Linked Care Implementation Guide
0.9.1 - ci-build

Resource Profile: LINCA Proposal Item (LINCAProposalMedicationRequest)

Defining URL:http://fhir.hl7.at/linkedcare/StructureDefinition/linca-proposal-medication-request
Version:0.9.1
Name:LINCAProposalMedicationRequest
Title:LINCA Proposal Item (LINCAProposalMedicationRequest)
Status:Draft as of 2023-11-29 14:36:10+0000
Definition:

Linked Care profile for individual proposal positions. A list of proposal positions is first received as contained resources in a LINCA Proposal. Then the Linked Care FHIR server creates an instance for each contained item. These instances are send to the assigned practicioner(s) for authorization.

Publisher:The Linked Care Consortium. The Linked Care Consortium,
Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

http://fhir.hl7.at/linkedcare/StructureDefinition/linca-proposal-medication-request

Formal Views of Profile Content

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

This structure is derived from MedicationRequest

Summary

Mandatory: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationRequest.dosageInstruction.doseAndRate.dose[x] is sliced based on the value of type:$this

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
​.. MedicationRequest MedicationRequest
​... id 0..1idLinkedCare Proposal Id, assigned by the Linked Care Fhir Server. Any initial value will be overwritten
... contained 0..0
​... identifier 0..*Identifierexternal ID(s), e.g.: can be used to refer to a care software database record
​... status 1..1codeIn new proposals, the status must be set to unknown. The Linked Care server will set it to active in the instantiated copies of the positions. Possible values: active, cancelled (end-of-chain), unknown
​... intent 1..1codePossible values: proposal (default in contained and instance of proposal), order (default in prescriptions), reflex-order (automatically created orders due to an ad-hoc prescription)
​... medication 1..1CodeableReference(LINCA Medication (LINCAMeds))Medication in conformance with ELGA CodeSystems (text-only, or text and number referencing one of the supported catalogs, as for example the PZN of the Austrian ASP).
Binding: https://termgit.elga.gv.at/CodeSystem-asp-liste (required)
​... subject 1..1Reference(HL7® AT Core Patient Profile)Each LINCAProposalMedicationRequest is associated with one patient. The patient data is conformant to the HL7 Austria patient and must be clearly identifiable.
​... informationSource 1..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)This contains the identity of the proposal placer (OID in case of organizations, eID in case of individuals)
​... supportingInformation 0..*Reference(Resource)First Element is reserved for reference to origin (LINCARequestOrchestration) assigned on LinkedCare Platform. Used to link instantiated proposal items back to the proposal header (LINCARequestOrchestration).
​... requester 1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Username/account name as specified by placer
​... performer 1..1Reference(Practitioner)The authorizing practitioner for this proposal item (identified by their OID according to GDA Index)
​... dosageInstruction
​.... doseAndRate
​..... Slices for dose[x] 0..1Range, SimpleQuantityAmount of medication per dose
Slice: Unordered, Open by type:$this
​...... dose[x]:doseQuantity 0..1SimpleQuantityA fixed quantity (no comparator)
​....... code 0..1codeCoded form of the unit
Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform (required)
​... dispenseRequest
​.... dispenser 0..1Reference(Organization)Reference to preferred pharmacy for pickup (OID according to GDA Index)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestOrdering of medication for patient or group
... id Σ0..1idLinkedCare Proposal Id, assigned by the Linked Care Fhir Server. Any initial value will be overwritten
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier 0..*Identifierexternal ID(s), e.g.: can be used to refer to a care software database record
... basedOn Σ0..1Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)If this item is a correction of a previous element in the chain, set to a reference to that previous element
... priorPrescription 0..1Reference(MedicationRequest)Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... status ?!Σ1..1codeIn new proposals, the status must be set to unknown. The Linked Care server will set it to active in the instantiated copies of the positions. Possible values: active, cancelled (end-of-chain), unknown
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

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

... statusChanged 0..1dateTimeWhen the status was changed
... intent ?!Σ1..1codePossible values: proposal (default in contained and instance of proposal), order (default in prescriptions), reflex-order (automatically created orders due to an ad-hoc prescription)
Binding: MedicationRequestIntent (required): The kind of medication order.

