• <samp id="ossg8"></samp>
    <tbody id="ossg8"><nobr id="ossg8"></nobr></tbody>
    <menuitem id="ossg8"><strong id="ossg8"></strong></menuitem>
    • <samp id="ossg8"></samp>
    <menuitem id="ossg8"><strong id="ossg8"></strong></menuitem>
  • <menuitem id="ossg8"><ins id="ossg8"></ins></menuitem>

    • <tbody id="ossg8"><nobr id="ossg8"></nobr></tbody>
    <menuitem id="ossg8"></menuitem>

        CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
        1.0.0 - Release 1 United States of America flag

        This page is part of the CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG (v1.0.0: Release) based on FHIR (HL7? FHIR? Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

        Resource Profile: ACH Monthly Event MedicationRequest

        Official URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationrequest Version: 1.0.0
        Standards status: Trial-use Maturity Level: 1 Computable Name: AcuteCareHospitalMonthlyReportingMedicationRequest

        This profile contains Required and Must Support data elements for reporting medication request (order) information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the HL7 FHIR? US Core MedicationRequest Profile v3.1.1.

        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..* USCoreMedicationRequestProfile Ordering of medication for patient or group
        ... id Σ 1..1 id Logical id of this artifact
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... statusReason S 0..1 CodeableConcept Reason for current status
        Binding: medicationRequest Status Reason Codes (extensible)
        ... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
        Binding: medicationRequest Intent (required): The kind of medication order.
        ... category S 0..* CodeableConcept Type of medication usage
        Binding: medicationRequest Category Codes (extensible)
        ... priority SΣ 0..1 code routine | urgent | asap | stat
        Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
        ... doNotPerform ?!SΣ 0..1 boolean True if request is prohibiting action
        ... Slices for reported[x] SΣ 0..1 Reported rather than primary record
        Slice: Unordered, Open by type:$this
        .... reportedBoolean boolean
        .... reportedReference Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile)
        .... reported[x]:reportedReference SΣ 0..1 Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) Reported rather than primary record
        ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... Slices for medication[x] SΣ 1..1 Medication to be taken
        Slice: Unordered, Open by type:$this
        Binding: Medication Clinical Drug . (extensible)
        .... medicationCodeableConcept CodeableConcept
        .... medicationReference Reference(US Core Medication Profile)
        .... medication[x]:medicationReference SΣ 0..1 Reference(US Core Medication Profile) Medication to be taken
        ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... subject SΣ 1..1 Reference(US Core Patient Profile) Who or group medication request is for
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... authoredOn SΣ 1..1 dateTime When request was initially authored
        ... requester SΣ 1..1 Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) Who/What requested the Request
        ... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
        Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
        ... reasonReference S 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... instantiatesCanonical SΣ 0..* canonical() Instantiates FHIR protocol or definition
        ... instantiatesUri SΣ 0..* uri Instantiates external protocol or definition
        ... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
        Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
        ... dosageInstruction S 0..* Dosage How the medication should be taken
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... text SΣ 0..1 string Free text dosage instructions e.g. SIG
        .... timing SΣ 0..1 Timing When medication should be administered
        .... asNeeded[x] SΣ 0..1 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.
        ..... asNeededBoolean boolean
        ..... asNeededCodeableConcept CodeableConcept
        .... site SΣ 0..1 CodeableConcept Body site to administer to
        Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
        .... route Σ 1..1 CodeableConcept How drug should enter body
        Binding: SNOMEDCTRouteCodes (extensible)
        .... method SΣ 0..1 CodeableConcept Technique for administering medication
        Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
        .... doseAndRate SΣ 0..* Element Amount of medication administered
        ..... type SΣ 0..1 CodeableConcept The kind of dose or rate specified
        Binding: DoseAndRateType (example): The kind of dose or rate specified.
        ..... dose[x] SΣ 0..1 Amount of medication per dose
        ...... doseRange Range
        ...... doseQuantity Quantity(SimpleQuantity)
        ..... rate[x] SΣ 0..1 Amount of medication per unit of time
        ...... rateRatio Ratio
        ...... rateRange Range
        ...... rateQuantity Quantity(SimpleQuantity)

