ELGA e-Medikation FHIR R5 Implementierungsleitfaden
0.0.0 - ci-build

ELGA e-Medikation FHIR R5 Implementierungsleitfaden - Local Development build (v0.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: 2 ELGA e-Medication MedicationRequest (eMedRequest)

Official URL: http://fhir.hl7.at/elga-e-medikation-R5/StructureDefinition/eMed-request Version: 0.0.0
Draft as of 2025-10-07 Responsible: ELGA GmbH Computable Name: eMedRequest

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.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... groupIdentifier Σ 1..1 Identifier eMed-ID
... 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: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
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: MedicationRequestIntent (required): The kind of medication order.
Required Pattern: order
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication Σ 1..1 CodeableReference(Medication) Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste).
Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required)
.... concept Σ 1..1 CodeableConcept Reference to a concept (by class)
... subject Σ 1..1 Reference(HL7® AT Core Patient Profile) Each MedicationRequest is associated with one HL7 Austria patient. | Jede Verordnung/MedicationRequest ist einem HL7 AustriaPatient zugewiesen.
... requester Σ 1..1 Reference(Practitioner) ToDo create austrian practitioner with hl7 austria. || The authorizing practitioner for this prescription, identified by their OID according to GDA Index. | Der approbierende Arzt für diese Verschreibung, identifiziert durch seine OID gemäß GDA-Index.
... note 0..* Annotation CDA eMed v2: ZINFO || not machine readable Information about the MedicationRequests | nicht maschinenlesbare Informationen über die Verordnung
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken | Zeitraum, über den das Medikament eingenommen werden soll
... dosageInstruction 0..* Dosage One or more specific instructions for how the medication should be taken | Eine oder mehrere spezifische Anweisungen für die Einnahme des Medikaments
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... patientInstruction Σ 0..1 string CDA eMed v2: ALTEIN || Patient or consumer oriented instructions | Patienten- oder verbraucherorientierte Anweisungen
.... asNeeded ΣC 0..1 boolean Take 'as needed' | Bedarfsmedikation

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required medicationrequest Status 📍5.0.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍5.0.0 FHIR Std.
MedicationRequest.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown

Constraints

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

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest MedicationRequest
... identifier 1..1 Identifier MedicationRequest ID = {eMed-ID}_{locally assigned ID} | Verordnungs ID = {eMed-ID}_{lokal vergebene ID}
... groupIdentifier 1..1 Identifier eMed-ID
... 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
... medication 1..1 CodeableReference(Medication) Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste).
Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required)
.... concept 1..1 CodeableConcept Reference to a concept (by class)
.... reference 0..0
... subject 1..1 Reference(HL7® AT Core Patient Profile) Each MedicationRequest is associated with one HL7 Austria patient. | Jede Verordnung/MedicationRequest ist einem HL7 AustriaPatient zugewiesen.
... requester 1..1 Reference(Practitioner) ToDo create austrian practitioner with hl7 austria. || The authorizing practitioner for this prescription, identified by their OID according to GDA Index. | Der approbierende Arzt für diese Verschreibung, identifiziert durch seine OID gemäß GDA-Index.
... note 0..* Annotation CDA eMed v2: ZINFO || not machine readable Information about the MedicationRequests | nicht maschinenlesbare Informationen über die Verordnung
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken | Zeitraum, über den das Medikament eingenommen werden soll
... dosageInstruction 0..* Dosage One or more specific instructions for how the medication should be taken | Eine oder mehrere spezifische Anweisungen für die Einnahme des Medikaments
.... patientInstruction 0..1 string CDA eMed v2: ALTEIN || Patient or consumer oriented instructions | Patienten- oder verbraucherorientierte Anweisungen
.... timing
..... repeat
...... frequency 0..1 positiveInt Repetitions within the period | Wiederholungen innerhalb der Dauer
...... period 0..1 decimal A defined period with its duration to which the frequency applies | Ein bestimmter Zeitraum mit seiner Dauer, für den die Wiederholungen gelten
...... periodUnit 0..1 code Unit of period | Einheit zur Dauer
...... when 0..* code Code for time period of occurrence | Code für die Eintrittszeitspanne
Binding: EventTiming (required)
.... asNeeded 0..1 boolean Take 'as needed' | Bedarfsmedikation
.... doseAndRate
..... Slices for dose[x] 0..1 Range, SimpleQuantity(5.0.0) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 0..1 SimpleQuantity Amount of medication per dose
....... value 0..1 decimal Quantity per intake | Menge pro Einnahme
....... unit 0..1 string Unit for quantity per intake | Einheit zur Menge pro Einnahme
..... Slices for rate[x] 0..0
...... rate[x]:rateRatio 0..0
...... rate[x]:rateRange 0..0
...... rate[x]:rateQuantity 0..0
... dispenseRequest
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized | Anzahl der genehmigten Einlösungen

