject		1..1	Reference(HL7® AT Core Patient Profile)	Associated HL7 Austria patient. | Zugewiesener HL7 AustriaPatient
authoredOn		1..1	dateTime	When the prescription was authored | Wann das Rezept verfasst wurde
author		1..1	Reference(Practitioner)	Creator of the proposal | Ersteller des Rezepts
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
RequestOrchestration.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
RequestOrchestration.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
RequestOrchestration.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	RequestOrchestration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	RequestOrchestration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	RequestOrchestration	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	RequestOrchestration	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	RequestOrchestration	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
RequestOrchestration		0..*	RequestOrchestration	A set of related requests
id	Σ	1..1	id	eMED-ID
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 Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		1..*	eMedRequest	one or several MedicationRequests | eine oder mehrere Verordnungen/MedicationRequests
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn		0..*	Reference(Resource)	Fulfills plan, proposal, or order
replaces		0..*	Reference(Resource)	Request(s) replaced by this request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	1..1	code	For CDA compatability: always completed, even if the prescription is still be acted upon. | Für CDA-Kompatibilität: immer abgeschlossen, auch wenn das Rezept noch bearbeitet werden muss. Binding: RequestStatus (required): Codes identifying the lifecycle stage of a request. Required Pattern: completed
intent	?!Σ	1..1	code	The prescription represents a request/demand and authorization for action by the requestor. | Das Rezept stellt eine Anfrage/Anforderung und Ermächtigung zum Handeln durch den Antragsteller dar. Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Required Pattern: order
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code	Σ	1..1	CodeableConcept	Prescription type, default 'Kassen', still must be stated | Rezeptart, standardmäßig „Kassen“, muss jedoch angegeben werden Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart (required)
subject		1..1	Reference(HL7® AT Core Patient Profile)	Associated HL7 Austria patient. | Zugewiesener HL7 AustriaPatient
encounter		0..1	Reference(Encounter)	Created as part of
authoredOn		1..1	dateTime	When the prescription was authored | Wann das Rezept verfasst wurde
author		1..1	Reference(Practitioner)	Creator of the proposal | Ersteller des Rezepts
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference)	Why the request orchestration is needed Binding: ActionReasonCode (example)
goal		0..*	Reference(Goal)	What goals
note		0..*	Annotation	Additional notes about the response
action	C	0..*	BackboneElement	Proposed actions, if any rqg-1: Must have resource or action but not both
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
linkId		0..1	string	Pointer to specific item from the PlanDefinition
prefix		0..1	string	User-visible prefix for the action (e.g. 1. or A.)
title		0..1	string	User-visible title
description	Σ	0..1	markdown	Short description of the action
textEquivalent	Σ	0..1	markdown	Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
priority		0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code		0..*	CodeableConcept	Code representing the meaning of the action or sub-actions Binding: ActionCode (example)
documentation		0..*	RelatedArtifact	Supporting documentation for the intended performer of the action
goal		0..*	Reference(Goal)	What goals
condition		0..*	BackboneElement	Whether or not the action is applicable
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
kind		1..1	code	applicability | start | stop Binding: ActionConditionKind (required): The kind of condition for the action.
expression		0..1	Expression	Boolean-valued expression
input	C	0..*	BackboneElement	Input data requirements pld-0: Input data elements must have a requirement or a relatedData, but not both
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
title		0..1	string	User-visible title
requirement	C	0..1	DataRequirement	What data is provided
relatedData	C	0..1	id	What data is provided
output	C	0..*	BackboneElement	Output data definition pld-1: Output data element must have a requirement or a relatedData, but not both
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
title		0..1	string	User-visible title
requirement	C	0..1	DataRequirement	What data is provided
relatedData	C	0..1	string	What data is provided
relatedAction		0..*	BackboneElement	Relationship to another action
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
targetId		1..1	id	What action this is related to
relationship		1..1	code	before | before-start | before-end | concurrent | concurrent-with-start | concurrent-with-end | after | after-start | after-end Binding: ActionRelationshipType (required): Defines the types of relationships between actions.
