medication-request-discharge-summary (MedicationRequest) | I | MedicationRequest | There are no (further) constraints on this element Element idMedicationRequest Ordering of medication for patient or group Alternate namesPrescription, Order DefinitionAn order or request for both supply of the medication and the instructions for administration of the medication to a patient. The resource is called "MedicationRequest" rather than "MedicationPrescription" or "MedicationOrder" to generalize the use across inpatient and outpatient settings, including care plans, etc., and to harmonize with workflow patterns.
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id | Σ | 1..1 | id | There are no (further) constraints on this element Element idMedicationRequest.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
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meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationRequest.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language. Common Languages (extensible)Constraints
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text | I | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationRequest.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationRequest.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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medicationRequestType | I | 0..1 | Extension(Complex) | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Complex) Extension URLhttp://spms.min-saude.pt/pnb/extensions/medicationrequest-type Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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requestType | I | 0..1 | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
requestType
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valueCodeableConcept | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.coding.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.coding.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.coding.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.coding.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:requestType.value[x]:valueCodeableConcept.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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prescriptionType | I | 0..1 | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
prescriptionType
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valueCodeableConcept | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.coding.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.coding.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.coding.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.coding.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionType.value[x]:valueCodeableConcept.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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prescriptionException | I | 0..1 | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
prescriptionException
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valueCodeableConcept | 1..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 1..1 | Coding | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.coding.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.coding.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 1..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 1..1 | code | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.coding.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size
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display | Σ | 1..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.coding.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.extension:prescriptionException.value[x]:valueCodeableConcept.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
http://spms.min-saude.pt/pnb/extensions/medicationrequest-type
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value[x] | 0..0 | There are no (further) constraints on this element Element idMedicationRequest.extension:medicationRequestType.value[x] Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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cancellationInfo | I | 0..* | Extension(Complex) | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Complex) Extension URLhttp://spms.min-saude.pt/pnb/extensions/medicationrequest-cancellationInfo Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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cancellationDate | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationDate Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationDate.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationDate.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationDate.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
cancellationDate
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valueDateTime | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationDate.value[x]:valueDateTime Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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cancellationRequester | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationRequester Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationRequester.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationRequester.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationRequester.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
cancellationRequester
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valueReference | 0..1 | Reference(practitioner-discharge-summary) | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.extension:cancellationRequester.valueReference:valueReference Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded Reference(practitioner-discharge-summary) Allowed aggregation: bundled, referenced Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
http://spms.min-saude.pt/pnb/extensions/medicationrequest-cancellationInfo
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value[x] | 0..0 | There are no (further) constraints on this element Element idMedicationRequest.extension:cancellationInfo.value[x] Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded
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modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | 0..* | Identifier | There are no (further) constraints on this element Element idMedicationRequest.identifier External ids for this request DefinitionThis records identifiers associated with this medication request that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. For example a re-imbursement system might issue its own id for each prescription that is created. This is particularly important where FHIR only provides part of an entire workflow process where records must be tracked through an entire system.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.identifier.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.identifier.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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use | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.identifier.use usual | official | temp | secondary (If known) DefinitionThe purpose of this identifier. Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers. This is labeled as "Is Modifier" because applications should not mistake a temporary id for a permanent one. Applications can assume that an identifier is permanent unless it explicitly says that it is temporary. Identifies the purpose for this identifier, if known . IdentifierUse (required)Constraints
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type | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationRequest.identifier.type Description of identifier DefinitionA coded type for the identifier that can be used to determine which identifier to use for a specific purpose. Allows users to make use of identifiers when the identifier system is not known. This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type. A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Identifier Type Codes (extensible)Constraints
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system | Σ | 0..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.identifier.system The namespace for the identifier value DefinitionEstablishes the namespace for the value - that is, a URL that describes a set values that are unique. There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://spms.min-saude.pt/pem/identifiers/chronic-med-id
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value | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.identifier.value The value that is unique DefinitionThe portion of the identifier typically relevant to the user and which is unique within the context of the system. If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension.
General 123456 Mappings
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period | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idMedicationRequest.identifier.period Time period when id is/was valid for use DefinitionTime period during which identifier is/was valid for use. This is not a duration - that's a measure of time (a separate type), but a duration that occurs at a fixed value of time. A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times"). If duration is required, specify the type as Interval|Duration.
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assigner | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idMedicationRequest.identifier.assigner Organization that issued id (may be just text) DefinitionOrganization that issued/manages the identifier. The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.
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definition | Σ I | 0..* | Reference(ActivityDefinition | PlanDefinition) | There are no (further) constraints on this element Element idMedicationRequest.definition Protocol or definition DefinitionProtocol or definition followed by this request. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(ActivityDefinition | PlanDefinition) Constraints
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basedOn | Σ I | 0..* | Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest) | There are no (further) constraints on this element Element idMedicationRequest.basedOn What request fulfills DefinitionA plan or request that is fulfilled in whole or in part by this medication request. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest) Constraints
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groupIdentifier | Σ | 0..1 | Identifier | There are no (further) constraints on this element Element idMedicationRequest.groupIdentifier Composite request this is part of DefinitionA shared identifier common to all requests that were authorized more or less simultaneously by a single author, representing the identifier of the requisition or prescription. Requests are linked either by a "basedOn" relationship (i.e. one request is fulfilling another) or by having a common requisition. Requests that are part of the same requisition are generally treated independently from the perspective of changing their state or maintaining them after initial creation.