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationRequest.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📦5.0.0 FHIR Std.
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 1..1 Identifier MedicationRequest ID = {eMed-ID}_{locally assigned ID} | Verordnungs ID = {eMed-ID}_{lokal vergebene ID}
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 Reference(MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ 1..1 Identifier eMed-ID
... 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: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Required Pattern: completed
... 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 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: MedicationRequestIntent (required): The kind of medication order.
Required Pattern: 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 Σ 1..1 CodeableReference(Medication) Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste).
Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (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 1..1 CodeableConcept Reference to a concept (by class)
... subject Σ 1..1 Reference(HL7® AT Core Patient Profile) Each MedicationRequest is associated with one HL7 Austria patient. | Jede Verordnung/MedicationRequest ist einem HL7 AustriaPatient zugewiesen.
... 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 1..1 Reference(Practitioner) ToDo create austrian practitioner with hl7 austria. || The authorizing practitioner for this prescription, identified by their OID according to GDA Index. | Der approbierende Arzt für diese Verschreibung, identifiziert durch seine OID gemäß GDA-Index.
... 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
... note 0..* Annotation CDA eMed v2: ZINFO || not machine readable Information about the MedicationRequests | nicht maschinenlesbare Informationen über die Verordnung
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken | Zeitraum, über den das Medikament eingenommen werden soll
... dosageInstruction 0..* Dosage One or more specific instructions for how the medication should be taken | Eine oder mehrere spezifische Anweisungen für die Einnahme des Medikaments
.... 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 CDA eMed v2: ALTEIN || Patient or consumer oriented instructions | Patienten- oder verbraucherorientierte Anweisungen
.... timing Σ 0..1 Timing When medication should be administered
..... 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
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count ΣC 0..1 positiveInt Number of times to repeat
...... countMax ΣC 0..1 positiveInt Maximum number of times to repeat
...... duration ΣC 0..1 decimal How long when it happens
...... durationMax ΣC 0..1 decimal How long when it happens (Max)
...... durationUnit ΣC 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency Σ 0..1 positiveInt Repetitions within the period | Wiederholungen innerhalb der Dauer
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period ΣC 0..1 decimal A defined period with its duration to which the frequency applies | Ein bestimmter Zeitraum mit seiner Dauer, für den die Wiederholungen gelten
...... periodMax ΣC 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit ΣC 0..1 code Unit of period | Einheit zur Dauer
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay ΣC 0..* time Time of day for action
...... when ΣC 0..* code Code for time period of occurrence | Code für die Eintrittszeitspanne
Binding: EventTiming (required)
...... offset ΣC 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept C | BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... asNeeded ΣC 0..1 boolean Take 'as needed' | Bedarfsmedikation
.... 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..* 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 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity Σ 0..1 SimpleQuantity Amount of medication per dose
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ 0..1 decimal Quantity per intake | Menge pro Einnahme
....... unit Σ 0..1 string Unit for quantity per intake | Einheit zur Menge pro Einnahme
....... system ΣC 0..1 uri System that defines coded unit form
....... code ΣC 0..1 code Coded form of the unit
.... maxDosePerPeriod Σ 0..* Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(5.0.0) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(5.0.0) 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(5.0.0) 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 | Anzahl der genehmigten Einlösungen
.... quantity 0..1 SimpleQuantity(5.0.0) 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 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... 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