        doco Documentation for this format

        Terminology Bindings

        PathConformanceValueSetURI
        MedicationRequest.statusrequiredmedicationrequest Status
        http://hl7.org/fhir/ValueSet/medicationrequest-status
        From the FHIR Standard
        MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
        From the FHIR Standard
        MedicationRequest.intentrequiredmedicationRequest Intent
        http://hl7.org/fhir/ValueSet/medicationrequest-intent
        From the FHIR Standard
        MedicationRequest.categoryextensiblemedicationRequest Category Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-category
        From the FHIR Standard
        MedicationRequest.priorityrequiredRequestPriority
        http://hl7.org/fhir/ValueSet/request-priority|4.0.1
        From the FHIR Standard
        MedicationRequest.medication[x]extensibleMedication Clinical Drug .
        http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
        MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
        http://hl7.org/fhir/ValueSet/condition-code
        From the FHIR Standard
        MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
        From the FHIR Standard
        MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
        http://hl7.org/fhir/ValueSet/medication-as-needed-reason
        From the FHIR Standard
        MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
        http://hl7.org/fhir/ValueSet/approach-site-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
        http://hl7.org/fhir/ValueSet/route-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
        http://hl7.org/fhir/ValueSet/administration-method-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
        http://hl7.org/fhir/ValueSet/dose-rate-type
        From the FHIR Standard

        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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
        dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
        : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
        dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
        : contained.meta.security.empty()
        dom-6best practiceMedicationRequestA resource should have narrative for robust management
        : text.`div`.exists()
        ele-1error**ALL** elementsAll FHIR elements must have a @value or children
        : hasValue() or (children().count() > id.count())
        ext-1error**ALL** extensionsMust have either extensions or value[x], not both
        : extension.exists() != value.exists()

        This structure is derived from USCoreMedicationRequestProfile

        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. MedicationRequest 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
        ... id 1..1 id Logical id of this artifact
        ... meta
        .... Slices for extension Content/Rules for all slices
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        ... statusReason S 0..1 CodeableConcept Reason for current status
        Binding: medicationRequest Status Reason Codes (extensible)
        ... priority S 0..1 code routine | urgent | asap | stat
        ... doNotPerform S 0..1 boolean True if request is prohibiting action
        ... Slices for reported[x] 0..1 boolean, Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) Reported rather than primary record
        Slice: Unordered, Open by type:$this
        .... reported[x]:reportedReference 0..1 Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) Reported rather than primary record
        ..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... Slices for medication[x] 1..1 CodeableConcept, Reference(US Core Medication Profile) Medication to be taken
        Slice: Unordered, Open by type:$this
        Binding: Medication Clinical Drug . (extensible)
        .... medication[x]:medicationReference 0..1 Reference(US Core Medication Profile) Medication to be taken
        ..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... subject
        .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... encounter
        .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
        ... reasonReference S 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
        .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... instantiatesCanonical S 0..* canonical() Instantiates FHIR protocol or definition
        ... instantiatesUri S 0..* uri Instantiates external protocol or definition
        ... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
        ... dosageInstruction
        .... timing S 0..1 Timing When medication should be administered
        .... asNeeded[x] S 0..1 boolean, CodeableConcept Take "as needed" (for x)
        .... site S 0..1 CodeableConcept Body site to administer to
        .... route 1..1 CodeableConcept How drug should enter body
        Binding: SNOMEDCTRouteCodes (extensible)
        .... method S 0..1 CodeableConcept Technique for administering medication
        .... doseAndRate S 0..* Element Amount of medication administered
        ..... type S 0..1 CodeableConcept The kind of dose or rate specified
        ..... dose[x] S 0..1 Range, SimpleQuantity Amount of medication per dose
        ..... rate[x] S 0..1 Ratio, Range, SimpleQuantity Amount of medication per unit of time

        doco Documentation for this format

        Terminology Bindings (Differential)