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


... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if patient is to stop taking or not to start taking the medication
... medication Σ1..1CodeableReference(LINCA Medication (LINCAMeds))Medication in conformance with ELGA CodeSystems (text-only, or text and number referencing one of the supported catalogs, as for example the PZN of the Austrian ASP).
Binding: https://termgit.elga.gv.at/CodeSystem-asp-liste (required)
... subject Σ1..1Reference(HL7® AT Core Patient Profile)Each LINCAProposalMedicationRequest is associated with one patient. The patient data is conformant to the HL7 Austria patient and must be clearly identifiable.
... informationSource 1..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)This contains the identity of the proposal placer (OID in case of organizations, eID in case of individuals)
... encounter 0..1Reference(Encounter)Encounter created as part of encounter/admission/stay
... supportingInformation 0..*Reference(Resource)First Element is reserved for reference to origin (LINCARequestOrchestration) assigned on LinkedCare Platform. Used to link instantiated proposal items back to the proposal header (LINCARequestOrchestration).
... authoredOn Σ0..1dateTimeWhen request was initially authored
... requester Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Username/account name as specified by placer
... reported Σ0..1booleanReported rather than primary record
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.

... performer 1..1Reference(Practitioner)The authorizing practitioner for this proposal item (identified by their OID according to GDA Index)
... device 0..*CodeableReference(DeviceDefinition)Intended type of device for the administration
... recorder 0..1Reference(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..1CodeableConceptOverall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.

... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note 0..*AnnotationInformation about the prescription
... renderedDosageInstruction 0..1markdownFull representation of the dosage instructions
... effectiveDosePeriod 0..1PeriodPeriod over which the medication is to be taken
... dosageInstruction 0..*DosageSpecific instructions for how the medication should be taken
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence Σ0..1integerThe order of the dosage instructions
.... text Σ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental 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 Σ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded ΣC0..1booleanTake "as needed"
.... asNeededFor ΣC0..*CodeableConceptTake "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 Σ0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ0..1CodeableConceptHow 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 Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ0..*ElementAmount of medication administered, to be administered or typical amount to be administered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] Σ0..1Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
...... dose[x]:doseQuantity C0..1SimpleQuantityA fixed quantity (no comparator)
....... id 0..1idUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ0..1decimalNumerical value (with implicit precision)
....... unit Σ0..1stringUnit representation
....... system ΣC0..1uriSystem that defines coded unit form
....... code ΣC0..1codeCoded form of the unit
Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform (required)
..... rate[x] Σ0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..*RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... dispenseRequest 0..1BackboneElementMedication supply authorization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... dispenser 0..1Reference(Organization)Reference to preferred pharmacy for pickup (OID according to GDA Index)
.... dispenserInstruction 0..*AnnotationAdditional information for the dispenser
.... doseAdministrationAid 0..1CodeableConceptType of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... substitution 0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy 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

This structure is derived from MedicationRequest

Summary

Mandatory: 3 elements
Prohibited: 1 element

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationRequest.dosageInstruction.doseAndRate.dose[x] is sliced based on the value of type:$this

Differential View

This structure is derived from MedicationRequest

NameFlagsCard.TypeDescription & Constraintsdoco
​.. MedicationRequest MedicationRequest
​... id 0..1idLinkedCare Proposal Id, assigned by the Linked Care Fhir Server. Any initial value will be overwritten
... contained 0..0
​... identifier 0..*Identifierexternal ID(s), e.g.: can be used to refer to a care software database record
​... status 1..1codeIn new proposals, the status must be set to unknown. The Linked Care server will set it to active in the instantiated copies of the positions. Possible values: active, cancelled (end-of-chain), unknown
​... intent 1..1codePossible values: proposal (default in contained and instance of proposal), order (default in prescriptions), reflex-order (automatically created orders due to an ad-hoc prescription)
​... medication 1..1CodeableReference(LINCA Medication (LINCAMeds))Medication in conformance with ELGA CodeSystems (text-only, or text and number referencing one of the supported catalogs, as for example the PZN of the Austrian ASP).
Binding: https://termgit.elga.gv.at/CodeSystem-asp-liste (required)
​... subject 1..1Reference(HL7® AT Core Patient Profile)Each LINCAProposalMedicationRequest is associated with one patient. The patient data is conformant to the HL7 Austria patient and must be clearly identifiable.
​... informationSource 1..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)This contains the identity of the proposal placer (OID in case of organizations, eID in case of individuals)
​... supportingInformation 0..*Reference(Resource)First Element is reserved for reference to origin (LINCARequestOrchestration) assigned on LinkedCare Platform. Used to link instantiated proposal items back to the proposal header (LINCARequestOrchestration).
​... requester 1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Username/account name as specified by placer
​... performer 1..1Reference(Practitioner)The authorizing practitioner for this proposal item (identified by their OID according to GDA Index)
​... dosageInstruction
​.... doseAndRate
​..... Slices for dose[x] 0..1Range, SimpleQuantityAmount of medication per dose
Slice: Unordered, Open by type:$this
​...... dose[x]:doseQuantity 0..1SimpleQuantityA fixed quantity (no comparator)
​....... code 0..1codeCoded form of the unit
Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform (required)
​... dispenseRequest
​.... dispenser 0..1Reference(Organization)Reference to preferred pharmacy for pickup (OID according to GDA Index)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationRequest 0..*MedicationRequestOrdering of medication for patient or group
... id Σ0..1idLinkedCare Proposal Id, assigned by the Linked Care Fhir Server. Any initial value will be overwritten
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: AllLanguages (required): IETF language tag for a human language