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required All Languages 📍5.0.0 FHIR Std.
MedicationRequest.status Base required medicationrequest Status 📍5.0.0 FHIR Std.
MedicationRequest.statusReason Base example medicationRequest Status Reason Codes 📍5.0.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍5.0.0 FHIR Std.
MedicationRequest.category Base example medicationRequest Administration Location Codes 📍5.0.0 FHIR Std.
MedicationRequest.priority Base required RequestPriority 📍5.0.0 FHIR Std.
MedicationRequest.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationRequest.performerType Base extensible Medication Intended Performer Role 📍5.0.0 FHIR Std.
MedicationRequest.reason Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
MedicationRequest.courseOfTherapyType Base extensible medicationRequest Course of Therapy Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required Days Of Week 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📦5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​asNeededFor Base example SNOMED CT Medication As Needed Reason Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📦1.0.0 THO v6.5
MedicationRequest.dispenseRequest.​doseAdministrationAid Base example Medication Dose Aids 📍5.0.0 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base preferred ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationRequest.dosageInstruction.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationRequest.dosageInstruction.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationRequest.dosageInstruction.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationRequest.dosageInstruction.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationRequest.dosageInstruction.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationRequest.dosageInstruction.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationRequest.dosageInstruction.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationRequest.dosageInstruction.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())
tim-10 error MedicationRequest.dosageInstruction.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 4 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • 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.dosageInstruction.doseAndRate.rate[x]

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest 0..* MedicationRequest Ordering of medication for patient or group
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 0..* Resource Contained, inline Resources
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... groupIdentifier Σ 1..1 Identifier eMed-ID
... 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: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
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: MedicationRequestIntent (required): The kind of medication order.
Required Pattern: order
... doNotPerform ?!Σ 0..1 boolean True if patient is to stop taking or not to start taking the medication
... medication Σ 1..1 CodeableReference(Medication) Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste).
Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required)
.... concept Σ 1..1 CodeableConcept Reference to a concept (by class)
... subject Σ 1..1 Reference(HL7® AT Core Patient Profile) Each MedicationRequest is associated with one HL7 Austria patient. | Jede Verordnung/MedicationRequest ist einem HL7 AustriaPatient zugewiesen.
... requester Σ 1..1 Reference(Practitioner) ToDo create austrian practitioner with hl7 austria. || The authorizing practitioner for this prescription, identified by their OID according to GDA Index. | Der approbierende Arzt für diese Verschreibung, identifiziert durch seine OID gemäß GDA-Index.
... note 0..* Annotation CDA eMed v2: ZINFO || not machine readable Information about the MedicationRequests | nicht maschinenlesbare Informationen über die Verordnung
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken | Zeitraum, über den das Medikament eingenommen werden soll
... dosageInstruction 0..* Dosage One or more specific instructions for how the medication should be taken | Eine oder mehrere spezifische Anweisungen für die Einnahme des Medikaments
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... patientInstruction Σ 0..1 string CDA eMed v2: ALTEIN || Patient or consumer oriented instructions | Patienten- oder verbraucherorientierte Anweisungen
.... asNeeded ΣC 0..1 boolean Take 'as needed' | Bedarfsmedikation

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationRequest.status Base required medicationrequest Status 📍5.0.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍5.0.0 FHIR Std.
MedicationRequest.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown