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status | Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.status active | on-hold | cancelled | completed | entered-in-error | stopped | draft | unknown DefinitionA code specifying the current state of the order. Generally this will be active or completed state. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. A coded concept specifying the state of the prescribing event. Describes the lifecycle of the prescription MedicationRequestStatus (required)Constraints
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intent | Σ ?! | 1..1 | codeBindingFixed Value | There are no (further) constraints on this element Element idMedicationRequest.intent proposal | plan | order | instance-order DefinitionWhether the request is a proposal, plan, or an original order. It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. An instance-order is an instantiation of a request or order and may be used to populate Medication Administration Record. This element is labeled as a modifier because the intent alters when and how the resource is actually applicable. The kind of medication order MedicationRequestIntent (required)Constraints
plan
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category | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationRequest.category Type of medication usage DefinitionIndicates the type of medication order and where the medication is expected to be consumed or administered. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept identifying where the medication ordered is expected to be consumed or administered MedicationRequestCategory (preferred)Constraints
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priority | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.priority routine | urgent | stat | asap DefinitionIndicates how quickly the Medication Request should be addressed with respect to other requests. Note that FHIR strings may not exceed 1MB in size Identifies the level of importance to be assigned to actioning the request MedicationRequestPriority (required)Constraints
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medicationReference | Σ | 1..1 | Reference(medication-discharge-summary) | There are no (further) constraints on this element Element idMedicationRequest.medication[x]:medicationReference Medication to be taken DefinitionIdentifies the medication being requested. This is a link to a resource that represents the medication which may be the details of the medication or simply an attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number or if the medication is compounded or extemporaneously prepared, then you must reference the Medication resource. . Reference(medication-discharge-summary) Allowed aggregation: referenced, bundled BindingA coded concept identifying substance or product that can be ordered. SNOMED CT Medication Codes (example)Constraints
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subject | Σ I | 1..1 | Reference(patient-discharge-summary) | There are no (further) constraints on this element Element idMedicationRequest.subject Who or group medication request is for DefinitionA link to a resource representing the person or set of individuals to whom the medication will be given. The subject on a medication request is mandatory. For the secondary use case where the actual subject is not provided, there still must be an anonymized subject specified. Reference(patient-discharge-summary) Allowed aggregation: referenced, bundled Constraints
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context | I | 0..1 | Reference(encounter-discharge-summary) | There are no (further) constraints on this element Element idMedicationRequest.context Created during encounter/admission/stay DefinitionA link to an encounter, or episode of care, that identifies the particular occurrence or set occurrences of contact between patient and health care provider. SubstanceAdministration->component->EncounterEvent. Reference(encounter-discharge-summary) Allowed aggregation: bundled, referenced Constraints
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supportingInformation | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element idMedicationRequest.supportingInformation Information to support ordering of the medication DefinitionInclude additional information (for example, patient height and weight) that supports the ordering of the medication. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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authoredOn | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationRequest.authoredOn When request was initially authored DefinitionThe date (and perhaps time) when the prescription was initially written or authored on.
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requester | Σ I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationRequest.requester Who/What requested the Request DefinitionThe individual, organization or device that initiated the request and has responsibility for its activation.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.requester.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.requester.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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RequesterLocation | I | 0..1 | Extension(Reference(http://spms.min-saude.pt/iop/StructureDefinition/LocationDischargeSummary)) | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Extension(Reference(http://spms.min-saude.pt/iop/StructureDefinition/LocationDischargeSummary)) Extension URLhttp://spms.min-saude.pt/pnb/extensions/medicationrequest-requesterLocation Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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RequesterLocation | I | 1..1 | Extension | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation.extension:RequesterLocation Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation.extension:RequesterLocation.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation.extension:RequesterLocation.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uri | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation.extension:RequesterLocation.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
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valueReference | 1..1 | Reference(location-discharge-summary) | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation.extension:RequesterLocation.value[x]:valueReference Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded Reference(location-discharge-summary) Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.