        PathConformanceValueSetURI
        MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
        From the FHIR Standard
        MedicationRequest.categoryextensiblemedicationRequest Category Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-category
        From the FHIR Standard
        MedicationRequest.medication[x]extensibleMedication Clinical Drug .
        http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
        MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
        http://hl7.org/fhir/ValueSet/route-codes
        From the FHIR Standard
        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. MedicationRequest 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
        ... id Σ 1..1 id Logical id of this artifact
        ... meta Σ 0..1 Meta Metadata about the resource
        .... id 0..1 string Unique id for inter-element referencing
        .... Slices for extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        .... versionId Σ 0..1 id Version specific identifier
        .... lastUpdated Σ 0..1 instant When the resource version last changed
        .... source Σ 0..1 uri Identifies where the resource comes from
        .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
        .... security Σ 0..* Coding Security Labels applied to this resource
        Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
        .... tag Σ 0..* Coding Tags applied to this resource
        Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
        ... 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: CommonLanguages (preferred): A human language.
        Additional BindingsPurpose
        AllLanguages Max Binding
        ... 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 ?! 0..* Extension Extensions that cannot be ignored
        ... identifier 0..* Identifier External ids for this request
        ... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
        Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
        ... statusReason S 0..1 CodeableConcept Reason for current status
        Binding: medicationRequest Status Reason Codes (extensible)
        ... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
        Binding: medicationRequest Intent (required): The kind of medication order.
        ... category S 0..* CodeableConcept Type of medication usage
        Binding: medicationRequest Category Codes (extensible)
        ... priority SΣ 0..1 code routine | urgent | asap | stat
        Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
        ... doNotPerform ?!SΣ 0..1 boolean True if request is prohibiting action
        ... Slices for reported[x] SΣ 0..1 Reported rather than primary record
        Slice: Unordered, Open by type:$this
        .... reportedBoolean boolean
        .... reportedReference Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile)
        .... reported[x]:reportedReference SΣ 0..1 Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) Reported rather than primary record
        ..... id 0..1 string Unique id for inter-element referencing
        ..... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        ..... display Σ 0..1 string Text alternative for the resource
        ... Slices for medication[x] SΣ 1..1 Medication to be taken
        Slice: Unordered, Open by type:$this
        Binding: Medication Clinical Drug . (extensible)
        .... medicationCodeableConcept CodeableConcept
        .... medicationReference Reference(US Core Medication Profile)
        .... medication[x]:medicationReference SΣ 0..1 Reference(US Core Medication Profile) Medication to be taken
        ..... id 0..1 string Unique id for inter-element referencing
        ..... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        ..... display Σ 0..1 string Text alternative for the resource
        ... subject SΣ 1..1 Reference(US Core Patient Profile) Who or group medication request is for
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        .... display Σ 0..1 string Text alternative for the resource
        ... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        .... display Σ 0..1 string Text alternative for the resource
        ... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
        ... authoredOn SΣ 1..1 dateTime When request was initially authored
        ... requester SΣ 1..1 Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) Who/What requested the Request
        ... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
        ... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
        Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
        ... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
        ... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
        Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
        ... reasonReference S 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        .... display Σ 0..1 string Text alternative for the resource
        ... instantiatesCanonical SΣ 0..* canonical() Instantiates FHIR protocol or definition
        ... instantiatesUri SΣ 0..* uri Instantiates external protocol or definition
        ... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
        ... groupIdentifier Σ 0..1 Identifier Composite request this is part of
        ... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
        Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
        ... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
        ... note 0..* Annotation Information about the prescription
        ... dosageInstruction S 0..* Dosage How the medication should be taken
        .... id 0..1 string 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 SΣ 0..1 string Free text dosage instructions e.g. SIG
        .... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
        Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
        .... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
        .... timing SΣ 0..1 Timing When medication should be administered
        .... asNeeded[x] SΣ 0..1 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.
        ..... asNeededBoolean boolean
        ..... asNeededCodeableConcept CodeableConcept
        .... site SΣ 0..1 CodeableConcept Body site to administer to
        Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
        .... route Σ 1..1 CodeableConcept How drug should enter body
        Binding: SNOMEDCTRouteCodes (extensible)
        .... method SΣ 0..1 CodeableConcept Technique for administering medication
        Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
        .... doseAndRate SΣ 0..* Element Amount of medication 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 SΣ 0..1 CodeableConcept The kind of dose or rate specified
        Binding: DoseAndRateType (example): The kind of dose or rate specified.
        ..... dose[x] SΣ 0..1 Amount of medication per dose
        ...... doseRange Range
        ...... doseQuantity Quantity(SimpleQuantity)
        ..... rate[x] SΣ 0..1 Amount of medication per unit of time
        ...... rateRatio Ratio
        ...... rateRange Range
        ...... rateQuantity Quantity(SimpleQuantity)
        .... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
        .... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
        .... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
        ... dispenseRequest 0..1 BackboneElement Medication supply authorization
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... initialFill 0..1 BackboneElement First fill details
        ..... id 0..1 string Unique id for inter-element referencing
        ..... extension 0..* Extension Additional content defined by implementations
        ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        ..... quantity 0..1 SimpleQuantity First fill quantity
        ..... duration 0..1 Duration First fill duration
        .... dispenseInterval 0..1 Duration Minimum period of time between dispenses
        .... validityPeriod 0..1 Period Time period supply is authorized for
        .... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
        .... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
        .... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
        .... performer 0..1 Reference(Organization) Intended dispenser
        ... 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 (3.0.0) (example): Identifies the type of substitution allowed.
        ..... allowedBoolean boolean
        ..... allowedCodeableConcept CodeableConcept
        .... reason 0..1 CodeableConcept Why should (not) substitution be made
        Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
        ... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
        ... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
        ... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