endRelationship		0..1	code	before | before-start | before-end | concurrent | concurrent-with-start | concurrent-with-end | after | after-start | after-end Binding: ActionRelationshipType (required): Defines the types of relationships between actions.
offset[x]		0..1		Time offset for the relationship
offsetDuration			Duration
offsetRange			Range
timing[x]		0..1		When the action should take place
timingDateTime			dateTime
timingAge			Age
timingPeriod			Period
timingDuration			Duration
timingRange			Range
timingTiming			Timing
location		0..1	CodeableReference(Location)	Where it should happen
participant		0..*	BackboneElement	Who should perform the action
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
type		0..1	code	careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson Binding: ActionParticipantType (required): The type of participant in the activity.
typeCanonical		0..1	canonical(CapabilityStatement)	Who or what can participate
typeReference		0..1	Reference(CareTeam | Device | DeviceDefinition | Endpoint | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)	Who or what can participate
role		0..1	CodeableConcept	E.g. Nurse, Surgeon, Parent, etc Binding: Action Participant Role (example): Defines roles played by participants for the action.
function		0..1	CodeableConcept	E.g. Author, Reviewer, Witness, etc Binding: ActionParticipantFunction (example)
actor[x]		0..1	canonical(CapabilityStatement), Reference(CareTeam | Device | DeviceDefinition | Endpoint | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)	Who/what is participating?
type		0..1	CodeableConcept	create | update | remove | fire-event Binding: ActionType (extensible): The type of action to be performed.
groupingBehavior		0..1	code	visual-group | logical-group | sentence-group Binding: ActionGroupingBehavior (required): Defines organization behavior of a group.
selectionBehavior		0..1	code	any | all | all-or-none | exactly-one | at-most-one | one-or-more Binding: ActionSelectionBehavior (required): Defines selection behavior of a group.
requiredBehavior		0..1	code	must | could | must-unless-documented Binding: ActionRequiredBehavior (required): Defines expectations around whether an action or action group is required.
precheckBehavior		0..1	code	yes | no Binding: ActionPrecheckBehavior (required): Defines selection frequency behavior for an action or group.
cardinalityBehavior		0..1	code	single | multiple Binding: ActionCardinalityBehavior (required): Defines behavior for an action or a group for how many times that item may be repeated.
resource	C	0..1	Reference(Resource)	The target of the action
definition[x]		0..1		Description of the activity to be performed
definitionCanonical			canonical(ActivityDefinition | ObservationDefinition | PlanDefinition | Questionnaire | SpecimenDefinition)
definitionUri			uri
transform		0..1	canonical(StructureMap)	Transform to apply the template
dynamicValue		0..*	BackboneElement	Dynamic aspects of the definition
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
path		0..1	string	The path to the element to be set dynamically
expression		0..1	Expression	An expression that provides the dynamic value for the customization
action		0..*	See action (RequestOrchestration)	Sub action
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
RequestOrchestration.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
RequestOrchestration.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
RequestOrchestration.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
RequestOrchestration.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
RequestOrchestration.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart
RequestOrchestration.reason	example	ActionReasonCode http://hl7.org/fhir/ValueSet/action-reason-code from the FHIR Standard
RequestOrchestration.action.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
RequestOrchestration.action.code	example	ActionCode http://hl7.org/fhir/ValueSet/action-code from the FHIR Standard
RequestOrchestration.action.condition.kind	required	ActionConditionKind http://hl7.org/fhir/ValueSet/action-condition-kind|5.0.0 from the FHIR Standard
RequestOrchestration.action.relatedAction.relationship	required	ActionRelationshipType http://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0 from the FHIR Standard