http://spms.min-saude.pt/pnb/extensions/medicationrequest-requesterLocation
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valueReference | 0..1 | Reference(http://spms.min-saude.pt/iop/StructureDefinition/LocationDischargeSummary) | There are no (further) constraints on this element Element idMedicationRequest.requester.extension:RequesterLocation.value[x]:valueReference Value of extension DefinitionValue of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). A stream of bytes, base64 encoded Reference(http://spms.min-saude.pt/iop/StructureDefinition/LocationDischargeSummary) Allowed aggregation: referenced, bundled Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.requester.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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agent | Σ I | 1..1 | Reference(practitioner-discharge-summary) | There are no (further) constraints on this element Element idMedicationRequest.requester.agent Who ordered the initial medication(s) DefinitionThe healthcare professional responsible for authorizing the initial prescription. It is expected that the type of requester will be restricted for different stages of a MedicationRequest. For example, Proposals can be created by a patient, relatedPerson, Practitioner or Device. Plans can be created by Practitioners, Patients, RelatedPersons and Devices. Original orders can be created by a Practitioner only. Reference(practitioner-discharge-summary) Allowed aggregation: referenced, bundled Constraints
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onBehalfOf | Σ I | 0..1 | Reference(Organization) | There are no (further) constraints on this element Element idMedicationRequest.requester.onBehalfOf Organization agent is acting for DefinitionThe organization the device or practitioner was acting on behalf of. Practitioners and Devices can be associated with multiple organizations. This element indicates which organization they were acting on behalf of when authoring the request. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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recorder | I | 0..1 | Reference(Practitioner) | There are no (further) constraints on this element Element idMedicationRequest.recorder Person who entered the request DefinitionThe person who entered the order on behalf of another individual for example in the case of a verbal or a telephone order. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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reasonCode | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.reasonCode Reason or indication for writing the prescription DefinitionThe reason or the indication for ordering the medication. This could be a diagnosis code. If a full condition record exists or additional detail is needed, use reasonReference. A coded concept indicating why the medication was ordered. Condition/Problem/Diagnosis Codes (example)Constraints
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reasonReference | I | 0..* | Reference(Condition | Observation) | There are no (further) constraints on this element Element idMedicationRequest.reasonReference Condition or Observation that supports why the prescription is being written DefinitionCondition or observation that supports why the medication was ordered. This is a reference to a condition or observation that is the reason for the medication order. If only a code exists, use reasonCode. Reference(Condition | Observation) Constraints
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note | 0..* | Annotation | There are no (further) constraints on this element Element idMedicationRequest.note Information about the prescription DefinitionExtra information about the prescription that could not be conveyed by the other attributes. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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dosageInstruction | 0..* | Dosage | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction How the medication should be taken DefinitionIndicates how the medication is to be used by the patient. There are examples where a medication request may include the option of an oral dose or an Intravenous or Intramuscular dose. For example, "Ondansetron 8mg orally or IV twice a day as needed for nausea" or "Compazine® (prochlorperazine) 5-10mg PO or 25mg PR bid prn nausea or vomiting". In these cases, two medication requests would be created that could be grouped together. The decision on which dose and route of administration to use is based on the patient's condition at the time the dose is needed.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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sequence | Σ | 0..1 | integer | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.sequence The order of the dosage instructions DefinitionIndicates the order in which the dosage instructions should be applied or interpreted. If the sequence number of multiple Dosages is the same, then it is implied that the instructions are to be treated as concurrent. If the sequence number is different, then the Dosages are intended to be sequential. 32 bit number; for values larger than this, use decimal
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.text Free text dosage instructions e.g. SIG DefinitionFree text dosage instructions e.g. SIG. Free text dosage instructions can be used for cases where the instructions are too complex to code. The content of this attribute does not include the name or description of the medication. When coded instructions are present, the free text instructions may still be present for display to humans taking or administering the medication. It is expected that the text instructions will always be populated. If the dosage.timing attribute is also populated, then the dosage.text should reflect the same information as the timing. Note that FHIR strings may not exceed 1MB in size
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additionalInstruction | Σ | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.additionalInstruction Supplemental instruction - e.g. "with meals" DefinitionSupplemental instruction - e.g. "with meals". Additional instruction such as "Swallow with plenty of water" which may or may not be coded. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept identifying additional instructions such as "take with water" or "avoid operating heavy machinery". SNOMED CT Additional Dosage Instructions (example)Constraints
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patientInstruction | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.patientInstruction Patient or consumer oriented instructions DefinitionInstructions in terms that are understood by the patient or consumer. Note that FHIR strings may not exceed 1MB in size
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timing | Σ | 0..1 | Timing | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing When medication should be administered DefinitionWhen medication should be administered. The timing schedule for giving the medication to the patient. The Schedule data type allows many different expressions. For example: "Every 8 hours"; "Three times a day"; "1/2 an hour before breakfast for 10 days from 23-Dec 2011:"; "15 Oct 2013, 17 Oct 2013 and 1 Nov 2013". Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. This attribute may not always be populated while the Dosage.text is expected to be populated. If both are populated, then the Dosage.text should reflect the content of the Dosage.timing.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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event | Σ | 0..* | dateTime | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.event When the event occurs DefinitionIdentifies specific times when the event occurs. In an MAR, for instance, you need to take a general specification, and turn it into a precise specification.
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repeat | Σ I | 0..1 | Element | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat When the event is to occur DefinitionA set of rules that describe when the event is scheduled. Many timing schedules are determined by regular repetitions.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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boundsPeriod | Σ I | 0..1 | Period | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.bounds[x]:boundsPeriod Length/Range of lengths, or (Start and/or end) limits DefinitionEither a duration for the length of the timing schedule, a range of possible length, or outer bounds for start and/or end limits of the timing schedule. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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count | Σ | 0..1 | integer | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.count Number of times to repeat DefinitionA total count of the desired number of repetitions. Repetitions may be limited by end time or total occurrences. If you have both bounds and count, then this should be understood as within the bounds period, until count times happens.
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countMax | Σ | 0..1 | integer | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.countMax Maximum number of times to repeat DefinitionA maximum value for the count of the desired repetitions (e.g. do something 6-8 times). 32 bit number; for values larger than this, use decimal
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duration | Σ | 0..1 | decimal | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.duration How long when it happens DefinitionHow long this thing happens for when it happens. Some activities are not instantaneous and need to be maintained for a period of time. For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
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durationMax | Σ | 0..1 | decimal | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.durationMax How long when it happens (Max) DefinitionThe upper limit of how long this thing happens for when it happens. Some activities are not instantaneous and need to be maintained for a period of time. For some events the duration is part of the definition of the event (e.g. IV infusions, where the duration is implicit in the specified quantity and rate). For others, it's part of the timing specification (e.g. exercise).