        doco Documentation for this format

        Terminology Bindings

        PathConformanceValueSetURI
        MedicationRequest.meta.securityextensibleAll Security Labels
        http://hl7.org/fhir/ValueSet/security-labels|4.0.1
        From the FHIR Standard
        MedicationRequest.meta.tagexampleCommonTags
        http://hl7.org/fhir/ValueSet/common-tags|4.0.1
        From the FHIR Standard
        MedicationRequest.languagepreferredCommonLanguages
        http://hl7.org/fhir/ValueSet/languages
        From the FHIR Standard
        Additional Bindings Purpose
        AllLanguages Max Binding
        MedicationRequest.statusrequiredmedicationrequest Status
        http://hl7.org/fhir/ValueSet/medicationrequest-status
        From the FHIR Standard
        MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
        From the FHIR Standard
        MedicationRequest.intentrequiredmedicationRequest Intent
        http://hl7.org/fhir/ValueSet/medicationrequest-intent
        From the FHIR Standard
        MedicationRequest.categoryextensiblemedicationRequest Category Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-category
        From the FHIR Standard
        MedicationRequest.priorityrequiredRequestPriority
        http://hl7.org/fhir/ValueSet/request-priority|4.0.1
        From the FHIR Standard
        MedicationRequest.reported[x]:reportedReference.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.medication[x]extensibleMedication Clinical Drug .
        http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
        MedicationRequest.medication[x]:medicationReference.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.subject.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.encounter.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
        http://hl7.org/fhir/ValueSet/performer-role
        From the FHIR Standard
        MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
        http://hl7.org/fhir/ValueSet/condition-code
        From the FHIR Standard
        MedicationRequest.reasonReference.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
        From the FHIR Standard
        MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
        http://hl7.org/fhir/ValueSet/additional-instruction-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
        http://hl7.org/fhir/ValueSet/medication-as-needed-reason
        From the FHIR Standard
        MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
        http://hl7.org/fhir/ValueSet/approach-site-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
        http://hl7.org/fhir/ValueSet/route-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
        http://hl7.org/fhir/ValueSet/administration-method-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
        http://hl7.org/fhir/ValueSet/dose-rate-type
        From the FHIR Standard
        MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
        http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0
        MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
        http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0

        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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
        dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
        : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
        dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
        : contained.meta.security.empty()
        dom-6best practiceMedicationRequestA resource should have narrative for robust management
        : text.`div`.exists()
        ele-1error**ALL** elementsAll FHIR elements must have a @value or children
        : hasValue() or (children().count() > id.count())
        ext-1error**ALL** extensionsMust have either extensions or value[x], not both
        : extension.exists() != value.exists()

        This structure is derived from USCoreMedicationRequestProfile

        Summary

        Mandatory: 2 elements(5 nested mandatory elements)
        Must-Support: 22 elements

        Structures

        This structure refers to these other structures:

        Extensions

        This structure refers to these extensions:

        Slices

        This structure defines the following Slices:

        • The element 1 is sliced based on the value of MedicationRequest.reported[x]
        • The element 1 is sliced based on the value of MedicationRequest.medication[x]

        Maturity: 1

        Key Elements View

        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. MedicationRequest 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
        ... id Σ 1..1 id Logical id of this artifact
        ... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
        ... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
        ... statusReason S 0..1 CodeableConcept Reason for current status
        Binding: medicationRequest Status Reason Codes (extensible)
        ... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
        Binding: medicationRequest Intent (required): The kind of medication order.
        ... category S 0..* CodeableConcept Type of medication usage
        Binding: medicationRequest Category Codes (extensible)
        ... priority SΣ 0..1 code routine | urgent | asap | stat
        Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
        ... doNotPerform ?!SΣ 0..1 boolean True if request is prohibiting action
        ... Slices for reported[x] SΣ 0..1 Reported rather than primary record
        Slice: Unordered, Open by type:$this
        .... reportedBoolean boolean
        .... reportedReference Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile)
        .... reported[x]:reportedReference SΣ 0..1 Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) Reported rather than primary record
        ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... Slices for medication[x] SΣ 1..1 Medication to be taken
        Slice: Unordered, Open by type:$this
        Binding: Medication Clinical Drug . (extensible)
        .... medicationCodeableConcept CodeableConcept
        .... medicationReference Reference(US Core Medication Profile)
        .... medication[x]:medicationReference SΣ 0..1 Reference(US Core Medication Profile) Medication to be taken
        ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... subject SΣ 1..1 Reference(US Core Patient Profile) Who or group medication request is for
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... authoredOn SΣ 1..1 dateTime When request was initially authored
        ... requester SΣ 1..1 Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) Who/What requested the Request
        ... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
        Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
        ... reasonReference S 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ... instantiatesCanonical SΣ 0..* canonical() Instantiates FHIR protocol or definition
        ... instantiatesUri SΣ 0..* uri Instantiates external protocol or definition
        ... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
        Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
        ... dosageInstruction S 0..* Dosage How the medication should be taken
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... text SΣ 0..1 string Free text dosage instructions e.g. SIG
        .... timing SΣ 0..1 Timing When medication should be administered
        .... asNeeded[x] SΣ 0..1 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.
        ..... asNeededBoolean boolean
        ..... asNeededCodeableConcept CodeableConcept
        .... site SΣ 0..1 CodeableConcept Body site to administer to
        Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
        .... route Σ 1..1 CodeableConcept How drug should enter body
        Binding: SNOMEDCTRouteCodes (extensible)
        .... method SΣ 0..1 CodeableConcept Technique for administering medication
        Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
        .... doseAndRate SΣ 0..* Element Amount of medication administered
        ..... type SΣ 0..1 CodeableConcept The kind of dose or rate specified
        Binding: DoseAndRateType (example): The kind of dose or rate specified.
        ..... dose[x] SΣ 0..1 Amount of medication per dose
        ...... doseRange Range
        ...... doseQuantity Quantity(SimpleQuantity)
        ..... rate[x] SΣ 0..1 Amount of medication per unit of time
        ...... rateRatio Ratio
        ...... rateRange Range
        ...... rateQuantity Quantity(SimpleQuantity)