RequestOrchestration.action.relatedAction.endRelationship	required	ActionRelationshipType http://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0 from the FHIR Standard
RequestOrchestration.action.participant.type	required	ActionParticipantType http://hl7.org/fhir/ValueSet/action-participant-type|5.0.0 from the FHIR Standard
RequestOrchestration.action.participant.role	example	ActionParticipantRole http://terminology.hl7.org/ValueSet/action-participant-role
RequestOrchestration.action.participant.function	example	ActionParticipantFunction http://hl7.org/fhir/ValueSet/action-participant-function from the FHIR Standard
RequestOrchestration.action.type	extensible	ActionType http://hl7.org/fhir/ValueSet/action-type from the FHIR Standard
RequestOrchestration.action.groupingBehavior	required	ActionGroupingBehavior http://hl7.org/fhir/ValueSet/action-grouping-behavior|5.0.0 from the FHIR Standard
RequestOrchestration.action.selectionBehavior	required	ActionSelectionBehavior http://hl7.org/fhir/ValueSet/action-selection-behavior|5.0.0 from the FHIR Standard
RequestOrchestration.action.requiredBehavior	required	ActionRequiredBehavior http://hl7.org/fhir/ValueSet/action-required-behavior|5.0.0 from the FHIR Standard
RequestOrchestration.action.precheckBehavior	required	ActionPrecheckBehavior http://hl7.org/fhir/ValueSet/action-precheck-behavior|5.0.0 from the FHIR Standard
RequestOrchestration.action.cardinalityBehavior	required	ActionCardinalityBehavior http://hl7.org/fhir/ValueSet/action-cardinality-behavior|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	RequestOrchestration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	RequestOrchestration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	RequestOrchestration	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	RequestOrchestration	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	RequestOrchestration	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pld-0	error	RequestOrchestration.action.input	Input data elements must have a requirement or a relatedData, but not both : requirement.exists() xor relatedData.exists()
pld-1	error	RequestOrchestration.action.output	Output data element must have a requirement or a relatedData, but not both : requirement.exists() xor relatedData.exists()
rqg-1	error	RequestOrchestration.action	Must have resource or action but not both : resource.exists() != action.exists()

This structure is derived from RequestOrchestration

Differential View

This structure is derived from RequestOrchestration

Name	Flags	Card.	Type	Description & Constraints
RequestOrchestration		0..*	RequestOrchestration	A set of related requests
id		1..1	id	eMED-ID
contained		1..*	eMedRequest	one or several MedicationRequests | eine oder mehrere Verordnungen/MedicationRequests
status		1..1	code	For CDA compatability: always completed, even if the prescription is still be acted upon. | Für CDA-Kompatibilität: immer abgeschlossen, auch wenn das Rezept noch bearbeitet werden muss. Required Pattern: completed
intent		1..1	code	The prescription represents a request/demand and authorization for action by the requestor. | Das Rezept stellt eine Anfrage/Anforderung und Ermächtigung zum Handeln durch den Antragsteller dar. Required Pattern: order
code		1..1	CodeableConcept	Prescription type, default 'Kassen', still must be stated | Rezeptart, standardmäßig „Kassen“, muss jedoch angegeben werden Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart (required)
subject		1..1	Reference(HL7® AT Core Patient Profile)	Associated HL7 Austria patient. | Zugewiesener HL7 AustriaPatient
authoredOn		1..1	dateTime	When the prescription was authored | Wann das Rezept verfasst wurde
author		1..1	Reference(Practitioner)	Creator of the proposal | Ersteller des Rezepts
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
RequestOrchestration.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
RequestOrchestration		0..*	RequestOrchestration	A set of related requests
id	Σ	1..1	id	eMED-ID
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		1..*	eMedRequest	one or several MedicationRequests | eine oder mehrere Verordnungen/MedicationRequests