Constraints

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

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationRequest MedicationRequest
... identifier 1..1 Identifier MedicationRequest ID = {eMed-ID}_{locally assigned ID} | Verordnungs ID = {eMed-ID}_{lokal vergebene ID}
... groupIdentifier 1..1 Identifier eMed-ID
... 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
... medication 1..1 CodeableReference(Medication) Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste).
Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (required)
.... concept 1..1 CodeableConcept Reference to a concept (by class)
.... reference 0..0
... subject 1..1 Reference(HL7® AT Core Patient Profile) Each MedicationRequest is associated with one HL7 Austria patient. | Jede Verordnung/MedicationRequest ist einem HL7 AustriaPatient zugewiesen.
... requester 1..1 Reference(Practitioner) ToDo create austrian practitioner with hl7 austria. || The authorizing practitioner for this prescription, identified by their OID according to GDA Index. | Der approbierende Arzt für diese Verschreibung, identifiziert durch seine OID gemäß GDA-Index.
... note 0..* Annotation CDA eMed v2: ZINFO || not machine readable Information about the MedicationRequests | nicht maschinenlesbare Informationen über die Verordnung
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken | Zeitraum, über den das Medikament eingenommen werden soll
... dosageInstruction 0..* Dosage One or more specific instructions for how the medication should be taken | Eine oder mehrere spezifische Anweisungen für die Einnahme des Medikaments
.... patientInstruction 0..1 string CDA eMed v2: ALTEIN || Patient or consumer oriented instructions | Patienten- oder verbraucherorientierte Anweisungen
.... timing
..... repeat
...... frequency 0..1 positiveInt Repetitions within the period | Wiederholungen innerhalb der Dauer
...... period 0..1 decimal A defined period with its duration to which the frequency applies | Ein bestimmter Zeitraum mit seiner Dauer, für den die Wiederholungen gelten
...... periodUnit 0..1 code Unit of period | Einheit zur Dauer
...... when 0..* code Code for time period of occurrence | Code für die Eintrittszeitspanne
Binding: EventTiming (required)
.... asNeeded 0..1 boolean Take 'as needed' | Bedarfsmedikation
.... doseAndRate
..... Slices for dose[x] 0..1 Range, SimpleQuantity(5.0.0) Amount of medication per dose
Slice: Unordered, Open by type:$this
...... dose[x]:doseQuantity 0..1 SimpleQuantity Amount of medication per dose
....... value 0..1 decimal Quantity per intake | Menge pro Einnahme
....... unit 0..1 string Unit for quantity per intake | Einheit zur Menge pro Einnahme
..... Slices for rate[x] 0..0
...... rate[x]:rateRatio 0..0
...... rate[x]:rateRange 0..0
...... rate[x]:rateQuantity 0..0
... dispenseRequest
.... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized | Anzahl der genehmigten Einlösungen

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationRequest.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📦5.0.0 FHIR Std.