        doco Documentation for this format

        Terminology Bindings

        PathConformanceValueSetURI
        MedicationRequest.statusrequiredmedicationrequest Status
        http://hl7.org/fhir/ValueSet/medicationrequest-status
        From the FHIR Standard
        MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
        From the FHIR Standard
        MedicationRequest.intentrequiredmedicationRequest Intent
        http://hl7.org/fhir/ValueSet/medicationrequest-intent
        From the FHIR Standard
        MedicationRequest.categoryextensiblemedicationRequest Category Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-category
        From the FHIR Standard
        MedicationRequest.priorityrequiredRequestPriority
        http://hl7.org/fhir/ValueSet/request-priority|4.0.1
        From the FHIR Standard
        MedicationRequest.medication[x]extensibleMedication Clinical Drug .
        http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
        MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
        http://hl7.org/fhir/ValueSet/condition-code
        From the FHIR Standard
        MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
        From the FHIR Standard
        MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
        http://hl7.org/fhir/ValueSet/medication-as-needed-reason
        From the FHIR Standard
        MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
        http://hl7.org/fhir/ValueSet/approach-site-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
        http://hl7.org/fhir/ValueSet/route-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
        http://hl7.org/fhir/ValueSet/administration-method-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
        http://hl7.org/fhir/ValueSet/dose-rate-type
        From the FHIR Standard

        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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
        dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
        : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
        dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
        : contained.meta.security.empty()
        dom-6best practiceMedicationRequestA resource should have narrative for robust management
        : text.`div`.exists()
        ele-1error**ALL** elementsAll FHIR elements must have a @value or children
        : hasValue() or (children().count() > id.count())
        ext-1error**ALL** extensionsMust have either extensions or value[x], not both
        : extension.exists() != value.exists()

        Differential View

        This structure is derived from USCoreMedicationRequestProfile

        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. MedicationRequest 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
        ... id 1..1 id Logical id of this artifact
        ... meta
        .... Slices for extension Content/Rules for all slices
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        ... statusReason S 0..1 CodeableConcept Reason for current status
        Binding: medicationRequest Status Reason Codes (extensible)
        ... priority S 0..1 code routine | urgent | asap | stat
        ... doNotPerform S 0..1 boolean True if request is prohibiting action
        ... Slices for reported[x] 0..1 boolean, Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) Reported rather than primary record
        Slice: Unordered, Open by type:$this
        .... reported[x]:reportedReference 0..1 Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) Reported rather than primary record
        ..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... Slices for medication[x] 1..1 CodeableConcept, Reference(US Core Medication Profile) Medication to be taken
        Slice: Unordered, Open by type:$this
        Binding: Medication Clinical Drug . (extensible)
        .... medication[x]:medicationReference 0..1 Reference(US Core Medication Profile) Medication to be taken
        ..... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... subject
        .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... encounter
        .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
        ... reasonReference S 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
        .... reference S 1..1 string Literal reference, Relative, internal or absolute URL
        ... instantiatesCanonical S 0..* canonical() Instantiates FHIR protocol or definition
        ... instantiatesUri S 0..* uri Instantiates external protocol or definition
        ... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
        ... dosageInstruction
        .... timing S 0..1 Timing When medication should be administered
        .... asNeeded[x] S 0..1 boolean, CodeableConcept Take "as needed" (for x)
        .... site S 0..1 CodeableConcept Body site to administer to
        .... route 1..1 CodeableConcept How drug should enter body
        Binding: SNOMEDCTRouteCodes (extensible)
        .... method S 0..1 CodeableConcept Technique for administering medication
        .... doseAndRate S 0..* Element Amount of medication administered
        ..... type S 0..1 CodeableConcept The kind of dose or rate specified
        ..... dose[x] S 0..1 Range, SimpleQuantity Amount of medication per dose
        ..... rate[x] S 0..1 Ratio, Range, SimpleQuantity Amount of medication per unit of time

        doco Documentation for this format

        Terminology Bindings (Differential)