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	For CDA compatability: always completed, even if the prescription is still be acted upon. | Für CDA-Kompatibilität: immer abgeschlossen, auch wenn das Rezept noch bearbeitet werden muss. Binding: RequestStatus (required): Codes identifying the lifecycle stage of a request. Required Pattern: completed
intent	?!Σ	1..1	code	The prescription represents a request/demand and authorization for action by the requestor. | Das Rezept stellt eine Anfrage/Anforderung und Ermächtigung zum Handeln durch den Antragsteller dar. Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Required Pattern: order
code	Σ	1..1	CodeableConcept	Prescription type, default 'Kassen', still must be stated | Rezeptart, standardmäßig „Kassen“, muss jedoch angegeben werden Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart (required)
subject		1..1	Reference(HL7® AT Core Patient Profile)	Associated HL7 Austria patient. | Zugewiesener HL7 AustriaPatient
authoredOn		1..1	dateTime	When the prescription was authored | Wann das Rezept verfasst wurde
author		1..1	Reference(Practitioner)	Creator of the proposal | Ersteller des Rezepts
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
RequestOrchestration.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
RequestOrchestration.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
RequestOrchestration.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	RequestOrchestration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	RequestOrchestration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	RequestOrchestration	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	RequestOrchestration	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	RequestOrchestration	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
RequestOrchestration		0..*	RequestOrchestration	A set of related requests
id	Σ	1..1	id	eMED-ID
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 Bindings Purpose CommonLanguages Starter Set
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		1..*	eMedRequest	one or several MedicationRequests | eine oder mehrere Verordnungen/MedicationRequests
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Business identifier
instantiatesCanonical	Σ	0..*	canonical()	Instantiates FHIR protocol or definition
instantiatesUri	Σ	0..*	uri	Instantiates external protocol or definition
basedOn		0..*	Reference(Resource)	Fulfills plan, proposal, or order
replaces		0..*	Reference(Resource)	Request(s) replaced by this request
groupIdentifier	Σ	0..1	Identifier	Composite request this is part of
status	?!Σ	1..1	code	For CDA compatability: always completed, even if the prescription is still be acted upon. | Für CDA-Kompatibilität: immer abgeschlossen, auch wenn das Rezept noch bearbeitet werden muss. Binding: RequestStatus (required): Codes identifying the lifecycle stage of a request. Required Pattern: completed
intent	?!Σ	1..1	code	The prescription represents a request/demand and authorization for action by the requestor. | Das Rezept stellt eine Anfrage/Anforderung und Ermächtigung zum Handeln durch den Antragsteller dar. Binding: RequestIntent (required): Codes indicating the degree of authority/intentionality associated with a request. Required Pattern: order
priority	Σ	0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code	Σ	1..1	CodeableConcept	Prescription type, default 'Kassen', still must be stated | Rezeptart, standardmäßig „Kassen“, muss jedoch angegeben werden Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart (required)
subject		1..1	Reference(HL7® AT Core Patient Profile)	Associated HL7 Austria patient. | Zugewiesener HL7 AustriaPatient
encounter		0..1	Reference(Encounter)	Created as part of
authoredOn		1..1	dateTime	When the prescription was authored | Wann das Rezept verfasst wurde
author		1..1	Reference(Practitioner)	Creator of the proposal | Ersteller des Rezepts
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport | DocumentReference)	Why the request orchestration is needed Binding: ActionReasonCode (example)
goal		0..*	Reference(Goal)	What goals
note		0..*	Annotation	Additional notes about the response
action	C	0..*	BackboneElement	Proposed actions, if any rqg-1: Must have resource or action but not both
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
linkId		0..1	string	Pointer to specific item from the PlanDefinition
prefix		0..1	string	User-visible prefix for the action (e.g. 1. or A.)