Additional BindingsPurpose
CommonLanguagesStarter Set
... text 0..1NarrativeText summary of the resource, for human interpretation
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored
... identifier 0..*Identifierexternal ID(s), e.g.: can be used to refer to a care software database record
... basedOn Σ0..1Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation)If this item is a correction of a previous element in the chain, set to a reference to that previous element
... priorPrescription 0..1Reference(MedicationRequest)Reference to an order/prescription that is being replaced by this MedicationRequest
... groupIdentifier Σ0..1IdentifierComposite request this is part of
... status ?!Σ1..1codeIn new proposals, the status must be set to unknown. The Linked Care server will set it to active in the instantiated copies of the positions. Possible values: active, cancelled (end-of-chain), unknown
Binding: MedicationrequestStatus (required): A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription.

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

... statusChanged 0..1dateTimeWhen the status was changed
... intent ?!Σ1..1codePossible values: proposal (default in contained and instance of proposal), order (default in prescriptions), reflex-order (automatically created orders due to an ad-hoc prescription)
Binding: MedicationRequestIntent (required): The kind of medication order.

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


... priority Σ0..1coderoutine | urgent | asap | stat
Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.

... doNotPerform ?!Σ0..1booleanTrue if patient is to stop taking or not to start taking the medication
... medication Σ1..1CodeableReference(LINCA Medication (LINCAMeds))Medication in conformance with ELGA CodeSystems (text-only, or text and number referencing one of the supported catalogs, as for example the PZN of the Austrian ASP).
Binding: https://termgit.elga.gv.at/CodeSystem-asp-liste (required)
... subject Σ1..1Reference(HL7® AT Core Patient Profile)Each LINCAProposalMedicationRequest is associated with one patient. The patient data is conformant to the HL7 Austria patient and must be clearly identifiable.
... informationSource 1..1Reference(Patient | Practitioner | PractitionerRole | RelatedPerson | Organization)This contains the identity of the proposal placer (OID in case of organizations, eID in case of individuals)
... encounter 0..1Reference(Encounter)Encounter created as part of encounter/admission/stay
... supportingInformation 0..*Reference(Resource)First Element is reserved for reference to origin (LINCARequestOrchestration) assigned on LinkedCare Platform. Used to link instantiated proposal items back to the proposal header (LINCARequestOrchestration).
... authoredOn Σ0..1dateTimeWhen request was initially authored
... requester Σ1..1Reference(Practitioner | PractitionerRole | Organization | Patient | RelatedPerson | Device)Username/account name as specified by placer
... reported Σ0..1booleanReported rather than primary record
... performerType Σ0..1CodeableConceptDesired kind of performer of the medication administration
Binding: MedicationIntendedPerformerRole (extensible): Identifies the type of individual that is desired to administer the medication.

... performer 1..1Reference(Practitioner)The authorizing practitioner for this proposal item (identified by their OID according to GDA Index)
... device 0..*CodeableReference(DeviceDefinition)Intended type of device for the administration
... recorder 0..1Reference(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..1CodeableConceptOverall pattern of medication administration
Binding: MedicationRequestCourseOfTherapyCodes (extensible): Identifies the overall pattern of medication administratio.