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored
... identifier 1..1 Identifier MedicationRequest ID = {eMed-ID}_{locally assigned ID} | Verordnungs ID = {eMed-ID}_{lokal vergebene ID}
... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) A plan or request that is fulfilled in whole or in part by this medication request
... priorPrescription 0..1 Reference(MedicationRequest) Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ 1..1 Identifier eMed-ID
... 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: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.
Required Pattern: completed
... 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 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: MedicationRequestIntent (required): The kind of medication order.
Required Pattern: 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 Σ 1..1 CodeableReference(Medication) Medication in conformance with the ELGA e-Medication used PZN (i.e. ASP-Liste). | Arzneimittel entsprechend der ELGA e-Medikation verwendet PZN (d.h. ASP-Liste).
Binding: https://termgit.elga.gv.at/CodeSystem/asp-liste (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 1..1 CodeableConcept Reference to a concept (by class)
... subject Σ 1..1 Reference(HL7® AT Core Patient Profile) Each MedicationRequest is associated with one HL7 Austria patient. | Jede Verordnung/MedicationRequest ist einem HL7 AustriaPatient zugewiesen.
... 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 1..1 Reference(Practitioner) ToDo create austrian practitioner with hl7 austria. || The authorizing practitioner for this prescription, identified by their OID according to GDA Index. | Der approbierende Arzt für diese Verschreibung, identifiziert durch seine OID gemäß GDA-Index.
... 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
... note 0..* Annotation CDA eMed v2: ZINFO || not machine readable Information about the MedicationRequests | nicht maschinenlesbare Informationen über die Verordnung
... renderedDosageInstruction 0..1 markdown Full representation of the dosage instructions
... effectiveDosePeriod 0..1 Period Period over which the medication is to be taken | Zeitraum, über den das Medikament eingenommen werden soll
... dosageInstruction 0..* Dosage One or more specific instructions for how the medication should be taken | Eine oder mehrere spezifische Anweisungen für die Einnahme des Medikaments
.... 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 CDA eMed v2: ALTEIN || Patient or consumer oriented instructions | Patienten- oder verbraucherorientierte Anweisungen
.... timing Σ 0..1 Timing When medication should be administered
..... 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
..... event Σ 0..* dateTime When the event occurs
..... repeat ΣC 0..1 Element When the event is to occur
Constraints: tim-1, tim-2, tim-4, tim-5, tim-6, tim-7, tim-8, tim-9, tim-10
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] Σ 0..1 Length/Range of lengths, or (Start and/or end) limits
....... boundsDuration Duration
....... boundsRange Range
....... boundsPeriod Period
...... count ΣC 0..1 positiveInt Number of times to repeat
...... countMax ΣC 0..1 positiveInt Maximum number of times to repeat
...... duration ΣC 0..1 decimal How long when it happens
...... durationMax ΣC 0..1 decimal How long when it happens (Max)
...... durationUnit ΣC 0..1 code s | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... frequency Σ 0..1 positiveInt Repetitions within the period | Wiederholungen innerhalb der Dauer
...... frequencyMax Σ 0..1 positiveInt Event occurs up to frequencyMax times per period
...... period ΣC 0..1 decimal A defined period with its duration to which the frequency applies | Ein bestimmter Zeitraum mit seiner Dauer, für den die Wiederholungen gelten
...... periodMax ΣC 0..1 decimal Upper limit of period (3-4 hours)
...... periodUnit ΣC 0..1 code Unit of period | Einheit zur Dauer
Binding: UnitsOfTime (required): A unit of time (units from UCUM).
...... dayOfWeek Σ 0..* code mon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay ΣC 0..* time Time of day for action
...... when ΣC 0..* code Code for time period of occurrence | Code für die Eintrittszeitspanne
Binding: EventTiming (required)
...... offset ΣC 0..1 unsignedInt Minutes from event (before or after)
..... code Σ 0..1 CodeableConcept C | BID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred): Code for a known / defined timing pattern.
.... asNeeded ΣC 0..1 boolean Take 'as needed' | Bedarfsmedikation
.... 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..* 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 0..1 Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRange Range
...... doseQuantity Quantity(SimpleQuantity)
...... dose[x]:doseQuantity Σ 0..1 SimpleQuantity Amount of medication per dose
....... id 0..1 id Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ 0..1 decimal Quantity per intake | Menge pro Einnahme
....... unit Σ 0..1 string Unit for quantity per intake | Einheit zur Menge pro Einnahme
....... system ΣC 0..1 uri System that defines coded unit form
....... code ΣC 0..1 code Coded form of the unit
.... maxDosePerPeriod Σ 0..* Ratio Upper limit on medication per unit of time
.... maxDosePerAdministration Σ 0..1 SimpleQuantity(5.0.0) Upper limit on medication per administration
.... maxDosePerLifetime Σ 0..1 SimpleQuantity(5.0.0) 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(5.0.0) 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 | Anzahl der genehmigten Einlösungen
.... quantity 0..1 SimpleQuantity(5.0.0) 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 0..1 BackboneElement Any restrictions on medication substitution
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1 Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.
..... allowedBoolean boolean
..... allowedCodeableConcept CodeableConcept
.... 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