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durationUnit | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.durationUnit s | min | h | d | wk | mo | a - unit of time (UCUM) DefinitionThe units of time for the duration, in UCUM units. Note that FHIR strings may not exceed 1MB in size A unit of time (units from UCUM). UnitsOfTime (required)Constraints
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frequency | Σ | 0..1 | integer | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.frequency Event occurs frequency times per period DefinitionThe number of times to repeat the action within the specified period / period range (i.e. both period and periodMax provided). 32 bit number; for values larger than this, use decimal
1
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frequencyMax | Σ | 0..1 | integer | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.frequencyMax Event occurs up to frequencyMax times per period DefinitionIf present, indicates that the frequency is a range - so to repeat between [frequency] and [frequencyMax] times within the period or period range. 32 bit number; for values larger than this, use decimal
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period | Σ | 0..1 | decimal | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.period Event occurs frequency times per period DefinitionIndicates the duration of time over which repetitions are to occur; e.g. to express "3 times per day", 3 would be the frequency and "1 day" would be the period. Do not use a IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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periodMax | Σ | 0..1 | decimal | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.periodMax Upper limit of period (3-4 hours) DefinitionIf present, indicates that the period is a range from [period] to [periodMax], allowing expressing concepts such as "do this once every 3-5 days. Do not use a IEEE type floating point type, instead use something that works like a true decimal, with inbuilt precision (e.g. Java BigInteger)
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periodUnit | Σ | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.periodUnit s | min | h | d | wk | mo | a - unit of time (UCUM) DefinitionThe units of time for the period in UCUM units. Note that FHIR strings may not exceed 1MB in size A unit of time (units from UCUM). UnitsOfTime (required)Constraints
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dayOfWeek | Σ | 0..* | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.dayOfWeek mon | tue | wed | thu | fri | sat | sun DefinitionIf one or more days of week is provided, then the action happens only on the specified day(s). If no days are specified, the action is assumed to happen every day as otherwise specified. The elements frequency and period cannot be used as well as dayOfWeek.
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timeOfDay | Σ | 0..* | time | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.timeOfDay Time of day for action DefinitionSpecified time of day for action to take place. When time of day is specified, it is inferred that the action happens every day (as filtered by dayofWeek) on the specified times. The elements when, frequency and period cannot be used as well as timeOfDay.
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when | Σ | 0..* | codeBinding | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.when Regular life events the event is tied to DefinitionReal world events that the occurrence of the event should be tied to. Timings are frequently determined by occurrences such as waking, eating and sleep. When more than one event is listed, the event is tied to the union of the specified events. Real world event relating to the schedule. EventTiming (required)Constraints
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offset | Σ | 0..1 | unsignedInt | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.repeat.offset Minutes from event (before or after) DefinitionThe number of minutes from the event. If the event code does not indicate whether the minutes is before or after the event, then the offset is assumed to be after the event. 32 bit number; for values larger than this, use decimal
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code | Σ | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.timing.code BID | TID | QID | AM | PM | QD | QOD | Q4H | Q6H + DefinitionA code for the timing schedule. Some codes such as BID are ubiquitous, but many institutions define their own additional codes. If a code is provided, the code is understood to be a complete statement of whatever is specified in the structured timing data, and either the code or the data may be used to interpret the Timing, with the exception that .repeat.bounds still applies over the code (and is not contained in the code). BID etc are defined as 'at institutionally specified times'. For example, an institution may choose that BID is "always at 7am and 6pm". If it is inappropriate for this choice to be made, the code BID should not be used. Instead, a distinct organization-specific code should be used in place of the HL7-defined BID code and/or the a structured representation should be used (in this case, specifying the two event times). Code for a known / defined timing pattern. TimingAbbreviation (preferred)Constraints
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asNeeded[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.asNeeded[x] Take "as needed" (for x) DefinitionIndicates whether the Medication is only taken when needed within a specific dosing schedule (Boolean option), or it indicates the precondition for taking the Medication (CodeableConcept). Can express "as needed" without a reason by setting the Boolean = True. In this case the CodeableConcept is not populated. Or you can express "as needed" with a reason by including the CodeableConcept. In this case the Boolean is assumed to be True. If you set the Boolean to False, then the dose is given according to the schedule and is not "prn" or "as needed". 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. SNOMED CT Medication As Needed Reason Codes (example)Constraints
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asNeededBoolean | boolean | There are no (further) constraints on this element Data type | ||
asNeededCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
site | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.site Body site to administer to DefinitionBody site to administer to. A coded specification of the anatomic site where the medication first enters the body. If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension body-site-instance. May be a summary code, or a reference to a very precise definition of the location, or both. A coded concept describing the site location the medicine enters into or onto the body. SNOMED CT Anatomical Structure for Administration Site Codes (example)Constraints
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route | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route How drug should enter body DefinitionHow drug should enter body. A code specifying the route or physiological path of administration of a therapeutic agent into or onto a patient's body. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMED CT Route Codes (example)Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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coding | Σ | 0..* | Coding | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.coding.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.coding.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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system | Σ | 0..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.coding.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.