... insurance 0..*Reference(Coverage | ClaimResponse)Associated insurance coverage
... note 0..*AnnotationInformation about the prescription
... renderedDosageInstruction 0..1markdownFull representation of the dosage instructions
... effectiveDosePeriod 0..1PeriodPeriod over which the medication is to be taken
... dosageInstruction 0..*DosageSpecific instructions for how the medication should be taken
.... id 0..1idUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence Σ0..1integerThe order of the dosage instructions
.... text Σ0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction Σ0..*CodeableConceptSupplemental 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 Σ0..1stringPatient or consumer oriented instructions
.... timing Σ0..1TimingWhen medication should be administered
.... asNeeded ΣC0..1booleanTake "as needed"
.... asNeededFor ΣC0..*CodeableConceptTake "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 Σ0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route Σ0..1CodeableConceptHow 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 Σ0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... doseAndRate Σ0..*ElementAmount of medication administered, to be administered or typical amount to be administered
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type Σ0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example): The kind of dose or rate specified.

..... Slices for dose[x] Σ0..1Amount of medication per dose
Slice: Unordered, Open by type:$this
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
...... dose[x]:doseQuantity C0..1SimpleQuantityA fixed quantity (no comparator)
....... id 0..1idUnique id for inter-element referencing
....... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
....... value Σ0..1decimalNumerical value (with implicit precision)
....... unit Σ0..1stringUnit representation
....... system ΣC0..1uriSystem that defines coded unit form
....... code ΣC0..1codeCoded form of the unit
Binding: https://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform (required)
..... rate[x] Σ0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod Σ0..*RatioUpper limit on medication per unit of time
.... maxDosePerAdministration Σ0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime Σ0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... dispenseRequest 0..1BackboneElementMedication supply authorization
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... initialFill 0..1BackboneElementFirst fill details
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... quantity 0..1SimpleQuantityFirst fill quantity
..... duration 0..1DurationFirst fill duration
.... dispenseInterval 0..1DurationMinimum period of time between dispenses
.... validityPeriod 0..1PeriodTime period supply is authorized for
.... numberOfRepeatsAllowed 0..1unsignedIntNumber of refills authorized
.... quantity 0..1SimpleQuantityAmount of medication to supply per dispense
.... expectedSupplyDuration 0..1DurationNumber of days supply per dispense
.... dispenser 0..1Reference(Organization)Reference to preferred pharmacy for pickup (OID according to GDA Index)
.... dispenserInstruction 0..*AnnotationAdditional information for the dispenser
.... doseAdministrationAid 0..1CodeableConceptType of adherence packaging to use for the dispense
Binding: MedicationDoseAids (example)
... substitution 0..1BackboneElementAny restrictions on medication substitution
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... allowed[x] 1..1Whether substitution is allowed or not
Binding: ActSubstanceAdminSubstitutionCode (preferred): Identifies the type of substitution allowed.

..... allowedBooleanboolean
..... allowedCodeableConceptCodeableConcept
.... reason 0..1CodeableConceptWhy 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

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet
MedicationRequest.languagerequiredAllLanguages
MedicationRequest.statusrequiredMedicationrequestStatus
MedicationRequest.statusReasonexampleMedicationRequestStatusReasonCodes
MedicationRequest.intentrequiredMedicationRequestIntent
MedicationRequest.categoryexampleMedicationRequestAdministrationLocationCodes
MedicationRequest.priorityrequiredRequestPriority
MedicationRequest.medicationrequiredhttps://termgit.elga.gv.at/CodeSystem-asp-liste
MedicationRequest.performerTypeextensibleMedicationIntendedPerformerRole
MedicationRequest.reasonexampleConditionProblemDiagnosisCodes
MedicationRequest.courseOfTherapyTypeextensibleMedicationRequestCourseOfTherapyCodes
MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationRequest.dosageInstruction.asNeededForexampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureAdministrationSites
MedicationRequest.dosageInstruction.routeexampleSNOMEDCTRouteCodes
MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
MedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantity.coderequiredhttps://termgit.elga.gv.at/ValueSet/elga-medikationdarreichungsform
MedicationRequest.dispenseRequest.doseAdministrationAidexampleMedicationDoseAids
MedicationRequest.substitution.allowed[x]preferredActSubstanceAdminSubstitutionCode
MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationRequestIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationRequestIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationRequestA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
qty-3errorMedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantityIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationRequest.dosageInstruction.doseAndRate.dose[x]:doseQuantityThe comparator is not used on a SimpleQuantity
: comparator.empty()