        PathConformanceValueSetURI
        MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
        From the FHIR Standard
        MedicationRequest.categoryextensiblemedicationRequest Category Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-category
        From the FHIR Standard
        MedicationRequest.medication[x]extensibleMedication Clinical Drug .
        http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
        MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
        http://hl7.org/fhir/ValueSet/route-codes
        From the FHIR Standard

        Snapshot View

        NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
        .. MedicationRequest 0..* USCoreMedicationRequestProfile Ordering of medication for patient or group
        ... id Σ 1..1 id Logical id of this artifact
        ... meta Σ 0..1 Meta Metadata about the resource
        .... id 0..1 string Unique id for inter-element referencing
        .... Slices for extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... extension:link-received-date-extension 0..1 dateTime Received Date
        URL: http://www.cy118119.com/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        .... versionId Σ 0..1 id Version specific identifier
        .... lastUpdated Σ 0..1 instant When the resource version last changed
        .... source Σ 0..1 uri Identifies where the resource comes from
        .... profile Σ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
        .... security Σ 0..* Coding Security Labels applied to this resource
        Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
        .... tag Σ 0..* Coding Tags applied to this resource
        Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
        ... 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: CommonLanguages (preferred): A human language.
        Additional BindingsPurpose
        AllLanguages Max Binding
        ... 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 ?! 0..* Extension Extensions that cannot be ignored
        ... identifier 0..* Identifier External ids for this request
        ... status ?!SΣ 1..1 code active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown
        Binding: medicationrequest Status (required): A code specifying the state of the prescribing event. Describes the lifecycle of the prescription.
        ... statusReason S 0..1 CodeableConcept Reason for current status
        Binding: medicationRequest Status Reason Codes (extensible)
        ... intent ?!SΣ 1..1 code proposal | plan | order | original-order | reflex-order | filler-order | instance-order | option
        Binding: medicationRequest Intent (required): The kind of medication order.
        ... category S 0..* CodeableConcept Type of medication usage
        Binding: medicationRequest Category Codes (extensible)
        ... priority SΣ 0..1 code routine | urgent | asap | stat
        Binding: RequestPriority (required): Identifies the level of importance to be assigned to actioning the request.
        ... doNotPerform ?!SΣ 0..1 boolean True if request is prohibiting action
        ... Slices for reported[x] SΣ 0..1 Reported rather than primary record
        Slice: Unordered, Open by type:$this
        .... reportedBoolean boolean
        .... reportedReference Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile)
        .... reported[x]:reportedReference SΣ 0..1 Reference(US Core Patient Profile | US Core Practitioner Profile | US Core Organization Profile) Reported rather than primary record
        ..... id 0..1 string Unique id for inter-element referencing
        ..... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        ..... display Σ 0..1 string Text alternative for the resource
        ... Slices for medication[x] SΣ 1..1 Medication to be taken
        Slice: Unordered, Open by type:$this
        Binding: Medication Clinical Drug . (extensible)
        .... medicationCodeableConcept CodeableConcept
        .... medicationReference Reference(US Core Medication Profile)
        .... medication[x]:medicationReference SΣ 0..1 Reference(US Core Medication Profile) Medication to be taken
        ..... id 0..1 string Unique id for inter-element referencing
        ..... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        ..... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        ..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        ..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        ..... display Σ 0..1 string Text alternative for the resource
        ... subject SΣ 1..1 Reference(US Core Patient Profile) Who or group medication request is for
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        .... display Σ 0..1 string Text alternative for the resource
        ... encounter S 0..1 Reference(Encounter) Encounter created as part of encounter/admission/stay
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        .... display Σ 0..1 string Text alternative for the resource
        ... supportingInformation 0..* Reference(Resource) Information to support ordering of the medication
        ... authoredOn SΣ 1..1 dateTime When request was initially authored
        ... requester SΣ 1..1 Reference(US Core Practitioner Profile | US Core Organization Profile | US Core Patient Profile) Who/What requested the Request
        ... performer 0..1 Reference(Practitioner | PractitionerRole | Organization | Patient | Device | RelatedPerson | CareTeam) Intended performer of administration
        ... performerType Σ 0..1 CodeableConcept Desired kind of performer of the medication administration
        Binding: ProcedurePerformerRoleCodes (example): Identifies the type of individual that is desired to administer the medication.