http://www.infarmed.pt/valueset/vias-adm
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.coding.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | Σ | 0..1 | code | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.coding.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings may not exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.coding.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings may not exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.coding.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.route.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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method | Σ | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.method Technique for administering medication DefinitionTechnique for administering medication. A coded value indicating the method by which the medication is introduced into or onto the body. Most commonly used for injections. For examples, Slow Push; Deep IV. Terminologies used often pre-coordinate this term with the route and or form of administration. A coded concept describing the technique by which the medicine is administered. SNOMED CT Administration Method Codes (example)Constraints
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dose[x] | Σ I | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.dose[x] Amount of medication per dose DefinitionAmount of medication per dose. The amount of therapeutic or other substance given at one administration event. Note that this specifies the quantity of the specified medication, not the quantity for each active ingredient(s). Each ingredient amount can be communicated in the Medication resource. For example, if one wants to communicate that a tablet was 375 mg, where the dose was one tablet, you can use the Medication resource to document that the tablet was comprised of 375 mg of drug XYZ. Alternatively if the dose was 375 mg, then you may only need to use the Medication resource to indicate this was a tablet. If the example were an IV such as dopamine and you wanted to communicate that 400mg of dopamine was mixed in 500 ml of some IV solution, then this would all be communicated in the Medication resource. If the administration is not intended to be instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount to be administered over the period of time as indicated by the schedule e.g. 500 ml in dose, with timing used to convey that this should be done over 4 hours.
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doseRange | Range | There are no (further) constraints on this element Data type | ||
doseQuantity | SimpleQuantity | There are no (further) constraints on this element Data type | ||
maxDosePerPeriod | Σ I | 0..1 | Ratio | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.maxDosePerPeriod Upper limit on medication per unit of time DefinitionUpper limit on medication per unit of time. The maximum total quantity of a therapeutic substance that may be administered to a subject over the period of time. For example, 1000mg in 24 hours. This is intended for use as an adjunct to the dosage when there is an upper cap. For example "2 tablets every 4 hours to a maximum of 8/day".
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maxDosePerAdministration | Σ I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.maxDosePerAdministration Upper limit on medication per administration DefinitionUpper limit on medication per administration. The maximum total quantity of a therapeutic substance that may be administered to a subject per administration. This is intended for use as an adjunct to the dosage when there is an upper cap. For example, a body surface area related dose with a maximum amount, such as 1.5 mg/m2 (maximum 2 mg) IV over 5 – 10 minutes would have doseQuantity of 1.5 mg/m2 and maxDosePerAdministration of 2 mg.
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maxDosePerLifetime | Σ I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.maxDosePerLifetime Upper limit on medication per lifetime of the patient DefinitionUpper limit on medication per lifetime of the patient. The maximum total quantity of a therapeutic substance that may be administered per lifetime of the subject. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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rate[x] | Σ I | 0..1 | There are no (further) constraints on this element Element idMedicationRequest.dosageInstruction.rate[x] Amount of medication per unit of time DefinitionAmount of medication per unit of time. Identifies the speed with which the medication was or will be introduced into the patient. Typically the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. Sometimes, a rate can imply duration when expressed as total volume / duration (e.g. 500mL/2 hours implies a duration of 2 hours). However, when rate doesn't imply duration (e.g. 250mL/hour), then the timing.repeat.duration is needed to convey the infuse over time period. It is possible to supply both a rate and a doseQuantity to provide full details about how the medication is to be administered and supplied. If the rate is intended to change over time, depending on local rules/regulations, each change should be captured as a new version of the MedicationRequest with an updated rate, or captured with a new MedicationRequest with the new rate.
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rateRatio | Ratio | There are no (further) constraints on this element Data type | ||
rateRange | Range | There are no (further) constraints on this element Data type | ||
rateQuantity | SimpleQuantity | There are no (further) constraints on this element Data type | ||
dispenseRequest | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest Medication supply authorization DefinitionIndicates the specific details for the dispense or medication supply part of a medication request (also known as a Medication Prescription or Medication Order). Note that this information is not always sent with the order. There may be in some settings (e.g. hospitals) institutional or system support for completing the dispense details in the pharmacy department.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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validityPeriod | I | 0..1 | Period | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.validityPeriod Time period supply is authorized for DefinitionThis indicates the validity period of a prescription (stale dating the Prescription). Indicates when the Prescription becomes valid, and when it ceases to be a dispensable Prescription. It reflects the prescribers' perspective for the validity of the prescription. Dispenses must not be made against the prescription outside of this period. The lower-bound of the Dispensing Window signifies the earliest date that the prescription can be filled for the first time. If an upper-bound is not specified then the Prescription is open-ended or will default to a stale-date based on regulations.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.validityPeriod.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.validityPeriod.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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start | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.validityPeriod.start Starting time with inclusive boundary DefinitionThe start of the period. The boundary is inclusive. If the low element is missing, the meaning is that the low boundary is not known.