title		0..1	string	User-visible title
description	Σ	0..1	markdown	Short description of the action
textEquivalent	Σ	0..1	markdown	Static text equivalent of the action, used if the dynamic aspects cannot be interpreted by the receiving system
priority		0..1	code	routine | urgent | asap | stat Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
code		0..*	CodeableConcept	Code representing the meaning of the action or sub-actions Binding: ActionCode (example)
documentation		0..*	RelatedArtifact	Supporting documentation for the intended performer of the action
goal		0..*	Reference(Goal)	What goals
condition		0..*	BackboneElement	Whether or not the action is applicable
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
kind		1..1	code	applicability | start | stop Binding: ActionConditionKind (required): The kind of condition for the action.
expression		0..1	Expression	Boolean-valued expression
input	C	0..*	BackboneElement	Input data requirements pld-0: Input data elements must have a requirement or a relatedData, but not both
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
title		0..1	string	User-visible title
requirement	C	0..1	DataRequirement	What data is provided
relatedData	C	0..1	id	What data is provided
output	C	0..*	BackboneElement	Output data definition pld-1: Output data element must have a requirement or a relatedData, but not both
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
title		0..1	string	User-visible title
requirement	C	0..1	DataRequirement	What data is provided
relatedData	C	0..1	string	What data is provided
relatedAction		0..*	BackboneElement	Relationship to another action
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
targetId		1..1	id	What action this is related to
relationship		1..1	code	before | before-start | before-end | concurrent | concurrent-with-start | concurrent-with-end | after | after-start | after-end Binding: ActionRelationshipType (required): Defines the types of relationships between actions.
endRelationship		0..1	code	before | before-start | before-end | concurrent | concurrent-with-start | concurrent-with-end | after | after-start | after-end Binding: ActionRelationshipType (required): Defines the types of relationships between actions.
offset[x]		0..1		Time offset for the relationship
offsetDuration			Duration
offsetRange			Range
timing[x]		0..1		When the action should take place
timingDateTime			dateTime
timingAge			Age
timingPeriod			Period
timingDuration			Duration
timingRange			Range
timingTiming			Timing
location		0..1	CodeableReference(Location)	Where it should happen
participant		0..*	BackboneElement	Who should perform the action
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
type		0..1	code	careteam | device | group | healthcareservice | location | organization | patient | practitioner | practitionerrole | relatedperson Binding: ActionParticipantType (required): The type of participant in the activity.
typeCanonical		0..1	canonical(CapabilityStatement)	Who or what can participate
typeReference		0..1	Reference(CareTeam | Device | DeviceDefinition | Endpoint | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)	Who or what can participate
role		0..1	CodeableConcept	E.g. Nurse, Surgeon, Parent, etc Binding: Action Participant Role (example): Defines roles played by participants for the action.
function		0..1	CodeableConcept	E.g. Author, Reviewer, Witness, etc Binding: ActionParticipantFunction (example)
actor[x]		0..1	canonical(CapabilityStatement), Reference(CareTeam | Device | DeviceDefinition | Endpoint | Group | HealthcareService | Location | Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)	Who/what is participating?
type		0..1	CodeableConcept	create | update | remove | fire-event Binding: ActionType (extensible): The type of action to be performed.
groupingBehavior		0..1	code	visual-group | logical-group | sentence-group Binding: ActionGroupingBehavior (required): Defines organization behavior of a group.
selectionBehavior		0..1	code	any | all | all-or-none | exactly-one | at-most-one | one-or-more Binding: ActionSelectionBehavior (required): Defines selection behavior of a group.
requiredBehavior		0..1	code	must | could | must-unless-documented Binding: ActionRequiredBehavior (required): Defines expectations around whether an action or action group is required.
precheckBehavior		0..1	code	yes | no Binding: ActionPrecheckBehavior (required): Defines selection frequency behavior for an action or group.
cardinalityBehavior		0..1	code	single | multiple Binding: ActionCardinalityBehavior (required): Defines behavior for an action or a group for how many times that item may be repeated.