        ... recorder 0..1 Reference(Practitioner | PractitionerRole) Person who entered the request
        ... reasonCode S 0..* CodeableConcept Reason or indication for ordering or not ordering the medication
        Binding: Condition/Problem/DiagnosisCodes (example): A coded concept indicating why the medication was ordered.
        ... reasonReference S 0..* Reference(Condition | Observation) Condition or observation that supports why the prescription is being written
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        Slice: Unordered, Open by value:url
        .... reference SΣC 1..1 string Literal reference, Relative, internal or absolute URL
        .... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
        Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
        .... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
        .... display Σ 0..1 string Text alternative for the resource
        ... instantiatesCanonical SΣ 0..* canonical() Instantiates FHIR protocol or definition
        ... instantiatesUri SΣ 0..* uri Instantiates external protocol or definition
        ... basedOn Σ 0..* Reference(CarePlan | MedicationRequest | ServiceRequest | ImmunizationRecommendation) What request fulfills
        ... groupIdentifier Σ 0..1 Identifier Composite request this is part of
        ... courseOfTherapyType S 0..1 CodeableConcept Overall pattern of medication administration
        Binding: medicationRequest Course of Therapy Codes (example): Identifies the overall pattern of medication administratio.
        ... insurance 0..* Reference(Coverage | ClaimResponse) Associated insurance coverage
        ... note 0..* Annotation Information about the prescription
        ... dosageInstruction S 0..* Dosage How the medication should be taken
        .... id 0..1 string 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 SΣ 0..1 string Free text dosage instructions e.g. SIG
        .... additionalInstruction Σ 0..* CodeableConcept Supplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
        Binding: SNOMEDCTAdditionalDosageInstructions (example): A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery".
        .... patientInstruction Σ 0..1 string Patient or consumer oriented instructions
        .... timing SΣ 0..1 Timing When medication should be administered
        .... asNeeded[x] SΣ 0..1 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.
        ..... asNeededBoolean boolean
        ..... asNeededCodeableConcept CodeableConcept
        .... site SΣ 0..1 CodeableConcept Body site to administer to
        Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
        .... route Σ 1..1 CodeableConcept How drug should enter body
        Binding: SNOMEDCTRouteCodes (extensible)
        .... method SΣ 0..1 CodeableConcept Technique for administering medication
        Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
        .... doseAndRate SΣ 0..* Element Amount of medication 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 SΣ 0..1 CodeableConcept The kind of dose or rate specified
        Binding: DoseAndRateType (example): The kind of dose or rate specified.
        ..... dose[x] SΣ 0..1 Amount of medication per dose
        ...... doseRange Range
        ...... doseQuantity Quantity(SimpleQuantity)
        ..... rate[x] SΣ 0..1 Amount of medication per unit of time
        ...... rateRatio Ratio
        ...... rateRange Range
        ...... rateQuantity Quantity(SimpleQuantity)
        .... maxDosePerPeriod Σ 0..1 Ratio Upper limit on medication per unit of time
        .... maxDosePerAdministration Σ 0..1 SimpleQuantity Upper limit on medication per administration
        .... maxDosePerLifetime Σ 0..1 SimpleQuantity Upper limit on medication per lifetime of the patient
        ... dispenseRequest 0..1 BackboneElement Medication supply authorization
        .... id 0..1 string Unique id for inter-element referencing
        .... extension 0..* Extension Additional content defined by implementations
        .... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        .... initialFill 0..1 BackboneElement First fill details
        ..... id 0..1 string Unique id for inter-element referencing
        ..... extension 0..* Extension Additional content defined by implementations
        ..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
        ..... quantity 0..1 SimpleQuantity First fill quantity
        ..... duration 0..1 Duration First fill duration
        .... dispenseInterval 0..1 Duration Minimum period of time between dispenses
        .... validityPeriod 0..1 Period Time period supply is authorized for
        .... numberOfRepeatsAllowed 0..1 unsignedInt Number of refills authorized
        .... quantity 0..1 SimpleQuantity Amount of medication to supply per dispense
        .... expectedSupplyDuration 0..1 Duration Number of days supply per dispense
        .... performer 0..1 Reference(Organization) Intended dispenser
        ... 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 (3.0.0) (example): Identifies the type of substitution allowed.
        ..... allowedBoolean boolean
        ..... allowedCodeableConcept CodeableConcept
        .... reason 0..1 CodeableConcept Why should (not) substitution be made
        Binding: SubstanceAdminSubstitutionReason (3.0.0) (example): A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed.
        ... priorPrescription 0..1 Reference(MedicationRequest) An order/prescription that is being replaced
        ... detectedIssue 0..* Reference(DetectedIssue) Clinical Issue with action
        ... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