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end | Σ I | 1..1 | dateTime | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.validityPeriod.end End time with inclusive boundary, if not ongoing DefinitionThe end of the period. If the end of the period is missing, it means that the period is ongoing. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time. The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03. If the end of the period is missing, it means that the period is ongoing
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numberOfRepeatsAllowed | 0..1 | positiveInt | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.numberOfRepeatsAllowed Number of refills authorized DefinitionAn integer indicating the number of times, in addition to the original dispense, (aka refills or repeats) that the patient can receive the prescribed medication. Usage Notes: This integer does not include the original order dispense. This means that if an order indicates dispense 30 tablets plus "3 repeats", then the order can be dispensed a total of 4 times and the patient can receive a total of 120 tablets. If displaying "number of authorized fills", add 1 to this number.
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quantity | I | 0..1 | SimpleQuantity | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.quantity Amount of medication to supply per dispense DefinitionThe amount that is to be dispensed for one fill. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
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expectedSupplyDuration | I | 0..1 | Duration | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.expectedSupplyDuration Number of days supply per dispense DefinitionIdentifies the period time over which the supplied product is expected to be used, or the length of time the dispense is expected to last. In some situations, this attribute may be used instead of quantity to identify the amount supplied by how long it is expected to last, rather than the physical quantity issued, e.g. 90 days supply of medication (based on an ordered dosage) When possible, it is always better to specify quantity, as this tends to be more precise. expectedSupplyDuration will always be an estimate that can be influenced by external factors.
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performer | I | 0..1 | Reference(organization-discharge-summary) | There are no (further) constraints on this element Element idMedicationRequest.dispenseRequest.performer Intended dispenser DefinitionIndicates the intended dispensing Organization specified by the prescriber. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(organization-discharge-summary) Allowed aggregation: referenced, bundled Constraints
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substitution | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationRequest.substitution Any restrictions on medication substitution DefinitionIndicates whether or not substitution can or should be part of the dispense. In some cases substitution must happen, in other cases substitution must not happen. This block explains the prescriber's intent. If nothing is specified substitution may be done.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationRequest.substitution.id xml:id (or equivalent in JSON) Definitionunique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Note that FHIR strings may not exceed 1MB in size
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.substitution.extension Additional Content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationRequest.substitution.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content, modifiers DefinitionMay be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
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allowed | ?! | 1..1 | boolean | There are no (further) constraints on this element Element idMedicationRequest.substitution.allowed Whether substitution is allowed or not DefinitionTrue if the prescriber allows a different drug to be dispensed from what was prescribed. This element is labeled as a modifer because whether substitution is allow or not cannot be ignored.
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reason | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationRequest.substitution.reason Why should (not) substitution be made DefinitionIndicates the reason for the substitution, or why substitution must or must not be performed. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing the reason that a different medication should (or should not) be substituted from what was prescribed. SubstanceAdminSubstitutionReason (example)Constraints
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priorPrescription | I | 0..1 | Reference(MedicationRequest) | There are no (further) constraints on this element Element idMedicationRequest.priorPrescription An order/prescription that is being replaced DefinitionA link to a resource representing an earlier order related order or prescription. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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detectedIssue | I | 0..* | Reference(DetectedIssue) | There are no (further) constraints on this element Element idMedicationRequest.detectedIssue Clinical Issue with action Alternate namesContraindication, Drug Utilization Review (DUR), Alert DefinitionIndicates an actual or potential clinical issue with or between one or more active or proposed clinical actions for a patient; e.g. Drug-drug interaction, duplicate therapy, dosage alert etc. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idMedicationRequest.eventHistory A list of events of interest in the lifecycle DefinitionLinks to Provenance records for past versions of this resource or fulfilling request or event resources that identify key state transitions or updates that are likely to be relevant to a user looking at the current version of the resource. This may not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.).
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MedicationRequest | 0..* | |
MedicationRequest.id | id | 1..1 |
MedicationRequest.meta | Meta | 0..1 |
MedicationRequest.implicitRules | uri | 0..1 |
MedicationRequest.language | code | 0..1 |
MedicationRequest.text | Narrative | 0..1 |
MedicationRequest.contained | Resource | 0..* |