resource	C	0..1	Reference(Resource)	The target of the action
definition[x]		0..1		Description of the activity to be performed
definitionCanonical			canonical(ActivityDefinition | ObservationDefinition | PlanDefinition | Questionnaire | SpecimenDefinition)
definitionUri			uri
transform		0..1	canonical(StructureMap)	Transform to apply the template
dynamicValue		0..*	BackboneElement	Dynamic aspects of the definition
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
path		0..1	string	The path to the element to be set dynamically
expression		0..1	Expression	An expression that provides the dynamic value for the customization
action		0..*	See action (RequestOrchestration)	Sub action
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
RequestOrchestration.language	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
RequestOrchestration.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/request-status|5.0.0 from the FHIR Standard
RequestOrchestration.intent	required	Pattern: order http://hl7.org/fhir/ValueSet/request-intent|5.0.0 from the FHIR Standard
RequestOrchestration.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
RequestOrchestration.code	required	https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart https://termgit.elga.gv.at/ValueSet/elga-medikationrezeptart
RequestOrchestration.reason	example	ActionReasonCode http://hl7.org/fhir/ValueSet/action-reason-code from the FHIR Standard
RequestOrchestration.action.priority	required	RequestPriority http://hl7.org/fhir/ValueSet/request-priority|5.0.0 from the FHIR Standard
RequestOrchestration.action.code	example	ActionCode http://hl7.org/fhir/ValueSet/action-code from the FHIR Standard
RequestOrchestration.action.condition.kind	required	ActionConditionKind http://hl7.org/fhir/ValueSet/action-condition-kind|5.0.0 from the FHIR Standard
RequestOrchestration.action.relatedAction.relationship	required	ActionRelationshipType http://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0 from the FHIR Standard
RequestOrchestration.action.relatedAction.endRelationship	required	ActionRelationshipType http://hl7.org/fhir/ValueSet/action-relationship-type|5.0.0 from the FHIR Standard
RequestOrchestration.action.participant.type	required	ActionParticipantType http://hl7.org/fhir/ValueSet/action-participant-type|5.0.0 from the FHIR Standard
RequestOrchestration.action.participant.role	example	ActionParticipantRole http://terminology.hl7.org/ValueSet/action-participant-role
RequestOrchestration.action.participant.function	example	ActionParticipantFunction http://hl7.org/fhir/ValueSet/action-participant-function from the FHIR Standard
RequestOrchestration.action.type	extensible	ActionType http://hl7.org/fhir/ValueSet/action-type from the FHIR Standard
RequestOrchestration.action.groupingBehavior	required	ActionGroupingBehavior http://hl7.org/fhir/ValueSet/action-grouping-behavior|5.0.0 from the FHIR Standard
RequestOrchestration.action.selectionBehavior	required	ActionSelectionBehavior http://hl7.org/fhir/ValueSet/action-selection-behavior|5.0.0 from the FHIR Standard
RequestOrchestration.action.requiredBehavior	required	ActionRequiredBehavior http://hl7.org/fhir/ValueSet/action-required-behavior|5.0.0 from the FHIR Standard
RequestOrchestration.action.precheckBehavior	required	ActionPrecheckBehavior http://hl7.org/fhir/ValueSet/action-precheck-behavior|5.0.0 from the FHIR Standard
RequestOrchestration.action.cardinalityBehavior	required	ActionCardinalityBehavior http://hl7.org/fhir/ValueSet/action-cardinality-behavior|5.0.0 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	RequestOrchestration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	RequestOrchestration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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-4	error	RequestOrchestration	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	RequestOrchestration	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	RequestOrchestration	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
pld-0	error	RequestOrchestration.action.input	Input data elements must have a requirement or a relatedData, but not both : requirement.exists() xor relatedData.exists()
pld-1	error	RequestOrchestration.action.output	Output data element must have a requirement or a relatedData, but not both : requirement.exists() xor relatedData.exists()
rqg-1	error	RequestOrchestration.action	Must have resource or action but not both : resource.exists() != action.exists()

This structure is derived from RequestOrchestration

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