Path Status Usage ValueSet Version Source
MedicationRequest.language Base required All Languages 📍5.0.0 FHIR Std.
MedicationRequest.status Base required medicationrequest Status 📍5.0.0 FHIR Std.
MedicationRequest.statusReason Base example medicationRequest Status Reason Codes 📍5.0.0 FHIR Std.
MedicationRequest.intent Base required medicationRequest Intent 📍5.0.0 FHIR Std.
MedicationRequest.category Base example medicationRequest Administration Location Codes 📍5.0.0 FHIR Std.
MedicationRequest.priority Base required RequestPriority 📍5.0.0 FHIR Std.
MedicationRequest.medication Base required https://termgit.elga.gv.at/CodeSystem/asp-liste Not Stated Unknown
MedicationRequest.performerType Base extensible Medication Intended Performer Role 📍5.0.0 FHIR Std.
MedicationRequest.reason Base example Condition/Problem/Diagnosis Codes 📍5.0.0 FHIR Std.
MedicationRequest.courseOfTherapyType Base extensible medicationRequest Course of Therapy Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​additionalInstruction Base example SNOMED CT Additional Dosage Instructions 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.durationUnit Base required UnitsOfTime 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.periodUnit Base required UnitsOfTime 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.dayOfWeek Base required Days Of Week 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.repeat.when Base required EventTiming 📦5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​timing.code Base preferred TimingAbbreviation 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​asNeededFor Base example SNOMED CT Medication As Needed Reason Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​route Base example SNOMED CT Route Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​method Base example SNOMED CT Administration Method Codes 📍5.0.0 FHIR Std.
MedicationRequest.dosageInstruction.​doseAndRate.type Base example DoseAndRateType 📦1.0.0 THO v6.5
MedicationRequest.dispenseRequest.​doseAdministrationAid Base example Medication Dose Aids 📍5.0.0 FHIR Std.
MedicationRequest.substitution.​allowed[x] Base preferred ActSubstanceAdminSubstitutionCode 📦3.0.0 THO v6.5
MedicationRequest.substitution.​reason Base example SubstanceAdminSubstitutionReason 📦3.0.0 THO v6.5

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationRequest If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationRequest If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().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 MedicationRequest If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationRequest If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationRequest A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
tim-1 error MedicationRequest.dosageInstruction.timing.repeat if there's a duration, there needs to be duration units duration.empty() or durationUnit.exists()
tim-2 error MedicationRequest.dosageInstruction.timing.repeat if there's a period, there needs to be period units period.empty() or periodUnit.exists()
tim-4 error MedicationRequest.dosageInstruction.timing.repeat duration SHALL be a non-negative value duration.exists() implies duration >= 0
tim-5 error MedicationRequest.dosageInstruction.timing.repeat period SHALL be a non-negative value period.exists() implies period >= 0
tim-6 error MedicationRequest.dosageInstruction.timing.repeat If there's a periodMax, there must be a period periodMax.empty() or period.exists()
tim-7 error MedicationRequest.dosageInstruction.timing.repeat If there's a durationMax, there must be a duration durationMax.empty() or duration.exists()
tim-8 error MedicationRequest.dosageInstruction.timing.repeat If there's a countMax, there must be a count countMax.empty() or count.exists()
tim-9 error MedicationRequest.dosageInstruction.timing.repeat If there's an offset, there must be a when (and not C, CM, CD, CV) offset.empty() or (when.exists() and when.select($this in ('C' | 'CM' | 'CD' | 'CV')).allFalse())
tim-10 error MedicationRequest.dosageInstruction.timing.repeat If there's a timeOfDay, there cannot be a when, or vice versa timeOfDay.empty() or when.empty()

This structure is derived from MedicationRequest

Summary

Mandatory: 4 elements
Prohibited: 5 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • 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.dosageInstruction.doseAndRate.rate[x]

 

Other representations of profile: CSV, Excel, Schematron