MedicationRequest.extension | Extension | 0..* |
MedicationRequest.extension | Extension | 0..1 |
MedicationRequest.extension.id | string | 0..1 |
MedicationRequest.extension.extension | Extension | 0..* |
MedicationRequest.extension.extension | Extension | 0..1 |
MedicationRequest.extension.extension.id | string | 0..1 |
MedicationRequest.extension.extension.extension | Extension | 0..* |
MedicationRequest.extension.extension.url | uri | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept | CodeableConcept | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.id | string | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.extension | Extension | 0..* |
MedicationRequest.extension.extension.valueCodeableConcept.coding | Coding | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.id | string | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.extension | Extension | 0..* |
MedicationRequest.extension.extension.valueCodeableConcept.coding.system | uri | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.version | string | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.code | code | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.display | string | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.userSelected | boolean | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.text | string | 0..1 |
MedicationRequest.extension.extension | Extension | 0..1 |
MedicationRequest.extension.extension.id | string | 0..1 |
MedicationRequest.extension.extension.extension | Extension | 0..* |
MedicationRequest.extension.extension.url | uri | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept | CodeableConcept | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.id | string | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.extension | Extension | 0..* |
MedicationRequest.extension.extension.valueCodeableConcept.coding | Coding | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.id | string | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.extension | Extension | 0..* |
MedicationRequest.extension.extension.valueCodeableConcept.coding.system | uri | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.version | string | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.code | code | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.display | string | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.userSelected | boolean | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.text | string | 0..1 |
MedicationRequest.extension.extension | Extension | 0..1 |
MedicationRequest.extension.extension.id | string | 0..1 |
MedicationRequest.extension.extension.extension | Extension | 0..* |
MedicationRequest.extension.extension.url | uri | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept | CodeableConcept | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.id | string | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.extension | Extension | 0..* |
MedicationRequest.extension.extension.valueCodeableConcept.coding | Coding | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.id | string | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.extension | Extension | 0..* |
MedicationRequest.extension.extension.valueCodeableConcept.coding.system | uri | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.version | string | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.code | code | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.display | string | 1..1 |
MedicationRequest.extension.extension.valueCodeableConcept.coding.userSelected | boolean | 0..1 |
MedicationRequest.extension.extension.valueCodeableConcept.text | string | 0..1 |
MedicationRequest.extension.url | uri | 1..1 |
MedicationRequest.extension.value[x] | Reference(), base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, SampledData, Signature, Timing, Meta | 0..0 |
MedicationRequest.extension | Extension | 0..* |
MedicationRequest.extension.id | string | 0..1 |
MedicationRequest.extension.extension | Extension | 0..* |
MedicationRequest.extension.extension | Extension | 0..* |
MedicationRequest.extension.extension.id | string | 0..1 |
MedicationRequest.extension.extension.extension | Extension | 0..* |
MedicationRequest.extension.extension.url | uri | 1..1 |
MedicationRequest.extension.extension.valueDateTime | dateTime | 0..1 |
MedicationRequest.extension.extension | Extension | 0..* |
MedicationRequest.extension.extension.id | string | 0..1 |
MedicationRequest.extension.extension.extension | Extension | 0..* |
MedicationRequest.extension.extension.url | uri | 1..1 |
MedicationRequest.extension.extension.valueReference | Reference(practitioner-discharge-summary) | 0..1 |
MedicationRequest.extension.url | uri | 1..1 |
MedicationRequest.extension.value[x] | Reference(), base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, SampledData, Signature, Timing, Meta | 0..0 |
MedicationRequest.modifierExtension | Extension | 0..* |
MedicationRequest.identifier | Identifier | 0..* |
MedicationRequest.identifier.id | string | 0..1 |
MedicationRequest.identifier.extension | Extension | 0..* |
MedicationRequest.identifier.use | code | 0..1 |
MedicationRequest.identifier.type | CodeableConcept | 0..1 |
MedicationRequest.identifier.system | uri | 0..1 |
MedicationRequest.identifier.value | string | 0..1 |
MedicationRequest.identifier.period | Period | 0..1 |
MedicationRequest.identifier.assigner | Reference(Organization) | 0..1 |
MedicationRequest.definition | Reference(ActivityDefinition | PlanDefinition) | 0..* |
MedicationRequest.basedOn | Reference(CarePlan | MedicationRequest | ProcedureRequest | ReferralRequest) | 0..* |
MedicationRequest.groupIdentifier | Identifier | 0..1 |
MedicationRequest.status | code | 1..1 |
MedicationRequest.intent | code | 1..1 |
MedicationRequest.category | CodeableConcept | 0..1 |
MedicationRequest.priority | code | 0..1 |
MedicationRequest.medicationReference | Reference(medication-discharge-summary) | 1..1 |
MedicationRequest.subject | Reference(patient-discharge-summary) | 1..1 |
MedicationRequest.context | Reference(encounter-discharge-summary) | 0..1 |
MedicationRequest.supportingInformation | Reference(Resource) | 0..* |
MedicationRequest.authoredOn | dateTime | 0..1 |
MedicationRequest.requester | BackboneElement | 0..1 |
MedicationRequest.requester.id | string | 0..1 |
MedicationRequest.requester.extension | Extension | 0..* |