        doco Documentation for this format

        Terminology Bindings

        PathConformanceValueSetURI
        MedicationRequest.meta.securityextensibleAll Security Labels
        http://hl7.org/fhir/ValueSet/security-labels|4.0.1
        From the FHIR Standard
        MedicationRequest.meta.tagexampleCommonTags
        http://hl7.org/fhir/ValueSet/common-tags|4.0.1
        From the FHIR Standard
        MedicationRequest.languagepreferredCommonLanguages
        http://hl7.org/fhir/ValueSet/languages
        From the FHIR Standard
        Additional Bindings Purpose
        AllLanguages Max Binding
        MedicationRequest.statusrequiredmedicationrequest Status
        http://hl7.org/fhir/ValueSet/medicationrequest-status
        From the FHIR Standard
        MedicationRequest.statusReasonextensiblemedicationRequest Status Reason Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-status-reason
        From the FHIR Standard
        MedicationRequest.intentrequiredmedicationRequest Intent
        http://hl7.org/fhir/ValueSet/medicationrequest-intent
        From the FHIR Standard
        MedicationRequest.categoryextensiblemedicationRequest Category Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-category
        From the FHIR Standard
        MedicationRequest.priorityrequiredRequestPriority
        http://hl7.org/fhir/ValueSet/request-priority|4.0.1
        From the FHIR Standard
        MedicationRequest.reported[x]:reportedReference.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.medication[x]extensibleMedication Clinical Drug .
        http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4
        MedicationRequest.medication[x]:medicationReference.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.subject.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.encounter.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.performerTypeexampleProcedurePerformerRoleCodes
        http://hl7.org/fhir/ValueSet/performer-role
        From the FHIR Standard
        MedicationRequest.reasonCodeexampleCondition/Problem/DiagnosisCodes
        http://hl7.org/fhir/ValueSet/condition-code
        From the FHIR Standard
        MedicationRequest.reasonReference.typeextensibleResourceType
        http://hl7.org/fhir/ValueSet/resource-types|4.0.1
        From the FHIR Standard
        MedicationRequest.courseOfTherapyTypeexamplemedicationRequest Course of Therapy Codes
        http://hl7.org/fhir/ValueSet/medicationrequest-course-of-therapy
        From the FHIR Standard
        MedicationRequest.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
        http://hl7.org/fhir/ValueSet/additional-instruction-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
        http://hl7.org/fhir/ValueSet/medication-as-needed-reason
        From the FHIR Standard
        MedicationRequest.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
        http://hl7.org/fhir/ValueSet/approach-site-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.routeextensibleSNOMEDCTRouteCodes
        http://hl7.org/fhir/ValueSet/route-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
        http://hl7.org/fhir/ValueSet/administration-method-codes
        From the FHIR Standard
        MedicationRequest.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
        http://hl7.org/fhir/ValueSet/dose-rate-type
        From the FHIR Standard
        MedicationRequest.substitution.allowed[x]exampleActSubstanceAdminSubstitutionCode
        http://terminology.hl7.org/ValueSet/v3-ActSubstanceAdminSubstitutionCode|3.0.0
        MedicationRequest.substitution.reasonexampleSubstanceAdminSubstitutionReason
        http://terminology.hl7.org/ValueSet/v3-SubstanceAdminSubstitutionReason|3.0.0

        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().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
        dom-4errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
        : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
        dom-5errorMedicationRequestIf a resource is contained in another resource, it SHALL NOT have a security label
        : contained.meta.security.empty()
        dom-6best practiceMedicationRequestA resource should have narrative for robust management
        : text.`div`.exists()
        ele-1error**ALL** elementsAll FHIR elements must have a @value or children
        : hasValue() or (children().count() > id.count())
        ext-1error**ALL** extensionsMust have either extensions or value[x], not both
        : extension.exists() != value.exists()

        This structure is derived from USCoreMedicationRequestProfile

        Summary

        Mandatory: 2 elements(5 nested mandatory elements)
        Must-Support: 22 elements

        Structures

        This structure refers to these other structures:

        Extensions

        This structure refers to these extensions:

        Slices

        This structure defines the following Slices:

        • The element 1 is sliced based on the value of MedicationRequest.reported[x]
        • The element 1 is sliced based on the value of MedicationRequest.medication[x]

        Maturity: 1

         

        Other representations of profile: CSV, Excel, Schematron


        国产精品久久久久久一级毛片