MedicationRequest.requester.extension | Extension | 0..1 |
MedicationRequest.requester.extension.id | string | 0..1 |
MedicationRequest.requester.extension.extension | Extension | 0..* |
MedicationRequest.requester.extension.extension | Extension | 1..1 |
MedicationRequest.requester.extension.extension.id | string | 0..1 |
MedicationRequest.requester.extension.extension.extension | Extension | 0..* |
MedicationRequest.requester.extension.extension.url | uri | 1..1 |
MedicationRequest.requester.extension.extension.valueReference | Reference(location-discharge-summary) | 1..1 |
MedicationRequest.requester.extension.url | uri | 1..1 |
MedicationRequest.requester.extension.valueReference | Reference(http://spms.min-saude.pt/iop/StructureDefinition/LocationDischargeSummary) | 0..1 |
MedicationRequest.requester.modifierExtension | Extension | 0..* |
MedicationRequest.requester.agent | Reference(practitioner-discharge-summary) | 1..1 |
MedicationRequest.requester.onBehalfOf | Reference(Organization) | 0..1 |
MedicationRequest.recorder | Reference(Practitioner) | 0..1 |
MedicationRequest.reasonCode | CodeableConcept | 0..* |
MedicationRequest.reasonReference | Reference(Condition | Observation) | 0..* |
MedicationRequest.note | Annotation | 0..* |
MedicationRequest.dosageInstruction | Dosage | 0..* |
MedicationRequest.dosageInstruction.id | string | 0..1 |
MedicationRequest.dosageInstruction.extension | Extension | 0..* |
MedicationRequest.dosageInstruction.sequence | integer | 0..1 |
MedicationRequest.dosageInstruction.text | string | 0..1 |
MedicationRequest.dosageInstruction.additionalInstruction | CodeableConcept | 0..* |
MedicationRequest.dosageInstruction.patientInstruction | string | 0..1 |
MedicationRequest.dosageInstruction.timing | Timing | 0..1 |
MedicationRequest.dosageInstruction.timing.id | string | 0..1 |
MedicationRequest.dosageInstruction.timing.extension | Extension | 0..* |
MedicationRequest.dosageInstruction.timing.event | dateTime | 0..* |
MedicationRequest.dosageInstruction.timing.repeat | Element | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.id | string | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.extension | Extension | 0..* |
MedicationRequest.dosageInstruction.timing.repeat.boundsPeriod | Period | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.count | integer | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.countMax | integer | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.duration | decimal | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.durationMax | decimal | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.durationUnit | code | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.frequency | integer | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.frequencyMax | integer | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.period | decimal | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.periodMax | decimal | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.periodUnit | code | 0..1 |
MedicationRequest.dosageInstruction.timing.repeat.dayOfWeek | code | 0..* |
MedicationRequest.dosageInstruction.timing.repeat.timeOfDay | time | 0..* |
MedicationRequest.dosageInstruction.timing.repeat.when | code | 0..* |
MedicationRequest.dosageInstruction.timing.repeat.offset | unsignedInt | 0..1 |
MedicationRequest.dosageInstruction.timing.code | CodeableConcept | 0..1 |
MedicationRequest.dosageInstruction.asNeeded[x] | boolean, CodeableConcept | 0..1 |
MedicationRequest.dosageInstruction.site | CodeableConcept | 0..1 |
MedicationRequest.dosageInstruction.route | CodeableConcept | 0..1 |
MedicationRequest.dosageInstruction.route.id | string | 0..1 |
MedicationRequest.dosageInstruction.route.extension | Extension | 0..* |
MedicationRequest.dosageInstruction.route.coding | Coding | 0..* |
MedicationRequest.dosageInstruction.route.coding.id | string | 0..1 |
MedicationRequest.dosageInstruction.route.coding.extension | Extension | 0..* |
MedicationRequest.dosageInstruction.route.coding.system | uri | 0..1 |
MedicationRequest.dosageInstruction.route.coding.version | string | 0..1 |
MedicationRequest.dosageInstruction.route.coding.code | code | 0..1 |
MedicationRequest.dosageInstruction.route.coding.display | string | 0..1 |
MedicationRequest.dosageInstruction.route.coding.userSelected | boolean | 0..1 |
MedicationRequest.dosageInstruction.route.text | string | 0..1 |
MedicationRequest.dosageInstruction.method | CodeableConcept | 0..1 |
MedicationRequest.dosageInstruction.dose[x] | Range, SimpleQuantity | 0..1 |
MedicationRequest.dosageInstruction.maxDosePerPeriod | Ratio | 0..1 |
MedicationRequest.dosageInstruction.maxDosePerAdministration | SimpleQuantity | 0..1 |
MedicationRequest.dosageInstruction.maxDosePerLifetime | SimpleQuantity | 0..1 |
MedicationRequest.dosageInstruction.rate[x] | Ratio, Range, SimpleQuantity | 0..1 |
MedicationRequest.dispenseRequest | BackboneElement | 0..1 |
MedicationRequest.dispenseRequest.id | string | 0..1 |
MedicationRequest.dispenseRequest.extension | Extension | 0..* |
MedicationRequest.dispenseRequest.modifierExtension | Extension | 0..* |
MedicationRequest.dispenseRequest.validityPeriod | Period | 0..1 |
MedicationRequest.dispenseRequest.validityPeriod.id | string | 0..1 |
MedicationRequest.dispenseRequest.validityPeriod.extension | Extension | 0..* |
MedicationRequest.dispenseRequest.validityPeriod.start | dateTime | 1..1 |
MedicationRequest.dispenseRequest.validityPeriod.end | dateTime | 1..1 |
MedicationRequest.dispenseRequest.numberOfRepeatsAllowed | positiveInt | 0..1 |
MedicationRequest.dispenseRequest.quantity | SimpleQuantity | 0..1 |
MedicationRequest.dispenseRequest.expectedSupplyDuration | Duration | 0..1 |
MedicationRequest.dispenseRequest.performer | Reference(organization-discharge-summary) | 0..1 |
MedicationRequest.substitution | BackboneElement | 0..1 |
MedicationRequest.substitution.id | string | 0..1 |
MedicationRequest.substitution.extension | Extension | 0..* |
MedicationRequest.substitution.modifierExtension | Extension | 0..* |
MedicationRequest.substitution.allowed | boolean | 1..1 |
MedicationRequest.substitution.reason | CodeableConcept | 0..1 |
MedicationRequest.priorPrescription | Reference(MedicationRequest) | 0..1 |
MedicationRequest.detectedIssue | Reference(DetectedIssue) | 0..* |
MedicationRequest.eventHistory | Reference(Provenance) | 0..* |